7 Day Falling Audit

• Company:

  Integrated Operations Group

  CFO

  NFO

• Client / Site:

• Prime Contractor:

• Work Site:

• Conducted on:

  Date

• Auditor:

• Faller:

• Supervisor:

Training Records

• Faller's log book and wallet certification

  Yes

  No

  N/A

• Trainee's training records

  Yes

  No

  N/A

• First aid tickets

  Yes

  No

  N/A

• S100 fire training

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Shutdown Criteria

• Rain

  Yes

  No

  N/A

• Wind

  Yes

  No

  N/A

• Snow

  Yes

  No

  N/A

• Fog

  Yes

  No

  N/A

Starting New Falling Area

• Pre work sign off

  Yes

  No

  N/A

• Site-specific hazards

  Yes

  No

  N/A

• Road/Block signage

  Yes

  No

  N/A

• Site hazard assessment sign off

  Yes

  No

  N/A

• Block access and egress, walk in and out or heli

  Yes

  No

  N/A

• Are there other crew's working in area?

  Yes

  No

  N/A

• Do you know radio channel for other crew's

  Yes

  No

  N/A

• Alternate radio channel for crew?

  Yes

  No

  N/A

• Fire equipment location

  Yes

  No

  N/A

Knowledge of ERP

• Who are the level 3 FAA

  Yes

  No

  N/A

• What level 3 FAA is closest to you

  Yes

  No

  N/A

• Location of ETV or Heli

  Yes

  No

  N/A

• Closest Heli Pad

  Yes

  No

  N/A

• Closest Hospital

  Yes

  No

  N/A

• General Comment

Safe Work Procedures

• Man-check

  Yes

  No

  N/A

• Reporting an incident

  Yes

  No

  N/A

• Double up procedures

  Yes

  No

  N/A

• Two tree length rule

  Yes

  No

  N/A

• 8 Deadly sins

  Yes

  No

  N/A

• Road's gated

  Yes

  No

  N/A

• Daily work plan signed

  Yes

  No

  N/A

• Jacking tree's

  Yes

  No

  N/A

• Over coming falling difficulty

  Yes

  No

  N/A

• Get second opinion

  Yes

  No

  N/A

• Run-away potential

  Yes

  No

  N/A

• Trails ribboned and cut

  Yes

  No

  N/A

• Condition of up set

  Yes

  No

  N/A

• Understanding your map and prescriptions

  Yes

  No

  N/A

Faller PPE

• Photo

  Media

• Hard Hat and ear muff's

  Yes

  No

  N/A

• High visibility shirt & rain gear

  Yes

  No

  N/A

• Eye and face protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Leg protection & footwear ( Caulk Boots )

  Yes

  No

  N/A

• Two way radio and whistle

  Yes

  No

  N/A

• Pressure bandage

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• 3 Wedges

  Yes

  No

  N/A

• 3.5 lbs with min 17" handle axe

  Yes

  No

  N/A

Saw

• Photo

  Media

• Palm lock, chain brake, ign, switch

  Yes

  No

  N/A

• Adequate bar length

  Yes

  No

  N/A

• Muffler with spark arrest

  Yes

  No

  N/A

• Chain brake works

  Yes

  No

  N/A

• Sharp chain

  Yes

  No

  N/A

Safety / Tools

• Spare Saw

  Yes

  No

  N/A

• Full size axe 3.5 lbs 27" handle

  Yes

  No

  N/A

• Spare bar

  Yes

  No

  N/A

• Spare tap and tool kit

  Yes

  No

  N/A

• NWZ and trail ribbon

  Yes

  No

  N/A

• Min 2 spare wedges

  Yes

  No

  N/A

• Has water and food

  Yes

  No

  N/A

• General Comment

Falling Stump Audit

• Faller Signature

  Sign

• Auditor Signature

  Sign

• Additional Comments