CONTRACT HSE FIELD VERIFICATION TOOL SHORT

Title Page

Contract Number & Name:
Conducted on:
Prepared by:
Location:
Service / Project Leader Name: Participants:

Contractor Management

Is Contract Classified as Minor, Moderate, or Major?

SOM Implementation

For this contract is the safe operations management program fully implemented and effectively identifies, evaluates, assesses and manages hazards and risks in the work place and for each external job sites, contracts and projects?
Has the company designated rep ensured that employees and contractors identify and control the hazards of the job site, provided adequate information, training and documentation to work safely?
Has the company designated rep provided appropriate and timely (prior to bid review) initial contract / project classification / evaluation?
Has the company designated rep upon award of the (new) bid and / or scope of work changes: verified and updated the contract / project classification / evaluation for new work awarded or change in scope of work?
Has the company designated rep provided adequate and timely contractor risk profile in company database for each contractor and updated if new work awarded or change in scope of work?
Has the company designated rep provided adequate and timely hazard identification and worksheet for each contract in company database and updated for new work awarded or change in scope of work?
Has the company designated rep provided adequate and timely risk identification worksheet for each contract and updated if new work awarded or change in scope of work?
Has the company designated rep provide adequate and timely safe work procedures for each contract and updated if new work awarded or change in scope of work?
Has the company designated rep provide adequate and timely site safety, health and / or environmental plan for each contract classified as major and updated if new work awarded or change in scope of work?
Has the company designated rep provide adequate and timely risk assessment register and control plan and updated if new work awarded or change in scope of work?
Has the company designated rep provided adequate and timely verification of worker and contractor implementation of machinery / equipment / tool inspections? -"out of service if deficiencies and not immediately repairable"-
Has the company designated rep provided adequate and timely verification of the identification of fatal / serious injury and adverse event risks, effectiveness of redundant controls, and immediately addressing discrepancies with elimination risk or intermittent control measure to reduce risk to acceptable level and follow-up sustainable corrective action plan?
Has the company designated rep provided adequate and timely verification of specific safe work procedures for unique and fatal / serious injury and adverse event tasks assigned the contractor?
Has the company designated rep provided adequate and timely verification of need for and assessment of required permits and licenses for fatal / serious injury and adverse event risks and per company and local requirements?
Has the company designated rep provided adequate and timely verification of the issuance, full completion and full implementation of employee and contractor work authorization forms and / or permits to work for all fatal / serious injury and adverse event risks per company and local requirements?
Has company designated rep provided adequate and timely documentation and records in company database and readily available at site project / service documentation including (minimum): contract classification, contractor risk profile, hazard and risk identification form, contract specific risk assessment for medium or high risk work, work authorization form, safe work procedures, work permits, training records, copies of licenses, site safety, health and / or environmental plans, risk assessment register and control plan, and all other applicable HSE records? 4.5.5.1 Work Authorization Form 4.5.5.2 Risk Assessment forms 4.5.5.3 Safe Work Procedures 4.5.5.4 Permits and/or copies of licenses 4.5.5.5 All other applicable HSE records
Have all company designated reps, supply chain, managers, supervisors involved in the direct or indirect application of the SOM process completed initial training prior to starting duties related to SOM and completed refresher training every 2 years?

Employee and Sub-Contractor Induction

Have all workers and contractors completed the site HSE induction training?
Does the site HSE induction cover at least: 1) cardinal rules 2) HSE policy 3) site-specific(HSE) rules 4) communication boards 5) site contacts 6) access/security 7) emergency response / evacuation information 8) public safety & paths of travel, signage 9) site specific hazards, risks and controls, customer requirements, PPE, etc.?
Does the site induction process identify, confirm and record certifications and licenses for high risk trades and activities such as work at height and/or rooftops, electrical work, hazardous energy, rigging and crane operations, mobile equipment, confined space, hot work, line breaking, refrigeration, rented heavy equipment (scaffold, scissor/boom lift, crane), manual handling/lifting/awkward movements, environmental conditions, hazardous materials, excavations, radiation etc?
Are the site health, safety and environmental aspects and impacts communicated?
Does the induction include site-specific hazard identification, risk assessment and risk control management, for known / expected site hazards and controls?
Does the induction include work authorizations, permits, SWI, management of change and associated processes?
Are the persons inducting employees and contractors trained (current) and competent about the HSE and other risks associated with the site?
Is there evidence that the work authorizations and / or permits are completed and up-to-date for high risk site work?
Are the induction training records complete, up-to-date and available for all workers and contractors at the site?
Have the persons conducting the inductions themselves been inducted (or participated in the creation of) site induction training?
Are the persons conducting the inductions current in their mandatory company (HSE) training including SOM?
Are processes in place at site to escort visitors, workers and contractors who have not completed their induction?

Contractor SOM Adherence

Are workers, contractors and visitors signing in and out of the site attendance register each time?
Does this contract use (sub-)contract labour?
Has a (sub-)contractor risk profile been completed for EACH sub-contractor scope of work?
Have all (sub-)contractors and their employees completed the contractor induction prior to starting work?
Are signed and dated (current) Contractor Declarations in place for EACH (sub-)contractor?
Are all (sub--)contractor(s)' and their employees' / sub-contractors applicable licenses / certifications and training identified, and appropriate for the work activity / risk and completed (current)?
Have all (sub-)contractor (performance) reviews (min. 1/supervisor/month) been completed?
For contracts classified as major classified contract: are (sub-)contract agreements for EACH (sub-)contractor in place?
Have all (sub-)contractor(s) completed and up-to-date work authorizations / permits and reviewed them with their employees (other workers affected) prior to starting work when applicable?
Have any discrepancies, non-adherence, to (sub-)contractor work authorization / permit / SWI form OR practices been identified? If yes, have they been effectively addressed and documented?
Have all (sub-)contractors completed the required HSE training as per the contract scope of work?
Are all workers and (sub-)contractor(s) involved in the current activities included in toolbox talks (when onsite) and signing-off?
Does the contract have site-specific and up-to-date Contractor Risk Assessments in place as required?
Is the Contractor Safety Checklist site-specific, up-to-date and communicated to workers (affected) and (sub-)contractors?
Have the Contractor Risk Assessments been communicated to workers, (sub-)contractors?
Has the contractor received and reviewed the Contractor Booklet?
Is the contract manager enrolled in region's playbook and up-to-date with risk ranking activity completion for workers and sub-contractor related activities?
Has the contract manager completed all mandatory (HSE) and SOM training and is it current?
Has a risk review been completed for all contracts?
Does the classification reflect the risks based on scope of work and your observations?
Are any contract employees working for our company through a temporary employment agency?
Have all contractors who perform work tasks through a contract, sub-contract, purchase order completed and submitted the Global Contractor Pre-Qualification Package and obtained designation as approved company contractor prior to work on our contracts or projects?
Is the company contractor only performing duties and responsibilities per the terms and conditions of the agreement and as defined under the Safe Operations Management Program, such as hazard identifications, risk assessments and safe work procedures?
Has the company contractor participated in contract manager initiated periodic contractor performance evaluations as per their assigned duties and responsibilities?
Has the contract manager selected and performed periodic contractor performance evaluations focusing on the completion of -in particular: high and medium risk assigned duties and responsibilities?
Where the contract manager identified discrepancies with compliance to company and / or customer requirements: have they been effectively addressed? --if serious, inform area manager, supply chain and HSE-
Are any company selected (or recommended) contractors (not including contract employees) to perform a service or provide support for service contracts, projects or other activities under our direct control or authority? -where the customer or facility does / does NOT have its own selection criteria and/or standards-
Has the company contract manager verified that all contractors (company hired or at the request of the customer meet our contractor requirements and if the customer has an equivalent and higher standard or mandatory process for selection of contractors then they comply with both the customer standard and our contractor procedure?
Has the contract manager verified that all of the following requirements have been met: 1) Contractor Pre-Qualification Information Submittal and Evaluation, 2) Contractor risk management, 3) Work Performance, and 4) Work Performance Measurement and Feedback?
Does the certificate of Insurance (from insurance representative indicating the general liability, workers compensation, automobile and other insurance coverage for a company and applicable insurance limits) meet company requirements and is it current?
Are contractor safety declaration readily available for each contractor for each time new work is awarded and are they signed and dated (current < 1 year)?
Has the Pre-qualification package been completed by each contractor with all supporting documentation submitted to the company representative, evaluation completed, and contractor been designated company contractor "meeting all requirements "prior to the release of any purchase orders or approvals to proceed with any work?
If pre-qualification is designated "incomplete" and returned to the contractor: has the company designated representative responsible for the activities denied / refused work with the contractor / sub-contractor?
If pre-qualification is designated "complete and needs review" has submission been sent to a subject matter expert for further review and evaluation? -no work can be performed until "meets all requirements"-
For any non-compliance or discrepancy pertaining to HSE: has the procurement rep submitted the item to HSE for review against the minimum HSE standards, and reviewed and acted upon the HSE assessment?
If pre-qualification is designated "unacceptable" has the company designated rep followed-up and reviewed with the contractor / sub-contractor? -no work permitted-
Is proof of worker's compensation insurance (or local equivalent) available, adequate and current?
Is proof of three years HSE performance, based on incident rates, fatalities, and regulatory inspections and citations available, adequate and current?

Company Designated Rep SOM Adherence Setting and Verifying Expectation of Contractors

Is at least one contractor involved in the contract?
Is each contractor aware and provided a copy of company HSE requirements and ensure all employees and sub-contractors review and agree to meet the requirements and conditions of this procedure prior to initiating work?
Does each contractor provide appropriate Personal Protective Equipment (PPE) to each of their employees where appropriate, ensure their workers (sub-contractors) are trained in donning, inspecting, maintaining, storing and disposing of PPE and meet company contractor requirements?
Does each contractor provide appropriate machinery / equipment / tools to each of their workers or verify that sub-contractors do? -not permitted: lending of company equipment to / from contractors-
Has each contractor provided adequate evidence of a defined and effectively implemented hazard and risk assessment and control implementation and maintenance process?
Has each contractor provided adequate evidence of current HSE training and records specific to the potential hazards and risks of the contract work for each employee involved and / or affected?
Has each contractor provided adequate evidence of current medical examinations specific to the potential hazards and risks for each worker involved or affected per company and local requirements?
Has each contractor provided adequate evidence of current and appropriate professional / technical / trade licensing specific to the hazards and risks of the contract for each worker involved / affected?
Has each contractor provided adequate evidence of current and appropriate safe work procedures for the potential hazards and risks of the contract work?
Has each contractor provided adequate evidence of current and appropriate inspection processes for machinery / equipment / tools per company and local requirements?
Has each contractor provided adequate evidence of current and appropriate need and implementation of work authorization and / or work permit completion per company and local requirements?
Has each contractor provided adequate evidence of current and appropriate near incident reporting processes or communicated to their workers our company reporting process?
Has each contractor provided adequate evidence of current and appropriate emergency response procedures for the potential hazards and risks of the contract work?
Has each contractor provided adequate and appropriate communications and verification of understanding of company SOM requirements for high and medium risk work to each of their workers?
Has each contractor provided evidence of communication of our company incident reporting processes to each of their workers?
Has each contractor provided evidence of adequate and appropriate communication of company pre-work risk assessment / start-up reviews to each of their workers?
Has each contractor provided evidence of communication of customer site HSE requirements and expectations to each worker?
Has each contractor provided adequate evidence of current and appropriate certifications such as ISO 9001 / 14001 / 45001 OHSAS 18001 or per contract and local requirement?
Has each contractor been provided with and reviewed with their workers a site specific safety, health and / or environmental plan for any contract involving high risk per company criteria in local language (if required, or necessary)?

Site Safety and/or Site Environmental Management Plans

Is the contract is classified as major?
Do the site / activities fall under any third party certification system (ISO9001, ISO 14001, OHSAS 18001, ISO45001, COR, other)?
Verify the site / activities against the requirements of the standard: any findings?
List all preventive and / or corrective actions
Is the site safety and/or site environmental plan signed by one of our company managers?
Does the site safety and/or site environmental plan have document control number, revision date, change record, and document owner that readily identify the current nature of the plan?
Are the contract organization structure and the contact details defined and up-to-date?
Is the site safety and/or site environmental plan signed by one of our company managers?
Does the site safety and/or site environmental plan have document control number, revision date, change record, and document owner that readily identify the current nature of the plan?
Are the current sustainability policy and cardinal safety rules communicated to all workers and sub-contractors, readily available in the site safety and/or environmental plan and / or visibly posted at the site office?
Is the site evacuation plan in place, up-to-date, communicated to all workers and sub-contractors and evacuation map with routes visibly posted?
Are site facilities, first aid, sanitary, emergency response, evacuation/shelter locations and contact numbers described in the site safety and/or environmental plan, communicated to workers and sub-contractors, readily available and up-to-date?
Are the customer contact details relevant, current and readily available in site safety and/or environmental plan?
Are the first aid post location and first aid / emergency services contact details identified in the site safety and/or environmental plan?
Is one of our workers, or a general contractor employee per contract, trained in the appropriate level of first aid and available at all times when work is performed?
Have our first aid trained employee(s) been supplied with appropriate first aid kit, plastic bags appropriate for bio-hazard disposal, PPE (safety goggles, disposable gloves, mouth-to-mouth shields) to prevent blood-borne and other pathogen transmission?
Are our first aid trained employees current in annual BBP training completion?
Have our first aid trained employees been offered hep B vaccinations (declinations must be documented)?
If no first aid trained employee(s) are available and where permitted (local requirement): is an emergency medical facility available within 15 minutes?
In case an injured worker or sub-contractor declines first aid, is a worker / sub-contractor completed and signed form declining first aid services available?
Are worker(s) who may be exposed to disease at work been offered vaccinations (hep B, tetanus, auto-immune, Q-fever, TB, etc.) as per local requirements?

Hazardous Materials

Are any hazardous substances (or dangerous goods) in use or present at the contract site?
Is a hazardous substance inventory in place and up-to-date?
Are Safety Data Sheets (SDS) GHS compliant and readily available near point of use and current for each of the hazardous substances (or dangerous goods) in the registry and/or used at the site by our employees and sub-contractors? Including: cleaners, refrigerants, pressureized gases, water treatment pest and weed control services, etc.
Do the SDS have emergency response numbers (not international) and measures included?
Are the SDS available in the local language?
Is the routine use and emergency response equipment identified in the SDS readily available and in sufficient quantity? (PPE, first aid, fire and environmental release response)
Have sub-contractors provided SDS for all hazardous substances brought onto the site and received a priori employer approval?
Do the workers know where to obtain SDS and have they reviewed them for substances they use?
Have the employees the awareness, knowledge and understanding to be able to effectively respond to expected emergencies?
If applicable by local requirements: have permits / licenses been obtained?
Are the quantities and manner of storage of the hazardous materials meeting the local regulatory requirements?
Are hazardous substance manifests or documentation available, where quantities stored are at or potentially above prescribed limits?
Are all hazardous material containers of appropriate materials, visibly and legibly labeled, with proper name, appropriate risk warnings, first aid, fire and spill responses, manufacturer's name and emergency response numbers?
Are appropriate fire extinguishers, hoses and fire extinguishing systems available, maintained and inspected?
Have emergency services (fire department, etc.) been notified where quantities of stored materials require such?
If quantities exceed permitted limits has HSE been notified?
Are appropriate environmental release emergency response kits and / or measures in place and readily available?
Are hazardous substances stored appropriately? Flammables and combustibles in NFPA or approved cabinets, gas cylinders secured, secondary containment in place, etc.
Are hot work activities performed in areas where flammables, combustibles and other incompatible materials are stored?
Are incompatible substances segregated (distance, NFPA fire-walls, etc.) segregated and out of line of fire of moving equipment and other hazards?
Are hazardous material storage areas secured from unauthorized access, clear from mobile equipment, etc.?
Do risk assessments, work authorizations and permits include all the hazardous substances stored and /or in use at the site?
Do risk assessments include (and are up-to-date) for the safe introduction, use, storage, handling, disposal and emergency response of hazardous substances used at the site?
Are workers using hazardous substances at the site trained (aware, knowledgeable and competent) in the safe use, storage, handling, transfer and disposal of these?
Are workers trained in the selection, use, limitations, storage, maintenance and disposal of the PPE required for the hazardous substances used at the site?
Are hazardous substances that are decanted into containers other than the original manufacturer's appropriately labeled and quantities limited to daily expected use?
If flammables are transferred into other containers: are appropriate NFPA or equivalent rated containers and grounding and bonding methods used?
Are exposure assessments completed and up-to-date, and monitoring in place where warranted, for all hazardous substances at the site?
Does this contract include any company controlled hazardous chemical containers holding 100L (25 gallons) or more or a hazardous chemical container storage area, or any containers holding hazardous chemicals that are gaseous at ambient temperature and pressure?
Are the hazardous substance containers good condition, structurally sound, kept closed unless in use, have adequate headspace, compatible with the material being stored, legibly labeled with contents (or ID "empty"), tops clean and free of residue and meet applicable national, state, and local regulations.
Do all hazardous substance container storage have: visible label, aisle space, incompatible materials isolation, flammables/combustibles stored in NFPA or equivalent cabinets, on clean secondary containment (10% total V or 110% largest V), and with spill response materials (absorb, neutralize, contain) readily available and appropriate quantity?
Are hazardous substance container inspections documented at least monthly and include: name person, area, verification of visible and legible label, segregation incompatibles, NFPA cabinets for flammables/combustibles, clean 2dary containment, adequate ER supplies, trained operators and corrective actions tracking.
Are employees responsible for hazardous substance containers trained annually in filling, transferring, moving, labeling, storing, inspecting and using containers of hazardous chemicals, emptying, cleaning, recycling or discarding containers that contained hazardous chemicals; and vendor evaluations and inspections?

Review of Hazard Identification, Risk Assessments and Controls

For MAJOR Contract only has field risk assessment been signed off and dated by company Supervisor?
Are the forseeable hazards identified, risks and control plans from the contract risk assessment site-specific and in place, used, maintained, current and effective?
Are site-specific Work Authorisations and/or Permits in place and up-to-date for each applicable high risk work category and signed off by supervisor and worker / sub-contractor(s): work at height and/or rooftops, electrical work, hazardous energy, rigging and crane operations, mobile equipment, confined space, hot work, line breaking, rented heavy equipment (scaffold, scissor/boom lift, crane), refrigeration, manual handling/lifting/awkward movements, environmental conditions, hazardous materials, excavations, radiation etc.?
All work on hazardous energy sources has all sources and isolation points identified, appropriate (group) lock(s) and tag(s) applied (filled out, attached), communication/documentation with customer (if their equipment), procedure followed, zero energy state verified, authorized and affected workers / contractors aware and training current), supervisor verifications of Lock-Tag completed?
If any (diagnostic) work has to be performed on live equipment or installations; are all appropriate authorizations, sign-off(s) and documentation in place?
Is any scaffolding expected to be used at the site?
Are all the scaffold(s) and its supporting structure, formwork or other temporary structures onsite inspected by a qualified / competent person before use, after any incident that could affect its ability (such as severe storm), after any repairs, and at least every 30 days and documented?
Is any work to be conducted where there is a risk of a fall from one level to another? Company worker and sub-contractor personnel shall use / implement fall protection when within 1.8 meters 6' of any fall hazard. It is acceptable for workers / sub-contractors accessing or leaving a roof top to walk perpendicular to / from the edge / access point directly through the 1.8 meters (6') zone, if local code permits this as well.
Does any work performed at a height equal to or greater than 1.2 meters (4') or 1.8 meters (6') for construction related activities has risk assessment fully completed, current, and are effective control measures implemented?
Is an inventory of all work at height tasks and risks documented in the risk assessment?
Is there an approved (signed off) work at height risk assessment AND has the hierarchy of controls (1. eliminate, 2. passive fall protection, 3. work positioning, 4. fall injury prevention systems, 5. ladders) been applied?
Are adequate measures documented to prevents objects falling from heights? Such as tools, lanyards, equipment, parts, barricading, signage, observers, traffic)
Are warning systems must be in place on a roof 1.8 meters (6') from the edge to warn workers / sub-contractors that they are approaching an unprotected opening (including skylights), roof side or edge of the roof?The warning system also designates an area on the roof where work may not take place without the use of guardrails, fall arrest, or safety net systems to protect employees in the area.
Has a determination been made that the structure(s) are safe to climb and fixed anchor points are safe to use -done by a competent person, documented in risk assessment-?
If any materials are stored at height in open areas: are they being inspected daily? If this can‚Äôt be done, materials should not be stored at heights in open area.

Fall Protection Systems & Equipment

Are fall protection systems installed such as barriers, edge protection, certified cable and anchor systems?
Have work positioning / fall protection systems been designed and installed by a competent or authorized person?
Are any unprotected Sides and Edges (except at entrances to points of access) of a walking/working surface, e.g., floor, roof, ramp or runway where there is no wall or guardrail system at least 105 cm (42") high?
Are barrier(s) (guard rail systems) erected to prevent workers / sub-contractors from falling to lower levels per the local engineering design requirements?
Are all work positioning / fall protection systems tested and certified by a competent person AND with a current test date?
Are workers inspecting harnesses, lanyards, anchor points by sight, touch or by using inspection check lists prior to AND after each use?
Does a competent person inspect and certify all harnesses, lanyards and associated equipment every at least every 12 months (or more frequently per local requirement)?
Are the fall protection systems inspection and certification records complete, up-to-date and available?
Is all fall protection system equipment inspected at least annually per manufacturers’ specifications by a by a competent person and documented using the: Division “Inspection and Maintenance Checklist for Fall Arrest Components” or equivalent per local code.
Are all snaphooks (if used) of the locking type with a self-closing, self-locking keeper that remains closed and locked until unlocked and pressed open for connection or disconnection?
Has any personal fall arrest system been involved in a fall arrest incident been taken out of service immediately and permanently? If any retractable lifelines must be sent back to the manufacturer for repair and re-certification or destroyed. Defective or out of date equipment shall be immediately removed from service and tagged.
Do all harnesses, lanyards, and retractable devices have a legible tag or data plate attached to the device AND have they been removed from service at / before 5 years from the date of manufacture AND are they taken out of service immediately if no visible tag is attached?
Are all fall protection systems used in accordance with the manufacturer‚Äôs instructions: including the weight and size limitations, with no alterations in any way (without the manufacturer‚Äôs written authorization)?
Are all workers with company issued harnesses provided (and aware of appropriate use) of foot strap to relieve pressure in case of fall?
Are lanyards / self retracting lifelines have rating appropriate for the worker and equipment it is expected to support?
Are all fall protection systems free from identification markings other than per the manufacturer‚Äôs recommendations --using attached tag-- AND no markings found on harnesses and lanyard webbing with either ink, paint OR cleaned with solvents or corrosive materials OR stored with exposure to chemicals / sharp edges / UV (outside harness bag provided)? Harnesses and lanyards with marked webbing must be replaced if: 1) There are signs of deterioration, 2) as recommended by the manufacturer or 3) after 5 years from the date of manufacture.
Are all anchor points rated by the manufacturer or capable of supporting at least 2,273 kgs (5,000 pounds) (or as required by country requirements) per worker attached?
Are all anchor points certified prior to its initial use and inspected every 12 months thereafter by a qualified and competent person?
Are workers demonstrating awareness, understanding, knowledge and appropriate application of the fall protection systems?
Are workers trained to work at heights AND in use of equipment, including risk assessment, fall protection devices and rescue equipment?
Are records of all worker / sub-contractor training, licenses and competencies for fall protection systems available and current?

Heights Permits / Work Authorizations

Are permits / authorizations reviewed by competent person or authorized supervisor, in place and current, for roof access and work at heights tasks?
Are permits / work authorizations signed off by company authorized person e.g. contract manager.
Does the work permit / authorization consider hazards from other / multiple work groups operating in the same area?
Are permits closed upon completion of work activity and records readily available?
Does emergency response planning include a "fall arrest" rescue plan AND is there an annual rescue drill? Same for high-angle rescue (if applicable)? High angle rescue applies where a victim is elevated above ground greater than 10 feet or below ground and must be moved and/or rescued by the use of rope and/or mechanical advantage systems and rigging.
Are emergency rescue plans in place, up-to-date, communicated to all (affected) workers and sub-contractors and clearly outlined in the work permit / authorization?
Does high risk work at heights permit / work authorization / SWI include site specific emergency response arrangements, equipment and assigned responsibilities?

Roof Access

Are workers / sub-contractors trained and drilled (annual) in fall protection systems emergency rescue response, or is a competent rescue team readily available onsite?
Are all forseeable roof-related hazard, risks and controls evaluated, including access, work, prohibited areas, penetrations, non-load bearing surfaces and permit / work authorization, communicated to employees and sub-contractors working on roofs and communicated in induction training AND site specific training, toolboxes etc.?
Is roof access expected to be used on the site?
Are roof access points sign-posted, marked or identified in work orders / drawings / pictures to indicate that a permit is required to access the roof?
Are site specific work permits / authorizations completed by a competent person and signed off and dated?
Are adequate walkways provided to enable workers to safely cross sloping/ fragile / asbestos / hazardous material/temperature piping etc.?
Are systems in place to prevent workers falling through roof penetrations, skylights, windows, gaps etc.?
Where work is performed on a roof at least 5 meters (15') from the edge are visual or physical warning line systems in place to warn employees that they are approaching an unprotected opening (including skylights), roof side or edge AND where permitted by local code? These designate an area where roofing work may take place without the use of guardrails, fall arrest, or safety net systems to protect workers in the area.
Are fragile sheet roofs etc. clearly signposted to prohibit workers from walking on/across them?
Are non-load bearing surfaces, grilles, skylights, etc. clearly signposted to prevent workers from walking across/on them?
Are equipment, installations and other hazards below the roof or work area considered and adequate control measures in place to prevent exposures beyond falls? e.g. heat/cold, moving parts, hazardous energy, etc.

Elevated Work Platforms (EWP) including scissor lifts, boom lifts, cherry pickers etc.

Is the roof access permit closed and signed off upon completion of work and the record readily available?
Are elevated work platforms (scissor lifts, boom lifts, cherry pickers, etc.) used at the location?
Are workers operating EWP trained/licensed to operate the specific equipment type AND is the ticket / license current?
If applicable, is a risk assessment / work authorization / permit completed prior to the start of work and reviewed with workers / sub-contractors, by a competent person, up-to-date, controls fully implemented and signed-off and dated?
Are operator licenses / certificates valid and current?
Are all anchorage points rated or engineered? Guardrails are not considered an acceptable fixed anchor point on mobile elevated work platforms or similar equipment.
Are workers / sub-contractors wearing fall protection equipment, if the lift does not have proper anchor points installed by the manufacturer, rails are inadequate (no top or mid rail), or the worker / sub-contractor leaves the safety of the work platform and guardrail system.
If any worker(s) / sub-contractor(s) are conducting work outside the guardrails of any MEWP: do they must have fall protection anchored on a fixed anchor point outside of the MEWP that meets the anchor point requirements for fall protection per local engineering codes?
Is there any indication that the MEWP -its anchor points, or its attachments, or safety devices have been modified or removed, or are inoperable / not functioning properly- by anyone other than the original manufacturer?
Does the work authorization / permit for the EWP use include emergency and rescue arrangements?
Does the work authorization / permit specify steps and responsibilities for preventive maintenance, pre-use inspection, rescue equipment, and/or log book completion?
Are inspections and maintenance records up-to-date and indicating the activities and any corrective actions are implemented prior to putting the equipment back into service?
Does the work authorization / permit include steps for the safe transport of the EWP within and between work areas -including steps for securing the work areas (barricading, protection of others from falling objects, etc.)?
Is a EWP specific rescue plan in place, current, communicated to workers / sub-contractors and the necessary equipment inspected and readily available?
Are the work authorization / permit in use, up-to-date and signed off by authorized company contract manager?
Is the work authorization / permit closed upon completion of work and the record readily available?
Has the company field manager/supervisor received accredited working at heights training per ANSI standard or per local code requirement?

Portable Ladders

Are / will portable ladders and / or scaffolds (build, use or dismantle) be used for the work at this site? -his does not include temporary or permanent stairways-
Is a complete site-specific and up-to-date, risk assessment / work authorization / permit in place and controls implemented for use of ladders at site?
Has the hierarchy of controls been used in the selection of ladders for the work at the site --Were safe work platforms or elevated work platforms considered before selecting portable ladders?
Are hazards such as manual handling, ladder type, type of work and portable ladder pre-use inspections documented and current?
Are ladders used only for intended purposes per manufacturer recommendations, for short work durations and safe work practice guidelines, including completion of a risk assessment prior to work?
Are all portable ladders used by workers and sub-contractors appropriate for the specific activity, capable of supporting the intended weight (person, tools, material), industrially rated for the use and made of non-conductive material?
Are the portable ladders (EWP, SWP) appropriate (height, material, use of both hands (3-point contact), flooring/surface, condition, duration) for the work task and environment?
Is the condition of the ladder good with regards to rungs, feet, cleats, spreaders, latches, coating (no corroded components or other defects?
For ladders found not to be in good condition: does each have a "DO NOT USE" tag or label on the defective ladder?
Are ladders used appropriately: no ladders with conductive (e.g., aluminum) side rails shall in used for or near activities involving electricity, ladders are free of grease and other slipping hazards, have slip resistant feet, ladders not tied or fastened together to provide longer sections unless they are specifically not be used as scaffolding?
Are workers / sub-contractors using ladders: 4:1 rise to run, has toe-space of 18 cm (7') between rung and wall, placed on stable level surface, facing the ladder and staying between the rails when ascending / descending, is the body centered on the ladder (belt buckle between the rails at all times), not overextending to reach a point, ladders only moved, extended, or shifted when not in use, company ladders only used by company workers (same for sub-contractors)?
Are portable ladders used to access work at heights and not used as a scaffold, are three points of contact maintained while on the ladder, are workers not above the third rung from the top of an extension or straight ladder or above the second tread from the top of a stepladder
If step ladders are used: are they fully extended, < 6m (20') in height, and are the top two steps NOT used?
If the access point elevation difference is > 48cm (19') is a stairway or ladder provided and is the access point area clear of obstructions / hazards?
If portable ladders are used for access in lieu of fixed ladders are they secured at the base and top of the ladder?
Do stairways rising >75 cm (30') have at least one handrail and one stair-rail system along each unprotected edge?
If ladders are stored where they can displaced by workplace activities or traffic (e.g., doorways / passageways) are they secured / barricade from the work area AND are they NOT used to hang tools, PPE, or other items on when not in use?
If extension ladders are used to access or work at heights greater than 3m (10 feet): are additional control measures in place such as pole straps, harnesses, etc.?
Do all fixed ladders used (unless a natural landing is provided) provision of landing at top through extended side rails, stanchions / othersupports by at least 1 m (42') above the landing? 4.4.5 At least 7 in (18 cm) of toe space will be provided between the inside face of the rung or step and wall or other obstructions
If any fixed ladders exceeding in length of climb over 6 meters (20'): do they have a cage, well, or ladder safety device, or are equipped with offset landings at 6 meter (20') intervals?
Are the workers trained (documented and current) and competent in selecting, inspecting, and appropriately using ladders?
If fixed ladders equipped with cages are used: is their climb of 9 meters(30') between ground, floors, or platforms, does the bottom of cages start between 2.1 m (7') and 2.4 m (8') from the base of each section of the ladder with the bottom, and flared not less than 10 cm (4')?
Are ladders / equipment borrowed / lent to workers / sub-contractors from other organizations? --This is not permitted unless the contract specifies such--

Scaffolds

Are scaffolds in use, built, or dismantled at the site?
Are scaffolds loaded in excess of the working load for which they are intended / rated?
Are scaffold deck boards cleated, wired / otherwise secured into place?
Are footing / anchorage sound, rigid and capable of carrying the maximum intended load without settling, displacement or movement? -no unstable objects (barrels, boxes, loose brick / concrete blocks used to support scaffolds or planks-
Are poles, legs or uprights plumb and securely and rigidly braced to prevent swaying and displacement?
Are appropriate guardrails installed and maintained on scaffolds to prevent falls?
Where overhead hazards to workers exist: is overhead protection in place and effective?
Has the scaffold been designed and installed by a qualified person per local governmental regulations: does the scaffolds and its components support without failure its own weight and at least four times the maximum intended load applied or transmitted to the scaffold?
If any changes been made to the scaffold: has it been certified / signed off by a qualified person per local requirements?
Have any scaffold components manufactured by different manufacturers been intermixed? Not permitted -unless the components fit together without force and the scaffold's structural integrity is maintained and scaffold components can not be made of dissimilar metals used together unless a competent person has determined that galvanic action will not reduce the strength of any component-
Are platforms clear of debris / obstructions hindering the working clearance on the platform?
If any wood planks are part of scaffolding: are they inspected for: graded for scaffold use, sound and in good condition, straight grained, free from saw cuts, splits and holes, surfaces not covered with opaque finishes, other than the edges where planks are stamped for scaffold-approved loading and usage on one end?
Do all scaffolds > 2 meters (6') above the lower level have guardrails on each open side and ends of the scaffold prior to use (other than install / dismantling crew)?
Are all workers and sub-contractors who perform work on scaffolds trained (annual) in: hazard recognition associated with the type of scaffold being used and the procedures to control or minimize those hazards?
Have all workers and sub-contractors demonstrated in their training competency in: nature of electrical, fall hazards and falling object hazards in the work area, proper use of scaffold reference documents, proper handling of materials on scaffolds, proper erecting, maintaining and disassembling of fall protection systems, proper construction, use, placement and care in handling of scaffolds, and maximum intended load and load-carrying capacities of scaffolds used?
Are all jobsites / work areas inspected prior to scaffolds install (site's ability to support structure, ground conditions, location of electric power lines, overhead obstructions, wind conditions, and the need for overhead protection or weather protection coverings)?
Are scaffolding installed at a safe distance from electrical lines: for insulated lines per below AND local requirements? Voltage Minimum Distance < 300 V 1 meter (3') 300 to 50 kv 3 meters (10') More than 50 kv Generally: 0.4 inches for each 1 kv over 50 kv Alternative: Two times the length of the line insulator, but never less than 3 meters (10')
Are scaffolding installed at a safe distance from electrical lines: un-insulated lines, per below and local requirements? Uninsulated Lines Voltage Minimum Distance Less than 50 kv 3 meters (10') More than 50 kv 3 meters (10') PLUS generally 0.4 inches for each 1 kv over 50 kv Alternative: Two times the length of the line insulator, but never less than 10 feet – 3 m
Has a qualified person determined frame spacing / sill size determined after the total loads to be imposed on the scaffold and the strength of the supporting soil or structure are calculated and considered and (special consideration is required if fill, soft or frozen ground) and are sills level and in full contact with the support surface?
Are all scaffolding equipment inspections conducted, documented and records maintained (3 years) AND according to local requirements? -Use checklists that meet country specific requirements-
Is defective equipment immediately removed from service and tagged as such?

Cranes & Rigging

Are company workers / sites / contractors utilizing cranes, hoists or lifting equipment?
Do all crane and hoist hooks have safety latches -In good condition- and have not been (re-)painted if the paint previously applied by the manufacturer is worn?
Each crane pendant has an electrical disconnect switch / button to open the main-line control circuit?
Each crane pendant has an electrical disconnect switch / button to open the main-line control circuit?
Each crane and hoist has a main electrical disconnect switch in a separate box that is labeled with lockout capability?
Each crane bridge and hoist monorails is labeled on both sides with the maximum capacity?
Each hoist-hook block is labeled with the maximum hook capacity?
Are all nameplates and load markings on cranes and hoist components in place, visible and maintained in a legible condition?
Are monorails and beams used for lifting clearly labeled with their load capacity? --Hoists attached to monorails or beams shall not have a capacity exceeding the monorail or beam system.
Each building crane and hoist has an upper-limit switch / slip clutch? --lower-limit switch may be required if insufficient hoist rope on the drum to reach the lowest point-
Each cab / remotely operated bridge cranes has a motion alarm to signal bridge movement?
Each newly installed crane and hoist (or extensively repaired / rebuilt structurally) have been load tested at 125% capacity prior to taking into service? --If overload device is installed: load test to the adjusted setting required--
Each suspended personnel basket / platform is designed in accordance with local and governmental regulation?
All crane operators are licensed, current and trained per company (or equivalent) and local regulatory requirements?
Each crane signal person directing a lift has appropriate training and certification per company and regulatory requirements?
Each crane operator only responds to signals from the person directing the lift or an appointed signal person?
Is the line-of-sight of the crane operator and the signal person clear at all times? -no interferences-
Is the crane and lift work area secured and guarded from intrusion / entry of persons / objects AND is a watch person present to prevent such entry?
Crane work area under suspended load remains free of persons at all times? -no lifting loads over people any time-
Prior to lifting, the weight of the object to be lifted, has been determined and confirmed to be below the rated load capacity of the crane? -how determined if ? used dynamometer / load cell--
All loads (configurations) are within the rated load capacity of crane bridge and individual hoist, sling and fittings (any device attached to the structure)?
If any tag / control lines are used: is any wrapped around a body part or is excessive force used / needed?
Is the crane log book up-to-date (tags) and have all preventive maintenance and inspections been completed, and deficiencies addressed and documented?
Is the crane inspected, approved and designed (manufacturer's intended use) for the work activity at hand?
Is any crane or associated device that does not appear in good condition -damaged, frayed, marred) have an "out of service", tag, is locked, and not used?
Are any loads pulled in a horizontal direction (away from the vertical axis)? -causes damage to crane and reduces rated load capacity-
Are loads moved at a slow rate (no sudden stop/start/accelerate/decelerate) to prevent shock-loading?
Is each sling, chain and web device in good condition AND used appropriately (no twisting, no shortening, no sharp edges, no corners)?
Are all workers involved in crane related activities focused on the task at hand? -no use of mobile devices, etc.-
Is a competent person inspecting and testing all hoisting and rigging equipment monthly, documented (hoist inspection checklist), and if non-compliances to standard, taken out of service until repaired (tested)?
Are all company (leased / owned) and contractor utilized cranes, hoist and attachment maintained, inspected, tested and documented annually (and per regulatory requirement) by a qualified outside company?
Are all cranes and hoists load tested at 125% (or local requirement) of rated load capacity completed regularly per local regulatory requirement and documented by qualified outside company?
Are manuals readily available for all cranes and hoists?
Are crane operations completing and documenting pre-use inspections of all cranes and hoists prior to use (first lift of shift)?
Is each hoist's upper-limit switch (and lower if present) inspected by: slowly raising unloaded hook block until the limit switch trips?
Are hoist brakes tested to verify there is no drift without a load?
Is each crane hook, load lines, trolley, and bridge visually inspected?
Are all direction and speed controls for both bridge and trolley travel, all bridge and trolley limit switches and bridge movement alarm (if present) tested?
Are emergency stops on the crane pendant tested?
Does each crane/hoist operator perform a visual and functional check of equipment prior to each shift use, and is it documented using an inspection checklist?
Are any pre-use inspection records indicating that, or have actual crane and hoist at site failed any of the pre-use inspections / tests been tagged "out of service" and locked out? -LTV tags date match-
Are annual inspections performed, documented in crane logbook and cover: 1) hoisting and lowering mechanisms, 2) trolley travel or monorail travel, 3) bridge travel, 4) limit switches and locking and safety devices, 5) structural members, 6) bolts or rivets, 7) sheaves and drums, 8) parts such as pins, bearings, shafts, gears, rollers, locking devices and clamping devices, brake system parts, linings, pawls and ratchets, 9) load, wind and other indicators over their full range, 10) gasoline, diesel, electric or other power plants, 11) chain-drive sprockets, 12) crane and hoist hooks, 13) electrical apparatus such as controller contactors, limit switches and push button stations, 14) wire rope, 15) hoist chains?
Are defective cranes and hoists locked and tagged "Out of Service" until all defects are corrected?
Are all nylon slings taken out of service that exhibit any of the following: abnormal wear, torn stitching, tattle thread visible, broken or cut fibers? -cut to prevent re-use- tags available as evidence of destruction-
Are all wire-rope slings with any of the following taken out of service (and cut, tag retained) kinking, crushing, bird caging or other distortions, evidence of heat or chemical damage, cracks, deformation or worn end attachments, six randomly broken wires in a single rope lay, three broken wires in one strand of rope, hooks opened more than 15% at the throat, hooks twisted sideways more than 10¬∞degrees from the plane of the unbent hook?
Are all alloy steel chain slings with any of the following removed from service: cracked, bent or elongated links or components, cracked hooks, shackles, eye bolts, turnbuckles or other components that are damaged or deformed?
Are newly installed cranes and hoists load tested at 125% of the rated capacity by designated personnel?
Are re-rated cranes and hoists load tested to 125% of the new capacity if the new rating is greater than the previous rated capacity and are fixed cranes or hoists that have had major modifications or repair must be load tested to 125% of the rated capacity?
Are cranes and hoists that have been overloaded inspected prior to being returned to service?
Are personnel platforms, baskets and rigging suspended from a crane or hoist hook load tested initially, and re-tested annually thereafter or at each new job site?
Do all slings must have appropriate test data when purchased? -Purchaser must ensure that test data are obtained / maintained.
Is any lifting equipment present and or used during the contract?
Is all our (rented) lifting equipment and any attachments inspected, tested and logbook/tags available and up-to-date and completed by competent person?
Any work in/around lifting equipment and/or means of transportation have risks assessed and controls implemented?
Are the safe work instruction (SWI) or equivalent, loading charts of the equipment, slings, trolleys, attachments etc. clearly displayed?
Are our employees and/or sub-contractors trained and qualified to operate and inspect these devices?
Are loads, configurations, and location used appropriate for the device, environment and circumstances?
Is a lift about to begin or in progress?
Are safety hoist rings (swivel eyes) used as preferred substitutes over eyebolts?
Are shackle pins and shouldered eyebolts installed in accordance with the manufacturer's recommendations? -eyebolts must be threaded in at least one and one-half times the bolt diameter-
Is padding used to protect slings / rigging against sharp edges?
Are any attachments (slings, eyebolts, shackles, hooks, etc.) in use or available that have been modified / repaired (cut, welded, brazed, painted, etc.)? -not permitted, remove from service-
Are wire-rope clips installed with the base only on live end and the U-bolt only on the dead end and are manufacturer's recommendations for the spacing for each specific wire size used?
Is centre of gravity and balance of load determined before moving it?
Is the load lifted only a few centimeters / inches to test the rigging and balance?
Are standard hand signals used to communicate with crane operator AND are they visible and understandable to operator? --if not, use voice communications--
If voice communications are used (verbal, two way radio, etc.) are they audible at all times?
Are tag lines used on loads that must be guided into position or where load movement can be potentially hazardous?
Are loads left suspended, unattended, or improperly barricaded? -not permitted-
Are loads lifted or moved over areas where people are below? -not permitted-
Have crane and hoist Operator demonstrated and documented competency in completion of theoretical and hands-on training (including inspection and safe use) from a qualified crane and hoist vendor and re-qualified every three years and per local requirements?

Hot Work

Is any work performed that would qualify as an hot work such as welding, brazing, cutting, soldering, thawing pipes, using heat guns, torch applied roofing and chipping operations, or the use of spark-producing power tools, such as drilling or grinding?
Is welding performed in a safe designated area: an isolated welding booth or workshop area with no flammables / combustibles present? If yes, no hot work permit is required as long as the conditions are met including: isolation through a welding curtains, non-combustible insulating constructions or barriers, posting of A Hot Work Permit is not required within this area and a fire extinguisher or active fire hose.
Does the welding booth / workshop adequately ventilated to enable extraction of welding fumes and provided with appropriate fire extinguishers / hoses, fire blankets, etc.?
Are welding booth / work(shop) area free of flammable / combustible substances?
Have other means of accomplishing the work been considered such as: eliminating hot work by removing the work to a non-hazardous area, removing the flammable / combustible hazards entirely or from all equipment, piping, and tanks in the area, or isolation from flammable / oxidizing hazards and safeguarding against entry of flammable / oxidizing gas, vapor or liquids into the hot work zone? 2.3.4 Select less hazardous work methods, such as bolting (versus welding) or sawing (versus oxy-acetylene cutting).
Are all hot work activities in areas not defined as safe designated areas (except soft soldering activities with a soldering iron) conducted with a completed, signed off, authorized, and current Hot Work Permit?
Is a complete, signed, up-to-date hot work permit issued prior to beginning any hot work outside a safe designated area and implemented fully? -Multiple permits required if multiple hot work areas-
Is the permit for 1 shift only, updated if conditions or workers / sub-contractors change?
Do hot work permits include and implement requirements for fire watch / observer during hot work and 30 minutes post-work AND fire detection system reinstatement upon completion of work (if applicable)?
Are sprinkler systems in auto mode or readily available?
Have notifications been made for all sprinkler and / or fire suppression and detection systems per Impairment Control and Notification procedures?
Has the work permit been communicated to affected workers?
Are hot work permits issued by company authorized contract manager or equivalent?
If multiple permits are applicable: are they coordinated and aligned? e.g. Lock Tag, Line Breaking Confined Space etc.
Is all equipment used for hot work in good and safe operating condition?
Is all equipment used for monitoring calibrated (current) and are logs complete?
If any hydrocarbon vapors / flammable liquids or gases may be, or may have been present near the Hot Work site: have flammable vapor tests been carried out prior to issuing the permit? -Hot Work shall only be authorized where the initial flammable vapor concentration reading is < or equal to 5% of the Lower Explosive Limit (LEL) and oxygen concentration is less than or equal to 23.5%. If a likelihood exists that conditions will change once work begins: purging, forced mechanical ventilation and continuous monitoring are needed.-
Are continuous LEL and oxygen monitoring completed and documented if work includes open flame / welding / grinding in confined space and within 11m (35') of 1) enclosed equipment / piping containing flammable vapors where accumulation of vapors would represent a hazardous condition, 2) sumps or drains where flammable liquids or vapors could collect, or 3) an electrically classified area?
Is non-classified electrical equipment in electrically classified areas only used WITH a Hot Work Permit AND continuous LEL monitoring AND a Fire Watch AND discontinue use of the non-classified equipment if flammable vapor concentrations exceed 5% LEL?
Are all flammable gas containers used for hot work activities secured?
Is an area of at least 11 meters (35') around the hot work location clear of all flammables or combustibles (incl. paper, chips, sawdust, flammable liquids or vapors, cardboard, textiles, plastics, combustible metals, etc., or completely wetted down)?
Are any combustible floors / walls present either wet down or covered with a non-combustible material?
If any openings in walls / floors in work area permit hot slag / flame to penetrate: are these covered with non-combustible material to prevent ignition or spread of fire?
If any work is stopped for an extended period of time: has the equipment been shut down and secured to prevent accidental sparking? -If stoppage will exceed the original duration time of the hot work permit, supervisor must be contacted to extend / request issuance of a new permit.-
Has any cutting / welding / other hot work been performed on any tanks, containers or vessel that has chemicals or materials that when heated may produce flammable, explosive or toxic atmospheres?
Has any hot tapping / hot work been performed on any utility piping used for the transmission or distribution of flammable gases or liquids been performed by a crew qualified to make hot taps? -Was piping check to ensure no flammables or gasses trapped prior to work-
If any hot work is performed near a building wall: have any flammable / combustible materials directly adjacent to the other side of the wall been removed / adequately shielded from potential ignition?
Is any machinery / equipment directly involved with hot work purged of all flammable / combustible / hazardous materials? -Associated lines purged, blanked and valves closed, locked and tagged per line breaking and lock tag procedures- 4.4.16 When adjacent equipment contains flammable or combustible liquid, vapor, solids or dust, this equipment shall not be disassembled, steamed, ventilated or flushed of sediment without first considering how such actions might affect the Hot Work, or how Hot Work might affect the actions taken on the equipment.
Is all personal protective equipment (eyes, face, head, extremities, respiratory protection and protective shields and barriers) required used and maintained in a sanitary / good condition.
Are sub-contractors providing their own protective equipment and shields? -No company equipment or tools are to be loaned to outside contractors-
Are hot work permits closed off after completion of post-work fire watch surveillance?
Are additional 60 minute (after 30 minute initial) monitoring requirements met, using: automatic smoke detection system, security video cameras, routine security maintenance rounds / presence of workers in the area AND has the permit retriever visually ensured, upon completion of the 60 minute monitoring time, that no latent smolder or smoke developing, prior to signing off on the Hot Work permit.
Are hot work permit assigned fire watchers / observers trained and current (2 years) in the duties of a fire watch including: observing and mitigating (within scope training) adverse conditions, using fire fighting equipment, using communication tools to alert emergency response team, and performing visual inspections to confirm no sparks / latent fire?
Are at least one (or more) fire watch assigned to each non-safe designated area hot work activity? -if work occurs on >1 floor level or > 1 side of wall additional fire watches are required-
Is any sub-contractor performing hot work at the site in violation of company hot work requirements? If yes, any sub-contractor doing so will not be allowed to continue working at the site and has to be reported to contract manager and HSE.
Have all workers performing hot work (authorized) completed and current training (2 years) for at least: the Hot Work program, Hazard Communication, Emergency Response Plan, the use of fire extinguishing equipment, interactions of the Hot Work Procedure with other company HSE procedures, flammables, combustibles and other materials that represent fire hazards, usage of atmospheric monitoring equipment, and utilities that help to prevent fires or the spread of fire (fire-proof blankets, welding curtains, etc.)?
Are all sub-contractors performing hot work trained and current (2 years) in at least in all of the following: the site Hazard Communication Program, Hot Work Program, Emergency Response Plan, and the use of fire extinguishing equipment?
Is the person supervising qualified (licensed if locally required) and the hot work and associated training current?

Confined Spaces (permit and non-permit)

If the site is free of confined spaces: has the assessment to verify this been conducted by a competent person and documented? The 3 characteristics of a confined space: i) bodily entry possible, ii) limited or restricted means of access or egress, and iii) not designed for continuous employee occupancy.
Does the site have any confined spaces entered or managed by company or equipment serviced by company located in confined spaces?
Is a confined space registry available at the site detailing potential hazards such as oxygen deficiency, hazardous materials, engulfment, power-driven equipment, electrical shock, and difficulty in escaping?
Does the registry identify which confined spaces are permit / not permit required using the following criteria: 1) a potential/actual hazardous atmosphere; 2) a potential for engulfment; 3) an internal configuration that may trap or asphyxiate an entrant; or 4) any other recognized serious safety or health hazard?
Does the confined space assessment include consideration of: AND take into consideration chemical, physical, radiation, biological and other agents that 1) will be in the space prior to emptying, draining, or cleaning the space, 2) are reasonably expected to be introduced into the space during emptying, draining, or cleaning of the space, or expected to be introduced in connection with any subsequent activities in or around the space?
If it is a Permit-Required Confined Space the Permit-Required Confined Space Hazard Assessment & Control form has been completed fully and is up-to-date?
Is for each confined space entry (permit AND non-permit) a written procedure in place, current and fully implemented entry? For any non-permit space, or one readily reclassified to a non-permit space by applying lockout to mechanical hazards but the activity to be performed in or around the space has the potential to create a serious safety or health hazard in the space, then the procedures for entry into a permit-required space must be followed-
Is each company and customer confined space marked with either: Permit Required Confined Space: ‚ÄúDANGER - PERMIT REQUIRED CONFINED SPACE. AUTHORIZED PERSONNEL ONLY‚Äù or equivalent, and Non-Permit Required confined spaces with ‚ÄúCAUTION - NON-PERMIT REQUIRED CONFINED SPACE. AUTHORIZED PERSONNEL ONLY‚Äù or equivalent? -For storm sewer manhole covers, such as in parking lots and high traffic areas, alternative identification may be used such as ensuring that these spaces are included in the site inventory and applicable employees have received training to recognize these as confined spaces-
For each customer confined space has the Supervisor asked the customer representative for a listing of the confined spaces that our workers may have to enter?
For each customer confined space has the customer provided: a description of the hazardous air contaminants and the hazardous conditions, which exist or have the potential to exist within each confined space before work begins at the job site?
Has the supervisor communicated the confined space hazards, risks and controls to affected sub-contractors?
Has the company designated contractor coordinator provided the contractor with a copy of our CSE procedure, ensured the contractor understands it, and understands that the sub-contractor‚Äôs confined space entry program (including emergency rescue) must meet or exceed the requirements our procedure, and verified that the sub-contractor has a qualified confined space program per our company requirements?
Has the company designated contractor coordinator informed the sub-contractor of known hazards, risks, controls implemented, and has the sub-contractor supervisor signed off on the confined space entry permit?
For non-permit required confined spaces has the monitor: ordered authorized entrants to evacuate the confined space immediately when a hazard arises, summoned rescue services when authorized entrants may need assistance to escape from a confined space, performed no other duties that might interfere with the duty of monitoring (either continuously or periodically, as directed by the supervisor) the authorized entrants in a non permit-required confined space --Once this assignment is made, it can only be changed by a supervisor and not an informal agreement between the entrant and the monitor?
Is the confined space permit to perform work implemented prior to when workers or sub-contractors must enter a confined space to perform work, including but not limited to inspecting, cleaning, testing, and repairing?
Has the confined space procedure, entry permit, attendant checklist, 4.3.4 The entry supervisor must ensure that the authorized entrants and attendants are fully informed of potentially hazardous materials or conditions they are likely to encounter by conducting a safety preparation briefing.
Is the confined space a permit-required one as per the site registry and / or evaluation by the entry supervisor?
Has the specific Permit-Required Confined Space Entry Procedure for the particular space being entered and the specific Permit-Required Confined Space Hazard Assessment and Control sheet for the specific entry been reviewed prior to entry, and verified that the permit-required confined space is safe for entry by implementing the permit system?
Does the entry supervisor know the hazards faced during entry and the symptoms and consequences of exposures, has verified, by checking or completing the entry permit, that all required tests have been conducted and all procedures and equipment are in place before endorsing the permit and allowing entry to begin, verified that rescue services are available and that the means for summoning them are operable before authorizing entry into a permit-required confined space, ensured the attendant is aware of which rescue service will be used and how to contact it, terminated the entry and cancel the permit when the entry operations covered by the entry permit have been completed or when a condition not allowed under the entry permit arises in or near the confined space, removed unauthorized individuals who enter or attempt to enter the permit space during operations, determined that entry operations remain consistent with the terms of the entry permit and that acceptable entry conditions are maintained, ensured that an attendant is posted outside the space prior to entry of rescue personnel, and if an entry is being made by one or more contractors, each contractor provided a qualified Entry Supervisor?
Has the attendant: knew the hazards faced during entry and the symptoms and consequences of exposures to authorized entrants, understood all requirements of Section I of the entry permit titled ‚ÄúAttendant Checklist‚Äù and verify their understanding by signing that section, ensured that all individuals who enter or leave a permit-required confined space are continually accounted for and have signed in or out, remained outside the confined space during entry operations until relieved by another qualified attendant, continuously monitored activities inside and outside the space to determine if it is safe for entrants to remain in the space, ordered authorized entrants to evacuate the confined space immediately when a hazard arises, summoned rescue services when authorized entrants may need assistance to escape from a confined space, kept unauthorized entrants from entering the confined space, performed non-entry or entry rescues (if required by location rescue procedures and properly trained). However, entry rescues cannot be performed until another attendant is posted and the procedures for entry into a permit-required space have been completed, performed no other duties that might interfere with the primary duty of monitoring and protecting the authorized entrants?
For rescue team members has the member: been provided with and trained in the use of personal protective equipment and rescue equipment necessary for making rescues from confined spaces, which may include respiratory protection, trained to perform the assigned rescue duties, received the same training required of authorized entrants, practiced simulated rescue operations annually from actual or representative confined spaces, trained and currently certified in basic first aid and cardiopulmonary resuscitation (CPR), and be incorporated in the local blood borne pathogens procedure?
Does the permit system include: verification that the control measures outlined in the risk assessment and/or entry procedure for the designated space minimize or eliminate exposure to identified hazards using the ""Confined Space Entry Permit, including the Attendant‚Äôs Checklist completed, signed by the appropriate entry supervisor, test equipment operator and attendant, and posted at all entry points being used to enter the space, and the initial ""Confined Space Entry Permit,‚Äù validity is limited to the specified duration of the job? -the entry permit shall be reviewed and revalidated upon change of entry supervisor-
Have the internal hazards been controlled by placing the confined space in a ‚Äúzero energy state‚Äù and the space isolated from unexpected ingress of materials in accordance with Zero Energy Procedure?
Have all external hazards been controlled to protect authorized entrants by: placing appropriate signs and barriers outside the space, protecting the space against releases from adjacent processes, exhaust from vehicles and other sources of hazardous gases or mists, and protecting entrants from releases or any other hazards posed by materials brought into the confined space for required work or created in the space by the work (e.g., tile adhesives, welding products and by-products, paint solvents)?
Has the confined space been cleaned and purged by emptying, flushing, or otherwise purging hazardous materials, cleaned by flushing with water, steaming, or any other acceptable practice, depending on the nature of the material contained in the confined space? -if steam is used for cleaning, the space must be cooled before entering-
Has the confined space been ventilated thoroughly and continuously ventilated by use of fans, blowers, or any other method that will ensure an adequate continuous movement of uncontaminated air through the confined space, including ensuring that there is sufficient air circulation to eliminate pockets of contaminated air? -the only exception to this would be where the local HSE Leader has documentation proving continuous ventilation is not required by certifying that there is no actual or potential atmospheric hazard posed by the space during the entry, including heat stress-
Has the permit been completed prior to any entry into the confined space by the ATTENDANT and the ENTRANT, including the documentation and submittal of the completed permit for approval to the ENTRY LEAD before entry begins?
Has the entry team communicated all elements of the permit electronically (by fax or telephone) to the managing supervisor for approval of the permit prior to any confined space work beginning? -the supervisor must give approval for the entry and the attendant must note the date and time of the approval on the Confined Space Entry Permit-
For monitoring equipment operators, does the operator: know the operation and limitations of the monitoring instruments, including the required field checks (checking the instrument for proper response in the field) specified by the instrument manufacturer, know actual testing practices and testing requirements specified by this procedure, enter the test results on the confined space entry permit along with their signature, require all entrants to evacuate the space when atmospheric testing indicates a hazardous atmosphere, inform the entry supervisor whenever atmospheric testing indicates a hazardous atmosphere/--may also fill role of Attendant as long as Attendant training completed and Attendant's Checklist section signed on the permit-
Has atmospheric testing for acceptable entry conditions been completed prior to entry, including use of field testing of test equipment accuracy prior to each use and calibrated either prior to each use or on a monthly basis? (if the equipment is rented or leased the vendor must provide calibration documentation to meet the requirement)
Has atmospheric monitoring equipment been inspected and calibrated per manufacturer specifications and documented and completed by a qualified technician?
Has the Test Equipment Operator tested the atmosphere in the confined space to determine if acceptable entry conditions exist before entry and documented and communicated it? -Performed from a manhole, provided a remote sensor can reach the potential work areas and entry point(s), or if the test equipment operator must enter the space using an atmosphere-supplying respirator with retrieval system to conduct testing in all potential work areas of the space-
For permit required confined spaces: confined spaces have been tested and results documented for the following atmospheric conditions in the order specified below to determine whether they meet the specified acceptable entry conditions: 1) Oxygen concentration, which must be between 19.5% and 23.5% (continuous monitoring must be done where there is potential for oxygen concentrations outside this range), 2) flammable vapor, gas, or mist, which must be at or below 5% of its lower flammable limit (LFL) (if gases or vapors are liberated after initial zero readings; evacuation must take place if any flammable vapor, gas or mist is detected) and continuous monitoring is required where there is a potential for liberation of flammable materials, 3) toxic air contaminant concentrations must be below the established Occupational Exposure Limits (OELs) for acute health effects, in other words, an atmospheric concentration of any substance that is not capable of causing death, incapacitation, impairment of ability to self-rescue, injury, or acute illness due to its health effects is not covered by this provision (continuous monitoring is required where there is potential for liberation of toxic materials, 4) airborne combustible dust (e.g., plastic, metal, wood, coal) concentration, which must be less than its LFL?
For confined spaces with (the potential to contain) hazardous atmospheres: has continuous monitoring been performed?
Has re-testing of atmospheric conditions been completed: at a minimum at shift changes and documented on the entry permit and if the confined space remained unattended for at least one hour (re-entry is not permitted until atmospheric re-testing of the space is performed)
Was entry into the confined space done after the entry supervisor verified and signed the confined space entry permit and authorized entrants, had the required PPE and retrieval systems in place?
Electrical equipment used in confined spaces: all portable electric equipment / lighting used in confined spaces was operated at 50 volts or less, any 120-240 volt equipment / lights were protected by a ground-fault circuit interrupter (GFCI)(positioned outside the confined space), all portable lights were outfitted with protective guards over the bulbs, step-down transformer if used, were left outside the space, all electrical equipment to be used inside the confined space was explosion proof (if the potential for a combustible atmosphere is present), all portable electrical equipment and lighting was approved for type and operation by (UL), (FM) or other appropriate certifying agencies?
If hot work was performed in a confined space: prior to start work a hot work permit and compliance with Hot Work requirements were in place, any welding and burning equipment, other than torches, hoses, and electrical welding leads, were not taken into the confined space, any gas cylinders / welding machines were left outside of the space and chocked, if on wheels and when gas cutting or welding is no longer needed on the job, or if the job is to be left unattended for an extended period of time (such as during lunch or overnight), the gas supply must be shut off at the cylinders and the torch valves were closed? -where practicable, the torch and hose shall also be removed from the confined space. If hoses are left running into the confined space, they must be disconnected from the gauges and properly stored, to prevent tripping hazards and hose damage) 4.4.2.4 When arc welding is to be suspended for any substantial period of time, such as during lunch or overnight, all electrodes shall be removed from the holders and the holders carefully located so that accidental contact cannot occur, and the machine shall be disconnected from the power source. 4.4.2.5 The attendant shall be instructed on how to quickly secure arc and oxy-acetylene welding equipment in case this equipment is involved in an accident inside the space.
Is an up-to-date emergency response procedure whereby both the rescue personnel and all necessary rescue equipment are available at the incident scene in a timely manner and rescue can commence within 5 minutes of an emergency? -within five minutes after the attendant identifies an emergency situation, a qualified rescuer is attending to the entrant, and the designated internal emergency rescue team or outside emergency service is at the space preparing to extract the entrant. -for entry into an IDLH atmosphere or a space that could quickly develop into an IDLH atmosphere, the rescue team or service must be standing by outside the permitted space--
Does the site rely on a confined space entry on the local fire department or an off-site service to provide this emergency rescue service? This is NOT permitted given the 5 minute response time!
Is all equipment necessary for a rescue -harnesses, retrieval lines, stretchers, a mechanical means for removing an injured person from a confined space, etc. -- readily available for emergency use by the rescue team? -recommendation is to use Confined Space Rescue Cart to contain all of these equipment within a portable means-
Prior to entry was the rescue equipment's usability and readily availability verified by entry supervisor?
Does the attendant have a communications device immediately available, such as a two-way radio, telephone or cell phone, that can be used to call for rescue?
Communication between entrants and attendant during the confined space entry was done using one of two methods: 1) entrants within sight-line of the attendant stationed outside the space, or if line of sight could not be maintained, two-way radio or voice communications between the attendant and the entrants in the confined space and use of a personal alert safety system (PASS), were used? -one radio and one PASS per group of employees inside the space is acceptable as long as the entrants can maintain line of sight with each other-
If entrants could potentially be exposed to a hazardous atmosphere: does the rescue team have readily available atmosphere-supplying respirator for emergency use?
Is an annual practice rescue drills must be conducted and documented? -If using a contracted service for rescue, documentation of the contracted service practice drill must be obtained and kept on file-
Has the permit been closed upon completion of the entry into the confined space: has the Entry Lead or attendant cancelled the Entry Permit and given it to the Managing Supervisor?
Are known confined space entry points secured (preventing unauthorized entry AND clearly signed -prohibiting entry to non-authorized persons-?
Has the managing supervisor retained cancelled confined space entry permits for 3 years?
Entry completion of confined space occurred after all work had been completed and all authorized entrants were out of the confined space by the entry supervisor removing and cancelling the permits and forwarding to the region/ country HSE Leader?
Are complete and up-to-date risk assessments, work authorizations / CSE permits available that include all potential risks such as unsafe atmospheres, falling objects, rotating equipment, explosion/fire, engulfment/entrapment or electrocution, etc.?
Do the CSE risk assessment / work authorization / permit document emergency response arrangement such as self -and assisted rescue, roles and responsibilities, rescue equipment, drills, site contacts, etc.?
Are safe work practices applied when entering any non-permit confined spaces, including Safe Work Practices Inside a Confined Space, Personal Protective and Rescue Equipment‚Äù and ‚ÄúLock/Tag/Try‚Äù.
Have the entrant(s) / sub-contractor received authorization from the immediate supervisor prior to entry, and has the supervisor assigned a worker /sub-contractor worker to act as an attendant or periodic monitor? -A monitor would be expected to check on the entrant‚Äôs progress at least every fifteen minutes until the entry is completed-
Has sufficient air circulation been confirmed within the non-permit confined space to prevent an exposure to heat stress? Fans, blowers, or any other method that will ensure an adequate movement of uncontaminated air through the non-permit confined space should suffice. Natural ventilation may be relied upon if sufficient-
All tools and equipment are appropriate for the work being performed and the potential hazards may be used inside a confined space, e.g. explosion proof, air operated, non-sparking?
All workers and sub-contractors wear personal protective equipment as designated by the entry supervisor and if tests indicated that the confined space contains a hazardous atmosphere (presence of a toxic chemical or an oxygen-deficient or oxygen-rich atmosphere), workers and sub-contractors entered only if authorized by their entry supervisor and if wearing appropriate respiratory protection as required by company respiratory program?
Retrieval systems for non-permit required confined spaces were: each authorized entrant wore a full body harness with a retrieval line attached (wristlets can be used if the entry supervisor determines the use of a harness is infeasible or creates a greater hazard), and a retrieval line must always be used and attached to the safety harness of each authorized person entering the confined space where a hazardous atmosphere or a potential for engulfment is determined to exist. If a retrieval line is infeasible or creates a greater hazard when either of these two hazardous conditions exists, the entry may not be performed, and a mechanical device was readily available to retrieve personnel from vertical-type confined spaces more than 1.52 meters (5') deep and the end of the retrieval line (outside the confined space) was attached to a mechanical device or fixed point in such a manner that rescue could begin as soon as the rescuer becomes aware that rescue was necessary?
Are workers entering CSE and / or approving CSE permits qualified per company AND local requirements?
Are atmospheric monitoring equipment calibration current, bump test results documented, calibration gases within use date?
Are worker and approvers of CSE permits qualifications current, relevant to the hazards, recorded in the site plan / permit and available?
Are CSE permits completed and current for each confined space entry, signed by workers and authorized person (contract manager)?
Does the CSE permit consider hazards from multiple work groups at the site?
Is evidence available indicating atmospheric testing is performed before each entry, after breaks, etc.?
Are all hazardous energy sources locked out, tagged and verified before each confined space entry?
Are CSE permits closed on completion of work and records available?
Are all workers / sub-contractors trained / have provided evidence of competency initially upon assignment and annually thereafter for safe work practices, the Confined Space Entry Procedure and Permit, personal protective equipment and tools, use and calibration of devices used to monitor the atmosphere in a confined space, duties of all people involved in the entry, rescue planning, emergency action and communication, chemical and physical hazards, ventilation techniques, isolation and hazardous energy control, and use of safety harnesses and lifelines?

Electrical Work

Is energized electrical work performed, or work in close vicinity to energized electrical sources (potential arc flash, etc.) performed?
Is it possible for the work to be conducted in a de-energized state?
Are there complete, current risk assessments / work authorizations / permits in place for energized electrical work?
Does the risk assessment / work authorization / permit describe a full range of safety measure including: identification of isolation points, physical insulated safeguards, insulating PPE, exclusion zones, safety observers?
Are workers conducting live electrical work, including energized fault finding, qualified and licensed --licenses available and current?
Do risk assessment / work authorization / permit include provisions for observers during live work?
Has sub-contractor manager been made aware and understand company requirements, known hazards, controls, and sign off requirements for field risk assessments?
Has sub-contractor manager provided all personal protective equipment to their employees, submitted site specific energized electrical work plans or Field Risk Assessment Systems for review by company worker with authorized oversight (i.e. contractor manager, HSE Lead, etc.) over the contractors, complied with live electrical work practices consistent with the company requirements and all other applicable Country Regulations?
Is all electrical equipment installed / designed free from recognized hazards with potential to cause serious harm, suitable for the installation and use, and installed and maintained in accordance with the manufacturer‚Äôs instructions per the U.S. National Electrical Code (which is known as NFPA 70), other National Fire Protection Association (NFPA) standards, building codes and other country recognized electrical standards and safe practices for safe electrical work?
If any electrical equipment has overloaded circuits, damaged wiring, or defective switches/outlets posing a potential fire hazard: do they have a tag indicating such?--Any damage or defects must be reported to Facilities/ Maintenance and be repaired or replaced in a timely manner-
Does all general wiring design and protection for connection to supply must meet current NEC or equivalent Country Requirements regardless of who performs the work?
Are all energized parts of electrical equipment operating at 50 volts and 25 amps or more guarded against accidental contact by either: (1) use of an approved cabinet or other approved enclosure (e.g., cover plates, circuit breaker blanks); (2) use of insulating materials; (3) by location either (a) by placement in a room or vault that is accessible only to Qualified Persons, or (b) by elevating the equipment or controlling the arrangement of the space to prevent contact by Unqualified Persons? -If electrical equipment is located where it is potentially exposed to physical damage, the enclosure or guard must be sufficient enough to prevent such damage-
Are all circuits at 50 volts and 25 amps or higher, clearly labeled at each disconnecting means (the switch to disconnect circuit from power source) to indicate the circuit's function and the purpose is evident (such as light switches)? -Identification must be specific
If worker observes missing guarding / labeling / marking at customer locations (responsibility of the customer) and there is additional risk to the worker or our sub-contractors have they consulted with the supervisor for guidance?
Do all electrical enclosures (switchboards, panel boards, industrial control panels, and motor control centers, and any similar electrical enclosures that may contain exposed energized conductors or components) have clearly visible labeling or field marking (those likely to require examination, adjustment, servicing, or maintenance while energized) to warn his marking is intended to warn Qualified Persons of potential electric arc flash / blast hazards before examination, adjustment, servicing, or maintenance of the equipment.
Are all electrical enclosure labels clearly visible prior to such work on equipment and contain either warning! plus triangle or danger! plus triangle and Hazard Type (e.g. Arc Flash and Shock Hazard) and Appropriate PPE and tools required when working on this equipment or equivalent and V, arc flash distance etc. where applicable? -labels must comply with all Country Requirements.
Are electrical, mechanical rooms, switchgear etc, clearly and visibly labeled / marked before qualified worker performs tasks (in addition to individual warning labels on each device) with one or more warning signs at each entrance that identify and convey the hazards of 1) the highest risk identified within the room, 2) the hazard risk category, 3) their approach boundary distances and 4) required PPE?
Is any electrical work conducted in field / off-site on unrated electrical systems?
Has the qualified person used Annex H -2009 NFPA 70E and country requirements to determine minimum PPE protection level?
Are all qualified electrical persons wearing at a minimum HRC 2 level PPE (8 cal/cm¬≤) before working on unrated systems in the field?
Does further evaluation indicate potential HRC 3 or HRC 4 exposures? If yes, has the qualified electrical person suited-up to HRC 4 level PPE (40 cal/cm¬≤) to perform that specific task/work?
Has, before starting each electrical work at 50 volts and 25 amps or higher, the qualified person held a job briefing with the qualified persons involved? ‚Äì even where workers are skilled in the tasks
Did the job briefing review all of the following: 1) Field and Off-Site Alternate Electrical Work Permit System for pre-job risk assessment, 2) electrical hazards associated with the work task, 3) procedures to be followed when performing task, 4) any special precautions due to working conditions, 5) where and how to remove the energy source(s), 5) emergency response and emergency communications, 6) required personal protective equipment, 6) other work in the immediate physical area, and 7) other work associated with the same electrical circuits or equipment?
If the work performed during the work day is repetitive and similar, was at least one job briefing held before the start of the first work, and if significant changes / new shift that might affect worker / sub-contractor safety was a new briefing held?
Are workers / sub-contractors, where there is danger of exposure to sudden high noise e.g. electrical explosion / arc blast, wearing non-conductive hearing protection and the equipment selection and use conform with the company hearing protection standard?
Are all pre-job briefings conducted and validated on the permit form in all jobs requiring an Energized Electrical Work Permit?
Has an electrically qualified person verified that conditions for safe electrically work exist?--Identify all sources of power to the equipment. Check applicable up-to-date drawings, diagrams, and identification tags-
Have all sources of power to the equipment been identified using applicable up-to-date drawings, diagrams, and identification tags?
Have lock-tag devices devices been applied in accordance with the company standards (site if at least as stringent) and country requirements?
Has the load current been removed and the disconnecting devices been opened for each power source? - if possible, visually verify that blades of disconnecting devices are fully open or that drawout-type circuit breakers are fully withdrawn-
Have equipment operating controls been tested to verified that the equipment cannot be restarted?
Has each phase conductor or circuit part been tested with an adequately rated voltage detector to verify that the equipment is de-energized/ -test each phase conductor or circuit part (both phase-to-phase and phase-to-ground-
Prior to and after using, has the voltage detector been tested to be sure it is working and verified that it is adequately rated for the circuit voltage?
If conductors or circuit parts that are being de-energized could contact other exposed conductors or circuit parts: have ground-connecting devices rated for the available fault current been applied?
Have all possible sources of induced voltage and stored electric energy (e.g. capacitators) been properly grounded before touching?
Are any fault finding activities such as checking for voltage and current, tracing of wiring, and monitoring the activation of starters and switches performed?
If fault finding on an energized system is to be performed at customer sites: has a written Field Risk Assessment System or JSA been developed and reviewed with workers / sub-contractors prior to beginning fault finding of field work?
It does not generally require an Energized Electrical Work Permit, but is PPE worn prior to entry into the flash protection boundary as required in PPE for Safe Electrical Work?
Is an appropriate first aid kit for responding to live electrical work emergencies complete and available?
When performing work in damp areas, are the following precautions in place: only electrical cords with Ground Fault Circuit Interrupters (GFCIs) are used, a dry barrier is placed over any wet / damp work surface, standing water is removed before beginning work, and electrical cords are kept away from standing water? -Work is prohibited in areas where there is standing water, unless proper precautions are taken to insulate and ground the work area or field work conditions prevents it-
If any work performed in electrically classified areas (potential to contain flammable or explosive atmospheres): is classified electrical equipment used, or, if not, non-classified electrical equipment can only take place when authorized by a Hot Work Permit as per company standard? -under these circumstances, the permit must explicitly require continuous LEL monitoring and direct the Fire Watch to discontinue use of the non-classified equipment (cell phones, radios, flashlights, etc.) if flammable vapor concentrations reach or exceed 5% LEL or combustible dust concentrations reach or exceed 25% of the MEC-
Will/are any line breaking activities performed at this site?
Have all electric circuits assumed to be energized unless properly demonstrated to be de-energized? -before electrical work is performed, de-energization of every circuit and conductor must be verified through testing in accordance with NFPA 70E and country requirements each time the circuit or conductor is de-energized, AND standard PPE and Electrical Work PPE (e.g., voltage rated gloves and leather protectors, electrically insulated shoes, approved insulating mats, safety glasses, and the required Arc Flash PPE) must be worn until the equipment is proven to be de-energized-㫿䩱㫿䩱

Company Facility Electrical

Is this a company facility?
Have our facilities completed a comprehensive electrical hazard assessment from all power sources rated 208 volts or greater as per our Arc Flash and Shock Hazard Controls standard to determine: 1) applicable approach distances, 2) appropriate electrical protective equipment and safe work practices to be followed when working on the equipment and systems at the facility and 3) whether some modification to equipment or systems is necessary or appropriate to reduce or more effectively control the risks posed to individuals working on them?
Have either of the 3 approach distances for shock hazards and one approach distance for arc flash hazards per NFPA 70E been used: 1) Limited Approach Boundary (LAB) is the distance from an exposed live part within which a shock hazard exists, 2) Restricted Approach Boundary (RAB) is the closet distance to exposed live parts a Qualified Electrical Person can approach with proper PPE and tools, or 3) Prohibited Approach Boundary (PAB) is the minimum approach distance to exposed live parts to prevent flashover or arcing AND 4) Arc Flash Protection Boundary is the approach limit at a distance from exposed live parts within which a person could receive a second degree burn if an electrical arc flash were to occur?
If the qualified electrical worker needs to cross the LAB or RAB: is a Safe Electrical Work permit (approved by the supervisor or manager responsible for the safety plan) in place, PPE suitable for working near exposed live parts and rated for the voltage and energy level involved available per the Protective Safety Equipment Selection Matrix), will no part of the body enters the prohibited space, and will the risk from unintended movement, by keeping as much of the body as possible out of the restricted space -body parts in the restricted space should be protected-?
If the qualified electrical worker needs to cross the PAB: has specified training to work on exposed live parts been completed (current), is a permit with proper written work procedures and justifying the need to work that close to the live electrical hazard in place, has a risk assessment been conducted and approved by the appropriate supervisor before commencing live electrical work, and is PPE to be used appropriate for working near exposed energized parts and rated for the voltage and energy level involved (FR HRC and PPE) and per Electrical Safe Work Practices Protective Safety Equipment Selection Matrix?
If the qualified electrical worker needs to cross the arc flash boundary: do they use PPE appropriate for working near exposed live parts and rated for the voltage and energy level involved, for systems of 600 volts and less, the Flash Protection Boundary is 1.2 meters (4') based on an available bolted fault current of 50 kA and a clearing time of 2 cycles for the circuit breaker to act, or any combination of fault currents and clearing times not exceeding 100 kA cycles, for other fault currents and clearing times, see PPE Selection Tables with detailed information in Attachment 6.5 NFPA 70-E, ‚ÄúStandard for Electrical Safety in the Workplace‚Äù and Country Requirements if more stringent, or when working on de-energized parts and inside the Flash Protection Boundary of nearby live exposed parts that cannot be de-energized, are barriers such as insulated blankets to protect against accidental contact and/or wear proper PPE used?
Are safety observers trained, current and competent to rescue and resuscitate a person?

Facility & Customer Site Use Electrical

Are flexible cords and cables NOT used as: a substitute for the fixed wiring of a structure, run through holes in walls, structural ceilings, suspended ceilings, dropped ceilings, or floors, run through doorways, windows, or similar openings, attached to building surfaces, concealed by walls, floors, or ceilings or located above suspended or dropped ceilings, installed in raceways, except as otherwise permitted in the NEC or country code, or subject to physical damage?
Are extension cords only used to provide temporary power, and are NOT connected to one another or to power strips to increase their length (Daisy Chaining)? Surge Protectors and power strips are NOT considered extension cords and may NOT be used in place of extension cords-
Are temporary electrical power and lighting installations of 600 volts or less, including flexible cords, cables and extension cords, only be used during and for renovation, maintenance, repair, or experimental work? -duration for temporary wiring used for decorative lighting for special events and similar purposes may not exceed 90 days-
Are portable cord-and-plug connected equipment and extension cords must be visually inspected before use for external defects (loose parts, deformed and missing pins, or damage to outer jacket or insulation, and for possible internal damage such as pinched or crushed outer jacket)?
Are all extension cords and flexible cords of the three-wire type (hot, neutral and ground prongs), designed for hard or extra hard usage (heavy duty) and made of at least gauge 12 wire size? -job-made extension cords are forbidden for use
Are any defective cord or cord-and-plug-connected equipment removed from service and not used it until it is repaired and tested by a Qualified Person to ensure it is safe for use? 4.4.1.5 Equipment wired with flexible cord-and-plug connections fed from overhead buses, (ceiling-mounted) junction boxes or outlets must be designed with strain-relief assemblies to prevent termination and wire damage.
Are all portable electrical equipment, flexible and extension cords only used 4.4.1.1 Flexible cords and cables must be of an approved type and suitable for the location and intended use. They may only be used for: pendants, wiring of fixtures, connection of portable lamps or appliances, elevator cables, wiring of cranes and hoists, connection of stationary utilization equipment where frequently interchanged, prevention of transmission of noise or vibration, data processing cables, appliances identified for flexible cord connection where needed to permit maintenance or repair, or specifically permitted elsewhere in the NEC or country code?
Is any temporary wiring in place?
Are ground-fault circuit interrupter (GFCI) or equivalent protective device, or an Assured Equipment Grounding Conductor Program in place: when using portable/power tools with extension cords to perform maintenance, repair, renovation or construction activities, and where work is performed in damp or wet locations?
Are portable GFCI's tested prior to each use by tripping the test button, are GFCI integrity inspections conducted and documented as per manufacturer's recommendations on a periodic basis by tripping their test button?
Do all feeder originate in an approved distribution center, such as a panel board, rated for the voltages and currents the system is expected to carry, and do branch circuits originate in an approved power outlet or panel board?
Are bare conductors or earth returns used for the wiring of any temporary circuit? -This is NOT permitted.
Are all receptacles of the grounding type (unless installed in a complete metallic raceway) and each branch circuit contains a separate equipment-grounding conductor, and all receptacles are electrically connected to the grounding conductor?
Are suitable disconnecting switches or plug connects installed to permit the disconnection of all ungrounded conductors of each temporary circuit?
Are lamps for general illumination protected from accidental contact or damage, either by elevating the fixture or by providing a suitable guard?
Are hand lamps supplied by flexible cord equipped with a handle of molded composition or other approved material and equipped with a substantial bulb guard?
Are flexible cords and cables protected from accidental damage? Avoid sharp corners and projections.
Are all equipment and tools connected by cord and plug grounded and double insulated? -Exception: UL listed or labeled double insulated tools and appliances need not be grounded.

Electrical General

Are lamps for general illumination protected from breakage, and metal are shell sockets grounded, are no temporary lights are suspended by their cords unless they have been designed for this purpose, and is portable lighting used in wet or conductive locations, operated at less than 50 volts and 25 amps or must be protected by GFCI‚Äôs?
Are electrically qualified persons taking the following precautions consistently: not reaching blindly into areas that might contain exposed live parts, not enter spaces containing live parts unless illumination is provided that allows the work to be performed safely, not wearing conductive articles of jewelry and clothing (such as watchbands, bracelets, rings, key chains, necklaces, metalized aprons, cloth with conductive thread, metal headgear, or metal frame glasses) where they present an electrical contact hazard with exposed live parts?
Are conductive materials, tools, and equipment that are in contact with any part of a worker or contractor‚Äôs body handled in a manner that prevents accidental contact with live parts such as ducts, pipes, tubes, conductive hose and rope, metal-lined rules and scales, steel tapes, pulling lines, metal scaffold parts, structural members, and chains.?
Are workers / sub-contractors working in a confined space / enclosed spaces (such as a manhole or vault) that contain exposed energized parts, using protective shields, barriers or insulating materials as necessary to avoid contact with these parts, and are doors, hinged panels, and the like shall be secured to prevent them from swinging into worker?
Are electrically qualified workers inspecting prior to use and using insulated tools and equipment ( display the international double triangle or double square symbol and meet ASTM F1505 and country requirement) when working in proximity to energized or potentially energized conductors and/or exposed electrical components?

Portable Electric Powertools

Are portable electric powertools in use or stored at site?
Are portable electric power tools visually inspected for external defects before each day's use (deformed or missing prongs or insulation damage, and for indication of possible internal damage) and is any tool found to be damaged or defective taken out of service immediately and tagged ""Out of Service,"" until it has been repaired or permanently discarded/destroyed? 4.5.3.3 Electric portable power tools (except for battery powered or double insulated types) must be protected by a GFCI that is contained within the same cable or cord as the circuit conductors, unless protected by a GFCI device?"
Are portable electric power tools that are NOT protected by a GFCI grounding conductors tested for continuity and measured for insulation resistance between conductors: 1) before initial use after purchase, 2) before equipment is returned to service following any repairs, 3) before equipment is returned to service after any incident that can be reasonably suspected to have caused damage or injury, and 4) tested at intervals not greater than 3 months?
If no arc flash analysis is available or not current: has a competent person determined what PPE is required by either: 1) performing an Arc Flash Analysis and proceeding as per NFPA 70E or 2) relying on the Hazard/Risk Category (HRC) for the task(s) to be performed and the electrical PPE selection table?
Are periodic inspections and testing of portable electric power tools documented equipment ID or tag, test date and name of person performing the test, and the equipment or tool is color coded, banded, tagged or otherwise identified to indicate it is safe to use for the following period?

PPE for Electrical Hazards

Are workers / sub-contractors who are potentially exposed to electrical hazards (such as when in proximity to energized or potentially energized conductors or exposed electrical components) in possession of personal protective equipment (PPE), such as Flame-Resistant Apparel and other Arc Flash PPE for the specific parts of the body to be protected and for the work to be performed?
Are electrical protective equipment maintenance and maximum testing intervals implemented and current: all electrical protective equipment is in a safe, reliable condition, and is periodically inspected and/or tested as required required?
Is damaged electrical protective equipment or equipment failing to pass test requirements taken out of service and tagged ‚ÄúOut of Service‚Äù until repaired or permanently discarded/destroyed?
Is insulating equipment inspected for damage before each day‚Äôs use and immediately following any incident that can reasonably be suspected of having caused damage?
If any insulating equipment been electrically tested, but not issued for service, has it been placed into service without being electrically tested within the previous 12 months? -This is not permitted-
Is electrical insulating equipment tested as required in the table below: 1) Gloves: before first issue; every 6 months thereafter per ASTM F 496, 2) Blankets: before first use; every 12 months thereafter per ASTM F 479, 3) Covers: if insulating value is suspect per ASTM F 478
Is electrical head protection, whenever work is performed in proximity of potentially energized electrical conductors or components made of non-conductive materials and, if there is a danger of head injury or as determined by the risk assessments and arc flash hazard analysis, helmets are Class E, full or partial brim (ANSI Z89.1)
Are hard hats clean, in good condition and not be altered or defaced in any manner (approved markings will not contain conductive materials), and is additional required PPE -- such as head or beard covers made of flame-resistant (FR) materials?
If there is a danger of injury to the face from electrical arcs or flashes, or from flying objects or falling objects from an electrical explosion: are employees wearing nonconductive protective equipment for the face, neck, and / or chin? -eye and face protection equipment per ANSI Z87.1.
Is any eye or face protective device showing broken components, heat distortion, or excessive scratches on the lens taken out of service and tagged "Out of Service" until repaired or permanently discarded/destroyed?
Are workers / sub-contractors who require prescription safety glasses have frames of non-conductive material, or if not, is the employee (with metallic or conductive frames) wearing a face shield or has otherwise eliminated the contact hazard?
Are workers / sub-contractors wearing insulating rubber gloves when potential for contact with energized parts exists within 92cm (3') or less at 50 volts and 25 amps or more, or when the Qualified Person enters the Restricted Approach Boundary?
Are outer leather protectors provided and worn over insulating rubber gloves and inner cloth liners provided and worn under the insulating rubber gloves when used for shock protection?
Is each insulated rubber gloves visually inspected and tested for leaks prior to use including: 1) testing for pinholes (fill the glove with air, roll up the cuff to make a seal, squeeze the glove, hold close to ear, feel and listen for air escaping from holes, 2) inspection for embedded foreign materials, such as wood or metal splinters, or surface imperfections caused by chemical or other substances? -- If glove(s) failed test: did the employee cut off the index finger of the glove before disposal--
Are gloves in service stored flat (not creased, rolled) in canvas glove bags, Insulating rubber gloves and leather protectors stored separately (if in the same canvas storage bag), protected from electrical sources, heat, ozone, or sunlight direct, and from contact with sharp materials? -- care and use see ASTM D496--
Are insulated rubber gloves selected on basis of maximum potential voltage exposure? --Arc rating / actual planned exposure cannot be used for selection--
Is any electrical work on energized equipment of 50 volts and 25 amps and higher performed?
Has a risk assessment been conducted -including for common taking voltage measurements / fault finding, opening / closing disconnects and breakers, racking breakers on and off the bus, removing panels and dead fronts, opening electric equipment doors for inspection-- tasks that identified the limited approach boundary and proper controls including; engineering design, standard written procedures, training and PPE?
Has a step-by-step work task (SWI) been developed, reviewed and approved by qualified supervisor including: site-specific safety procedures for energized electrical work?
Is work on energized electrical systems performed only if: 1) de-energizing introduces additional or increased hazards (deactivation of emergency alarm systems, shutdown of hazardous location ventilation equipment, or removal of illumination for an area), or 2) de-energizing is infeasible due to equipment design or operational limitations (testing of electric circuits that can only be performed with the circuit energized and work on circuits that form an integral part of a continuous industrial process that would otherwise need to be completely shut down in order to allow work on one circuit or piece of equipment.)?
Has the qualified person considered use of engineering controls first for any work on energized circuits, and only where they are not feasible / not in place, has a well-documented Energized Electrical Work permit system been implemented?
Has a qualified person identified all work tasks on or near live electrical circuits and are they under the protection and authorization of a safe electrical work permit system of one of three categories: field and off-site electrical work in non company or unfamiliar energized electrical systems for routine testing, fault finding, and voltage measuring on exposed energized electrical circuits at 50 volts and 25 amps or higher, non-routine (non-frequent) energized electrical work, or routine and bench-top electrical?

Field Risk Assessments Electrical Medium or High

Is any medium or high risk electrical work identified in the Field Risk Assessments / planned / in progress?
Are field risk-assessments completed prior to work starting, current and site specific for routine field and off-site electrical tasks such as testing, fault finding and voltage measuring including checks for voltage/current/electricity flow tracing of wiring, and monitoring the activation of starters and switches at non-HBS/HPS facilities are considered moderate- to major-risk activities AND developed before seeking permit approval?
Are all tasks evaluated using a field risk assessment and is the hazard identification specific to the site and work activity for electrical hazards encountered to effectively assess exposure to electrical energy? -multiple methods can be used consultation with customers‚Äô qualified persons, field inspections, job analysis, material safety data sheets, equipment manufacturers‚Äô instructions / documents, customer‚Äôs near miss reports, specialists/consultants, injury records, industry groups, known non-routine tasks, etc.-
Have all work tasks been effectively assessed following the risk calculator's three essential steps been completed: 1) likelihood of an incident (exposure to the hazard), 2) severity of the potential consequences, 3) level of risk is determined as Low, Medium or High and each risk is assigned a priority for risk control?
For all risk calculator work activities with a medium of high assessment: have specific field level risk assessments been effectively completed and implemented?
For all identified risks is the hierarchy of controls followed (where feasible): 1) hazard elimination, 2) substitution, 3) engineering controls, 4) administrative controls, and 5) personal protective equipment.  Employees conducting field work off site must complete a Field Risk Assessment System for any risks categorized as medium or high using the Risk Calculator Tool. A Field Risk Assessment Form outlines the steps to be followed to ensure that HBS/HPS employees conducting such work are not exposed to uncontrolled electrical risks.  Employees must identify (from the hierarchy of controls) the appropriate control measures when testing, fault finding and/or voltage measuring energized circuits at non-HBS/HPS sites to eliminate the risk of unforeseen occupational hazards.
For each field risk assessment: are the step-by-step tasks for conducting such work complete and effective so as to prevent exposure to uncontrolled electrical risks?
Does the risk assessment / work authorization / permit consider all risks to people and the environment and are appropriate controls in place and maintained?
Are all field risk assessments evaluated, updated, and communicated to affected workers whenever a change occurs or at a minimum, annually to ensure no new hazards were identified or exposure to an existing hazard has not changed?
Are workers clear on the expectation to stop, think and re-evaluate the risk assessment when work activities change, or unexpected things come up (not the right tool / skill, different environment / equipment, new / changed hazard) and do they do so (updated risk assessment / risk calculator / steps)?
Are all supervisors conducting monthly behavior observations of workers / contractor performance evaluations at customer sites and completing monthly metric reports?
Are all supervisors reviewing annually all energized field electrical work using the Electrical Certification Form AND are these signed by a managing supervisor and kept on file for one year?
Do permits for routine energized electrical field work include (but are not be limited to): 1)description of circuit / equipment to be worked on and location, 2) justification for why the work in energized condition, 3) description safe work practices used, 4) results of the electric shock hazard analysis, 5) determination of electric shock protection boundaries, 6) if available: results of the arc flash hazard analysis, 7) Arc Flash Protection Boundary, 8) necessary personal protective equipment to safely perform task, 9) means used to restrict the access of unqualified persons from the work area, 10) evidence of completion of a job briefing, including a discussion of any job-specific hazards, 11) energized work approval (authorizing or responsible manager, safety officer, or owner, etc.) signature(s)? --electronically authorized ok if the permit is properly completed and maintained in a file / authorization by immediate supervisor
Have the checklist and permit for non-routine energized electrical work been completed prior to initiating live electrical work tasks, 2) Job Briefing included review checklist / permit, 3) permit / checklist signed by qualified person, 4) permit posted at work location & for duration of the task, 5) continuity of electrical hazard protection during shift or personnel changes ensured, 6) work area barricaded with red "Danger: Do Not Enter" tape or equivalent, and 7) permit and all related documentation submitted to designated repository for recordkeeping purposes? 4.9.3.8 Completed Non-Routine Energized Electrical Work Permits, checklists and supporting documentation shall be maintained on file in chronological order, in project number order or other systematic order for recordkeeping "
Are electrically qualified workers / sub-contractors, where there is a danger of exposure to electrical current or components wearing safety shoes at all times with dielectric footwear rating per ASTM F2413 and/or CAN/CSA Z195 and Z195.1 that are in good condition? -if worn out work shoes worker must also wear dielectric overshoes per ASTM 1117-98-
Where any electrically qualified worker / sub-contractor may be exposed to an arc flash above the threshold incident – energy level for a second degree burn, 5J/ cm² (1.2 cal/ cm²) appropriate Flame-Resistant (FR) apparel is available and worn per the Safe Electrical Work Practices Personal Protective Equipment Selection Matrix? --the minimum required protection shall be provided by the outermost layer(s)--
Is all FR protective apparel visually inspected before each use and if the apparel or other protective item is contaminated (e.g., with grease, oil flammable liquids, or combustible liquids) or damaged is taken out of service and tagged "Out of Service" until repaired or permanently discarded/destroyed?
Is all FR apparel worn apparel covering all ignitable clothing, allow for movement and visibility, cover potentially exposed areas as completely as possible, and FR shirt sleeves are fastened and FR shirts/jackets closed at the neck?
Are only non-melting, flammable garments (i.e., cotton, wool, rayon, silk, or blends of these materials) used as under layers beneath FR apparel? --natural fiber under layers may not be used toward the minimum arc rating protection necessary for the task HRC. Only FR garments in single or multiple layers may be used toward HRC arc rating requirement-
Are protective garments worn as outer layers over FR apparel (i.e., jackets or rainwear) also be made from FR material and do flash suits permit easy and rapid removal by the user?
Is any clothing with exposed zippers, buttons, metal fasteners or loose, flapping clothing visible when working on exposed electrical equipment? -not permitted-
Is selection of FR apparel based on: 1) proven flame resistance performance guaranteed (written by manufacturer) for the life of the garment? Not acceptable are guarantees by fabric manufacturers up to a certain number of washings are not acceptable. --Secondary factors that evaluate wearer comfort and cost effectiveness will only be considered after meeting above requirement.
If qualified persons using insulated mats while working on electrical equipment per Safe Electrical Work Practices Personal Protective Equipment Selection Matrix: where qualified electrical person performs energized electrical work on site equipment, are at least two insulated rubber mats (each measuring a minimum of 60 cm x 60 cm (2'x2') conform ASTM D 178 and rated for the maximum voltage available at the site?
Are all qualified electrical workers / sub-contractors performing work on electrical devices and systems trained (annual) and competent in all safety related work practices, procedures and requirements that pertain to their respective work assignments: including (not be limited) to: 1) inherent hazards of electricity such as high voltages, electric current, arcing, grounding, and lack of guarding, 2) methods of release of victims from contact with exposed energized conductors or circuit parts, 3) skills and techniques necessary to distinguish exposed energized components from the other components of electric equipment, 4) skills and techniques necessary to determine the nominal voltage of exposed energized components, 5) energy control and isolation, which includes written procedures, de-energizing equipment, application of locks and tags, and reenergizing equipment, 5) work planning, Electrical Work Permit System, and work authorization procedures, 6) skills and techniques necessary to operate, maintain, and service electrical equipment, 7) knowledge and understanding of the clearance distances corresponding to voltages which employees may be exposed to, 9) proper use of special precautionary techniques, personal protective equipment (PPE), insulating and shielding materials, and insulated tools associated with working on or near exposed components of electrical equipment -- based on the voltage levels?
Are all qualified electrical workers who are exposed to shock hazards trained in: signs and symptoms of electric shock, heart fibrillation, electric burns, and proper first aid protocols for these conditions, including: basic Cardio Pulmonary Resuscitation (CPR), Automatic External Defibrillator (AED), and contacting emergency personnel and basic first aid assistance?
Are all unqualified (non-electrical) workers who in the performance of their job are required to enter a room / area containing exposed energized conductors or components, or approach in proximity to exposed conductors trained in: 1) inherent hazards of electricity such as high voltages, electric current, arcing, grounding, and lack of guarding, 2) Methods of release of victims from contact with exposed energized conductors or circuit parts, 3) ability to recognize potentially hazardous energy and its potential impact on workplace conditions, 4) skills and techniques necessary to distinguish exposed energized components from the other components of electrical equipment and machines and how to avoid them, 5) energy Isolation and Control, which includes written procedures, de-energizing equipment, application of locks and tags, and reenergizing equipment, 6) knowledge and understanding of the clearance distances corresponding to voltages which employees will be exposed to, 7) proper use of the special precautionary techniques, PPE, insulating and shielding materials, and insulated tools associated with working on or near exposed components of electrical equipment?
If live electrical work expected to be performed at site on equipment in a voltage class of 600 volts (277 to 600 volts) or greater: is at least one set of HRC 4 PPE (FR suit, hood, and gloves) available and used when working on circuits identified as having the highest arc flash rating potential on the site -- if no electrical assessment has been completed, or in areas where a standby person is required and cannot be reasonably separated from the potential arc flash and blast hazards, or in tasks requiring more than one Qualified Person, all persons who may be exposed to arc blast/flash hazards will wear appropriate PPE, are two available as required?

Line Breaking

Is or will any closed system previously containing chemicals or any other material under pressure (e.g., steam line) be breached or opened?
Are line breaking step-by-step instruction in place and current or incorporated into site-specific zero energy process at site? -Any low hazard exceptions must be documented--
Are affected workers notified prior to initiating line breaking activities pertinent in their work areas including a description of the potential hazards associated with the line breaking activity?
Are all associated pumps and electrical equipment put in a zero energy state prior to the initiation of line breaking activities?
Is the portion of the line being worked on effectively isolated by blanking, shutting and isolating valves preceding and following the affected area of the line?
Are line isolating devices (e.g., valves, disconnects, blanks) physically locked in the closed position by the authorized person performing the line break?
Are lines drained and purged with vents open to prevent the possibility of an air lock?
Has the authorized person ensured that systems are in a zero energy state prior to initiation of line breaking work?
Are spill containment material and a Hazmat plan in place where applicable?
Has the line breaking checklist and permit been completed, is current and signed by the authorized person performing the work? --except when breaking into a compressed air line less than 100 psi (6.9 bar) when a risk assessment is completed and zero energy procedures are applied--
Are the line-breaking checklist/permit displayed at the work site and issued for only a single shift?
Are any guards or safety devices removed prior to or during line breaking activities reinstalled and made fully operational prior to the startup of the associated lines?
Are all affected employees notified of the completion of line breaking activities?
Are workers authorized to perform line-breaking trained and have demonstrated competency prior to initial assignment (annual) in company line-breaking and Lockout/Tagout procedure, safe work practices of line breaking ,demonstration of line breaking procedures and purpose of line breaking procedures?
Are affected workers trained in the existence and purpose of line breaking procedures annually?
Are line breaking permits complete, issued and authorized by the company supervisor (contract manager)?
Are all field supervisors annually auditing the effectiveness of the line-breaking procedure AND reviewing the permits throughout the year AND observe at least one line break and complete an annual certification documented on the Annual Line Breaking Certification Form?
Do line-breaking permits consider risks from multiple work groups at the site?

Mobile Industrial Vehicles (free-moving) and Industrial Earth Moving Equipment

Are any forklifts, tow motors, platform lift trucks, scissor lifts, stand-up riders, reach trucks, motorized hand trucks ot other powered transportation and materials handling devices present or expected to be deployed in contract?
Does purchasing / contract manager ensure that all rented / leased / owned industrial vehicles meet company, regulatory and ANSI or equivalent design and operational standards?
Has company contract manager / supervisor / contractor ensured that prior to beginning work all workers and contractors working around or operating industrial vehicles have attended a pre-job orientation for industrial vehicles including a review of applicable safety, health and environmental rules, security, job expectations, and job-specific safety information and is documentation readily available?
Are any owned / rented / leased industrial vehicle only be operated by qualified workers with current training and competency demonstration for the specific type, model and make of vehicle?
If rental /lease industrial vehicles are / will be used: has the supplier provided refresher review on the operation of the vehicle and any safety aspects or concerns regarding the operation of the vehicle and the work-site conditions to all operators? --documented-
Are safety devices / restraint systems initially and periodically performance tested by qualified personnel as part of the periodic maintenance?
Are any modifications / retrofit of restraints or other safety devices only made with written approval of the manufacturer?
Are Roll Over Protection Structures (ROPS) and Falling Object Protective Structures (FOPS) provided on earth moving, load, dump and haulage or mining equipment and where required by local regulations or consensus standards and are backup alarms, backup lights or other warning devices are installed on mobile equipment with ROPS or if the equipment design limits visibility to the side or rear?
Is each industrial vehicles inspection prior to operating / shift, including functional check of brakes, lights, backup alarms, operating controls and other critical components and readily available documented inspection? 4.5.2 Inspections shall be documented through a checklist, tag or equivalent system.
Are situational hazards associated with mobile equipment operations are recognized, highlighted in training, included in risk assessment and site safety management plans and / or safe work procedures when: an operator‚Äôs view is obstructed in the direction of travel, excavating, trenching or digging, engaged in hitching, towing and pulling activities, work performed under the raised implements (utility, natural environment, facility, etc.), exposed to hazardous materials / operations / open flames, other traffic, etc.?
Are risk assessments completed for high potential risks such as but not limited to: collisions, vehicle-pedestrian interfaces, loss of load, approach distances including vertical drop zone and 1m / 3' person distance, spotters, etc., lateral over-turn, and catastrophic equipment failure?
Are persons operating industrial vehicles and operators working around un / loading docks trained in hazards and risk and dock safety controls such as the operation of dock safety devices such as: 1) safety barrier, bollards as means to prevent dock drive off (e.g. door or dock leveler with a barrier, bollard, etc.), 2) trailer stands or jacks (when loading or unloading without the truck attached to the trailer), 3) administrative controls including secured driver keys supplemented with wheel chocks for unusual circumstances when vehicle restraint systems cannot be used?
Are industrial vehicle operators, where required (company, regulatory), to undergo a medical evaluation, initial certification and recertification usually every three years up-to-date and documentation available?
Is any industrial vehicle with identified defect during inspection or otherwise immediately reported and corrected AND if defects cannot be immediately resolved, the equipment is removed from service and tagged "out of service" until repaired?
Are all industrial vehicles industrial trucks inspected and maintained per manufacturer‚Äôs recommendations and records available and up-to-date?
Are contract managers / supervisors ensuring that workers / contractors are following of all rules, procedures and precautions related to site specific hazards and controls?
Are contract managers / supervisors periodically reviewing pre-shift and periodic maintenance inspections to monitor maintenance trends, at risk conditions, quality, corrective actions, etc. and documented?
Have all workers / (sub)-contractors successfully completed industrial vehicle training program appropriate for the vehicle to be used and for the type of work including formal instruction, practical (hands-on) demonstrations / exercises, and evaluation of the trainee‚Äôs performance and is it current (within 3 years) and per regulatory requirements?-contractor workers: an approved or general industry accepted training course-
Has refresher training been completed by operators if any of the following conditions are met: 1) operator is involved in an accident or near miss incident, 2) operator is observed operating the vehicle in an unsafe manner, 3) operator has been determined in an evaluation to need additional training, 4) changes in workplace that could affect safe operation of the industrial vehicle, or 5) operator is assigned to a different type of industrial vehicle?
Are any workers operating industrial vehicles without current certification / training / demonstrated and current competency documentation available?
Where manufacturer installed operator restraints are required on mobile equipment, are they being used at all times?

Compressed Gases / Pressure Vessels / Refrigerants

Are any compressed gases / gas lines / pressure vessels used / stored in the contract or are workers / contractors potentially exposed to such hazards from other parties working nearby?
Are all compressed gas cylinders: 1) legibly marked, for the purpose of identifying the gas content (chemical / trade name), 2) caps are in place at all times when not in use, 3) safety relief valves, valves, cylinders and air compressors not altered or repaired except by facilities authorized to perform such work, 4) regulators, gauges, hoses and other appliances provided for use with a particular gas or group of gases only used for the specific (group of) gases (not cylinders containing other / incompatible gases?
Are all compressed gas cylinders stored: 1) upright position individually secured with chains / clamps / belts at shoulder and waist or designed rack in vehicle, 2) stored in compressed gas designated area, well-ventilated area, away from heat sources, away from electrical wires, 3) regulators and hoses disconnected, 4) at least 6 meters (20') from combustible materials / separated by a non-combustible barrier >1.5 meters (5') in height with a fire-resistance rating of at least 1/2 hour (ibid. for oxygen cylinder separation from fuel-gas cylinders and combustible materials)? 4.3.2 Gas cylinders shall be located where they shall not be subjected to likelihood of damage from moving equipment.
Are compressed gas cylinders inspected by qualified person when received: 1) Safety data sheet is available, 2) checked for leaks, 3) visually inspected cylinder for damage, 4) valve cover and shipping cap is on, 5) proper labeling, hazard symbols and health, flammability and reactivity risks, and 6) if a cylinder is damaged, in poor condition, or the contents are unknown, do not accept and have the vendor return the cylinder to the manufacturer?
Are empty compressed gas cylinders marked "empty", valves closed, and stored separately from full ones?
When moving cylinders all of the following apply: 1) appropriate PPE must be worn, 2) use a cylinder cart and secure cylinders with a chain for larger cylinders, 3) do NOT roll, drop, handle roughly or permit cylinders to strike each other, 4) regulators are removed, and valves closed and protective valve caps in place?
Before use has user verified the following: 1) a risk assessment to identify hazards and appropriate PPE was completed, 2) emergency response equipment was readily available, 3) wall connections are tight (use soapy water to locate leaks), 4) cylinders valves, regulators, couplings, hose and apparatus are clean and free of oil and grease, 5) cylinders are kept away from open flames and sources of heat, 6) safety devices and valves have not be tampered with, nor repairs attempted, 7) oxy-fuel systems have flashback arrestors and reverse-flow check valves in place?
The worker opened the cylinder valve and away from the face and back of the gauge, where a special wrench was required to open a cylinder or manifold valve, the wrench was left in place on the valve stem when in use?
Are the supervisor / worker / contractor current in training completion for compressed gas hazards, risks and controls?
Is worker / supervisor / contractor readily correcting discrepancies in receiving, storage, handling, use, transport and disposal of compressed gases?
Are compressed air lines in use / present?
Are compressed air lines used for cleaning clothing, hands or other body parts? -NOT permitted-
Are all compressed airlines marked with the pressure? -no modifications / removal of safety devices / safety nozzles-
Are ONLY airlines with air pressure reduced to less than 30 psi (2.07 bar) OR nozzle equipped with dead end protection (reducing pressure to 30 psi (2.07 bar) and effective means are provided to protect employees from flying chips or debris to clean parts or surfaces?

Slip, trip and fall (STF) hazards and control

Are potential STF hazards present and / or identified and documented as part of the HSE risk assessment process?
Are any of the following present and not controlled? Wet or contaminated surfaces, wet surfaces from condensation, dust, debris, uneven walking surfaces, mats / rugs not flat, obstructions /debris, floor holes or openings, open-sided floors or platforms 1.2m or (4') or more above the lower level- j) Inadequate illumination.
Are practices in place and implemented ensuring that STF hazards are identified, reported, and effectively controlled and controls maintained?
Are workers and contractors preventing STFs through work practices: walking calmly, looking ahead / around for STF hazards, avoiding carrying items that will obstruct walking pathway, use handrails when using a stairway, use a closed container when carrying liquids, avoid walking through potential STF hazards where possible, wearing slip-resistant footwear appropriate for the working surfaces / environment?
Are covers and/or guardrails provided to protect workers from fall hazards of open pits, vats, ditches, or other similarly hazardous areas?
Are floor (ladders, hatchways, sky lights, pits, trapdoors, manholes, and temporary openings / wall opening in walking or working surface, platforms, runways, or ramps, or elevated work platforms with (side) openings guarded with a standard guardrail system with toe board on all exposed sides, or an appropriately designed hole cover?
Is safe access to elevated work platforms provided to and from the work surface and protected to prevent the unintentional fall of personnel or materials from the elevated surfaces?
Are temporary or portable working or walking surfaces (dock plates or ramps) designed for such use and designed to provide safe support for loads applied, and secured or otherwise fastened during use to prevent STFs / unplanned movement?
Are standard railings shall be provided on the open sides of exposed stairways and stair platforms, are treads and nosings slip-resistant, and stair width and rise per regulatory requirements?
Are outdoor surfaces such as sidewalks, parking lots, entry and exit to work areas, and common areas included in risk assessments and maintained in good condition to prevent potential STFs?
Are appropriate controls used to enter / exit work areas and transport supplies from vehicle / storage to work area in place and used?
Are workers trained initially and every 3 years on preventing, recognizing, avoiding, and responding to STF hazards?
Are workers and contractors consistently using STF prevention methods?
Are supervisors verifying worker and contractor use of STF prevention behaviours through safety observations, and addressing STF hazards reported in timely manner?

Ozone Depleting Substances (ODS) / Refrigerants

Does company or contractor use / store any refrigerant gases / liquids or any other material identified as an ODS present during the contract / at site?
Prior to obtaining ODS, has manager / supervisor ensured that each worker / contractor has obtained appropriate Certification or License based on work activities and regulatory requirements (documented and current)?
Has manager / supervisor implemented a refrigerant purchase-usage reconciliation log for all purchases of refrigerants ODSs?
Has manager / supervisor implemented a usage report for all contract use of ODSs?
Has manager / supervisor implemented a refrigerant recovery equipment inventory report?
Has manager / supervisor implemented a cylinder management program as required by company and regulatory requirements?
Are workers / contractors subject to ODS program employees in possession of current certification card or license card authorizing them to purchase refrigerants from a supplier or wholesaler? -card shall be kept on the employee at all times and the employee is responsible for maintaining their certified status-
Are workers / contractors required to complete Refrigerant Usage Report for each usage of refrigerant (indicating the exact amount used, recovered or reclaimed), including receipts for the returned refrigerant with the weighted amount of refrigerant returned on each transaction, aligned with workorder system current and accurate?
Are any appliances with a refrigerant capacity > 50 pounds have leak rates for a 12-month period per company and local requirements?
Have owner / operator of appliances >50 pounds repaired leaks within 30 days from the date the leak was discovered or develop a dated retrofit/retirement plan within 30 days and completed actions under that plan within one year from the plan‚Äôs date?
Has each worker with reclaim equipment an Overhead Work Order been requested, serviced and certified the proper operation of the reclaim equipment? -if a reclaim unit did not work properly was it removed from service and repairs made to ensure proper function before unit return to service-
Is the Master Refrigerant (ODS) Binder 1) current, 2) worker certifications listed, 3) purchases, use and recycling quantities and types reconciled for each worker and aligned with work-order system and refrigerant purchase receipts, vendor name and quantity recycled listed?
Have all workers / contractors with (affected) refrigerants / ODSs in work environment completed and current (every 2 years) in ODS awareness training for affected?
Are all workers / contractors working with refrigerants / ODS current and compliant in their training per local regulatory requirements -US E.P.A. Section 608 Technician Certification credentials no expiry- ibid. if recertification is required?
Is there potential exposure to asbestos during this contract?
Are workers potentially exposed to asbestos aware of the hazards, and clear that they shall not remove or disturb ACM at customer facilities, and shall avoid work practices, which are likely to release asbestos fibers, and aware who to contact to address the potential asbestos hazard? Examples include work in ceiling plenum areas where ACM is deteriorated or breaking away and removal of ceiling tiles, which have fallen ACM debris on the upper surfaces-
Have any workers discontinued work immediately upon an unplanned encounter / disturbance of any suspect, presumed or known ACM, including encapsulated materials, notified their supervisor, and supervisor notified a competent person?
Are contractors involved in asbestos abatement aware of and follow company asbestos abatement procedures during projects, facility renovations, maintenance repairs, demolition, facility closure and emergencies?
Are managers / supervisors aware of the prohibition of the use of ACM in construction of new buildings or building renovation projects?
Are managers / supervisors ensuring that asbestos abatement is subject country requirements, and only use Asbestos Workers or a Qualified Asbestos Abatement Contractor (QAAC) to perform Small-Scale, Short-Duration Asbestos Work, and all other Asbestos Work only performed by a QAAC that is properly licensed per company and regulatory requirements?

Heat and Cold Stress

Any work in a environment with potential exposure to heat stress have risks assessed and controls implemented using heat stress calculator (where applicable)?
Any work involving potential exposure to cold stress have risks assessed and controls implemented?

Environmental Health and Safety Exposure

Any work in environment working alone has risks assessed and controlled?
Any work in an environment with potential exposure to wild or poisonous animals, animals or plants (bear, cougar, dogs, rats snake, scorpions, bees, mosquitos, insects etc.) and/or communicable diseases or pests (legionella, TB, hanta virus, Norwalk, MRS etc )and have risks assessed and controls implemented?
During the site visit have you observed any major hazards that were not identified or not appropriately controlled (whether in the contract risk assessment or generally)?

Radiation

Any work (areas) involving potential exposure to non-ionizing radiation have risks assessed and controls implemented?
Any work (areas) involving potential exposure to ionizing radiation have risks assessed and controls implemented?

Emergency Response

Is an emergency response plan in place, up-to-date and readily accessible?
Have emergency response teams been formed and trained (current) such as first aiders, fire wardens, emergency response coordinators, etc.?
Are emergency response drills for potential emergencies at the site planned, conducted, critiqued, at least annually?
Is an inventory of emergency response equipment in place and up-to-date at the site?
Has the adequacy of the emergency response plan and equipment been verified by a competent person?
Is emergency response equipment inspected, tested and tagged at least every 6 months?
Have emergency responders been trained (current) in the use of emergency equipment e.g. communication equipment, fire response equipment, rescue teams (height, confined space, spills), medical emergencies, etc.?
Have emergency response events and drills been recorded and company and / or agencies notified?
Are records of emergency response training, equipment inspection/testing, drills, critiques and incidents readily available and up-to-date?

Lockout Tagout & Zero Energy

Lockout Tagout and Zero Energy

Are documented LOTO guidelines in place for zero energy, including electrical, pressurized systems, chemical and hydraulic energy isolation work?
Does the risk assessment, work authorization or permit consider hazardous energy risk exposures from other work groups at the site?
Are workers expected to perform work on systems with potential stored energy trained (current) and competent in the use of LOTO systems and equipment?
Are employees expected to perform LOTO, supplied with devices that enable them to lockout tagout ALL sources of energy?
Do all employees or sub-contractors involved in LOTO have one (or more) personal locks and keys with one single key for each lock?
Are site specific risk assessments, SWI and / or permits in place and up-to-date for LOTO of sources of potentially hazardous energy?
Do all sub-contractors expected to perform LOTO have devices that enable them to LOTO all sources of energy with a personal single key and lock?
Is there a written procedure in place or permit defining all steps of LOTO?
Are employees and sub-contractors involved in, or working around LOTO, informed about the work in progress and their roles?
Are employees and sub-contractors following individual and group LOTO procedures fully?
Are the training, competencies and / or trade licenses of workers performing LOTO included in the site safety plan?
Are LOTO permits completed by a competent person and up-to-date for all high risk tasks in which sources of hazardous energy may be released?
Are LOTO permits authorized by the company contract manager or equivalent?

Leadership in Fatal and Serious Injury

Leadership in Fatal and Serious Injury and Adverse Event Prevention

Is the district / functional manager clear on their leadership role in fatality, serious injury and adverse event prevention efforts with regard to the contract life-cycle (NPI, sales, bids, risk review, contract implementation, completion and HSE customer value-add / satisfaction? -manager actively takes a leadership role providing strategic direction, visible HSE engagement throughout the life-cycle, at all levels, as well as monitoring the contract manager / supervisors progress against HSE plan?
Are fatality, serious injury and adverse event prevention accountabilities assigned to a team leader, team members, and each member has a clear understanding of their role?
Has a formal risk assessment tool been used to assess risk with fatality and serious injury potential effectively and a priori? Risk identification including: field surveys, worker feedback relative to specific jobs or tasks, ETS historic data, and is it reassessed at least annually / when significant change in activities / facilities / environment / equipment, focusing on identification of potentially new risks?
Are there any obvious gaps in the risk assessment of the contract?
Has the leader implemented (and maintains) a sustainable process to review fatal and serious incidents and near incident events with fatality / serious injury potential and ensure lessons-learned both from the contract and other company operations are used to prevent future potential occurrences?
Are the lessons learned (HSE Alerts) communicated to managers, supervisors and affected workers, contractors?
Are the managers / supervisors systematically implementing preventive actions from lessons learned (HSE Alerts) pertaining to their contract activities?
Are managers / supervisors discussing fatal and serious injury and adverse event exposures likely to be found at site / during activities in pre-work shift (or equivalent) meetings and are follow-up risk assessments conducted to identify, track and complete corrective actions needed to eliminate or mitigate the high risk potential at the site / during work activities?
How, where a similar high risk exists to a reported (near) incident or HSE Alert, are corrective actions taken to eliminate or mitigate the potential at the site, and do workers know the action has been completed?
Are potentially fatal and serious injury and adverse events systematically identified and addressed in Contract Classification, Risk Classification, Contractor Risk, Risk Reviews, Work Authorizations, Work Permits, Risk Assessments, JHAs, Pre-Job Briefings or similar documents?
Are potentially fatal and serious injury and adverse events systematically communicated to the HSE resource?
Is the HSE resource systematically interfacing with other specialist (company) resources to help the business identify common fatal and serious injury and adverse event exposures and enable implementation of effective, sustainable and feasible prevention measures?
Has the leadership team considered environments in- and external to the site, that have the potential to contribute to fatal and serious injury risks (socio-cultural factors, other contractors working in environment, physical and environmental conditions, security issues, traffic conditions, etc?
Does the leadership meet at a frequency commensurate with the site / operations risk profile and progress against preventive and corrective action plans to effectively manage HSE risks?
Has the leadership / manager / supervisor addressed unacceptable fatal and serious injury and adverse event risks by eliminating the exposure or by deploying reliable redundant controls to reduce the risk to an acceptable level and how are the layers of protection being monitored and evaluated?
Does the site / district consistently have high / medium corrective and preventive actions open >30 days? marginal risks provided interim layers of protection?
Where high / medium risks are open: has the site / manager / supervisor consistently ensured that interim redundant controls are in place and effective?
Does the site / manager / supervisor have a plan to eliminate the fatal / serious injury risk altogether or move to a long-term sustainable control?
Is the site / manager / supervisor reviewing adverse and near miss event data to prioritize initiatives on fatal / serious injury and adverse event prevention?

Travel for Work

Are any managers / supervisors / workers travelling for business (to / from company or customer sites)?
Have workers completed travel safety training (driving / other) appropriate for the means of travel used?
Have all workers using company vehicles (marked or not) or driving company rental vehicles or driving personal vehicles for business completed 1) defensive driving training (driving techniques, operator impairment, restraint use, digital device use, license revocation, etc.)?
Have all workers travelling for company completed travel safety & security training?
Are workers using (company / personal ) vehicles, motors (or other motorized) for work?
Has the site / manager / supervisor verified that all workers using company or rental vehicles have current valid driver licenses (documented), and communicated to the workers that if any chance in driver license status occurs, to report it immediately?
Are drivers courteous, driving in professional manner, in compliance with all traffic laws, using (if it can't be avoided) handsfree cell-phones -no digital device use / other distractions permitted if not parked safely-, wearing seatbelts (passengers also) when vehicle in motion, and headlights on when moving?
Are managers / supervisors addressing through collaboration with HR any drivers operating a vehicle while under the influence of liquor / drugs / controlled and non-controlled substances such as prescription drugs without a prescription, non-prescription or prescription drugs that are considered unsafe for use when operating a vehicle?
Have drivers reported all accidents involving company-insured vehicles to their supervisor and fleet as soon as possible and within 24 hours?
Are workers driving company vehicles ensuring company-owned or leased motor vehicles periodic inspections and preventative maintenance procedures are followed to ensure safe vehicle operation?

Machine Guarding

Is any worker / contractor potentially exposed to hazards associated with machinery / tools / equipment at the site during routine, maintenance, or service activities?
Are any machinery / equipment / tools in use / in immediate work area that require machine guards or that have machine guards installed as part of the design?
Are all machines / equipment / tools (chillers, HVAC, pressure vessels, machinery with moving / rotating parts, automated machines, etc.) adequately guarded around, under, through, or over point of access, power transmission apparatus, and other moving parts?
Has the equipment owner informed the worker / contractor of the potential hazards an appropriate guarding, pre-use inspection verification of safety devices, and safe work practices when work is performed near machine hazard? -documented in risk assessment-
Is any safeguarding or safety devices removed during repair or preventative maintenance replaced before equipment is returned to service?
Is all machinery / equipment / tools with removed safeguarding locked out and tagged?
Are additional safety precautions, such as chocking or blocking used where there is danger of any shifting / movement of equipment, while performing maintenance or set up of machinery?
Does the supervisor / worker / contractor demonstrate awareness / knowledge / understanding of the precautions to be taken when working on / around machinery / equipment / tools with machine guards? -ID potential hazards associated with the particular machinery, purpose and function of the safeguarding, how it provides protection,how to use the safeguards and under what circumstances can they be removed and by whom, how to conduct daily operator checks of machine safeguarding. and what action required on discovering that safeguarding is damaged, missing or unable to provide protection-
Are machine safety controls (safety interlocks, light curtains, e-stops, etc.) used in lieu of lockout and tag out? -this is NOT permitted-
Has the manager / supervisor verified that workers use safe work procedures including: pre-use inspection of guards / safety devices, only equipment in safe working condition is worked on, Lock-Tag procedures are effectively applied, machinery / equipment / tools with defects are tagged "out of service" and removed from service until repaired and training is current?

Customer Aspects

If a contract been upgraded or changed: has all applicable documentation been updated and the changes communicated to all employees and sub-contractor?
Are HSE performance indicators used in reports provided to customers?
Has Contract Manager been trained in SOM within last 3 years?
Has contract manager completed all applicable HSE training per training matrix and hazards of contract?
Can the contract manager (PML, PM, FSL, FSS) indicate what HSE training is required for the employees supervised?
Can the contract manager demonstrate full compliance to HSE training requirements for the contract for all people supervised? e.g. risk ranking tool, monthly safety meeting
If any contract customer satisfaction survey results are available: are the results for attention to HSE metrics satisfactory?
Are employees and/or sub-contractors aware of the incident and near miss (SOS) reporting requirements?
Can the contract manager demonstrate that the SOS metrics are meeting monthly requirements?
Can the contract manager demonstrate that incident reporting, investigation, safety alerts, incident reviews and corrective action closure are being completed effectively and in a timely manner?
Can the contract manager demonstrate that SOS near incident report have been rectified effectively and in a timely manner?
Can the contract manager demonstrate that near incident reports pertaining to things under control of a customer have been communicated, followed-up on and closed in a timely manner?
Can the contract manager explain how to report and address any regulatory inspections, visits and/or inquiries?
Can the contract manager demonstrate that the risk ranking reported activities have been effectively completed monthly? (training completion, SWI review, behavior observation, PPE/vehicle/equipment inspection, monthly HSE meetings, contractor performance reviews)?
Does the contract manager have all records (current year plus 2) pertaining to playbook activities?
Has the contract manager completed the required number of behavior observations each month?
Has the contractor manager effectively addressed any non-conformances?
Has the contract manager completed the required number of PPE/Vehicle/Equipment inspections?
Has the contract manager completed the required number of contractor performance reviews?
Has the contract manager completed the monthly HSE meetings per the requirements?
Has the contract manager ensured SWI review with all supervised employees and sub-contractors each month per schedule?
Has the contract manager ensured HSE training completion of all supervised employees and sub-contractors?
For any deficiencies identified in the risk ranking related activities: have corrective actions been entered in the SOS system, or otherwise effectively tracked to completion?
Can the contract manager demonstrate that actions in the company event tracking system are being closed in an effective and timely manner?
Can the contract manager show that any incidents that occurred during the contract have been effectively managed and communicated with the customer?

Contract Team

Are contract team members aware of the HSE requirements and site safety and/or environmental plans?
Are employees and/or sub-contractors satisfied with the HSE control measures employed for the scope of work?
Do employees or sub-contractors have any HSE continuous improvement suggestions?
Has any customer feedback regarding HSE management in the contract have been brought forward?
Do employees or sub-contractors have any feedback on HSE services provided?

Ergonomics

Is there office space / work conducted at site?
Has an ergonomic assessment been performed prior to initial use or when changes occurred, ergonomic risk controls implemented and effectiveness evaluated?
Are ergonomic evaluations performed when MSD related symptoms or incidents are reported or site surveys or risk assessments identify potential ergonomic risks that warrant further evaluation?
Is any work to be conducted requiring extended periods of sitting in static position / heavy / large manual material handling (move, transport, lift / lower, push-pull, (un)pack, centre of gravity, position, etc.) or awkward positioning?
Are sound ergonomics principles applied in the contract reviews, site risk assessments site, field work ergo assessments/ ergo surveys, safety management plan, site design, purchase of equipment.tools, work process design, transport, installation/removal/disposal and use of equipment and processes to prevent injuries?
Is during the design stage for new or redesigned workstations, tools and equipment with the potential to introduce ergonomic risk factors an ergonomic screening survey and / or assessment completed to identify potential ergonomic risk factors?
Are ergonomic evaluations performed when MSD related incidents, site surveys or risk assessments identify potential ergonomic risks that warrant further evaluation?
Are (prior to implementation) proposed ergonomic risk controls reviewed with affected employees to identify potential implementation barriers and it the implementation of ergonomic controls tracked to completion and verified for effectiveness?
Is a reporting process in place to ensure workers to encourage worker reporting of work related discomfort and prevention of work related MSD‚Äôs in the early stages of development?
Are identified ergonomic successes and best practices communicated (through alerts, websites, email etc.) within the business to increase awareness and enable technology transfer?
Are all workers and contractors trained (current 3 year) in methods to identify and control ergonomics risk factors, the signs and symptoms of MSD‚Äôs and the early reporting process?
Are workers reporting ergonomic concerns or symptoms of discomfort and are supervisors referring them to HSE to evaluate and identify controls?

Industrial Hygiene

Have any contract specific potential exposures to chemical, physical or biological hazards been identified in risk assessment and documented using the IH Exposure Assessment Tool.
Where exposure assessment results indicate is a documented exposure assessment plan in place, up-to-date (annual) and monitoring implemented per schedule?
Have exposure assessment results been communicated to affected employees within 15 days of receipt of results?
If any monitoring results equal or greater than OEL, are controls implemented using hierarchy of controls?
If any monitoring results are equal or greater than OEL have workers and contractors completed chemical-specific training (current)?
Have employees and sub-contractors been trained in the specific hazards, control measures, first aid measures and emergency response for all materials with results equal or greater than 50% OEL?
Where engineered exposure controls are in place: are the preventive and predictive maintenance implemented per manufacturers or best practices and the equipment tagged or otherwise identifiable as in good operating condition?

Noise

Where required by national or regional legislation is preventative audiometric testing offered to employees (such as exposures 80 dB(A) or greater?
Are any potential noise hazards present or expected during contract activities?
Has an exposure assessment been completed to determine what workers / work / positions / environments potentially expose workers to noise at or above company action levels and local requirements?
Have workers completed training initially and periodically thereafter in identifying noise hazards, means of control, signage, personal protective equipment (selection, inspection, use, maintenance, limitations, cleaning, storage and disposal, any testing requirements, and access to results from audiograms / medical tests?
Are workers wearing appropriate hearing protection when and where required?
Have all workers assigned to work with noise exposure at or above the Action Level completed a baseline-hearing exam as soon as possible after the employee‚Äôs assignment ? -baseline exam must be completed within 6 months of such assignment-
Are annual audiometric tests administered to all personnel with noise exposure at or above the Action Level or where required by and regulatory requirements?
Are workers with noise exposure at action level offered an exit audiogram upon termination of employment or permanent transfer to a job that does not involve noise exposure?

Respiratory Protection

Has an exposure assessment and monitoring been done to determine any need for respiratory protection and has it determined the selection, use and maintenance of respiratory protection for worker exposure at the site or per SEG?
Are the only respirators disposable filtering face-piece respirators used on a voluntary basis? --workers who voluntarily wear filtering face pieces (dust masks) are exempt from medical clearance requirements-
Has each worker who voluntarily wears a respirator been provided, reviewed, understood and signed and dated the company Declaration Form For Employees Using Disposable Filtering Facepiece Respirators on a Voluntary Basis?
Does a customer potentially the use of a respirator for emergency escape purposes?
Are selection and use must be based on an exposure assessment and monitoring AND is the worker included in our respirator program AND has the worker been fitted, tested, trained and received medical clearance for the applicable respirator prior to use?
Did the exposure assessment and monitoring result in requiring respiratory protection OR is someone voluntarily wearing a respirator?
Are only respirators provided or approved by our company used when necessary to protect employee health in one of the following types of situations: 1) during emergencies, 2) where engineering controls were infeasible for the control of a hazard, 3) during interim periods before feasible engineering controls have been installed and passed the applicable commissioning tests, or during interim periods when previously installed engineering controls are under repair?
Has the respirator been selected based on the potential hazards in the workplace, including 1) a reasonable estimate of employee exposure to respiratory hazards based on an exposure assessment which includes exposure monitoring, 2) the respirator selected for worker use maintains their exposure to the hazardous substance at or below the Occupational Exposure Limit (OEL) as measured inside the respirator, and 4) the worker's exposure, measured outside the respirator, may not exceed the maximum use concentration for that respirator and exposure under the conditions of use?
Are respirators selected for protection against gases and vapors either atmosphere-supplying respirators, or air-purifying respirators and designed and certified for removal of the contaminant?
Are air-purifying respirators equipped with canisters or cartridges with an end-of-service-life indicator (ESLI) designed and certified for removal of the contaminant, or if no ESLI, a canister or cartridge change schedule has been established ensuring air-purifying devices are changed before the end of their service life?
Are respirators selected for protection against dusts, mists and aerosols either atmosphere-supplying respirators or air-purifying respirators equipped with filters designed and certified for removal of particulates.
Do escape-only respirators selected for protection during emergency situations provide protection sufficient for maximum anticipated egress routes?
Has each worker required to wear / or voluntarily wears a respirator a valid medical clearance issued by a physician or licensed health care professional (PLHCP) prior to fit testing or respirator use?
Has each worker's medical clearance required been documented and is in compliance with applicable country regulatory requirements and company procedures?
Are all required air-purifying and air-supplying respirators fit tested upon initial issuance AND prior to usage?
Is fit testing documented and either a Qualitative Fit Test (QLFT: only to fit test negative pressure air-purifying respirators that must achieve a Fit Factor of 100 or less) or Quantitative Fit Test (QNFT) and includes the date, type of respirator, size, type of fit testing conducted, name of person conducting fit test, and the results (pass/fail) AND is it done at least every year (voluntary use: every 2 years) AND per company and country requirements?
Are fit tests initiated any time a worker's facial features (due to extensive dental work, facial scars, weight loss, etc.) could affect a proper fit and if a worker fails his/her annual fit test, or as required by regulatory standards?

Respiratory Use, Maintenance & Training

Respirator Use, Maintenance & Training

Are workers and/or sub-contractors using or in possession of respirators?
Are workers using / in possession of respirator performing user seal checks each time a tight-fitting respirator is used? -ask for demo-
Are worker(s) who may have to use a respirator during their work-day clean shaven and free of facial hair?
Are worker(s) wearing eyeglasses with temple bars or straps that interfere with any respirator face seal? If yes, has the worker been provided with corrective lenses without temple bars / or straps / inserts inside full-face piece respirators-
Are workers required to use respirators during routine activities or in emergency situations and workers provided with or permitted to voluntarily wear a respirator, other than a filtering face piece respirator trained annually including: evaluations shall include an assessment of their ability to wear the respirator, perform user checks, and inspect the respirator for any signs of needed maintenance and any end of service life indicators and per company and country specific competency requirements?
Are respirator maintenance schedules in place for the cleaning and disinfecting, storage, pre-use inspection, and repair of respirators used for routine tasks by workers? --ask users for checklist for care of respirators in use-
Are all worker's and/or sub-contractors used in routine situations inspected before each use and during cleaning? -cleanliness, storage practices, condition-
Are all respirators for use in emergency situations inspected at least monthly and in accordance with the manufacturer‚Äôs recommendations, and checked for proper function before and after each use?
Are emergency escape-only respirators inspected before being carried into the workplace for use?
Are all workers / sub-contractors wearing respirators appropriately with tight face-seal, all straps in place, clearance from other PPE etc.
Are any worker(s) required to enter IDLH atmospheres?
Have all reasonable efforts been made to avoid entry into a known or suspected IDLH atmosphere and prior to entry into IDLH atmospheres have operations been reviewed to determine additional precautions, including applicable company and regulatory confined space entry permit requirements
Are respirators selected for IDLH atmospheres either full face piece pressure demand self-contained breathing apparatus (SCBA) certified by NIOSH, or equivalent local jurisdictional testing authority, for a minimum service life of thirty minutes, or combination full face piece pressure demand supplied-air respirators (SAR) with auxiliary self-contained air supply?
Is at least one standby person equipped with proper rescue equipment, including a Self-Contained Breathing Apparatus (SCBA) present in the nearest safe area for emergency rescue of those wearing respirators in an IDLH atmosphere?
Are communications (visual, voice, signal line, telephone, radio, or other suitable type) continuously maintained between workers in an IDLH atmosphere and the standby person(s)?

Personal Protective Equipment

Are workers or contractors using any PPE during this contract?
Is any PPE selected as a control only when other hierarchy of controls have been considered but cannot be implemented against identified hazards? --PPE should only be used as an interim measure until other controls can be practically implemented-
Have eye and face hazards been evaluated in the risk assessment and controls implemented, and eye and face protection devices, such as safety goggles and face shields, and worn as identified by the PPE Hazard Assessment? -including special hazard conditions such as warehouse, impact, chemical, heat, and optical radiation-
Are PPE requirements identified and communicated to visitors and contractors for site / customer visits?
Does all PPE meet the minimum requirements published by the ANSI and / or equivalent and more stringent country requirements?
Is PPE available in different types / models / sizes to facilitate proper fitting for workers? --Is company PPE first choice-
Is all required PPE readily available to workers where work activities take place, or provided as part of worker supplies they with them to customer sites?
Are all workers / contractors wearing approved safety glasses in production, maintenance, repair, overhaul, construction, field service and machine / tool shops and other areas where hazards to the eyes may be present?
Are workers requiring prescription glasses, where safety glasses are required, either approved safety glasses over their prescription glasses or prescription safety glasses (lenses, frames, side-shields (ANSI, CSA, etc.) that meet company and local requirements?
Are workers / contractors that use contact lenses, wearing safety glasses / goggles, appropriate to the exposure hazards? -individual evaluation if hazmat splash / other hazards-
Have affected workers / contractors completed and are current in the fitting, use, maintenance and limitations of eye and face protection equipment training?
Are any activities with potential for severe cuts / lacerations / abrasions / punctures / chemical burns, temperature extremes / hazardous material absorption hazards to hands / arms expected or present during the contract?
Is the worker clear on when and how to use it and using it when appropriate to prevent cutting injuries?
Is the glove / sleeve / gauntlet etc. material appropriate for the work / hazard / hand size and readily available (worker has with them)?
Are any potential hazards to feet / ankle / head present or expected during contract activities?
Is protective footwear worn where required when PPE assessment, risk assessment indicates and in all manufacturing, maintenance, shops, warehousing and laboratory operations?
Are full-suspension protective helmets (hard hats) worn by workers / contractors when there is a potential for injury to the head from falling objects or moving objects, which could strike the side of the head?
Are full suspension hard hats providing electrical protection (Class A or Class B hard hats) worn by workers / contractors when near exposed electrical conductors which could contact the head? 4.8.4.3 Full suspension hard hats
Are all affected workers / managers / supervisors / contractors trained (current) and have demonstrated competency in: 1) when PPE is necessary, 2) what PPE is necessary, 3) how to properly select, fit, don, doff, adjust, and wear PPE, 4) limitations of the PPE, 5) proper care, maintenance, useful life and disposal of the PPE?
Are managers / supervisors ensuring that appropriate PPE is available and monitoring that workers / contractors select, don, fit, maintain, store and dispose of it appropriately?

Environment

Has the contract been classified as insignificant, minor or significant for environment?
Does the classification accurately reflect the environmental risks for the scope of work?
If the contract classified as significant environmentally: is an environmental management plan in place and up-to-date?
Is the EMP specific to the scope of work?
Does the contract have a documented environmental aspects and impacts and legal matrix in place and up-to-date?