Dropped Objects

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Self-verification questions

• Has the pre-work brief covered dropped objects?

  Yes

  No

  N/A

• Are there planned activities with the potential for dropped objects?

  Yes

  No

  N/A

• At what level/location in the WTG is the planned activity

  Yes

  No

  N/A

• What controls are in place to prevent dropped objects

  Yes

  No

  N/A

• Discarded items: Loose items remaining from a task (scrap items, off cuts, extras/left over items like bolts, nuts or parts etc.)

  Yes

  No

  N/A

• Missing Retention or Damaged Equipment: Lacking/missing primary or secondary retention devices - (e.g missing split pins, including lifting shackle pins without split pins) or Damaged Equipment (equipment that has sustained damaged making it a potential dropped object.)

  Yes

  No

  N/A

• Are all redundant/temporary equipment adequately secured to prevent a dropped object? (check for items held by temporary rope, tools equipment etc.)

  Yes

  No

  N/A

• Are all tools and equipment stored securely at the worksite (lanyards and tethers) to prevent the potential of dropped objects?

  Yes

  No

  N/A

• Unsecured Items: Stacked items (poor storage) or loos/unsecured items and fixings (hand tools, loose signage, unsecure lids, scaffolding boards etc.)

  Yes

  No

  N/A

• Are handrails, kick plates, permanent/temporary decking free from excessive gaps which could result in a dropped object?

  Yes

  No

  N/A

• If working where there is a potential for dropped objects, has a 'drop zone' been considered and properly barriered off?

  Yes

  No

  N/A

• Record details of any other issues/concerns regarding dropped objects revealed as a result of the self-verification review

• Signature

  Sign