Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Have all hazards associated with working in an EWP been identified and documented in the TRA?

  • Has a competent spotter been appointed whenever the AMS or TRA has identified that there is a need for it, or if work involves any of the following:<br>- Possible breach of exclusion zones<br>- Live low/high voltage<br>- Congested areas / blind spots / obscured vision<br>- Potential damage to plant / equipment

  • Is the spotter familiar with the type of machine being used and the safe operation of the ground controls?

  • If a spotter has been appointed, has a system of communication been established between themselves and the EWP operator?

  • Has an effective rescue plan been documented whenever the AMS or TRA has identified that there is a need for it?

  • Is all fall protection PPE inspected and tagged with the current documentation inspection regimes:<br>- 6 monthly by competent persons<br>- monthly be personnel wearing PPE

  • Have all tools, equipment, and personal items been secured against falling from height?

  • Is there a compliance plate fitted to boom type EWP's?

  • Is there a logbook kept with the EWP?

  • Does the logbook track the following information?<br>- ID serial number<br>- Major inspection date<br>- 12 monthly inspection date<br>- 3 monthly routine inspection date<br>- Faults<br>- Actions taken to rectify faults

  • Has a Pre-start inspection been recorded in the logbook for the current work period?

  • Is the EWP working within the Manufacturers recommendations in relation to weather conditions?<br>I.e. Wind not exceeding 12 m / s

  • Have the current ground conditions, including underground services been assessed within the AMS or TRA?

  • Personnel operating the EWP hold the relevant certification?

  • Has the operator been assessed as competent using the verification of competency?

  • Has a Plant Hazard Assessment been completed for each EWP?

  • List Corrective Actions

  • Person completing System Assessment

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