Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Have all hazards associated with working in an EWP been identified and documented in the TRA?
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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
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Is the spotter familiar with the type of machine being used and the safe operation of the ground controls?
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If a spotter has been appointed, has a system of communication been established between themselves and the EWP operator?
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Has an effective rescue plan been documented whenever the AMS or TRA has identified that there is a need for it?
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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
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Have all tools, equipment, and personal items been secured against falling from height?
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Is there a compliance plate fitted to boom type EWP's?
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Is there a logbook kept with the EWP?
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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
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Has a Pre-start inspection been recorded in the logbook for the current work period?
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Is the EWP working within the Manufacturers recommendations in relation to weather conditions?<br>I.e. Wind not exceeding 12 m / s
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Have the current ground conditions, including underground services been assessed within the AMS or TRA?
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Personnel operating the EWP hold the relevant certification?
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Has the operator been assessed as competent using the verification of competency?
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Has a Plant Hazard Assessment been completed for each EWP?
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List Corrective Actions
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Person completing System Assessment