Encore Electric Executive Audit - Fall Hazards

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fall Hazards

• Are handrails on all stairwells?

  Yes

  No

  N/A

• Add media

  Media

• Are there guardrails or adequate floor covers on all floor openings? (A floor whole is considered any opening greater that 2 inches).

  Yes

  No

  N/A

• Add media

  Media

• Are guardrails on open sided edges, walls, windows, roof edges over 6 feet?

  Yes

  No

  N/A

• Add media

  Media

• Are employees using personal fall arrest systems (PFAS)? (Fall Protection Harness, Lanyard and Anchoring Device).

  Yes

  No

  N/A

• Add media

  Media

• Have employees been trained on the use of PFAS?

  Yes

  No

  N/A

• Add media

  Media

• Are anchorage points capable of supporting 5000 pounds?

  Yes

  No

  N/A

• Add media

  Media

• Yes

  No

  N/A

• Add media

  Media

Signatures

• Person performing the audit

  Sign

• Site Supervisor

  Sign