FCV Falling, dropped, flying objects

• Work order/ Notification number

• Job Description

• Location

• Conducted on

  Date

• Conducted by

• CMW's interviewed

Uncontrolled dropped or falling objects 1. Drop Zone 2. Simultaneous Operations review process3. Inspection for build up of elevated material To identify the risks associated with falling dripped or flying objects that have the potential to cause a fatality and ensure controls in place

• The risk of a fatality from falling, dropped or flying objects increases when there are interactions within the drop zone.Engage with a working group (where there is a risk to others from uncontrolled, dropped or falling objects) and verify that there is clear separation / protection for all CMW's including barrier tape/barricading with information tag or signage. Spotter may be used instead of or in addition to.
  Is the drop zone established and adequate for task?

• Take Photo of drop zone in place

  Media

• The risk of a fatality from falling, dropped or flying objects increases when there are interactions within the drop zone or simultaneous operations are occurring in adjoining work environments.Identify an activity where simultaneous operations are occurring and there is a risk of multiple groups being impacted by dropped, falling or flying objects. Verify that a JSA/associated permits have been completed and the controls have been put in place and communicated. Engage with impacted groups and discuss what was discussed regarding simultaneous operations.

• Has a JSA been signed off by all groups working in Simultaneous Operations where there is the risk of dropped, falling or flying objects?<br>If Simultaneous Operations underway :- Copy of Completed JSA & relevant permit is applicable - Signatures on JSA from crews working in simultaneous areas. - Verbal confirmation from impacted groups that simultaneous operations were discussed and controls communicated

  Yes

  No

  N/A

• Material build up introduces the risk of falling, dropped, flying objects. Choose 2 locations where there are walkways/roadways under conveyors (e.g. ROM or TLO). Verify that housekeeping is appropriate to prevent build up of material falling with the potential for a fatality.

• Are house keeping standards sufficient to prevent substantial build up of material directly above walkways/roadways with the potential to fall and cause a fatality?

  Yes

  No

  N/A

• Take photo of work area

  Media

• Notes

• Type in name and sign.

  Sign

• Email audit and attach to Notification of Work Order