FieldCore - Senior Manager Visit

• Site Name

• Customer

• Date

  Date

• Segment

• Location (Region & Country)
  Address

• Observer

• Site Manager

• Work Scope

• Instructions
  
  1. Choose the best response for the questions below. Any "No" response must result in a "STOP WORK" until resolved.
  2. Add comments, observations, notes and images by clicking on the paperclip icon
  3. To add corrective actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link
  
  NOTE: Refer to the guide below for more details

1.0 - Putting People to Work Safely

• 1.1 Is a site-specific Projects & Services EHS Plan / Short Duration Safety Plan in place?

  Yes

  No

  Not Applicable

• Provide supporting feedback:

• Describe the non-compliance and corrective action(s):

• Reason audit item was not applicable:

  Not in scope of outage work.

  Not able to observe during audit visit.

• 1.2 Do all employees, contractors and visitors receive a site-specific EHS Induction?

  Yes

  No

  N/A

• 1.3 Is there evidence of performance of pre-task briefings and PoWRA?

  Yes

  No

  N/A

• 1.4 Are employees and Contractors aware of their authority to STOP WORK?

  Yes

  No

  N/A

2.0 - Work Environment

• 2.1 Are work areas free from slip / trip hazards and accumulated waste?

  Yes

  No

  N/A

• 2.3 Are floor and wall openings protected with rigid barriers / solid coverings?

  Yes

  No

  N/A

• 2.2 Are work areas are adequately illuminated?

  Yes

  No

  N/A

3.0 - Tools and Equipment

• 2.4 Are work areas adequately protected from adjacent hazards e.g. falling objects, sparks, arc flash, site vehicles?

  Yes

  No

  N/A

• 3.1 Is PPE identified in task-specific risk assessment available and worn?

  Yes

  No

  N/A

• 3.2 Are all hand and power tools maintained in a safe condition with no damage or defects and fitted with guards, as designed?

  Yes

  No

  N/A

• 3.3 Are power cables / hoses either routed so they do not cross vehicle or pedestrian routes, or suitably protected to prevent damage or a trip hazard?

  Yes

  No

  N/A

• 3.4 Are lifting and rigging equipment and accessories marked with the Safe Working Load (SWL) / Working Load Limit (WLL) and valid inspection status?

  Yes

  No

  N/A

4.0 - FieldCore High-Risk Operations Focus* (2018)

• 4.1 During observed lifting operations are personnel observed to be clear from suspended loads or between suspended loads and fixed objects at all times?

  Yes

  No

  N/A

• 4.2 When collective fall protection is not possible, are all persons working at height using a full body harness attached to a secure anchor point at all times?

  Yes

  No

  N/A

• 4.3 Is access to confined spaces forbidden unauthorized personnel and tests carried out before starting, during and after work to verify that the atmosphere safe for entry?

  Yes

  No

  N/A

• 4.4 Do Authorized Individuals either personally apply LOTO with a personal lock and verify absence of energy or implement alternative documented site-specific arrangements?

  Yes

  No

  N/A

Additional Comments, Examples of Practice, Areas for Improvement

• Provide applicable comments, best practices and areas of improvement.

Visit Completion

• Completed by (Name and Signature)

  Sign