FMSO Guarding & Flagging and Open Holes

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Names of Auditors

• Name(s) of Employees and Supervisor being audited.

Employee Competencies

• Employees can describe how to use flagging appropriately.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe when flagging is needed.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe how they obtain flagging.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe the importance of the tag on flagging.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe when flagging alone would not be acceptable and a physical barrier is required.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe how they would acquire temporary handrails or other physical barriers to enclose open hole.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe where they obtain an open hole permit.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe the purpose of an open hole permit.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe why physical barriers are needed for open holes.

  Yes

  No

  N/A

• Completion Date:

• Employees can describe an instance when they consulted with coworkers regarding the proper use of flagging or the open hole permit.

  Yes

  No

  N/A

• Completion Date:

Supervisor Competencies

• Supervisors can describe how they trust but verify the following for their employees:

• Employees use flagging appropriately.

  Yes

  No

  N/A

• Completion Date:

• Employees know how to obtain physical barriers used to protect open holes.

  Yes

  No

  N/A

• Completion Date:

• Employees know how to use the open hole permit.

  Yes

  No

  N/A

• Completion Date:

• Supervisors can relate at least one prior instance when they praised, coached or consulted with them regarding the use of flagging.

  Yes

  No

  N/A

• Completion Date:

• Supervisors can relate at least one prior instance when a supervisor praised, coached or consulted with them regarding the use of an open hole permit.

  Yes

  No

  N/A

• Completion Date:

Observation of Work Practices

• Flagging in use is properly tagged.

  Yes

  No

  N/A

• Completion Date:

• The appropriate color of flagging is used.

  Yes

  No

  N/A

• Completion Date:

• Physical barriers are used when appropriate. (Flagging is not used to prevent people from accessing high risk areas).

  Yes

  No

  N/A

• Completion Date:

• Auditor(s) Signature

  Sign

• Revision 1.0 iCloud posted document is the controlled copy. 07/03/13