Information
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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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Names of Auditors
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Name(s) of Employees and Supervisor being audited.
Employee Competencies
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Employees can describe when fall protection is needed.
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Employees know when fall protection is required when working from ladders.
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Employees understand that in order to maintain continuous tie-off, they need to utilize two lanyards for some tasks as they reposition themselves.
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Employees can describe suitable anchor points for tie-off in general terms.
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Employees can describe beam straps, beam clamps, D-rings, and other similar engineered devices that can be used to create good anchor points and can describe how to acquire them.
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Employees can describe the reasons for selecting the appropriate anchor point location to ensure they would not impact the ground prior to their lanyard being deployed.
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Employees know the sites expectation on conditions that require tie-off (this am vary by site due to regulatory interpretation, but should generally be 4 foot unless there is an additional hazard at lower fall height.
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Employees know when various lanyards are appropriate (e.g. Sala block is not appropriate for slow movement or fall restraint applications, rope lanyard is not appropriate for fall arrest, soft-stop, sala block, or similar energy dissipating device is required if free fall is possible)
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Employees can demonstrate how to conduct a proper fall protection equipment inspection and know of the expectation to inspect prior to each use.
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Employees can relate at least one prior conversation with coworkers where an uncertainty with fall protection was resolved through teamwork and collaboration.
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Employees can relate at least one prior instance when a supervisor praised, coached or consulted with them regarding the use of fall protection.
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Employees have recommended a suggestion for continuous improvement for their workforce that would eliminate the need for fall protection.
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Employees can describe he appropriate actions they would take for the discovery of a damaged handrail or other permanent barrier that prevents falls.
Supervisor Competencies
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Supervisors can describe how they trust but verify the following for their employees:
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Employees conduct a proper fall protection equipment inspection and know the expectation to inspect prior to each use.
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Employees know how to acquire beam straps, beam clamps, and other similar engineered devices that can be used to create good anchor points.
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Employees use two lanyards when needed to maintain continuous tie off.
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Employees select and use appropriate anchor points for tie off.
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Employees select the proper anchor point height to ensure their lanyard will be effective.
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Supervisors can describe at least one prior instance when they praised, coached or consulted with an employee regarding the use of fall protection.
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Supervisors can describe at least one prior instance when a contractor was coached, praised or consulted regarding the use of fall protection.
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Supervisors can describe a workplace improvement project for fall protection in their area that has recently been completed or is in progress.
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Supervisors can describe the process to identify and correct damage to permanent fall barriers such as handrails.
Observation of Work Practices
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Employees conduct a proper fall protection equipment inspection prior to use / equipment is in good condition.
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Employees use two lanyards when necessary to maintain continuous tie off.
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Employees use suitable anchor points for tie off.
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Beam straps, beam clamps, D-rings and other similar engineered devices that can be used to create good anchor points.
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Employees use appropriate anchor point locations to ensure they would not impact the ground prior to their lanyard being deployed.
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Handrails and other fall barriers are in place and in sufficiently good condition to prevent falls from working surfaces.
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Auditor(s) Signature
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Revision 1.0 iCloud posted document is the controlled copy. 06/19/13
