Information
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Location(s) of high hazard work inspection
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Conducted on
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Prepared by:
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Location
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Personnel
HH and SBO
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Time audit conducted
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Track any corrective actions to closure. Identify owners of issues and due date. All issues should be documented with M+W EHS.
1) Working at Heights and Fall Protection
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Is 100% Fall Protection in place for all WAH achieved by collective or personal measures
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Are Method Statements / Submittals and Risk Assessments in place approved by M+W?
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Is Collective (passive) fall protection given priority over personal (active) fall protection?
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Are harness lanyards tied-off to suitable anchorage points with adequate load capacity per person?
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Are mobile scaffolds or podium steps used in preference to straight, step, A-frame ladders?
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Are mobile towers & scaffolds safely errected and "safe tagged"?
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Are access points to work platforms on scaffolds / mobile towers protected by a gate, hinged hatch or trap door?
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Are scaffolds fitted with a top and mid rail, toeboards and fully boarded? Free from rubbish?
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Are harnesses with restraint lanyards attached to safe anchorage points within MEWP's?
2) Excavations
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Is an "excavation permit" in place for each excavation?
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Are approved Method Statements / Submittals and Risk Assessments in place for all excavations?
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Is edge protection around all excavations adequate to prevent fall by people, machines or material?
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Are all excavations safely battered, stepped or supported regardless of depth?
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Is there safe access to and egress from all excavations?
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Are spoil heaps positioned at a safe distance away from the excavation?
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Have all excavations been inspected by a Competent Person before person entry?
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Is the work area well barricaded, protected and marked at day? Fenced or covered and lit at night?
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Is the excavation a confined space or is gas monitoring required due to CO2 emissions?
3) Confined Space
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Is the confined space work absolutely necessary? Are all required confined space permits in place?
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Are approved Method Statements / Submittals and Risk Assessments in place for all confined spaces?
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Is atmospheric monitoring undertaken before an during work with the atmospheric hazards tested?
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Is rescue and emergency response equipment in place with trained personnel present?
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Is at least one spotter stationed outside the confined space for the duration of the entry?
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Are persons in the confined space attached to a retrieval line to enable "non-entry" rescue?
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Is all required access, egress and communication equipment present and appropriate?
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Has the confined space been isolated from electrical, mechanical, chemical, heat + hazards?
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Are confined space danger signs posted at the entrance(s) to all known confined spaces?
4) Falling Objects from Heights
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Is the public / site personnel protected (scaffold netting / guards / fans, walk-ways, "no lift zones")?
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Are "Lifting Plans" in place approved by M+W for works involving lifting of equipment and materials?
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Are test and inspection records on file for all lifting appliances and lifting equipment? (cranes ans slings?)
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Are lifting operations being undertaken by competent personnel using appropriate communication means?
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Are all loads made secure before lifting i.e. steel banding to timber, banding to blocks, brick cages)?
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Are all floor openings securely covered or protected by barriers with toe boards to prevent falling objects?
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Are safety nets suspended beneath roofing activities to capture falling personnel, materials or tools?
5) Energized Electrical
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Is live work necessary and are all required Energized Electrical Work Permits in place?
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Are approved Method Statements / Submittals and Risk Assessments in place for all EEW?
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Is all required Personal Protective Equipment (PPE) available, suitable and in good working order?
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Have all conductive items been removed / covered when working by exposed energy electrical sources?
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Are all required tools, equipment and testing instruments appropriate, available and in good order?
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Is all appropriate safety equipment in place (body hook, CO2 fire extinguisher(s), barricades)?
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Any other Energized Electrical Work safety issues?
6) Control of Hazardous Energy
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Is a "Permit to Work" in place for each activity involving COHE?
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Is an approved Method Statement / Submittal and Risk Assessment in place for each COHE activity?
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Have hazardous energy sources been identified and are required hazardous energy isolations in place?
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Are isolation records in the job documentation (on the PreTask Plan)?
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Are all required Lock Out / Tag Out ( LOTO) devices in place and are they adequately secured?
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Is LOTO being undertaken and controlled by an "Authorized Person" with affected persons notified?
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Any other Control of Hazardous Energies related issues?
Safe Behavior Observation (SBO)
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Face / Eye PPE
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Foot PPE
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Hand / Arm PPE
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Head PPE
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Hearing PPE
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Respiratory PPE
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Fall Protection
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Mobile Lifts
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Electrical / GFCI
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LOTO
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Work Permits
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Excavations
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Hot Work
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Storage Areas
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Body position
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Ladders
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Scaffolds
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Access / Egress
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Barricades / signage
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Slip / Trip / Fall
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Lifting / Rigging
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Confined Space
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Equipment / Tools
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Housekeeping
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Lighting
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Chemical
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Material Handling
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Other
Corrective Action
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Description of issue including names
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Owner of Corrective Action
- CB Strain
- Darlind
- ESM
- EW Finley
- Perrca
- PCI
- Rondout
- M+W U. S., Inc.
- US Test
- TFS Electric
- TFS Mechanical
- Westech
- Techtron
- IBM
- Other
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Enter any corrective actions that will be undertaken (include ownership of CA)
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Due Date of Corrective Action
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Check if completed
PTP audit
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Good PTP
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All job steps identified
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All hazards identified
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All controls identified
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Crew and foreman signatures
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Observed work activities match PTP
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Comments or corrective action(s)
Sign Off
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Time completed
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Lead M+W participant
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Second M+W participant