GF M+W EHS High Hazard Audit

• Location(s) of high hazard work inspection

• Conducted on

  Date

• Prepared by:

• Location
  Address

• Personnel

• Time audit conducted

  Date

• Track any corrective actions to closure. Identify owners of issues and due date. All issues should be documented with M+W EHS.

Working at Heights and Fall Protection

Working at Heights and Fall Protection

• Are Method Statements / Submittals and Risk Assessments in place approved by M+W?

  Safe

  At Risk

  N/A

• Is 100% Fall Protection in place for all WAH achieved by collective or personal measures

  Safe

  At Risk

  N/A

• Is Collective (passive) fall protection given priority over personal (active) fall protection?

  Safe

  At Risk

  N/A

• Are harness lanyards tied-off to suitable anchorage points with adequate load capacity per person?

  Safe

  At Risk

  N/A

• Are mobile scaffolds or podium steps used in preference to straight, step, A-frame ladders?

  Safe

  At Risk

  N/A

• Are mobile towers & scaffolds safely errected and "safe tagged"?

  Safe

  At Risk

  N/A

• Are access points to work platforms on scaffolds / mobile towers protected by a gate, hinged hatch or trap door?

  Safe

  At Risk

  N/A

• Are scaffolds fitted with a top and mid rail, toeboards and fully boarded? Free from rubbish?

  Safe

  At Risk

  N/A

• Are harnesses with restraint lanyards attached to safe anchorage points within MEWP's?

  Safe

  At Risk

  N/A

Excavations

Excavations

• Is an "excavation permit" in place for each excavation?

  Safe

  At Risk

  N/A

• Are approved Method Statements / Submittals and Risk Assessments in place for all excavations?

  Safe

  At Risk

  N/A

• Is edge protection around all excavations adequate to prevent fall by people, machines or material?

  Safe

  At Risk

  N/A

• Are all excavations safely battered, stepped or supported regardless of depth?

  Safe

  At Risk

  N/A

• Is there safe access to and egress from all excavations?

  Safe

  At Risk

  N/A

• Are spoil heaps positioned at a safe distance away from the excavation?

  Safe

  At Risk

  N/A

• Have all excavations been inspected by a Competent Person before person entry?

  Safe

  At Risk

  N/A

• Is the work area well barricaded, protected and marked at day? Fenced or covered and lit at night?

  Safe

  At Risk

  N/A

• Is the excavation a confined space or is gas monitoring required due to CO2 emissions?

  Safe

  At Risk

  N/A

Confined Space

Confined Space

• Is the confined space work absolutely necessary? Are all required confined space permits in place?

  Safe

  At Risk

  N/A

• Are approved Method Statements / Submittals and Risk Assessments in place for all confined spaces?

  Safe

  At Risk

  N/A

• Is atmospheric monitoring undertaken before an during work with the atmospheric hazards tested?

  Safe

  At Risk

  N/A

• Is rescue and emergency response equipment in place with trained personnel present?

  Safe

  At Risk

  N/A

• Is at least one spotter stationed outside the confined space for the duration of the entry?

  Safe

  At Risk

  N/A

• Are persons in the confined space attached to a retrieval line to enable "non-entry" rescue?

  Safe

  At Risk

  N/A

• Is all required access, egress and communication equipment present and appropriate?

  Safe

  At Risk

  N/A

• Has the confined space been isolated from electrical, mechanical, chemical, heat + hazards?

  Safe

  At Risk

  N/A

• Are confined space danger signs posted at the entrance(s) to all known confined spaces?

  Safe

  At Risk

  N/A

Falling Object from Heights

Falling Object from Heights

• Is the public / site personnel protected (scaffold netting / guards / fans, walk-ways, "no lift zones")?

  Safe

  At Risk

  N/A

• Are "Lifting Plans" in place approved by M+W for works involving lifting of equipment and materials?

  Safe

  At Risk

  N/A

• Are test and inspection records on file for all lifting appliances and lifting equipment? (cranes ans slings?)

  Safe

  At Risk

  N/A

• Are lifting operations being undertaken by competent personnel using appropriate communication means?

  Safe

  At Risk

  N/A

• Are all loads made secure before lifting i.e. steel banding to timber, banding to blocks, brick cages)?

  Safe

  At Risk

  N/A

• Are all floor openings securely covered or protected by barriers with toe boards to prevent falling objects?

  Safe

  At Risk

  N/A

• Are safety nets suspended beneath roofing activities to capture falling personnel, materials or tools?

  Safe

  At Risk

  N/A

Energized Electrical

Energized Electrical

• Is live work necessary and are all required Energized Electrical Work Permits in place?

  Safe

  At Risk

  N/A

• Are approved Method Statements / Submittals and Risk Assessments in place for all EEW?

  Safe

  At Risk

  N/A

• Is all required Personal Protective Equipment (PPE) available, suitable and in good working order?

  Safe

  At Risk

  N/A

• Have all conductive items been removed / covered when working by exposed energy electrical sources?

  Safe

  At Risk

  N/A

• Are all required tools, equipment and testing instruments appropriate, available and in good order?

  Safe

  At Risk

  N/A

• Is all appropriate safety equipment in place (body hook, CO2 fire extinguisher(s), barricades)?

  Safe

  At Risk

  N/A

• Any other Energized Electrical Work safety issues?

  Safe

  At Risk

  N/A

Control of Hazardous Energy

Control of Hazardous Energy

• Is a "Permit to Work" in place for each activity involving COHE?

  Safe

  At Risk

  N/A

• Is an approved Method Statement / Submittal and Risk Assessment in place for each COHE activity?

  Safe

  At Risk

  N/A

• Have hazardous energy sources been identified and are required hazardous energy isolations in place?

  Safe

  At Risk

  N/A

• Are isolation records in the job documentation (on the PreTask Plan)?

  Safe

  At Risk

  N/A

• Are all required Lock Out / Tag Out ( LOTO) devices in place and are they adequately secured?

  Safe

  At Risk

  N/A

• Is LOTO being undertaken and controlled by an "Authorized Person" with affected persons notified?

  Safe

  At Risk

  N/A

• Any other Control of Hazardous Energies related issues?

  Safe

  At Risk

  N/A

Corrective Actions

Corrective Action

• Description of issue including names

• Enter any corrective actions that will be undertaken (include ownership of CA)

• Owner of Corrective action

• Due Date of Corrective Action

  Date

• Check if completed

• Time completed

  Date

• EHS Rep name

  Sign