1. Job Hazard Analysis

  • 1.1 Is there a JHA at the job location?

  • 1.2 Does the JHA include all required information and is it equate for the current task?

  • 1.3 Does the JHA adequately address the hazards of the task?

  • 1.4 Does the JHA adequately provide mitigation for the hazards?

2. Personal Protective Equipment

  • 2.1 Is proper eye protection being worn (eye shields, goggles for windy conditions or drilling activities)?

  • 2.2 Is proper hearing protection being worn (double protection in high noise areas)?

  • 2.3 Is hard hat worn?

  • 2.4 Is FRC required?

  • 2.4.1 Is FRC buttoned or zipped up completely?

  • 2.4.2 Is shirt tail tucked in?

  • 2.4.3 Are there any holes in garment?

  • 2.4.4 Is garment rated HRC 2?

  • 2.5 Are safety shoes worn and in good condition?

  • 2.6. Are proper gloves worn for the hazard?

3. Respiratory

  • 3.1 Is a respirator required?

  • 3.1.1 Does employee have a fit test card with them?

  • 3.1.2 Is employee wearing respirator that matches fit test (model and size)?

  • 3.2 Are cartridges and filters removed after use?

  • 3.3 Is respirator properly stored I plastic bag after use?

4. Administrative Controls

  • 4.1 Are the elements of the safe work permit being followed?

  • 4.2 Are the elements of the hot work permit being followed?

  • 4.3 Is employee working in a confined space?

  • 4.3.2 Does the attendant have communications with entrant?

  • 4.3.1 Did employee sign in and out on the CSE Entry Log?

  • 4.3.3 Does attendant understand the hazards of the entry?

5. Fall Protection

  • 5.1 Is employee required to use fall protection equipment?

  • 5.1.1 Is employee wearing the equipment correctly (strap adjustment and D ring location)?

  • 5.1.2 Is tie off to proper anchorage point and centrally above head where possible?

  • 5.1.3 Is there adequate clearance below employee should a fall occur?

  • 5.1.4 Is equipment inspected and color coded for current inspection cycle?

  • 5.2 Is fall protection equipment properly stored?

6. Housekeeping

  • 6.1 Is the work area clean (employee tools and equipment kept out of pathway or working area)?

  • 6.2 is employee working in area with slippery floors or where tripping hazards are present?

7. Elevated Work

  • 7.1 is employee working above or below other workers?

  • 7.1.1 is employee protected from falling materials from above?

  • 7.1.2 Has employee ensured that tools and materials are secure from falling to lower elevations?

  • 7.2 Is employee working on scaffold?

  • 7.2.1 Is scaffold tagged and safe for use?

  • 7.2.2 Is employee wearing fall protection and properly tied off if required?

8. Chemical Protection

  • 8.1 Is proper monitoring equipment worn (H2S, CO, CO2, LEL)?

  • 8.2 Has equipment been tested prior to use (bump test, H2S daily test)?

9. Vehicular Equipment

  • 9.1 Has a company provided vehicle been inspected within last 2 weeks?

  • 9.2 Is aerial device or scissor lift being used?

  • 9.2.1 Does operator have qualification card at site?

  • 9.2.2 Has equipment been inspected and documented prior to use?

  • 9.3 Has bicycle been inspected by safety in last 12 months?

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