Information
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Date / Start Time
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Permit Required (check if YES)
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Observer
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Work Group
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Job Description
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Work Area / Location
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Equipment
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Is there a Permit to Work for the job?
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Do you have an SOP for the Job task?
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Did you share the SOP with the crew prior to performing the job task?
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Has the crew performed this task within the last 6 months?
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% of SSE
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Result
Section 1
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A) Have provisions of the SimOps Checklist been satisfactorily completed?
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• The SimOps work areas have been defined and identified.
• Nonessential personnel are kept out of the SimOps work area.
• Provisions of the SimOps Plan and SimOps Log have been shared with and are understood by all SimOps participants.
• Hand signals and other communication protocols have been agreed upon.
• Specific work tasks been given priority when conflicts are identified. -
B) Is communication maintained daily through both normal and abnormal conditions?
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• This must be demonstrated and confirmed.
Section 2
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1) Do the SimOps Controller and Representatives understand what qualifies as SimOps?
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2) Have all opportunities for the elimination of SimOps been considered by scheduling the work so SimOps do not occur?
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3) Have the SimOps Controller and the SimOps Representatives been identified?
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4) Do the SimOps Controller and the SimOps Representatives understand their roles and responsibilities?
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5) Is the SimOps Controller and SimOps Representatives knowledgeable in the permit requirements of the relevant MSW Standards?
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6) Have all Permits, Specialized Certificates, SOPs, JSAs been put in place and are they understood by all personnel participating in the SimOps?
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7) Is all equipment necessary for safe execution of the SimOps Plan, including required PPE, available or onsite?
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8) Has emergency response been discussed, documented, and is it understood?
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9) Has Hazardous Energy Control (IHE) been verified?
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10) Has proper use of SWA been discussed and is it understood?
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11) Have all nonessential activities been postponed or rescheduled?
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12) Has Hazardous Area Classification been determined and is it understood?
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13) Does the work activity conform to the requirements of the Permits, Specialized Certificates, SOPs and JSAs?
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Comments / Discussion
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Recommendations
