M+W 2 Person High Hazard Walk

• Audit Title

• Document No.

• Client / Site

• 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.

1) Working at Heights and Fall Protection

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

2) Excavations

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

3) Confined Space

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

4) Falling Objects from Heights

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

5) Energized Electrical

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Any other Energized Electrical Work safety issues?

  Yes

  No

  N/A

6) Control of Hazardous Energy

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Any other Control of Hazardous Energies related issues?

  Yes

  No

  N/A

EHS Activities Observed

• Face / Eye PPE

  Yes

  No

  N/A

• Foot PPE

  Yes

  No

  N/A

• Hand / Arm PPE

  Yes

  No

  N/A

• Head PPE

  Yes

  No

  N/A

• Respiratory PPE

  Yes

  No

  N/A

• Hearing PPE

  Yes

  No

  N/A

• Fall Protection

  Yes

  No

  N/A

• Mobile Equipment

  Yes

  No

  N/A

• Aerial Lifts

  Yes

  No

  N/A

• Lifting / Rigging

  Yes

  No

  N/A

• Ladders

  Yes

  No

  N/A

• Scaffolds

  Yes

  No

  N/A

• Work Permits

  Yes

  No

  N/A

• Hot Work - Welding

  Yes

  No

  N/A

• Energized Electrical

  Yes

  No

  N/A

• Excavations

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• Barricades

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• RMF Opening

  Yes

  No

  N/A

• Access / Egress

  Yes

  No

  N/A

• Storage Areas

  Yes

  No

  N/A

• Equipment / Tools

  Yes

  No

  N/A

• Electrical / GFCI

  Yes

  No

  N/A

• LOTO

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Chemical

  Yes

  No

  N/A

• Job Planning

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Congested Area

  Yes

  No

  N/A

• Material Storage

  Yes

  No

  N/A

• Slip / Trip / Fall

  Yes

  No

  N/A

Corrective Actions 1

• Description of issue including names

• Owner of Corrective Action

  Select AC Dellovade BBL Coghlin Collett DMC DSI FCS Gross ICON JAF JR KM Kelly Kleeberg-Tougher Kone Lotus M+W M&L Mid State Steel P&J RCC Stonhard TFS Whiting-Turner

  • AC Dellovade
  • BBL
  • Coghlin
  • Collett
  • DMC
  • DSI
  • FCS
  • Gross
  • ICON
  • JAF JR
  • KM Kelly
  • Kleeberg-Tougher
  • Kone
  • Lotus
  • M+W
  • M&L
  • Mid State Steel
  • P&J
  • RCC
  • Stonhard
  • TFS
  • Whiting-Turner

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

• Due Date of Corrective Action

  Date

Corrective Actions 2

• Description of issue including names

• Owner of Corrective Action

  Select AC Dellovade BBL Coghlin Collett DMC DSI FCS Gross ICON JAF JR KM Kelly Kleeberg-Tougher Kone Lotus M+W M&L Mid State Steel P&J RCC Stonhard TFS Whiting-Turner

  • AC Dellovade
  • BBL
  • Coghlin
  • Collett
  • DMC
  • DSI
  • FCS
  • Gross
  • ICON
  • JAF JR
  • KM Kelly
  • Kleeberg-Tougher
  • Kone
  • Lotus
  • M+W
  • M&L
  • Mid State Steel
  • P&J
  • RCC
  • Stonhard
  • TFS
  • Whiting-Turner

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

• Due Date of Corrective Action

  Date

Corrective Actions 3

• Description of issue including names

• Owner of Corrective Action

  Select AC Dellovade BBL Coghlin Collett DMC DSI FCS Gross ICON JAF JR KM Kelly Kleeberg-Tougher Kone Lotus M+W M&L Mid State Steel P&J RCC Stonhard TFS Whiting-Turner

  • AC Dellovade
  • BBL
  • Coghlin
  • Collett
  • DMC
  • DSI
  • FCS
  • Gross
  • ICON
  • JAF JR
  • KM Kelly
  • Kleeberg-Tougher
  • Kone
  • Lotus
  • M+W
  • M&L
  • Mid State Steel
  • P&J
  • RCC
  • Stonhard
  • TFS
  • Whiting-Turner

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

• Due Date of Corrective Action

  Date

Corrective Actions 4

• Description of issue including names

• Owner of Corrective Action

  Select AC Dellovade BBL Coghlin Collett DMC DSI FCS Gross ICON JAF JR KM Kelly Kleeberg-Tougher Kone Lotus M+W M&L Mid State Steel P&J RCC Stonhard TFS Whiting-Turner

  • AC Dellovade
  • BBL
  • Coghlin
  • Collett
  • DMC
  • DSI
  • FCS
  • Gross
  • ICON
  • JAF JR
  • KM Kelly
  • Kleeberg-Tougher
  • Kone
  • Lotus
  • M+W
  • M&L
  • Mid State Steel
  • P&J
  • RCC
  • Stonhard
  • TFS
  • Whiting-Turner

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

• Due Date of Corrective Action

  Date

Corrective Actions 5

• Description of issue including names

• Owner of Corrective Action

  Select AC Dellovade BBL Coghlin Collett DMC DSI FCS Gross ICON JAF JR KM Kelly Kleeberg-Tougher Kone Lotus M+W M&L Mid State Steel P&J RCC Stonhard TFS Whiting-Turner

  • AC Dellovade
  • BBL
  • Coghlin
  • Collett
  • DMC
  • DSI
  • FCS
  • Gross
  • ICON
  • JAF JR
  • KM Kelly
  • Kleeberg-Tougher
  • Kone
  • Lotus
  • M+W
  • M&L
  • Mid State Steel
  • P&J
  • RCC
  • Stonhard
  • TFS
  • Whiting-Turner

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

• Due Date of Corrective Action

  Date

Sign Off

• Lead Auditor's signature

  Sign

• Auditor's signature

  Sign

• Auditor's signature

  Sign