OCRI-Fall Protection (ENG)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented risk assessment been conducted of the workplace to identify the potential fall hazards and necessary controls?

  Yes

  No

  N/A

• 3. Has a documented procedure to manage fall protection been established?

  Yes

  No

  N/A

• 4. Has a permit program to control, monitor and document work at heights been established for work which requires it?

  Yes

  No

  N/A

• 5. Are floor surfaces maintained to prevent slips, trips and falls?

  Yes

  No

  N/A

• 6. Are walk openings from which there is a drop of more than 1.2 meters (4 feet) guarded, or elsewhere as indicates by the risk assessment?

  Yes

  No

  N/A

• 7. Are open-sided floors, platforms or walkways 1.2 meters (4 feet) or more above adjacent floor level guarded, or where the risk assessment indicates a need for protection?

  Yes

  No

  N/A

• 8. Are fixed ladders managed to prevent injuries?

  Yes

  No

  N/A

• 9. Are controls provided to prevent falls through fragile surfaces?

  Yes

  No

  N/A

• 10. For work at height are personnel provided with and wear fall protection equipment meeting the requirements set forth in ANSI Z359.1 or applicable local standards, and sized to securely hold the user?

  Yes

  No

  N/A

• 11. Is fall protection equipment attached to anchorage points capable of supporting a person in the event of a fall?

  Yes

  No

  N/A

• 12. Are safe work practices implemented for work requiring aerial lifts?

  Yes

  No

  N/A

• 13. Do lift truck with a basket attachment comply with Company requirements?

  Yes

  No

  N/A

• 14. Are safe work practices implemented for work requiring portable ladders or mobile platform?

  Yes

  No

  N/A

• 15. Are safe work practices implemented for work requiring use of scaffolding?

  Yes

  No

  N/A

• 16. Is all fall protection equipment, aerial lifts, ladders and scaffolding inspected and maintained to ensure that it minimizes any risk of injury?

  Yes

  No

  N/A

• 17. Are all those who use any type of fall protection equipment, aerial lifts, ladders (fixed, portable, and mobile stairs) or scaffolding, are adequately trained?

  Yes

  No

  N/A

Recommendation & Evaluation

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