SWP - Field V & V

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel conducting field review

• Contract Company Observed

Isolation of Hazardous Energy

• Verify the work has to be done while portions of the operating unit are still in service (Can the work wait until the unit is safely shutdown)?

  Yes

  No

  N/A

• Energy isolation requires a specialized work permit (energy control plan worksheet), Is there one in place?

  Yes

  No

  N/A

• Has the crew reviewed the permit and understand the hazards associated with the work?

  Yes

  No

  N/A

• Are personnel performing the isolation of hazardous energy trained and competent in the roles for which they are responsible?

  Yes

  No

  N/A

• Are all energy sources identified and isolated?

  Yes

  No

  N/A

• What hazards are associated with LOTO (isolation of hazardous energy) and have appropriate steps been taken to mitigate the hazards prior to the beginning of work?

  Yes

  No

  N/A

• Has de-energization been verified before work begins?

  Yes

  No

  N/A

• Have positive energy isolation techniques been used where vessel entry or open flame hot work is required?

  Yes

  No

  N/A

• Are all isolation points locked, tagged and documented?

  Yes

  No

  N/A

• Does each personal lock / tag used for energy control only identify and are used by a competent / approved individual?

  Yes

  No

  N/A

• How do you advise different work crews that the equipment is out of service and detail any safety or operational precautions to be undertaken?

  Yes

  No

  N/A

• Have operations and maintenance personnel reviewed the energy isolation that has been done on the system?

  Yes

  No

  N/A

Electrical

• Are cords and plugs inspected daily before use and tagged appropriately?

  Yes

  No

  N/A

• Has the equipment been de-energized and verified before starting work?

  Yes

  No

  N/A

• Are power tools grounded or double insulated and GFCI's in use?

  Yes

  No

  N/A

• Are electrical tool NOT used where gas or fuel vapors exist in the atmosphere?

  Yes

  No

  N/A

• Are cords NOT damaged or patched with tape?

  Yes

  No

  N/A

• Is care taken to ensure cords do not lay / rub against sharp edges, doorways, stairwells, walkways and in water?

  Yes

  No

  N/A

• Personnel do NOT use electrical equipment in wet conditions and areas?

  Yes

  No

  N/A

• Are electrical tools being used in confined spaces between 12 and 120 volt maximum?

  Yes

  No

  N/A

Permit To Work

• Have personnel assigned PTW roles been trained in those roles and do they appear competent in those roles?

  Yes

  No

  N/A

• Is it clear that the same person cannot act as Permit Issuer, Permit Approver or Permit Requester / holder at the same time?

  Yes

  No

  N/A

• Is the approved Permit to Work available at the job site or prominently displayed?

  Yes

  No

  N/A

• Are the permits properly filled and valid (date and signed by authorized personnel)?

  Yes

  No

  N/A

• Are approved specialized work permits (hot work, excavation, confined space, etc) available / displayed at the job site?

  Yes

  No

  N/A

• Was a hazard analysis (JSA) completed during the planning of work and did workers discuss the JSA prior to starting work?

  Yes

  No

  N/A

• What precautions and safety measures been put in place to conduct work safely and mitigate risks?

  Yes

  No

  N/A

• Have steps needed to prepare the job site / equipment for the start of work, as noted on the permit to work, been completed satisfactorily?

  Yes

  No

  N/A

• Has communication to all affected people been completed

  Yes

  No

  N/A

• What changes could happened in this activity that would cause you to use a SWA?

  Yes

  No

  N/A

• Has the permit in use been expired (does the permit need to be re-validated)?

  Yes

  No

  N/A

• Crew understand the conditions for work stoppage or permit cancellations?

  Yes

  No

  N/A

• Is it understood that the permit requester \ holder must return the permit and related documents to the responsible Permit issuer at the completion of work?

  Yes

  No

  N/A

Job Safety Analysis

• Is there a JSA at the job site?

  Yes

  No

  N/A

• Can you give me a few examples of hazards listed on the JSA?

  Yes

  No

  N/A

• How have the identified hazards been communicated and mitigated?

  Yes

  No

  N/A

• Are the people present knowledgeable in identifying the hazards associated with the work and the work area?

  Yes

  No

  N/A

• Has the work crew signed off on the JSA?

  Yes

  No

  N/A

• Have environmental conditions such as location, light, noise and weather been considered in performing the work?

  Yes

  No

  N/A

• Have job specific emergency / rescue plans been considered?

  Yes

  No

  N/A

• Have the steps in the JSA identified each potential hazard and steps to mitigate those hazards?

  Yes

  No

  N/A

• If the job has not been completed and the same JSA is used, has it been updated and signed off again?

  Yes

  No

  N/A

• Will you review the JSA with other work crews who come on site during work?

  Yes

  No

  N/A

• Is the JSA reviewed and signed by personnel new to the task location upon arriving at the ongoing work location?

  Yes

  No

  N/A

Hot Work

• Can the work be conducted without performing hotwork?

  Yes

  No

  N/A

• Is there a Hot Work Permit at the job site and has it been signed by the Permit Approver and the work team leader?

  Yes

  No

  N/A

• Have hazards associated with isolation of hazardous energy bee identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Are personnel performing the work competent in the roles for which they are responsible?

  Yes

  No

  N/A

• Has the qualified gas tester / chemist determined the frequency of gas testing based on the potential risk?

  Yes

  No

  N/A

• Is a fire watch present at the work activity and monitoring the work? (except in designated hot work areas like welding areas, etc)

  Yes

  No

  N/A

• If work was interrupted by a Stop Work Authority, weather conditions, alarms or unforeseen dangerous conditions, were the conditions re-evaluated and was the Hot Work permit revalidated before work was restarted?

  Yes

  No

  N/A

• Do personnel performing the work understand that hot tapping requires subject matter expert input, written procedures and a high level of management approval?

  Yes

  No

  N/A

• Have sources of ignition that could come into contact with sources of fuel been identified and risks mitigated?

  Yes

  No

  N/A

• Is all the required fire suppression equipment on site, operable and service in date?

  Yes

  No

  N/A

• Are barriers between hot work and sources of fuel adequate and maintained?

  Yes

  No

  N/A

• Are welding shields or physical barriers provided to protect nearby workers?

  Yes

  No

  N/A

• Is a fire blanket or spark containment device available at work site and used when necessary?

  Yes

  No

  N/A

• Are areas below welding / burning / cutting barricaded and clearly demarcated?

  Yes

  No

  N/A

Working At Heights

• Has the responsible person considered if the work can be done at ground level instead of at heights?

  Yes

  No

  N/A

• Have hazards been associated with Working at Heights been identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Are personnel protected from fall by either fall prevention (guardrails etc) or fall protection systems that are n place (safety harness etc) and are sufficient?

  Yes

  No

  N/A

• Are the people performing work competent in the roles for which they are responsible for?

  Yes

  No

  N/A

• Are workers wearing fall-arrest equipment NOT working alone and using 100% tie off?

  Yes

  No

  N/A

• Are rescue personnel and equipment available (either on site or on call) and audit able records available of turnaround times?

  Yes

  No

  N/A

• Working at heights greater than 6' is a high risk - was a JSA completed and reviewed with all members of the work crew and is a Permit to Work on site?

  Yes

  No

  N/A

• Are all persons working at height trained in the proper use, maintenance and inspection of the equipment they will be required to use?

  Yes

  No

  N/A

• Are workers using full body harness and not safety belts?

  Yes

  No

  N/A

• Was the ladder inspected prior to use and have a load rating sticker?

  Yes

  No

  N/A

• Are ladders on secure footing, tied off to prevent sliding, or is someone helping by holding the ladder?

  Yes

  No

  N/A

• Are ladders being used properly? (4:1 angle, ladders accessing a roof or other area extend at least 3' above the point of exit. Working within 6' of leading edge requires 100% tie off.)<br>

  Yes

  No

  N/A

• Are ladders being stored properly (secured to wall if stored vertically)?

  Yes

  No

  N/A

Confined Space Entry

• Can the work be done without entering the confined space?

  Yes

  No

  N/A

• Is there a PTW and Confined Space Entry permit at the job site (has it been signed by the permit requester / holder and permit issuer)?

  Yes

  No

  N/A

• Have the hazards associated with the confined space been identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Has a qualified gas tester / chemist performed gas testing for entry into confined space?

  Yes

  No

  N/A

• Is a rescue plan in place and understood by the rescue personnel and the personnel working in the confined space?

  Yes

  No

  N/A

• Do entry watch personnel understand they should never attempt to enter a confined space, even in an emergency, until help arrives?

  Yes

  No

  N/A

• Do rescue personnel have the correct rescue equipment at the work location?

  Yes

  No

  N/A

• Is the entry log up to date and maintained?

  Yes

  No

  N/A

• Are provisions made for a qualified entry guard to be on site at all times when personnel are in the confined space?

  Yes

  No

  N/A

• Is the confined space secured and flammable gas sources removed whenever the confined space is left unattended for any period of time?

  Yes

  No

  N/A

• If the work will take longer than a single shift, how will the shift turnover process communicate the status of the equipment being worked on?

  Yes

  No

  N/A

• Is there a clear communication plan in place?

  Yes

  No

  N/A

• Have workers been trained in CONFINED SPACE ENTRY?

  Yes

  No

  N/A

• Have workers reviewed the JSA and understand the risks?

  Yes

  No

  N/A

• Is ventilation adequate to maintain safe atmosphere where workers are located?

  Yes

  No

  N/A

Scaffolding

• Scaffolds must be inspected and green or yellow tagged by a competent person before being put into use initially and prior to use or at the beginning of each shift.

  Yes

  No

  N/A

• Scaffolding must always be visibly tagged with one of three (green, yellow or red tag) types of scaffold safety tags affixed at each designated access point at eye level.

  Yes

  No

  N/A

• Tags must be filled out completely and affixed in a manner that effectively communicates the condition of the scaffold to workers following inspection?

  Yes

  No

  N/A

• Are scaffold users trained and competent in using the scaffold? Certification available?

  Yes

  No

  N/A

• Are work areas or walkways below scaffolds appropriately barricaded, demarcated and sign posted?

  Yes

  No

  N/A

• All scaffold work platforms must be equipped with guardrails. Guardrails must be installed before work (other than scaffold erection) is permitted to begin.

  Yes

  No

  N/A

• Are anchoring and bracing present to prevent scaffold from swaying, tipping or collapsing? Note: climbing on cross braces is prohibited.

  Yes

  No

  N/A

• Is there a safe and unobstructed means of access such as a walkway, stair or ladder (securely attached), provided to all scaffold platforms?

  Yes

  No

  N/A

• NO work maybe done on or from scaffold platforms during slippery or during storms or high winds.

  Yes

  No

  N/A

• Personnel working on, under or in close proximity to scaffolds must wear hard hats.

  Yes

  No

  N/A

• All work being performed on a scaffold platform must be conducted within the guardrails wherever possible, otherwise a personal fall protection system must be used.

  Yes

  No

  N/A

• Personnel must not extend their working height by standing on boxes or guardrails rather than on scaffold platform?

  Yes

  No

  N/A

• Personnel must not remove any components of a completed scaffold except under the direct supervision of a competent person?

  Yes

  No

  N/A

• An aerial lift spotter is required when personnel are elevated in an aerial lift in a high traffic area, when there is a potential for operator injury due to physical contact with facility systems or structures, and when there is a potential for damage to sensitive facility systems or structures.

  Yes

  No

  N/A

• Did the aerial lift operator conduct a pre-use equipment inspection following the instructions provided in the manufacturers operations manual?

  Yes

  No

  N/A

Lifting and Rigging

• Have hazards associated with lifting and rigging been identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Have competent personnel completed the steps needed to safely prepare the job site and equipment for the start of work?

  Yes

  No

  N/A

• Verify that lifting and rigging equipment as well as operators are certified for current use and that equipment is in good working order through a pre-use inspection.

  Yes

  No

  N/A

• What pre-planning was done prior to lifting and rigging?

  Yes

  No

  N/A

• Was a pre-use inspection of the crane performed?

  Yes

  No

  N/A

• Was the crane pre-use checklist completed properly? Is there a satisfactory monthly crane inspection checklist and is ir being used?

  Yes

  No

  N/A

• Ensure the load is securely placed in the lay down area and free of any support from the crane before rigging equipment being removed?

  Yes

  No

  N/A

• Is the crew familiar with the hazards around the job site (including other work that may be occurring at the same time)?

  Yes

  No

  N/A

• Have precautions been taken for lifts over operating equipment or facilities including power lines?

  Yes

  No

  N/A

• Are appropriate permits in place and accessible to the work crew? Has an appropriate JSA been completed?

  Yes

  No

  N/A

• Has the contractor provided documentation of crane operation radius and lift calculations for the job at hand (lifting plan)?

  Yes

  No

  N/A

• Does the crane have its certification and inspection records available?

  Yes

  No

  N/A

• Is the crane equipped with a safe working load (SWL) indicator such as light and siren?

  Yes

  No

  N/A

• Is the crane equipped with two anti-blocking devices?

  Yes

  No

  N/A

• Does the crane have a legible load chart which is located where the operator can see it?

  Yes

  No

  N/A

• Has the crane swing radius (cab, counterweight and boom) been properly barricaded to prevent unauthorized entry?

  Yes

  No

  N/A

Personal Protective Equipment

• Are hard hats worn (with the bill facing forward and square) in designated areas?

  Yes

  No

  N/A

• Is appropriate eye and face protection being worn (i.e. hard side shields, face shields. Goggles)?

  Yes

  No

  N/A

• Are personnel utilizing ear protection near and in noise zones?

  Yes

  No

  N/A

• Is appropriate footwear being worn (steel tip work boots / shoes)?

  Yes

  No

  N/A

• Is appropriate respiratory protection being utilized (dust mask with 2 straps are considered a type of respirator)?

  Yes

  No

  N/A

• Has the respirator wearer performed positive / negative fit checks and have a current fit test before starting work?

  Yes

  No

  N/A

• Appropriate clothing (I.e. long sleeves, long pants & coveralls)?

  Yes

  No

  N/A

• Are personnel wearing the appropriate gloves for their task?

  Yes

  No

  N/A

• Are personnel who are working over or close to water equipped with proper flotation devices?

  Yes

  No

  N/A

• Is PPE in good condition and made to recognized standards (ANSI, SABS, SANS, etc)?

  Yes

  No

  N/A

• Are personnel aware of proper inspection, use and care of all PPE?

  Yes

  No

  N/A

Powered Industrial Vehicles

• Are all drivers / operators properly certified and trained in the safe operation of vehicles and equipment?

  Yes

  No

  N/A

• Are maintenance programs in place?

  Yes

  No

  N/A

• Does every haulage vehicle and piece of heavy equipment have a working back-up alarm?

  Yes

  No

  N/A

• Are forklifts, trucks and other equipment NOT loaded above their designated safe carrying capacity or weight and secured?

  Yes

  No

  N/A

• Are seat belts provided on all vehicles and in good working order?

  Yes

  No

  N/A

• Vehicles and heavy equipment parked with parking brake set?

  Yes

  No

  N/A

• Are fire extinguishers fitted, regularly inspected and operational?

  Yes

  No

  N/A

Barricading and Work Zone Entry

• Have the barricade boundaries been established to form a safe perimeter around the hazard area to protect personnel working outside the boundary from hazardous conditions?

  Yes

  No

  N/A

• Has an alternative egress or path of travel been established if barricade blocks standard pattern of traffic flow (both pedestrian and vehicular traffic)?

  Yes

  No

  N/A

• Do emergency exits remain clear and not impacted by the barricaded area or, if barricade does impact an emergency exit, have alternative emergency exits been established and communicated?

  Yes

  No

  N/A

• Are barricade tags complete and affixed at regular intervals along the barricaded boundary?

  Yes

  No

  N/A

• Is lighting provided if required to illuminate the barricade boundary at night?

  Yes

  No

  N/A

• Have all necessary local permits been completed and filed with the local authorities as necessary if barricade will impact public roadway?

  Yes

  No

  N/A

• Are additional hazard communication signs in place?

  Yes

  No

  N/A

• Have hazards within the barricaded area been adequately communicated to personnel who will work within the boundary in order for them to safely perform their work tasks?

  Yes

  No

  N/A

Hand Tools / Machine Guarding

• Are personnel using the correct tools for the job?

  Yes

  No

  N/A

• Are appropriate guards in place and functional? Are tools properly guarded?

  Yes

  No

  N/A

• Are tools and equipment in good condition and undamaged?

  Yes

  No

  N/A

• Do personnel unplug / disconnect their power tools before changing parts or performing maintenance on the tool?

  Yes

  No

  N/A

• Do personnel secure their work with clamp or vice in order to keep both hands free to use the tools?

  Yes

  No

  N/A

• Are air hoses for pneumatic tools with mechanical connections secured with he appropriate pins or locking mechanisms / whip restraints?

  Yes

  No

  N/A

• Are high pressure hoses equipped with whip restraints attached to each side of mechanical conditions?

  Yes

  No

  N/A

• Is compressed air being used for cleaning at 30 psi?

  Yes

  No

  N/A

ORIENTATION

• Ask contractors in the field if they've received their site specific orientation.

  Yes

  No

  N/A

• Ask contractors what topics were covered in their site orientation.

  Yes

  No

  N/A

• Review random sampling of signature sheets from the orientation booklets for verification.

  Yes

  No

  N/A

• Ask staff augmentation contractors if they've received their site specific orientation

  Yes

  No

  N/A

• Ask staff augmentation contractors if they've received orientation

  Yes

  No

  N/A

STANDARD OPERATING PROCEDURES

• Is the SOP at the job site and is it relevant to the work being performed?

  Yes

  No

  N/A

• Are personnel performing the work following the instructions listed on the SOP?

  Yes

  No

  N/A

• Are personnel performing the work qualified to use the SOP?

  Yes

  No

  N/A

• Has the SOP been reviewed in the last 12 months and updated as necessary?

  Yes

  No

  N/A

Field Review Acknowledgement and Sign Off

• Was the GC health and safety representative present during the field review?

  Yes

  No

  N/A

• Name and signature of accompanying GC health and safety representative

  Sign

• Name and signature of field reviewer

  Sign

• Date and time of field review completion

  Date