TRIAL FRM Verification Pablo- Revision 1.5

Organization

Division

Is there a Best Practice present? (Critical Control Improvement)

Is the blast site protected against unauthorized entry while explosive materials or initiating systems are on the blast site?<br>

Before firing a blast, are all access routes protected against unauthorized entry?<br><br>

Was sufficient warning given to allow all person to be evacuated from the blast site?<br>

Have all persons evacuated the blast area prior to attaching a source of initiation?<br>

Was the area inspected for misfires by an authorized/competent person after the blast and prior to resuming work in the blast site?<br>

Has sufficient time passed for gas to dissipate before approaching area after the blast?<br>

Is the blast zone large enough to contain potential fly rock and other hazards per design?<br>

(Post blast) Did all the fly rock stay within the blast area?<br>

Is the blast site protected against unauthorized entry while explosive materials or initiating systems are on the blast site?<br>

Are blast site activities limited to those directly related to blasting operations once loading begins?<br>

Is unused explosive material removed to a protected location after loading operations are completed?<br>

Have blast holes been checked for obstructions prior to loading?<br>

Are explosives and blasting agents kept separated from detonators until loading begins?<br>

Are primers made only at the time of use and as close to the blast site as conditions allow?<br>

Has a pre-use inspection been done on the vehicle containing the explosives and does it match the actual condition of the vehicle?<br>

Is the transportation vehicle equipped with fire extinguisher or fixed fire suppression equipment?<br>

Are placards and lights placed on the transportation vehicle indicating the contents?<br>

Does the vehicle explosives storage compartment meet regulatory requirements? Note: With proper separation for caps and explosives.<br>

Did the appropriate wait time lapse before the work area inspected for misfires after blasting?<br>

Was post-blast communication provided to mining personnel that no misfires were detected?<br>

Is the area free of indications of a misfire?<br>

If a misfire is suspected, are proper work area controls in place?<br>

Was the misfire removal completed correctly?<br>

Was the exclusion zone maintained until the misfire all clear signal is provided?<br>

Is the transportation vehicle attended or have I verified that the cargo compartment is locked?<br>

Are detonators kept in original packaging as shipped from the manufacturer or in closed containers?<br>

Are detonators separated from explosive or blasting agents?<br>

Have I checked the passenger area to verify that it is free from explosive material?<br>

Is the explosive box constructed according to regulatory requirements? Note: Wood lined transportation boxes.<br>

Is the explosive storage area free of potential sources of ignition?<br>

Is the explosives storage area properly segregated, fenced, signed and labeled?<br>

Is the exclusion zone free and clear of non-permissible structures and activity?<br>

Have I obtained permission to enter restricted areas?<br>

Are the explosive storage magazines electrically grounded?<br>

Are all explosives secured by lock and key?<br>

Is access to the keys restricted only to authorized personnel?<br>

Can I determine whether the gas monitoring equipment was calibrated?<br>

Was a bump test completed on the monitor before use at this confined space?<br>

Has the confined space atmosphere been tested?<br>

Is gas testing being performed throughout the job covered under the permit and are results within the defined safe range on the confined space entry permit?<br>

Do I know the hazardous substances that I may be exposed to in the Confined Space and the potential health effect of exposure to these substances?<br>

Am I aware of the conditions that would trigger an evacuation of the confined space?<br>

Is the area outside or adjacent to the space free of conditions that could affect safe entry?<br>

Is ventilation provided (per assessment and/or permit)?<br>

Is the Confined Space Entry Permit complete and have I read and signed it?<br>

Do I know the risks for the Confined Space?<br>

Is an emergency rescue plan in place and has contact been made with emergency services prior to entry?<br>

Are all entry and exit points to the Confined Space controlled by an attendant or barricading?<br>

Have all energy sources been identified, isolated and de-energized?<br>

Have locks, tags and other isolation devices been installed so they cannot be bypassed or defeated?<br>

Has the "try out/test out" step been completed?<br>

Has "0 Energy" been verified?<br>

Have all required employees locked out ?<br>

Have all isolation points been accounted for?<br>

Have all visible and concealed utilities been identified using utility location procedures?<br>

Are the doors or gates on MCC (Motor Control Centers) and sub stations closed and secured as required?<br>

Do I have the correct tool (cutter, screwdriver, key, etc.) to open electrical enclosures?<br>

Are 'Arc Flash Boundaries' being utilized as required?<br>

Are the breaker panels clear and accessible? Note: Is there 3 feet of clearance in from of the breaker panels?<br>

Have I selected the correct category of Arc Flash PPE for the incident energy level? Note: Check PPE for the rating.<br>

Is the Electrical PPE in good condition (e.g. free from rips, cuts, damage, and free from contaminants such as grease and oil?<br>

Are insulated rubber gloves being used and are they appropriately rated for the voltage? Note: Electrically insulated gloves are required while working in or around voltages of 50 Volts AC and 110 Volts DC and above.<br>

Have I conducted an inflation test on my electrical insulated gloves?<br>

Have the rubber gloves (being used) been electrically tested and stamped within the last 6 months?<br>

Are the most recent single line and electrical drawings being used?<br>

Are ground conductors properly connected and tested?<br>

Have all energy sources been identified, isolated and de-energized?<br>

Have locks, tags and other isolation devices been installed so they cannot be bypassed or defeated?<br>

Has the "try out/test out" step been completed?<br>

Has "0 Energy" been verified?<br>

Have all required employees locked out?<br>

Have all isolation points been accounted for?<br>

Have all visible and concealed utilities been identified using utility location procedures?<br>

Are the electrical tools being used properly rated for the voltage present?<br>

Are the electrical tools in good condition (free from damage, etc.)?<br>

Have you considered drowning as a risk in your pre-task assessment or procedure for this task?<br>

Does everyone involved in the task have access to the required flotation devices for the task?<br>

Have you inspected the flotation device(s) prior to use? Check integrity, condition, damage in test/date etc.<br>

Are you wearing the required flotation device(s) correctly?<br>

Do you and the team know what to do in the case of a required rescue?<br>

Do I remain inside the confines of the handrails at all times (e.g. not stepping on mid-rails, leaning over handrails, etc...)<br>

Are the barriers adequate to prevent falling into water (or other liquids that a person could drown in)?<br>

Have I inspected the access platform and/or barge before use? Check for missing/loose floor boards, corroded parts, secured handrails, etc.<br>

Is the work platform suitable for the job/task?<br>

Are physical controls and signage in place to prevent unauthorized access?<br>

Are all personnel present authorized to be in the location?<br>

Do you have a spotter in place for work on or near water?<br>

Do you and the team know what to do in the case of a rescue?<br>

Do you have all the necessary rescue equipment ready to use at the job site? (Flotation Devices, Life Rings, Life Lines, Ladders, Rescue craft, etc.)<br>

Have I performed effective mechanical blocking?<br>

Are the mechanical blocks approved and safe for use?<br>

Have all energy sources been identified, isolated and de-energized?<br>

Have locks, tags and other isolation devices been installed so they cannot be bypassed or defeated?<br>

Has the "try out/test out" step been completed?<br>

Has "0 Energy" been verified?<br>

Have all affected employees locked out?<br>

Have all isolation points been accounted for?<br>

Are guards, barriers and/or barricades installed on the moving parts of equipment?<br>

Are guards, barriers and/or barricades secure and strong enough to provide protection?<br>

Am I aware of all dead man switches, emergency stops and pull cords and are they confirmed as functional prior to work commencing?<br>

Have I replaced all removed guards at the end of the task?<br>

For unguarded moving equipment, are safe distances maintained, or specific procedures in place for the activity I am about to perform?<br>

Am I clear of potential line of fire situations?<br>

Are concentrated hazardous substances only stored & used in designated areas?<br>

Am I authorized to work in this area and with this hazardous substances?

Do I have a personal monitor for hazardous gases, where needed?

Is the stationary and / or personal monitor working?

Do I know what the different alarms and tones mean?

Do I know where to evacuate, and is the evacuation route clear?

If no alarms are available, do I know how to recognize an upset condition? (e.g. ventilation failure, elevated pH in cell line)

Is the SDS readily available and do I understand what it requires?

Do I know the handling requirements of my hazardous substances?

Do I know what to do in the event of an emergency involving the hazardous substances being handled? Is emergency equipment available (e.g. shower, eyewash)?

Is equipment/containers labeled indicating the hazardous contents? (name of substance, and type of hazard)

Are precautions being taken prior to opening pipes, tanks, enclosed cells, etc. that could contain hazardous substances?

Am I authorized to be in the loading / unloading area?

Have the contents of the delivery truck been verified?

Do I understand safe loading/unloading practices for the bulk hazardous substances?

Are hazardous substances adequately stored and segregated?

Are pipes or other distribution systems used for hazardous substances clearly identified and in good operating condition?

Are ventilation systems working as designed, and effectively controlling airborne hazards?

Do I understand the operational conditions required to prevent unintended release? (e.g. safe pH range, operating temperature, cell voltage, solution concentration, etc.)

Do I know the substances that I might be exposed to and the potential health effects of exposure to these substances?

Am I using the correct type of PPE for the task being performed? Note: check ratings, selection and use

Do I understand the identified health hazards in my area?

Have I ensured that the PPE is in good condition prior to use?

Are concentrated hazardous substances only stored & used in designated areas?

Am I authorized to work in the area where the hazardous substance is present?

Do I know the composition of the material that I'm handling?

Is clean-up performed in a way that minimizes exposures to hazardous substances? (e.g. vacuum or wet clean-up of hazardous dust rather than compressed air)

Are components parts and equipment that might be contaminated with a high-hazard substance cleaned prior to maintenance activities?

Are ventilation systems working as designed, and effectively controlling airborne hazards?

Is my cab or control room properly maintained to ensure clean air, including effective air filters, weather stripping, door seals, etc.?

Is water being used effectively to control dust emissions?

Do I understand the operational conditions required to prevent unintended release? (e.g. safe ph range, operating temperature, cell voltage, solution concentration, etc.)

Are process enclosures adjusted and maintained to ensure hazardous substances are contained properly (e.g. conveyor skirting, heat-retention balls, inspection doors closed, etc.)

Do I know when and where respirators are required?

Am I using the correct type of PPE for the task being performed? Note: check ratings, selection and use

Do I understand all of the identified health hazards in my area?

Have I ensured that the PPE is in good condition prior to use?

Have I visually inspected the anchor points prior to use?

Have I inspected my harness prior to use?

Have I inspected the connector/lanyard/shock absorber equipment prior to use?

Is my selected fall protection adequate for the task? Note: check length, compatibility with work from height (restraint vs. arrest)

Have I reviewed the rescue plan for the task?

Is the rescue plan appropriate for the risks involved with the task?

Can I maintain 100% tie-off, if needed?

Have all team members reviewed and understood the rescue plan?

Have I inspected the fixed work platform before use? Note: check for missing/loose floor grating panels, secured handrails, toe boards, etc.

Is access/exit safe and easily accessible?

Is the fixed work platform suitable for the job/task?

Am I using the correct mobile work platform for the job/task? Note: check suitability of the equipment for task and position/placement, including function, and load limit, terrain, environment/weather, location, current inspection, fundamentally stable

Am I correctly secured in the basket with proper fall protection equipment?

Have I completed a pre-operational inspection and addressed any critical safety issues?

Have I confirmed that weather conditions will allow for safe use?

Do I remain inside the confines of the basket at all times (e.g. Not stepping on mid-rails, leaning over the handrails, etc.)?

Have the ground conditions for mobile platform travel areas been inspected (e.g. Buried hazards, underground services, uneven terrain)?

Is access/exit safe and easily accessible?

Are the platforms travelling over the designated and inspected areas for the task?

Is installed edge protection adequate to prevent falls? Note: Includes railings, horizontal life lines, rat lines, etc.

Am I adequately protected from falling into of off of all openings or leading edges i.e. using barricades, guards or other fall prevention/protection?

Have I inspected the edge protection devices to ensure they are maintained and in good working order?

Has the scaffold design and work plan been approved by a competent person?

Is the scaffold constructed according to the approved design and work plan?

Does the scaffold have the load capacity posted?

Has the inspection of the scaffold been completed by a competent person prior to use? Note: Daily inspection is required when a scaffold is in use.

Is the scaffold protected from being hit by moving vehicles/equipment?

Is access/exit safe and easily accessible?

Does the scaffolding have complete floors, toe boards, mid rails and handrails?

Have I considered the potential for objects/materials falling from heights for the specific job being performed?

Is barricading and segregation in place for all dropped objects fall zones?

Have I verified that the barricading has 360 degree coverage to prevent unintended access to the potential drop zone?

Do barricaded areas have adequate notification, signage/tags?

Are concurrent and adjacent work activities segregated from drop zones of falling objects?

Have I inspected the work area for any potential falling objects prior to commencing any work?

Are equipment items and fixtures at height free from observable signs of securement failure? (e.g. beams, brackets, bracing, and/or support members)

Have I inspected and verified that any pieces of equipment mounted at height show no signs of accidental impact from cranes or any other activities?

Are devices that are used for securement adequate to prevent falling objects?

Have securing devices been inspected prior to use?

Are securing devices functioning as designed?

Are observable mounts of fixed elevated equipment in good repair and as designed?

Have concurrent activities been considered for the work activities being performed?

Is the flooring of upper level work platforms designed to prevent objects from falling through to the lower level?

Are combustible and flammable materials separated from each other?

Are all combustible and flammable materials separated from ignition sources?

Have I inspected the work area for spills or leaks of flammable or combustible material? (e.g. leaks from pumps, vehicles, motors, other equipment)

Is the Hot Work Permit complete and have I read and signed it?

Do I know the risks for the Hot Work Permit?

Is the work area protected from hot work activities as specified in the Hot Work Permit? (e.g. fire blankets)

Is the area and or personal/portable monitor working?

Do I know what the different alarms and tones mean?

Are suppression systems/fire extinguishers inspected properly and easily accessible?

Are rescue systems (e.g. emergency response personnel available during high risk tasks, refuge chambers, etc..) available?

Do I know where the nearest refuge chamber is?

Is the Refuge chamber fully stocked with all emergency supplies and ready for use?

Do I have my Self Rescuer with me?

Has my Self Rescuer been inspected and is it ready for use?

Have I checked that the evacuation routes and secondary egress inspections have been conducted?

Do I know where the muster points are in the event of an evacuation?

Have I inspected the work area for geotechnical hazards?

Are there visible field controls that indicate design limits?

Is the work being performed within the design limits?

Did I receive a detailed handover for the bench/wall hazards?

Do I understand the geotechnical requirements that need to be implemented for the plan?

Have I communicated updates in conditions to the appropriate individuals?

Have I received the latest geotechnical update and do I understand it?

Do I understand how to look for cracking or potential ground failures?

Do I know what to do if I identify cracking or potential ground failures?

Do I know what signage and alerts are in place to identify 'hazard zones'?

Is signage in place around excavation?

Does segregation/barricading limit access to the entire excavation or trenching?

Is swing radius protection in place around excavation equipment to keep people out of swing zones?

Are collapse protections/safeguards in place? (Slope, shore, rolling object protection, vehicle chocks, etc)

Is access/exit safe and easily accessible?

Have all visible and concealed utilities been identified using utility location procedures?

Is the lifting operation controlled by barricading?

Have I verified that the barricading has 360 degree coverage to prevent unintended access to the potential drop zone?

Is the exclusion zone large enough to protect people in the event of a load falling?

Is the team or lifting equipment provided with horns, whistles or lights to warn others who may be in the path of travel?

Have I erected barricades as required?

Do barricaded areas have adequate notification, signage/tags?

Are there only authorized personnel inside the barricaded area during the lift?

For personnel in controlled zone, are safe distances maintained?

If there is a formal written lift plan, has it been completed and reviewed with the lift team?

Have I determined that the weather conditions will allow for a safe lift?

Does the work team have agreed communication protocols (e.g. radio, spotter, lights)?

Are the ground conditions stable for the position of the crane outriggers/tracks?

Have underground and overhead hazards been identified within the lift zone (e.g. active or abandoned utilities or mine works, tanks, structures, power lines, trestles, etc.)?

Have I performed a walk around inspection of the lifting equipment prior to use?

Is the maximum safe working load indicated on the lifting equipment?

Have I verified that the annual certification of the lifting equipment to be used for the lifting operation is valid and current?

Have I performed a pre operational inspection on the lifting equipment prior to it being used?

Has a competent person inspected the rigging and lifting equipment and is the inspection current?

Does each piece of rigging equipment have a current tag or stamp on it indicating it has been checked on a planned schedule?

Have you attained authorization to occupy this section of rail with this rail mounted equipment?

Prior to the commencement of this activity have you tested the access control mechanisms to prove all are operational?

Have you verified that remotely controlled systems are operational prior to the commencement of this activity?

Do you have authorization to access this area?

Am I fit for duty (compliant with drug and alcohol policy, well rested and free from fatigue, free from stressful work-related or personal concerns that could potentially distract me from working safely)?

Are the personnel present free from visible illness or injury which may compromise safety?

Do I have required competency to operate this vehicle/equipment and perform this task (current driver/operator license, certification card, training certificate, etc.)?

Have all contractors present been confirmed as rail safe working trained?

Are all visitors inducted for rail network access?

Are positive communication devices available at the work location?

Are available positive communications functional and effective?

Do you know how to use the available positive communications devices

Did the prestart briefing include actions to be taken if positive communications are lost?

Have you checked the schedule for rolling stock/Hi Rail traffic movement on this line?

Are personnel acknowledging and responding correctly to alarms?

Is the field activity consistent with the current rail movement schedule?

Is the required signaling and signage in the area consistent with current standards and policies?

Are critical signals in the area readily identifiable (visible/audible)?

Is the signaling and signage operational?

Is the access control point operational?

Are all personnel present authorized to be in the location?

Have unauthorized 'on rail' vehicles and rolling stock been reported to controllers?

Is the maintenance log book for the equipment up to date?

Does the rolling stock/equipment appear to be ready for use (free from defects)?

Has a prestart check been completed for this rolling stock/equipment?

Have all critical action items recorded in the equipment log been actioned to closure?

Has a pre operation check list, that is specific for the equipment, been completed prior?

Is a current maintenance acceptance form available with the equipment log/papers?

Has the positive communication equipment to be used been checked prior to commencement of work/activity?

Have the switches been verified to be in the correct position prior to commencement of work?

Has the prestart briefing included a discussion on actions to be taken in the event of a communications blackout?

All personnel have confirmed that they are competent in the use of the positive communication devices available at the work/activity location?

Are the personnel present competent in applying redundancy arrangements for positive communications?

Do all the personnel present have access to positive communication devices?

All personnel have confirmed that they are competent in the use of the positive communication devices available at the work/activity location?

Is rolling stock in the vicinity safely secured (stabled)?

Have the brakes on the rolling stock been effectively applied?

Does all of the equipment available at location present as serviceable for securing rolling stock?

Are derailers in place and functional?

Are the separation rules understood by all personnel present?

Activation of switching, brakes and couplings has been progressed without being exposed to potentially moving rail equipment? Prohibition of riding on rail cars/rolling stock has been discussed and understood during the prestart briefing?

Prior to commencement of work/activity have safe zones been identified?

During the prestart has the prohibition of loose shunting been communicated?

Are danger zones clearly identifiable on this network section?

Are safe zones clearly identifiable on this network section?

Are personnel following the procedures that preclude uncontrolled movements of Rolling stock (e.g. loose shunting)?

Are the signals and signage in the immediate area working?

Is the required signaling and signage in the area consistent with current standards and policies?

Are guards, barriers and barricades properly installed to protect personnel from uncontrolled energy release?

Have I inspected the guards, barriers and barricades?

Am I aware of all dead man switches, emergency stops and pull cords and are they confirmed as functional prior to work commencing?

Does the work plan address reinstallation of guards, barriers and barricades prior to return to service?

Does the work plan address reinstallation of guards, barriers and barricades prior to return to service?

Have I installed/checked that hose coupling safety clips/whip-checks are in place prior to starting my work?

Does the hose assembly meet the requirements for material, pressure, and use?