URF HSE AUDIT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Working at heights

• ask the personnel involve in the activity if they are familiar with the 100% tie off/double hook up process?

  Yes

  No

  N/A

• Has a relevant risk assessment TRA, HIT card been performed prior to the lifting activities?<br>Is it present at the work site, signed and understood by the work team?

  Yes

  No

  N/A

• Does the risk assessment consider the potential impacts of change to the work scope, conditions or process?

  Yes

  No

  N/A

• If the work scope, conditions or process has occurred has work stopped until risk assessment have been re-assesses and updated as appropriate?

  Yes

  No

  N/A

• Do personnel working at height understand how to perform a rescue or minimizes suspension trauma?

  Yes

  No

  N/A

• Is the working at height equipment in good condition and has been inspected prior to use, ask worker to demonstrate how to inspect a harness or WAH equipment?

  Yes

  No

  N/A

• Are three points of contact being maintained when using a ladder?

  Yes

  No

  N/A

• Are suitable barriers and signs in place to protect or secure against mistaken or inadvertent entry to areas that may be at risk from falling objects?

  Yes

  No

  N/A

• Does the extent of the barriers consider the like hood of falling objects deflecting from structures?

  Yes

  No

  N/A

• Are all PPE requirements adhered to as per task requirement, TRA / HIT card and permit conditions?

  Yes

  No

  N/A

• Are workers at height maintaining adequate "tie off" at all times?

  Yes

  No

  N/A

• At the time during observed activities are team members exposed to potential hazards from "other" work groups?

  Yes

  No

  N/A

• Are appropriate systems and equipment in place to enable effective communications during work and emergency situations?

  Yes

  No

  N/A

• Are fall protection devices being used for activities other than those they have originally been designed for? EG lanyards being used to pull up equipment?

  Yes

  No

  N/A

• At any time during observed working at height activities are team members exposed to a potential fall?

  Yes

  No

  N/A

• Are anchor points used for fall arrest fit for purpose (i.e. : capable of withstanding a force of 15 kN?

  Yes

  No

  N/A

• Have the workers received working at heights training as per site requirements?

  Yes

  No

  N/A

• Check with the workers to ensure the obligation to stop work that is unsafe has been clearly communicated and is understood?

  Yes

  No

  N/A

• Is there a possibility of tooling and equipment being released from height? Are adequate barriers in place?

  Yes

  No

  N/A

• Is tooling secure whilst being transported to and from work area? i.e. use of tool bags/lifting bags/Gin wheels?

  Yes

  No

  N/A

• Is adequate adage protection in place to prevent falls and dropped objects from height?

  Yes

  No

  N/A

• Does all scaffolding have a clearly visible, approved scarf tag attached at the entry point?

  Yes

  No

  N/A

• Are scaffold kick boards and floor penetration protection in place?

  Yes

  No

  N/A

• Are housekeeping standards being maintained at the work area?

  Yes

  No

  N/A

Lifting Operations

• Ask personnel using rigging & lifting equipment competent to do so.

  Yes

  No

  N/A

• Has a relevant risk assessment TRA, HIT card been performed prior to the lifting activities?<br>Is it present at the work site, signed and understood by the work team?

  Yes

  No

  N/A

• Does the risk assessment consider the complexity of the lift and working environment?

  Yes

  No

  N/A

• If change to work scope, conditions or process has occurred has work stopped until the PTW and/or risk assessment have been re-assessed and updated as appropriate?

  Yes

  No

  N/A

• At any time during observed activities are team members exposed to potential hazards from "other" work groups?

  Yes

  No

  N/A

• Is a crane logbook in use along with inspection reports / check lists for each shift?

  Yes

  No

  N/A

• Do all items of rigging equipment examined display the current color coding and safe working load?

  Yes

  No

  N/A

• As part of pre-job inspection, is lifting equipment inspected for broken wires, bends, twists, damages, corrosion wear or cracks etc..? Can the user discuss the checks carried out?

  Yes

  No

  N/A

• Is there dedicated place to store lifting equipment such as a specific container or a rack?

  Yes

  No

  N/A

• At any time during observed lifting/rigging activities are team members exposed under suspended loads or between lifted loads and fixed objects?

  Yes

  No

  N/A

• Have appropriate barriers/bunting & signage been erected to prevent non authorized personnel entering the immediate work are, while lifting operations are being carried out?

  Yes

  No

  N/A

• Is the correct PPE worn by personnel involved in rigging and mechanical lifting?

  Yes

  No

  N/A

• Are clear communications maintained during lifting procedures between all personnel involved?

  Yes

  No

  N/A

• Are walk ways clear and tidy?

  Yes

  No

  N/A

• Check with the workers to ensure the obligation to stop work that is unsafe has been clearly communicated and is understood?

  Yes

  No

  N/A

Dropped Objects

• Are safety cables in place for anything hanging above work areas?

  Yes

  No

  N/A

• Are there any potential dropped objects near handrails that could fall below?

  Yes

  No

  N/A

• Are barriers erected at the job site for work taking place overhead? Does the extent of the barriers consider the like hood of falling objects deflecting from structures?

  Yes

  No

  N/A

• Are the crews incorporating dropped objects discussions in the pre-job PTW planning & TRA's?<br>Do the TRA's, HIT cards adequately address dropped object risks?

  Yes

  No

  N/A

• Are loads being checked prior to lifting for articles left on them?

  Yes

  No

  N/A

• Are handrails around lay down areas on upper decks enclosed to prevent items falling through them?

  Yes

  No

  N/A

• Are suitable barriers and signs in place to protect or secure against mistaken or inadvertent entry to areas that may be at risk from falling objects?

  Yes

  No

  N/A

• Are tools being carried at height secured?<br>Is there any evidence of tools or waste being left above work areas?

  Yes

  No

  N/A

• Are all scaffold free of potential dropped objects?

  Yes

  No

  N/A

• Are workers at height maintaining adequate "tie off" at all time?

  Yes

  No

  N/A

• At any time during observed working at height activities are team members exposed to a potential fall?

  Yes

  No

  N/A

• Are there any items being tied off on handrails?<br>If so these should be removed wherever possible and secured inboard. (Note: the process of tying equipment outboard should be prohibited as it increases the risk of dropped objects)

  Yes

  No

  N/A

• At any time during observed working at height activities are team members exposed to a potential fall?

  Yes

  No

  N/A

• Are the barriers in place while working over open grating, to prevent tools from falling through the grating?<br>Are kick boards in place around all opening?

  Yes

  No

  N/A

• Is material available to safety transported equipment to and from work areas? i.e. Use of tool bags/lifting bags/Gin Wheels

  Yes

  No

  N/A

• Does all scaffolding have a clearly visible, approved scafftag attached at the entry point?

  Yes

  No

  N/A

• Are scaffold kick boards and floor penetration protection in place?

  Yes

  No

  N/A

• Are housekeeping standards being maintained at the work area?

  Yes

  No

  N/A

Mechanical

• Are personnel involved in the activity exposed to pinch point or line of fire hazards?

  Yes

  No

  N/A

• Has a relevant risk assessment (TRA/HIT card) been performed prior to work commencing? Is it present at the work site, signed and understood by the work team?

  Yes

  No

  N/A

• Are all PPE requirements adhered to as per task requirement, TRA and HIT card, and permit conditions?<br>Is the PPE in good condition?

  Yes

  No

  N/A

• Are there any isolation/de-isolations have these been completed buy a competent and authorized person?

  Yes

  No

  N/A

• Have the isolation points been clearly identified, tagged and controlled using an appropriate system?

  Yes

  No

  N/A

• Are people aware of stored energy and are appropriate controls in place?

  Yes

  No

  N/A

• Have isolation points been identified and the equipment involved in the task prepared?

  Yes

  No

  N/A

• Are people aware of stored energy and are appropriate system?

  Yes

  No

  N/A

• Have isolation points been identified and the equipment involved in task prepared?

  Yes

  No

  N/A

• Have permit isolations are in place, are all isolation points clearly identified using suitable locking devices and/or tags?

  Yes

  No

  N/A

• Are appropriate systems and equipment in place to enable effective communications during work and emergency situations?

  Yes

  No

  N/A

• Check with the workers to ensure the obligation to stop work that is unsafe has been clearly communicated and is understood?

  Yes

  No

  N/A

Electrical

• Is the work on or near live or exposed electrical equipment necessary?

  Yes

  No

  N/A

• Are personnel involved in the activity familiar with electrical hazards?

  Yes

  No

  N/A

• Has a relevant risk assessment TRA or HIT card been performed prior to work commencing?<br>Is it present at the work site, signed and understood by the work team?

  Yes

  No

  N/A

• Does the TRA identify potential hazards that are specific to the task at hand and not general in nature?

  Yes

  No

  N/A

• Does the risk assessment consider the potential impacts of change to the work scope, conditions or process?

  Yes

  No

  N/A

• If change to work scope, conditions or process has occurred has work stopped until the PTW and/or risk assessment have been re-assessed and updated as appropriate?

  Yes

  No

  N/A

• At any time during observed activities are team members exposed to potential hazards from "other" work groups?

  Yes

  No

  N/A

• Where work is to be performed in the vicinity of live electrical conductors, are suitable barriers and signs in place to protect or secure against mistaken or inadvertent entry?

  Yes

  No

  N/A

• Where electrical workers are working on, or in the vicinity of live electrical equipment are there at least two people in attendance (1 stand by)?

  Yes

  No

  N/A

• Where electrical workers are working on, or in the vicinity of live electrical equipment is the stand by person aware of the rescue procedures?<br>Is a rescue kit available and close to hand?

  Yes

  No

  N/A

• Where electrical workers are working on isolated electrical equipment, can they demonstrate where and how a "Test for Dead" was carried out?

  Yes

  No

  N/A

• Are all PPE requirements adhered to ask per task requirement, TRA, HIT card and permit conditions?

  Yes

  No

  N/A

• Is all electrical equipment in use fit for purpose, appropriately tagged and free from any damage that may effect it's integrity?

  Yes

  No

  N/A

• Are appropriate systems and equipment in place to enable effective communications during work and emergency situations?

  Yes

  No

  N/A

• Where permit isolations are in place, are all isolation points clearly identified using suitable locking devices and/or tags?

  Yes

  No

  N/A

• Check with the workers to ensure the obligation to stop work that is unsafe has been clearly communicated and is understood?

  Yes

  No

  N/A

Confined Space Entry

• Is the confined space entry necessary?<br>Could the work have been carried out without the need for a confined specs entry?

  Yes

  No

  N/A

• Ask the personnel involved in the confined space entry (CSE) if they familiar with the procedure on CSE?

  Yes

  No

  N/A

• Has a relevant risk assessment (TRA, HIT card) been performed prior to the CSE?<br>Is it present at the work site, signed and understood by the work team?

  Yes

  No

  N/A

• Does TRA, HIT card identify potential hazards that are specific to the task at hand and not general in nature?

  Yes

  No

  N/A

• Does the risk assessment consider the potential impacts of the change to the work scope, conditions or process?

  Yes

  No

  N/A

• Are all necessary control measures for the safe completion of work identified on the permit and it's associated supporting documentation?

  Yes

  No

  N/A

• Observe the work area. Have all the identified controls been put in place and checked?

  Yes

  No

  N/A

• If change to work scope, conditions or process has occurred has work stopped until the PTW and/or risk assessment have been re-assessed and updated as appropriate?

  Yes

  No

  N/A

• Is a current copy of the Permit to Work (PTW) and relevant certificates held at the specific work site?<br>Are all people involved in the CSE aware of the PTW conditions?

  Yes

  No

  N/A

• Does the PTW description provide sufficient information regarding the scope of work to be performed?

  Yes

  No

  N/A

• Has atmosphere testing been carried out prior to work commencing.<br>Are atmosphere limits identified on the PTW?

  Yes

  No

  N/A

• Has a "re-test" at atmospheric conditions been carried out after any break or change in conditions (review permit)?

  Yes

  No

  N/A

• Is the Rescue Plan at job site?

  Yes

  No

  N/A

• Is working group involved in CSE, fully aware of and competent to undertake their role in the Rescue Plan?

  Yes

  No

  N/A

• Is entry into a Confined Space (CS) controlled by a CSE log?<br>Is it available at the work site?

  Yes

  No

  N/A

• At any time during observed CSE activity are team members exposed to potential hazards from "other" work groups including exhaust fumes from adjacent equipment?

  Yes

  No

  N/A

• Has the CS been positively isolated from all hazardous services?

  Yes

  No

  N/A

• Where permit isolations are in place, are all isolation points clearly identified using suitable locking devices and/or tags?

  Yes

  No

  N/A

• Is all equipment used within the CS in good condition, are there any electrocution or dropped object hazards?

  Yes

  No

  N/A

• Is a competent CSE stand by person in place?<br>Does this person understand rant they must NOT enter the CS in an emergency situation?

  Yes

  No

  N/A

• Are appropriate systems and equipment in place to enable effective communications during work and emergency situations?

  Yes

  No

  N/A

• Are suitable barriers and signs in place to clearly identify the CS and to protect or secure against mistaken or inadvertent entry?

  Yes

  No

  N/A

• Are all PPE requirements adhered to ask per task requirement, TRA, HIT card and permit conditions?

  Yes

  No

  N/A

• Are all leads & hoses entering into the CS padded or suspended to maintain integrity of equipment?

  Yes

  No

  N/A

• Check with the workers to ensure the obligation to stop work that is unsafe has been clearly communicated and is understood?

  Yes

  No

  N/A

• Have the workers received CSE training as per site requirements?

  Yes

  No

  N/A

Permit to Work

• Ask the personnel involved in the activity if they are familiar with the requirements of Permit to Work?

  Yes

  No

  N/A

• Has a relevant risk assessment (TRA, HIT card) been performed prior to work commencing?<br>Is it present at the work site, signed and understood by the work team?<br>If a TRA is being used, is it specific to the task in hand and not general in nature?

  Yes

  No

  N/A

• Does the TRA identify potential hazards that are specific to the task at hand and not general in nature?

  Yes

  No

  N/A

• Does the risk assessment include interfacing hazards and controls required for concurrent activities and work that extends beyond a single shift?

  Yes

  No

  N/A

• Does the risk assessment consider the potential impacts of the change to the work scope, conditions or process?

  Yes

  No

  N/A

• If change to work scope, conditions or process has occurred has work stopped until the PTW and/or risk assessment have been re-assessed and updated as appropriate?

  Yes

  No

  N/A

• Is a current copy of the Permit to Work (PTW) and relevant certificates held at the specific work site?<br>Are all people involved in the CSE aware of the PTW conditions?

  Yes

  No

  N/A

• Does the PTW description provide sufficient information regarding the scope of work to be performed?

  Yes

  No

  N/A

• Does the scope of work cover only one work activity?

  Yes

  No

  N/A

• Is the permit validity period clearly noted on the permit?

  Yes

  No

  N/A

• Has the permit been authorized by a responsible/approved person on site?

  Yes

  No

  N/A

• Are all necessary control measures for the safe completion of work identified on the permit and it's associated supporting documentation?

  Yes

  No

  N/A

• Observe the work area. <br>Have all the identified controls been put in place and checked?

  Yes

  No

  N/A

• Are all PPE requirements adhered to ask per task requirement, TRA, HIT card and permit conditions?

  Yes

  No

  N/A

• At any time during observed activities are team members exposed to potential hazards from "other" work groups?

  Yes

  No

  N/A

• Are appropriate systems and equipment in place to enable effective communications during work and emergency situations?

  Yes

  No

  N/A

• Have all necessary permit isolations been identified and implemented?

  Yes

  No

  N/A

• Where permit isolations are in place, are all isolation points clearly identified using suitable locking devices and/or tags?

  Yes

  No

  N/A

• Has clear instruction been provided to the work team on permit close out requirements and return to normal operations?

  Yes

  No

  N/A

• Has the workers received PTW training as per site requirements?

  Yes

  No

  N/A

• Check with the workers to ensure the obligation to stop work that is unsafe has been clearly communicated and is understood?

  Yes

  No

  N/A

Site Inspection

• Are the Safety & Health notice board up to date with information? safety alert, etc

  Yes

  No

  N/A

• Is there a TRA or HIT card available the worksite, visible and current?<br>Are all personnel aware of the identified controls?

  Yes

  No

  N/A

• Does the TRA identify potential hazards that are specific to the task at hand and not general in nature?

  Yes

  No

  N/A

• Is there correct waste segregation bins available and being used correctly?

  Yes

  No

  N/A

• Is the equipment in the work area in good condition?<br>Are all leads tidy?

  Yes

  No

  N/A

• Is there sufficient room/workspace; employee's away from other areas/hazards etc?

  Yes

  No

  N/A

• Is Scafftag in place, inspected win date, housekeeping in good order; no risk of dropped objects; access/egress to scaffold clear?

  Yes

  No

  N/A

• Are walk ways clear and unconstructed?

  Yes

  No

  N/A

• In storage adequate?<br>No evidence of excessive unwanted materials or equipment around the worksite?

  Yes

  No

  N/A

• Are all workplaces neat & tidy?<br>Are extension leads away from walkways?

  Yes

  No

  N/A

• Is rigging equipment in good condition, stored correctly, correctly color coded etc?

  Yes

  No

  N/A

• Are exclusion zones and signage in place and spotters used where required?<br>Can you identify any risk of dropped objects?

  Yes

  No

  N/A

• Ask 2 or 3 personnel if they are aware of procedures; alarm/notification systems; location of evacuation/muster areas

  Yes

  No

  N/A

• Identify rehydration drink stations eye wash stations

  Yes

  No

  N/A

• Is fire equipment available at the job site, inspected & maintained.<br>Check certification tag.

  Yes

  No

  N/A

• Are material safety data sheets available where chemicals are being used?

  Yes

  No

  N/A

• Are bunds used to store liquids?<br>Are there sufficient spill kits available?<br>Please note location verified.

  Yes

  No

  N/A

• Are toilet, hand washing facilities and floor clean & hygienic ally sound?

  Yes

  No

  N/A

• Are bins not overflowing and emptied regularly?

  Yes

  No

  N/A