Information
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Uncontrolled Dropped or Falling Objects
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Conducted on:
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Auditor:
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Person being Audited:
Task Execution and Hazard Identification
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Have personnel inspected fixed plant and structures for potential dropped or falling objects?
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Have objects that have the potential to fall from height been removed or secured?
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Has a drop zone been identified and barricaded to prevent personnel entering the zone
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Does the barricading completely surround the perimeter of the drop zone where personnel could potentially enter?<br>
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Have all tools and equipment that have potential to fall from height been secured (eg tool lanyards, rubber stoppers, storage containers)?
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Additional comments/observation
Observation
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Add observations/comments here.
Signatures
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I hereby certify that all information is accurate and that an actual inspection was conducted.
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Auditor's Printed Name & Signature
