Professional Documents
Culture Documents
Assessment Profile Sheet: Assessor (S) Labor Posture Activity
Assessment Profile Sheet: Assessor (S) Labor Posture Activity
PROJECT INFORMATION
PROJECT NAME:
PROJECT NUMBER:
PROJECT MANAGER:
SITE MANAGER:
SAFETY MGR/REP:
PROJECT LOCATION:
CITY:
STATE:
ZIP: COUNTY
PROJECT REGION
Check With "X"
ASSESSMENT TYPE
Check One With "X"
INJURY SUMMARY
IMMINENT
IMMINENTDANGER
DANGERREDUCTION
REDUCTION
( (IDR
ASSESSMENT
ASSESSMENTSCORE
SCORESUMMARY
SUMMARY IDR) )
FINAL SCORE
COMPLIANCE
91.85 MAX POSSIBLE ASSESSED TOTAL
COMPLIANCE
SCORE
STANDARD
ACHIEVED
Imminent Danger
FIELD EXECUTION 647.0 575.10 88.89 YES A. Instances
= 0
15% of Assessed
SUBTOTAL 943.0 866.10 91.85 YES B. Subtotal
= 129.92
04/18/2010
Score Summary
32564844.xls
SAFETY AUDIT
DETAILED ASSESSMENT SCORE SUMMARY
ADMINISTRATION
04/18/2010
Administration Summary 3
32564844.xls
SAFETY AUDIT
ADMINISTRATION
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
C A site specific safety plan has been developed. 1.0 1.0 100.0%
D Health & Safety objectives are clearly stated. 1.0 1.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
J All medical files are complete and organized. 1.0 1.0 100.0%
K Other
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
3 EMERGENCY PREPAREDNESS
A The Emergency Plan:
1 Is in writing. 2.0 2.0 100.0%
2 Communicated to all project employees 2.0 2.0 100.0%
3 The plan is site specific. 2.0 2.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
EMERGENCY PREPAREDNESS
3
(cont'd)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
4 INFECTIOUS DISEASES
A written exposure control plan has been
A 2.0 2.0 100.0%
established.
Employees who have potential to come in
B contact with an infectious disease have been 2.0 2.0 100.0%
identified and trained.
Hepatitis B vaccination has been offered to
C 2.0 2.0 100.0%
those employees having potential exposure.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
HAZARD COMMUNICATION
5
PROGRAM
A Written Program:
1 Site specific 2.0 2.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
HAZARD COMMUNICATION
5
PROGRAM (cont'd)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
MOBILE EQUIPMENT
6
OPERATIONS
There is a maintenance schedule for all mobile
A 2.0 2.0 100.0%
equipment and the schedule is followed.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
MOBILE EQUIPMENT
6
OPERATIONS (cont'd)
Critical lift permits are utilized in accordance with
I 3.0 3.0 100.0%
corporate policy.
A load test has been performed that established
J a safety factor of 2 times for the suspended work 3.0 3.0 100.0%
basket.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
7 INSPECTION PROCEDURES
Regular safety inspections of the site / operation
A 2.0 2.0 100.0%
are conducted and documented.
Inspection program has been implemented for
B
the following:
1 Power tools 2.0 2.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
8 RESPIRATORY PROTECTION
There is a written respiratory protection program
which addresses the respiratory protection
A 2.0 2.0 100.0%
exposure / need as required, or a written
respirator use assessment.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
RESPIRATORY PROTECTION
8
(cont'd)
If a breathing air compressor is used, it is
equipped with a proper filtration system, Co
I n/o 0.0 #VALUE!
Alarm, reserve air tank and compressor failure
alarm.
Hose couplings used with supplied air
J respirators are incompatible with other n/o 0.0 #VALUE!
couplings.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
ENFORCEMENT AND
9
DISCIPLINE
Employee Health & Safety responsibilities have
A 2.0 2.0 100.0%
been communicated to all employees.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
11 PERFORMANCE INDICATORS
There has not been a fatal injury in the
A 10.0 10.0 100.0%
workplace during the past six months.
The year-to-date lost time injury frequency rate
B 3.0 3.0 100.0%
is zero.
The year-to-date recordable incidence rate is at
or below the current corporate goal.
C 3.0 3.0 100.0%
Actual, ytd _________ Current
Goal __________
Contractor / Subcontractor Experience is
D 1.0 1.0 100.0%
reported and measured.
E Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
ACCIDENT / INCIDENT
12
INVESTIGATION
A There is a written accident / incident policy. 1.0 1.0 100.0%
Accident / incident policy complies with local
B 2.0 2.0 100.0%
regulatory reporting requirements.
C A standard investigation format is used. 1.0 1.0 100.0%
Serious injury and fatal injury accidents are
D communicated to management personnel, 1.0 1.0 100.0%
expeditiously as required.
All lost time injury reports are reviewed by site
E 1.0 1.0 100.0%
management.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
13 CONTRACTORS
Written qualifications are established for the
A 2.0 2.0 100.0%
selection of contractors.
Past Health & Safety performance is factored
B 2.0 2.0 100.0%
into contractor selection.
Contractors are required to provide a copy of
C 1.0 1.0 100.0%
their safety program.
Prior to starting work on-site, contractors are
D 2.0 2.0 100.0%
provided site orientation.
Prior to starting work on-site, contractors are
E provided the operations health and safety rules, 2.0 2.0 100.0%
and emergency procedures.
Prior to starting work on-site, contractors are
F made aware of any chemicals they may 2.0 2.0 100.0%
encounter on-site.
Prior to bringing any chemicals on-site,
contractors are required to inform safety of the
G 2.0 2.0 100.0%
chemicals and provide a material safety data
sheet (MSDS).
Contractors are required to follow the same
H health and safety rules as Fluor Daniel 2.0 2.0 100.0%
employees.
I Safety violations are properly documented. 2.0 2.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
13 CONTRACTORS (cont'd)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
REGULATORY AGENCY
15
INSPECTION / CONTACT
Two members of management have been
identified as project representatives to
A 1.0 1.0 100.0%
participate in regulatory agency visits /
inspections.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
16 CLAIMS MANAGEMENT
A Project has established Company physicians. 1.0 1.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
PROCESS SAFETY
17
MANAGEMENT (PSM)
Known fire, explosion, and toxic release hazards
have been communicated to employees who are
A n/a 0.0 #VALUE!
working on or around covered equipment or
processes.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
19 STRATEGIC INITIATIVES
A The strategies 2000 manual is available on site. n/a 0.0 #VALUE!
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
STRATEGIC INITIATIVES
19
(cont'd)
Section 8 - Fall hazard management for
I subcontractors has been implemented as n/a 0.0 #VALUE!
required.
Section 9 - Remote travel and driver safety
J guidelines for subcontractors has been n/a 0.0 #VALUE!
implemented as required.
Section 10 - heavy haulage vehicle safety for
K subcontractors has been implemented as n/a 0.0 #VALUE!
required.
Section 11 - Safety training has been
L n/a 0.0 #VALUE!
implemented as required.
Section 12 - Corporate management ownership
M for subcontractors has been implemented as n/a 0.0 #VALUE!
required.
MET
4 Personal Protective Equipment (P.P.E.) 61.0 55.0 48.8 0 0
5 Hand Tools 13.0 13.0 10.4 MET 0 0
6 14.0 14.0 11.2 MET 0 0
7 Power Tools and Power Equipment 13.0 12.5 10.4 MET 0 0
8 Hot Work (Welding, Heating, Burning) 63.0 62.0 50.4 MET 0 0
9 Electrical 51.0 46.3 40.8 MET 0 0
10 Equipment Operations 123.0 95.0 98.4 NOT MET 0 0
11 Excavation and Trenching 30.0 30.0 24 MET 0 0
12 Steel Erection and Floor and Wall Opening 7.0 7.0 5.6 MET 0 0
32564844.xls 32 04/18/2010
SAFETY AUDIT
FIELD EXECUTION
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
1 HOUSEKEEPING
A Work areas are clean and free of excess trash / 3.0 1.0 33.3%
debris.
B Provisions have been made for routing trash 1.0 1.0 100.0%
collection and disposal.
C Trash receptacles are provided in all work areas, 1.0 1.0 100.0%
and one is present at each water keg.
F Electrical cords, hoses, welding leads, etc., are 3.0 1.0 33.3%
elevated to prevent tripping hazards.
G Butt cans, where used, are maintained free of n/o 0.0 #VALUE!
combustible material and emptied routinely.
Elevated areas are maintained clear of debris,
H material, tools, etc., where such items could fall 3.0 1.0 33.3%
to areas below.
Drip pans are utilized for oil dispensing locations
I and under threading machines and saws where n/o 0.0 #VALUE!
lubricant could drip
J Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
C Toilets are kept clean and sanitary. Toilet paper 2.0 2.0 100.0%
is in place.
D Washing facilities are available for worker use 2.0 2.0 100.0%
prior to lunch / breaks when required.
F Ventilation in work areas is provided for the type 2.0 1.0 50.0%
of work being performed.
I Lunch / dinner areas / facilities are clean and 2.0 1.0 50.0%
kept clean on a regular basis.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
L Where water kegs are used they are clean, 2.0 2.0 100.0%
labeled, as required and used only for drinking.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
B Portable light plants are maintained and kept 1.0 1.0 100.0%
operational.
D Portable light plants are easily moved and 1.0 1.0 100.0%
positioned.
E Portable light plant masts are easily raised and 3.0 3.0 100.0%
lowered.
F Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
PERSONAL PROTECTIVE
4
EQUIPMENT (P.P.E.)
A Head Protection
1 Worn where required. 3.0 3.0 100.0%
2 Bills worn to the front. 2.0 2.0 100.0%
4 Hard hats are free from cracks, holes or any 2.0 2.0 100.0%
damage
B Eye Protection
1 Worn where required. 2.0 2.0 100.0%
2 Side shields required and used. 2.0 2.0 100.0%
6 Safety glasses or goggles are worn under face 2.0 2.0 100.0%
shields or welding shields.
C Fall Protection
1 Safety harness is required and used where fall 4.0 4.0 100.0%
exposure > 2 meters is present. (6ft)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
PERSONAL PROTECTIVE
4
EQUIPMENT (P.P.E.) (cont'd)
3 Lanyards hooks are provided with locking safety 4.0 4.0 100.0%
latch to prevent "Roll Out".
5 Fall protection equipment is only used for fall 3.0 3.0 100.0%
protection
Static / catenary lines are installed to facilitate
6 tie-off and will support a force of 2,450 kgs. 4.0 4.0 100.0%
(5400 lbs.)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
PERSONAL PROTECTIVE
4
EQUIPMENT (P.P.E.) (cont'd)
Hand protection is provided by gloves that are
F selected according to specific hazards, 2.0 2.0 100.0%
anticipated or present.
Employees working near heavy equipment
G operations wear high visibility and reflective 3.0 3.0 100.0%
safety vests.
Employees working non-daylight hours are
H provided with reflective striped clothing, vests or 3.0 0.0 0.0%
other high visibility material.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
5 HAND TOOLS
A Correct tools are used for the work being 3.0 3.0 100.0%
performed.
B Tools are used in an approved manner. 3.0 3.0 100.0%
C Tools are carried and stored properly. 1.0 1.0 100.0%
Chisels, hammer wrenches and other "striking
D tools" are dressed at the striking end to prevent 3.0 3.0 100.0%
"mushrooming".
E Job made / home made tools are prohibited and 3.0 3.0 100.0%
none were observed.
F Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
C Loads are removed while the tool is stored or left 3.0 3.0 100.0%
unattended.
Proper P.P.E. is worn by the tool operator while
D using the tool. Proper P.P.E. includes hard hat, n/o 0.0 #VALUE!
face shield, safety glasses and hearing
protection.
E The tool and all loads are stored in a locked 1.0 1.0 100.0%
cabinet.
F The tool and all loads are issued only to trained 3.0 3.0 100.0%
and certified employees.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
C Welding screens are used around all ground or 2.0 2.0 100.0%
floor level arc welding operations.
E Welding cables and ground cables are free of 3.0 3.0 100.0%
damage and non-insulated connections.
Welding cables and ground cables are inspected
F 2.0 2.0 100.0%
on a regular basis.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
K Reverse flow or flash back arrestors are used on 3.0 3.0 100.0%
all oxygen/acetylene rigs.
M Compressed gas cylinder valves are turned off 3.0 3.0 100.0%
when not in use.
N Strikers are used to light torches. 3.0 3.0 100.0%
Welding rods are stored as required and rod
O stubs are placed in a container to prevent a 2.0 2.0 100.0%
tripping hazard.
R Gas cylinders are moved and transported in the 3.0 3.0 100.0%
required manner.
Hot slag and sparks are maintained and
S controlled as required to prevent fires and 3.0 3.0 100.0%
contact with employees.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
V Compressed gas hoses are inspected and are 2.0 2.0 100.0%
free of damage.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
9 ELECTRICAL
A Electrical equipment is marked as to the amount 3.0 3.0 100.0%
of voltage and the control source.
B The required "lock out - tag out " procedure is 4.0 4.0 100.0%
implemented where circuits are de-energized
due to maintenance, repair or other activity.
F All line parts are guarded or protected against 4.0 2.0 50.0%
contact.
G GFCI controlled outlets and panels are labeled 2.0 2.0 100.0%
and tested
Electrical cords are inspected and approved for
H the type of usage and are free of breaks in the 3.0 3.0 100.0%
insulation.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
9 ELECTRICAL (cont'd)
M Light bulbs and fluorescent tubes are guarded 2.0 2.0 100.0%
as required.
Buried temporary electrical cables are marked
N on the surface to avoid accidental contact from 3.0 3.0 100.0%
drilling / excavating.
S Strain relief is provided for all cords or cables 3.0 2.8 93.3%
that prevents pull from being directly transmitted
to joints or terminal screws.
Cord repairs meet or exceed the original
T insulation and are performed by a qualified 3.0 3.0 100.0%
person.
U Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
10 EQUIPMENT OPERATIONS
A Crane Operations
1 Load charts are posted and utilized and 3.0 3.0 100.0%
operators manuals are available.
3 The crane is operated level with all outriggers 3.0 3.0 100.0%
fully extended on adequate outrigger pads.
5 The operator is trained and certified for the 3.0 3.0 100.0%
specific crane being operated.
9 Crane, hook and hoist equipment is free from 4.0 4.0 100.0%
defects.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
EQUIPMENT OPERATIONS
10
(cont'd)
B General Equipment
Operator is Certified as competent for equipment
1 3.0 0.0 0.0%
operation
2 Seat belts are provided and used with ROP 2.0 1.0 50.0%
structures.
3 All lights are operational 2.0 2.0 100.0%
4 Horns are operational 3.0 3.0 100.0%
5 Back-up alarms are operational. 3.0 3.0 100.0%
8 Seat belts are worn by driver and all passengers 3.0 3.0 100%
in equipment provided with seat belts.
C Haulage Operations
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
EQUIPMENT OPERATIONS
10
(cont'd)
6 2.0 0.0 0.0%
Haulage roads are maintained in good condition.
3 All crane and sling hooks are equipped with a 3.0 3.0 100.0%
functional safety latch.
Regular inspections of rigging equipment are
4 performed and the equipment is tagged 1.0 1.0 100.0%
accordingly.
The throat of load hooks are measured
5 2.0 2.0 100.0%
periodically to detect change in hook gap.
6 Cable clamps are installed properly 2.0 2.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
EQUIPMENT OPERATIONS
10
(cont'd)
E Warning Methods
Reflective triangles are provided for all
1 equipment and vehicles, that operate on roads 2.0 0.0 0.0%
either on site or off-site.
Reflective triangles are employed to warn of
2 equipment breakdown / accident or road n/a 0.0 #VALUE!
hazards as required.
3 Flashing lights and/or strobes are used on all 2.0 0.0 0.0%
slow moving vehicles that operate in the vicinity
of large excavation and haulage equipment.
F Helicopter Operations
6 Aviation life-jackets are provided and worn by all n/a 0.0 #VALUE!
passengers when operating over water.
Helicopter inspections are performed regularly
7 by the owner / operator and adequately n/a 0.0 #VALUE!
documented.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
EQUIPMENT OPERATIONS
10
(cont'd)
G Machine and Equipment Guarding
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
EQUIPMENT OPERATIONS
10
(cont'd)
H Bridge Cranes
Bridge crane operators are properly trained /
1 n/a 0.0 #VALUE!
certified.
2 Bridge crane controls are locked out when not in 2.0 2.0 100.0%
use.
I Mobile Personnel Lifts
1 Operators are properly trained and certified. 3.0 3.0 100.0%
4 All employees working in the lift basket are 3.0 3.0 100.0%
properly "tied off".
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
J Barricades and signs are posted in the area to n/a 0.0 #VALUE!
warn employees as required.
L Signals or warnings are provided when loads are n/a 0.0 #VALUE!
raised.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
M All employees are wearing and using required n/a 0.0 #VALUE!
PPE (safety harnesses and lanyards.).
P A steel erection safety plan has been developed n/a 0.0 #VALUE!
and implemented.
Q Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
E Employees have been trained in the Back Safety 3.0 2.0 66.7%
Course.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
F Flashing lights or other such method are used to 3.0 3.0 100.0%
warn equipment and vehicle operators of
hazards on or near the roadway.
Signs are clearly posted to advise operators and
G drivers of speed limits, pedestrians, and 3.0 3.0 100.0%
hazardous conditions.
Regular surveys are conducted to assure
H adequate and proper signage is present in all 3.0 3.0 100.0%
work areas.
I Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
F Materials that react to water are not stored with 3.0 3.0 100.0%
flammables.
Containers are electrically interconnected
G (bonded) when flammable liquids are transferred n/o 0.0 #VALUE!
from one container to another.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
6 Metal ladders are not used where contact with 4.0 4.0 100.0%
electrical energy is possible.
7 Fixed ladder landing areas are kept clear. 3.0 3.0 100.0%
8 Sections of cable tray or other materials are not 3.0 3.0 100.0%
used as ladders.
B SCAFFOLDS
1 Provided with required access and egress. 3.0 3.0 100.0%
Has a standard guard rail (106 cm top rail, 53
2 cm midrail, and 10cm toe board) whenever 3.0 3.0 100.0%
possible.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
9 Outriggers are provided and used or the scaffold 3.0 3.0 100.0%
is secured to the structure when the height
exceeds 4 times the minimum base dimension.
10 An approved base is provided. 3.0 2.5 83.3%
11 Scaffold boards are secured. 3.0 3.0 100.0%
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
B All exposed rebar ends protected from exposure, 3.0 3.0 100.0%
both vertical and horizontal.
E Precast and lift slab operations are performed in 3.0 3.0 100.0%
accordance with respective standards.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
18 DEMOLITION
A All operations are planned ahead. 3.0 0.0 0.0%
B Required access and egress provided. 3.0 0.0 0.0%
D Any and all asbestos containing material was 3.0 0.0 0.0%
removed prior to demolition.
Structural member removal is conducted in an
E 3.0 0.0 0.0%
approved manner.
F Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
BLASTING - USE OF
19
EXPLOSIVES
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
HIGH-PRESSURE WATER
20
CLEANING
Operators are wearing rain suits, gloves, face
A shields, hard hats, safety glasses with side n/a 0.0 #VALUE!
shields, rubber steel toe boots or metatarsal
guards.
C Operators are not allowing any part of their body n/a 0.0 #VALUE!
to be placed in front of the water jet.
D Operators are not handling hose within one foot n/a 0.0 #VALUE!
of hose-to-hose connections.
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
HIGH-PRESSURE WATER
20
CLEANING (cont'd)
Records of high-pressure water cleaning
J n/a 0.0 #VALUE!
equipment inspection are on file.
L Shotguns have a 2 meter (6 FT.) shroud and are n/a 0.0 #VALUE!
a minimum of 165 cm (66 in.) in length.
M Safety equipment has not been altered or by- n/a 0.0 #VALUE!
passed.
N Other 0.0 0.0
SCORE PENALTY
* **
MAXIMUM % REPEATED IMMINENT
POSSIBLE
ASSESSED
0 - 100 DEFICIENCIES DANGER
ASSESSORS COMMENTS
(X) (X)
21 CONFINED SPACES
A confined space entry procedure, which meets
A 2.0 2.0 100.0%
requirements, is in place .
B Lighting and electrical tools used inside confined 3.0 3.0 100.0%
spaces are 12 volt or GFCI protected.