Critical Control Verification Checklist

Fall of Person Object from Height

Risk- Fall of Person and Object from Height (Work at Height)
Date 17-Apr-23
Fall from height onto a lower level & Strike by objects Area SS8E
falling from height Owner ISGEC
Verifier Name

Critical controls
1- Fixed structure and fall prevention installations meet design specifications & standards
Objective : To ensure that fixed work platforms and fixed ladders are suitable for the task and prevents falls from height
1.1 Fixed walkways and ladders on structures and mobile plants are constructed to meet industry/site
engineering specifications for fall protection and load bearing Yes No ✘ N/A
1.2 Fixed walkways and ladders on structures and mobile plant are inspected and maintained to site engineering
standards Yes No ✘ N/A
1.3 Fixed ladders should be provided with a ladder cage. Alternatively, fall arrest equipment should be used at all
times. Yes No ✘ N/A

1.4 Anchor points are rated for load bearing capacity and certified Yes No ✘ N/A
1.5 Roof construction meets the site engineering standards, including access to roof structures, and are assessed
by a competent person. Yes No ✘ N/A

1.6 Platforms and mezzanines meets site engineering standards and certified by a competent person. Yes No ✘ N/A

Suggested Action (mandatory for all "No") :

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2- Mobile platforms and equipment meets design specifications & standards

Objective : To ensure that mobile work platforms, ladders and scaffolding are suitable for the task and prevents falls from height

2.1 Portable ladders must meet the minimum design requirements ✘ Yes No N/A
2.2 Elevated Work Platforms (EWP) selection should be appropriate for the task (e.g. scissor lift, self-propelled
boom, truck-mounted boom) and should meet the requirement as per engineering/ OEM standards Yes No ✘ N/A

2.3 Erected scaffolding in the field meets the design criteria and sign-off has been confirmed Yes ✘ No N/A
2.4 The field verification activities for mobile platforms & scaffolding are being completed on a routine basis and
that deficiencies found during field verification are immediately addressed. ✘ Yes No N/A

Suggested Action (mandatory for all "No") :

1. Scaffolding design shall be submitted for approval.

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3- Equipment is maintained, inspected, established and used by competent and trained people
Objective : To ensure that mobile and temporary work platforms are safe for use and that all people working at height are trained and
competent in order to prevent falls from height
3.1 People erecting/ dismantling/ inspecting scaffolds are certified & competent. Verify documentation to
confirm training & competence certification. ✘ Yes No N/A

3.2 Daily inspection checklist is completed and the current scaffolding tag is available before use. Yes ✘ No N/A
3.3 Scaffolding is inspected on daily basis and declared safe for use (daily inspection checklist is completed &
current tag is available) ✘ Yes No N/A
3.4 Inspection & tag-out process for portable ladders is in place to ensure that the ladders are safe for use.
Yes No N/A
Inspection checklist are completed and available. Tags are available for damaged/unsafe ladders ✘

3.5 Elevated work platform are operated in line with procedure by competent & certified operators. Training &
competency records for EWP operators are available and are certified Yes No ✘ N/A

3.6 Rope access and abseiling is managed through a permitting process and performed by certified operators.
Records are available for training for operators & inspection & maintenance of rope access equipment. Yes No ✘ N/A

3.7 The field verification activities are being completed on a routine basis and that deficiencies found during field
verification are immediately addressed. ✘ Yes No N/A

Suggested Action (mandatory for all "No") :

1. Daily checklist of scaffolding should be maintained and recorded.

_x000D_ Sensitivity: Public (C4)

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 Critical Control Verification Checklist
Fall ofCritical
Person controls
Object from Height
3

4- Correct fall prevention/ protection equipment is used or installed

Objective : To ensure fall protection is installed near open edges and voids in order to prevent falls from height

4.1 Railing/edge protection/anchor points are installed around work areas on roof ✘ Yes No N/A
4.2 Railing/edge protection/anchor points installed around work area on mezzanine, edge area and all access
stairs Yes ✘ No N/A

4.3 Railing/edge protection/anchor points installed around voids and openings. ✘ Yes No N/A
4.4 Fall arrest/ restraint equipment is used where fall prevention is not provided including full body harness
attached to a an anchor point ✘ Yes No N/A

4.5 Work at height equipment is inspected prior to use including dual lanyard, shock absorber, trauma straps ✘ Yes No N/A
4.6 Employees are prohibited from working alone (with-out a stand by person) while using the fall arrest harness.
A rescue plan is in place and all team members are familiar with the plan ✘ Yes No N/A
4.7 All employees working in elevated platform or suspend basket are wearing fall restraint equipment anchored
Yes No ✘ N/A
in the basket
Suggested Action (mandatory for all "No") :

1. Handrails installed in SS8E found haphazard condition. Midrails and toprails are observed 50 mm away from edge of the staircase.

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5- Access control to restricted areas (hard barricading)

Objective : To ensure access is controlled to restricted or unsafe areas in order to prevent falls from height
5.1 Access to scaffolding is controlled through gating, permitting and signage. Confirm the process to obtain
permission for unauthorized persons/ visitors to access the work area near the scaffolds. Yes No ✘ N/A
5.2 Confirm access to roof areas is locked out including gates and ladders that provide access to the roof.
Confirm the process used to authorize access. Yes No ✘ N/A

5.3 Access is controlled to restricted areas on fixed walkways and ladders on structures using gates and locks Yes No ✘ N/A

5.4 Access is controlled to restricted areas on fixed walkways and ladders on mobile plant using gates and locks Yes No ✘ N/A

5.5 All voids and openings are hard barricaded or access controlled ✘ Yes No N/A

Suggested Action (mandatory for all "No") :

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6- Dropped object management (exclusion zones, lanyards, tool inspection)

Objective : To ensure that preventative measures are in place to avoid objects falling from height
6.1 All hand tools are tethered (secured from falling using appropriate devices). Netting is provided where ever
required ✘ Yes No N/A

6.2 Exclusion zones are deployed when working at height takes place and barricaded to prevent access Yes ✘ No N/A

6.3 All platforms are fitted with kickboards ✘ Yes No N/A

6.4 Simultaneous or concurrent activities are planned so that no work is taking place in the drop zone (exclusion
zone)
✘ Yes No N/A

Suggested Action (mandatory for all "No") :

1. Exclusion zone shall be barricaded to prevent unauthorized entry.

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_x000D_ Sensitivity: Public (C4)

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 Critical Control Verification Checklist
Fall ofCritical
Person controls
Object from Height
Verification Result Summary:

CC No No of Checks No of "GO" No of "NO GO" % Compliance No of Improvement actions

CC-1 6 0 0 #DIV/0!

CC-2 4 2 1 67%

CC-3 7 4 1 80%

CC-4 7 5 1 83%

CC-5 5 1 0 100%

CC-6 4 3 1 75%

_x000D_ Sensitivity: Public (C4)

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