DROPPED OBJECT PREVENTION ASSESSMENT
Project Name: Assessment Date:
EPC Contractor Assessed: Site: Assessor's Name:
NOTE: Routine = As defined by the contractor's safety program or the ExxonMobil definition of "Standard" lift as detailed in the Minimum Safety Requirements for Executing Major Projects.. Equipment = All lifting devices (cranes, cherry pickers, etc.) & lifting apparatus (spreader bars, slings, straps, hooks, etc.)
TABLE TOP ASSESSMENT & FIELD VALIDATION FINDINGS
Plans to Implement ·
Improvement
Implemented
POTENTIAL CONTROLS LESSONS LEARNED or Other Controls Tools and Material Management ASSESSMENT FINDINGS / ACTIONS / PLANS
No Plans to
Implement
Tools and Material Management
Plans for
Indicate the Controls that are used to manage tools and Valuable lessons learned or other controls used to date on Are risks considered from potential for dropped tools and other objects?
material dropped objects your Project Management of materials is considered and plans are in place to mitigate risks.
Use of non slip grips and grip tape on tools
All loose materials tied off or secured at heights (ie. Sections of grating pipe an and
structural cutoffs etc…) Materials management
Materials management is considered in pre-task
Planning & is considered in pre-task planning (e.g. JSA) &
All loose materials tied off or secured at heights (ie. Sections of grating pipe an and documentation of planning (e.g. JSA) & management is
structural cutoffs etc…) materials management management is discussed in team
hazards is not performed discussed in team briefing/TBTs; Controls
briefing/Toolbox Talks adopted to manage
dropped objects
Use of tool lanyards
Dropping or throwing anything from an elevation is prohibited and specifically
communicated to workers
Plans to Implement
1 2 3 4 5 N/A SCORE
Improvement
Implemented
POTENTIAL CONTROLS No Plans to LESSONS LEARNED or Other Controls Lifting and Rigging ASSESSMENT FINDINGS / ACTIONS / PLANS
Implement
· Plans for
Valuable lessons learned or other controls used to date on Is a lift plan process utilized to identify & mitigate risks when conducting routine
Indicate the Controls that are used during Lifting activities lifting operations? Lift plan includes clear definition of roles and responsibilities
your Project
for all personnel involved in planning and executing mechanized lifting operations.
Lifting and Rigging
A lift plan process is utilized to identify & mitigate risks when conducting routine
lifting operations
A PIC is designated who reviews lift plan & risk assessment, assigns clear
responsibilities, & ensures controls are implemented Lifting operations are
Lifting operations are
categorized based on
performed without any Routine lifting operations
complexity & risk level;
All persons involved in planning/performing lifting & maintaining lifting equipment consideration of the utilize a documented lift
Routine lifts are
trained & competent for their role complexity or level of
performed without any
plan; A PIC is designated
risk; No PIC is who reviews lift plan &
formal planning ; No PIC
Lifting equipment requirements been established for design, certification, storage, designated; No risk assessment, assigns
is designated;
responsibilities are clear responsibilities, &
maintenance, & inspection criteria in accordance with applicable standards & assigned; No barriers are
Responsibilities are
ensures controls are
industry accepted codes of practice inferred; Barriers & other
utilized to control the implemented
controls are utilized to
area
establish exclusion zone
Lifting equipment integrity visually examined before each use, verified by a
competent person at least every 12 months
The load integrity & stability is verified before each lift ensuring the load shall not
exceed dynamic and/or static capacities of lifting equipment
1 2 3 4 5 N/A SCORE
Plans to Implement
Improvement
Implemented
POTENTIAL CONTROLS LESSONS LEARNED Barricades ASSESSMENT FINDINGS / ACTIONS / PLANS
No Plans to
Implement
· Plans for
Indicate the Barricade Controls that are used to ensure the Valuable lessons learned or other controls used to date on Are barricades adequately planned, designed, constructed, and monitored/verified
safe execution of work your Project with worker communication in place?
Working underneath, where other works are in progress at heights is prohibited, in
principle
Barricades
The areas below and around overhead works are always oped off to restrict
unauthorized entry
Warning signs on barricades are displayed at prominent locations along the Risk-specific barricade
Workers generally
barricading Barricades occasionally adhere to barricades and
tapes are used;
barricades are
found incomplete and in signage; Signage is
monitored; pedestrian
the state of repair specific with information
Guardrails and caution signs are displayed during working at heights along all access specifically
on purpose for barricade
barriers controlled and monitored
Barricaded areas are patrolled regularly to ensure no unauthorised access
Use of various barricade tapes (e.g. yellow/black exclusion tape) are used to
differenciate various risk levels for dropped objects
1 2 3 4 5 N/A SCORE
# Sensitivity : This Document is Classified as "LNT Internal Use". Page 1 of 2
DROPPED OBJECT PREVENTION ASSESSMENT
Project Name: Assessment Date:
EPC Contractor Assessed: Site: Assessor's Name:
NOTE: Routine = As defined by the contractor's safety program or the ExxonMobil definition of "Standard" lift as detailed in the Minimum Safety Requirements for Executing Major Projects.. Equipment = All lifting devices (cranes, cherry pickers, etc.) & lifting apparatus (spreader bars, slings, straps, hooks, etc.)
TABLE TOP ASSESSMENT & FIELD VALIDATION FINDINGS
Plans to Implement ·
POTENTIAL CONTROLS LESSONS LEARNED Housekeeping ASSESSMENT FINDINGS / ACTIONS / PLANS
Improvement
Implemented
No Plans to
Implement
Plans for
Are housekeeping programs utilized to eliminate various types of incidents and
Indicate the Barricade Controls that proved critical to the safe Valuable lessons learned or other controls used to date on
exposure to dropped objects? . Effective housekeeping programs 1) establish
execution of work your Project
roles and responsibilities, 2) provide hardware, equipment, and personnel to make
Housekeeping
it convenient to be tidy, and 3) utilize systematic monitoring processes in order to
Platforms and walkways at elevated locations are kept clear of any obstacles,
materials, tools, etc., which might fall and injure personnel below maintain high standards of housekeeping.
Any debris and waste is removed daily from elevated locations Iindividuals perform Line management
housekeeping in their regularly communicates
individual WORK areas and frequently reinforces
No established as needed throughout expectations for
Management walkthroughs include visits to elevated locations housekeeping their shift, but at housekeeping; Safety
requirements minimum at the end of Walkthroughs AT
each shift; Supervisors HEIGHTS are used to
verify work area systematically monitor
Supervisors visit elevated work platforms daily ro monitor housekeeping and other
compliance housekeeping
compliance
Housekeeping standdowns are utilized to reinforce line management expectations Plans to Implement · 1 2 3 4 5 N/A SCORE
Improvement
Implemented
POTENTIAL CONTROLS No Plans to LESSONS LEARNED Elevated Work Platform ASSESSMENT FINDINGS / ACTIONS / PLANS
Implement
Plans for
Indicate the Platform Controls that proved critical to the safe Valuable lessons learned or other controls used to date on Personnel have exposure to dropped objects when working on or near scaffolding,
execution of work your Project ladders, or elevated work platforms. Worker exposure to the hazards associated
Elevated Work Platforms
with working at heights are minimized. When it is not practical to eliminate the
No open spaces are allowed on platforms to prevent the roll and fall of materials, exposure, sufficient safeguards shall be put in place to mitigate the risk.
tools and objects (e.g. complete toe board coverage)
Safety Nets utilized to prevent dropped object from harming people or equipment
Robust inspection,
No established Basic implementation of
When work occurs during night or in a dark location, working platforms and access inspection, maintenance, minimal inspection,
maintenance, & platform
ways are provided with adequate lighting standards are
& standards maintenance, & platform
implemented; Safety
implemented standards
nets used
During erecting of unstable steel structures, or before the structures become stable
using proper permanent framing/ fittings, false work such as guy wires or stays or
temporary supports are provided to prevent their collapse, tilt, and instability
Platforms are inspected regularly to ensure no gaps in scaffold boaeds exist
Personnel above 2 meters wearing full body harness and tied off 100% as required 1 2 3 4 5 N/A SCORE
Plans to Implement ·
Worker Communication/Behaviors
Improvement
Implemented
POTENTIAL CONTROLS LESSONS LEARNED Worker Communicaiton and Behavior ASSESSMENT FINDINGS / ACTIONS / PLANS
No Plans to
Implement
Plans for
Indicate the Platform Controls that proved critical to the safe Valuable lessons learned or other controls used to date on Are workers and supervisors given the necessary training and reinforcement
execution of work your Project needed to understand risks of dropped objects and associated mitigations?
Specific Dropped Object training for workers exists
Specific Dropped Object training for Supervisors exists
Awareness for dropped Dropped Object potential
objects exists but is assessed before
No consideration for
Videos and Demonstrations are used to communicate Dropped Object risks and workers not likely to activity; Workers and
dropped object risks
behaviors understand use of Supervisors understand
during pre-task planning
mitigations and the risks and prevention
prevention tools
Dropped Object specific Banners and Posters are present onsite
JSAs and other Pre-Task Planning specificall discusses dropped Objects 1 2 3 4 5 N/A SCORE
AVERAGE SCORE #DIV/0!
# Sensitivity : This Document is Classified as "LNT Internal Use". Page 2 of 2
