Nutrien TT Microsoft Forms Platform
Does the worker do a check of equipment or systems prior to hand over, acceptance, startup or change in process conditions so as not to put themselves and others at risk? Are there set procedures to be followed by worker before commencing task? Does the worker have appropriate permits for job? Is the permit correctly filled out? Does worker inspect equipment and area before and after job?
Examples:
Does the worker lock, tag, and try source of energy prior to performing task on equipment? Are keys placed in the lockout box and locked out by all relevant departments? Have all persons working on the equipment signed the LTT log book? Is the source of electrical energy isolated and locked out when working on electrical equipment? Is the source of pressurized fluids isolated, locked out and lines de-pressured prior to line opening? Are mechanical sources such as springs blocked and locked before working in the area? Has the equipment been isolated from the main energy source?
Does the worker ensure that a “Bump” test was conducted and recorded on the permit? Are the gas tests conducted within the mandatory testing period as stated on the permit? Did the gas tester sign the permit and the serial number of the gas test meter recorded on the permit? Does the worker ensure that a gas test was conducted on the nearby drains, sewers, pits, valve stems, seals or glands within the 50 feet radius? Is there any combustible material located within 50 feet of the job? Are there any combustible materials located beyond 50 feet, but within sufficient range to become ignited by sparks? Is it possible for sparks generated from any job conducted at a height that can fall onto equipment? Is there a designated fire watch, with a certified and inspected fire extinguisher and running water on site? Does the designated fire watch know that he/she has to remain a minimum of 30 minutes after the job is completed to monitor for any smoldering embers or fire?
Is the vessel/confined space completely isolated from all sources of motive power and blinded? Is the vessel thoroughly purged and free from sludge and other deposits? Is the vessel free from sources of flammable or toxic materials? Does it have adequate means of entry/exit? Does the vessel have adequate ventilation, and if so, is it cooled down to working temperature? Is an explosive meter test done and recorded on the permit (0% LEL) by the gas tester? Is an oxygen test done and recorded on the permit (more than 20%) by the gas tester? Is there a competent safety observer/hole-watch located at the entry point of the confined space? Does the permit have all the required signatures including that for an inert entry? Does the worker/safety observer have the right safety equipment for the entry? Are all the names of the persons entering the vessel clearly displayed with the permit? Has a rescue plan been done to safely/effectively rescue the worker in an emergency situation?
Are the underground drawings used to determine the location of piping and cables? Is the excavation site properly shored up to prevent cave-in? Is the site checked after rain to ensure that the shoring is still intact? Is a Confined Space Permit done prior to entering excavation to do work? Is a specific rescue plan in place before workers enter the excavation site?
Has a critical lift plan been done so as to minimize the potential of crane failure and/or catastrophic loss? Is the lift plan available to all personnel involved in the lift? Does this lift plan include the following: (lift height, size and weight of load, rigging plan, inspection procedures, communication methods, persons involved, etc.)? Has the crane operator been tested for controlled substances before the lift? Is the lift area properly barricaded with signage so as to alert everyone? Has an evaluation of all the hazards associated with the lift been done? Are all the required signatures on the lift plan?
Is the Arc Flash P.P.E. worn in good condition? Is the Arc Flash P.P.E used rated for the task on hand as per WARNING label? Is additional Arc Flash PPE readily available to meet the WARNING label CLASS? Does the worker have the correct permit for task (Energized or De-energized Electrical)? Has the equipment been verified to be in a de-energized condition and safe for maintenance work? Has the correct electrical equipment device been identified? Does the worker have the correct voltage rated tools and is it calibrated within the specified time?
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Is the appropriate Fall Protection being utilized for the task being performed? Is it in good condition? When wearing safety harness does the worker hook lanyard to secure anchorage point? When working on elevations where there is no place to tie off does the worker use portable system to facilitate tie off? Are permanent platforms equipped with guardrails?
Is the worker using the right type of tool and is it being used according to manufacturer’s design and intent? Is it the right size? Is the tool being used correctly? Is the tool being used in good condition? Is the tool inspected and certified?
Does the tool, equipment or machinery and its components not perform consistently according to specifications or expectations? Does the tool, equipment or machinery create a hazard due to its failure?
Is the worker positioned so that if something gives way, releases, sprays or falls, no contact will be made? Does the worker place all parts of body so that he/she will not be pinned, crushed, struck, sprayed or trapped by energy releases of any kind?
Does the worker inspect load prior to lifting? Does the worker seek assistance when lifting bulky or heavy loads? Does the worker use legs and keep back straight while lifting? Does the worker bend at the knees? Is lifting and bending done in a smooth motion without twisting at the waist?
Is the worker using available supports when ascending/descending? Does the worker walk up and down stairs one step at a time using handrails? When ascending/descending steep stairs and ladders does the worker face stairs/ladder and maintain three-point contact?
Does the worker keep his eyes on his task and path? Does worker have a clear view of task and path? Does the worker ignore distractions while doing task? Does worker look in direction of travel? Is the worker vision unobstructed when in motion?
Are hands and feet kept away from clearances where they could become caught? Does the worker avoid putting himself in a position of being pinched or crushed between two or more objects?
Are floors, stairs, platforms, grating, scaffolding and ladders firm, stable, level and steady?
Is the surface free of slip hazards such as moss and oil? Is the walkway free of trip hazards such as hoses, tubing, electrical cords and debris? Is the area free of clutter?
Are bolts and nuts placed in bins so that they do not create tripping or falling hazards? Are oily rags and insulation placed in bins designated for them?
Is the worker using the correct method of communication? Is the communication relevant, concise, and easy to understand? Does the worker communicate when his actions will affect the safety of others? Are workers involved in a task able to see and/or hear each other?
Are barricades and signs in place to alert personnel? Are barricades in place to prevent entry into hazardous area? Are correct barricades being used?
Does the worker modify and/or adjust work station, area, equipment or tools to help achieve neutral and/or supported wrist, neck, back or legs posture? Does the worker keep upper torso aligned with legs when performing standing tasks? When exposed to ergonomic risks (static or repetitive work, awkward or forceful work) does the worker deliberately break up the stress by changing positions, moving, stopping activity or stretching?
Is the work area lighted such that the objects, equipment and people associated with the task are clearly visible?
Does the worker use appropriate tools when topping up or filling oil in equipment? Does the worker use drum/container to catch contaminants when bleeding or de-pressuring pumps or vessels? Does the worker ensure that equipment in use is not leaking or spilling contaminants unto the ground? Does the worker ensure that drums are properly labeled as to their contents, area of origin and date? Does the worker ensure that paint cans, chemical pails/containers are punctured at their bases prior to disposal?
Does the worker ensure that ammonia being de-pressured is piped to flare? Does the worker ensure that catalyst or insulation that is being removed is properly contained so that loose particles are not blown into the atmosphere? Does the worker ensure that dust from sandblasting operations is properly contained and not released to open atmosphere? Does the worker use diesel equipment with exhaust emission that is free from visible smoke?
Does the worker use absorbing agents to remove spilled formaldehyde or oil before it gets into waterways? Does the worker contain spilled urea granules before washing area? Does the worker ensure that ammonia being drained does not get into waterways?