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    Grating Decking and Floor Removal Form

    Uploaded by

    Mohamed Abd Elhaleem
    This document provides a form and checklist for safely removing grating, decking, floors, or handrails. The form requires listing the job details, conducting safety reviews like reviewing job safety analyses and ensuring fall protection and barricades are in place. An observer must sign off before work starts. Upon completion, an inspection is done to ensure the work area was left in a safe condition. The checklist provides questions to inspect the condition of gratings and ensure they are properly supported, secured with clips, and welded in multiple places. Areas failing inspection must be barricaded and repairs requested.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Grating Decking and Floor Removal Form

    Uploaded by

    Mohamed Abd Elhaleem
    179 views2 pages
    This document provides a form and checklist for safely removing grating, decking, floors, or handrails. The form requires listing the job details, conducting safety reviews like reviewing job safety analyses and ensuring fall protection and barricades are in place. An observer must sign off before work starts. Upon completion, an inspection is done to ensure the work area was left in a safe condition. The checklist provides questions to inspect the condition of gratings and ensure they are properly supported, secured with clips, and welded in multiple places. Areas failing inspection must be barricaded and repairs requested.

    Original Description:

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    This document provides a form and checklist for safely removing grating, decking, floors, or handrails. The form requires listing the job details, conducting safety reviews like reviewing job safety analyses and ensuring fall protection and barricades are in place. An observer must sign off before work starts. Upon completion, an inspection is done to ensure the work area was left in a safe condition. The checklist provides questions to inspect the condition of gratings and ensure they are properly supported, secured with clips, and welded in multiple places. Areas failing inspection must be barricaded and repairs requested.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    179 views2 pages

    Grating Decking and Floor Removal Form

    Uploaded by

    Mohamed Abd Elhaleem
    This document provides a form and checklist for safely removing grating, decking, floors, or handrails. The form requires listing the job details, conducting safety reviews like reviewing job safety analyses and ensuring fall protection and barricades are in place. An observer must sign off before work starts. Upon completion, an inspection is done to ensure the work area was left in a safe condition. The checklist provides questions to inspect the condition of gratings and ensure they are properly supported, secured with clips, and welded in multiple places. Areas failing inspection must be barricaded and repairs requested.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PPE-7 Fall Protection / Ladder Doc. No. PPE-07 Att B Rev. No.

    1 Page 1 of 2

    SAFE WORK PERMIT # ___________

    ATTACHMENT B
    GRATING / DECKING / FLOOR / HANDRAIL REMOVAL FORM
    DISPLAY THIS FORM WITH THE HARD COPY OF THE SAFE WORK PERMIT AT THE JOBSITE.
    ATTACH THE FORM TO THE BACK OF THE PERMIT AT THE JOB’S END.
    Date: Starting Time: _______a.m._______ p.m.

    Company: Date : From _______ To _______

    Location:

    Nature of Work:

    Observer (Name):
    Process Review – Consider Tool Drop Protection, Weather Conditions, Emergency Evacuation,
    etc. when completing Safety reviews.
    JSA Completed and Signed by Supervisor Barricades In Place

    Hazard Signs Posted (Appendix F or G) Personal Fall Arrest System

    Area Inspected Cover

    Attendant Assigned Cover Anchored Down

    Additional Hazards or Safeguards


    The penetration / hole must be covered or fixed handrails installed at all times.
    The penetration / hole cover must be anchored / secured and have a sign in place at all times
    “DANGER FLOOR OPENING 100% TIE-OFF REQUIRED” or “DANGER HOLE – DO NOT REMOVE COVER”
    Name Signature Date
    Initiator

    Project Coordinator / Supervisor

    Owning Department Supervisor

    HESS Representative
    Handing Back a Safe Work Area – TO BE COMPLETED IN A POST JOINT JOBSITE VISIT (PJJSV)
    Grating and Platform Survey Checklist Completed by Servicing Group?
    Yes No
    (See back)

    *Grating and Platform Survey Checklist shall be completed during Post Joint Jobsite Visit for Grating and Platform removals.
    *Handrail removal does not require Grating and Platform Survey Checklist to be completed.

    Area Inspected – Completed by PJJSV Yes No

    Owning Department
    Supervisor (Print Name):

    Signature:

    Date:

    Time:

    RSW-FORM-000001-GB.docx
    Attention: Printed copies should be used with caution. The user of this document must ensure the current approved version of the
    document is being used. This copy was printed on 3/11/2019 3:10:25 PM.
    PPE-7 Fall Protection / Ladder Doc. No. PPE-07 Att B Rev. No. 1 Page 2 of 2

    Grating and Platform Survey Checklist


    Area: Date:
    Unit:
    Completed Comments:
    by (Name):
    Checklist Inspection Guidance
    The load bearing edges are generally the long ends of the grating where the bearing ends of the bearing bars sit on the support steel or concrete.
    Check for signs of excessive corrosion and physical damage to the grating, supports and grating clips
    Grating - General Conditions Yes No Corrective Actions

    1 Is the grating missing? If yes, hard barricade area immediately, notify supervisor and enter
    a Safety Work Order if the hazard cannot be fixed immediately
    Is the grating bent, bowed, not level, or flexes
    2 If yes, hard barricade area immediately, notify supervisor and enter
    (greater than 1/4") when walked on?
    a Safety Work Order if the hazard cannot be fixed immediately
    Is the grating supported on load bearing edges with
    3 If no, hard barricade area immediately, notify supervisor and enter
    at least 1" of overlap onto the supports?
    a Safety Work Order if the hazard cannot be fixed immediately
    Is the grating installed with the serrated-surface
    4 If no, hard barricade area immediately, notify supervisor and enter
    facing up?
    a Safety Work Order if the hazard cannot be fixed immediately
    For penetrations in the grating is a toe-board
    5 If no, hard barricade area immediately, notify supervisor and enter
    installed?
    a Safety Work Order if the hazard cannot be fixed immediately
    Is grating and support system corroded to a point
    6 If yes, hard barricade area immediately, notify supervisor and enter
    where the integrity of the grating is compromised?
    a Safety Work Order if the hazard cannot be fixed immediately
    Is the grating size and/or configuration such that the
    7 If no, hard barricade area immediately, notify supervisor and enter
    grating will not fall between the supports?
    a Safety Work Order if the hazard cannot be fixed immediately
    Grating - Secured Down with Clips Yes No Corrective Actions
    Are at least 2 "tie down" clips installed on each
    8 If no, hard barricade area immediately, notify supervisor and enter
    support (e.g. 6-8 clips per grating section)?
    a Safety Work Order if the hazard cannot be fixed immediately

    9 Are grating clips tightened and secured in place? If no, hard barricade area immediately, notify supervisor and enter
    a Safety Work Order if the hazard cannot be fixed immediately
    Grating - Welded in Place Yes No Corrective Actions

    Is the grating welded at a minimum of two places


    10 If no, hard barricade area immediately, notify supervisor and enter
    per support?
    a Safety Work Order if the hazard cannot be fixed immediately

    RSW-FORM-000001-GB.docx
    Attention: Printed copies should be used with caution. The user of this document must ensure the current approved version of the
    document is being used. This copy was printed on 3/11/2019 3:10:25 PM.

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