OPENING/BARRICADE REMOVAL CHECKLIST
Floor Opening/Barricade Removal Checklist

Location – See Layout Plan       

Date       

Supervisor In-Charge       

Company (Autofill by Company Name)

Reason for removal       

Checklist –

Fall Prevention Measures

Supervisor should be assigned to a numbered & proper floor opening cover (According to EHS Guidelines)When you remove the covering &/or go outside the barricade you assume responsibility for your works, and the resultant safety of all others.

1. Fall prevention measures properly done to protect workers working at the opening ?

2. If barricades/covers are removed are there anchorage points for fall restraint purposes? Are these PE endorsed? Are barricades relocated for the protection of others accidently walking to the opening?

3. Supervisor checked and ensure no incompatible works are being done?

4. No Entry Signs pasted prominently?

5. Supervisors full time supervision required?

6. Is the area below Barricaded to prevent personnel hit by falling objects?

7. Work area is safe & workers briefed

Acknowledgment and Verifications – I have checked and ensured that the work area is safe for removal, all fall prevention & falling object protection measures are in place. (Ownership handed over to Contractor)

Contractor Supervisor       

Signature       

Remark