BHA Stop the Drop Observation Card

Stop the Drop Observation Card
Name*
First + Last Name
Date*

MonthDayYear
Date
Project Number*
Project Name*
Observer's Company*
Company Observed*
Location on site*
Has a PSI been completed and adequate for the task?*

YesNo
Are materials secured against a fall from heights?*

YesNoN/A
Are tools secured against a fall from heights? Tool retention in place?*

YesNoN/A
If rigging is involved, has it been approved and installed as required?*

YesNoN/A
Are openings/gaps in the area covered and secured?*

YesNoN/A
Have workers coordinated and communicated with workers below them?*

YesNoN/A
Has a control zone been established in the area and maintained?*

YesNoN/A
Are toe boards and debris netting in place where required?*

YesNoN/A
Have loose items been cleared from the edge/ not within the leading-edge control zone?*

YesNoN/A
Is fall protection being used properly where required?*

YesNoN/A
Corrective action required*

No action neededRemove loose items from person/edgeSet up/adjust control zoneReview/adjust leading edge control zoneUpdate/review PSISecure loose materialsEstablish/adjust leading edge control zoneAdjust fall protectionCover holes/openingsPlace toe boards/debris nettingTool retention neededWorkers instructed to stop workOther
Should be Empty: