2017 Revised Field Audit

• Date

  Date

• Project Number/Name

• Safety Steward

• Foreman

• Field Superintendent

• General Superintendent

• Project Manager

• Prepared by

• Location
  Address

• Risk Score

Operations

• Operations at time of audit

1. Site, Lay Down Yard, and Storage Areas

• 1.01 Parking area identified and vehicles parked in an orderly fashion

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• 1.02 Lay down areas and storage yards are organized

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  N/A

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• 1.03 Adequate and sanitary restrooms available

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  At Risk

  N/A

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• 1.04 Does wildlife present a risk

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  N/A

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• 1.05 Housekeeping

  Safe

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  N/A

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• 1.06 Adequate containers provided for waste

  Safe

  At Risk

  N/A

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• 1.07 Welding Rod Cans Disposed Of

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  N/A

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• 1.08 Drinking water available

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  N/A

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• 1.09 Trip Hazards

  Safe

  At Risk

  N/A

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• 1.10 Site Security

  Safe

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  N/A

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• 1.11 Tool vans and trailers monitored

  Safe

  At Risk

  N/A

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• 1.12 Safety signs in place

  Safe

  At Risk

  N/A

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• 1.13 SDS - Hazard Communication

  Safe

  At Risk

  N/A

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• 1.14 Materials are in their original containers or if not are stored in properly labelled containers

  Safe

  At Risk

  N/A

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• 1.15 Designated Smoking Signs Posted As Needed

  Safe

  At Risk

  N/A

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• 1.16 Smoking in designated areas only and cigarette butts disposed of properly

  Safe

  At Risk

  N/A

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• 1.17 Open Holes

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  N/A

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• 1.18 Other

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2. General Safety Practices

• 2.01 Quality JSA's completed with all required signatures

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  N/A

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• 2.02 Prejob Safety Meetings conducted

  Safe

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  N/A

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• 2.03 Pre-Task Plans Followed

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• 2.04 Hazards Recognized

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• 2.05 First Aid kits in office/tool trailer with adequate and non-expired contents<br>

  Safe

  At Risk

  N/A

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• 2.06 PSSP / Emergency Response Plan posted

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  At Risk

  N/A

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• 2.07 Adequate phone signal for emergency communication

  Safe

  At Risk

  N/A

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• 2.08 Adequate number and contents of spill kits on site (Including pads and buoys)

  Safe

  At Risk

  N/A

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• 2.09 Stop work authority utilized and Good Catches are being submitted

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  At Risk

  N/A

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• 2.10 Self audits being conducted

  Safe

  At Risk

  N/A

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• 2.11 Pinch Points and Proper Hand Position

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  N/A

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• 2.12 Proper Lifting/Pushing/Pulling/Turning/Reaching Techniques

  Safe

  At Risk

  N/A

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• 2.13 Body Position Hazards (Line of Fire, Overhead Hazards)

  Safe

  At Risk

  N/A

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• 2.14 BES minimum required PPE in use (Hard hat, safety toe boots, safety glasses, gloves)

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  At Risk

  N/A

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• 2.15 Hearing Protection Available

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  At Risk

  N/A

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• 2.16 High visibility traffic safety vests

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  N/A

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• 2.17 Respiratory Protection

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  At Risk

  N/A

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• 2.18 Gas Detectors

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  At Risk

  N/A

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• 2.19 Other

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3. Tool Storage, Power and Hand Tools

• 3.01 Tool storage trailer is organized and walkways are free from trip hazards

  Safe

  At Risk

  N/A

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• 3.02 All cords and hoses not in use are coiled and stored properly

  Safe

  At Risk

  N/A

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• 3.03 All extension cords have been inspected, have not been modified, and are free of cuts or damage

  Safe

  At Risk

  N/A

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• 3.04 Ladders have been inspected, are free of damage or cracks, and meet minimum OSHA weight requirement of 250 pounds (29 CFR 1926.1053)

  Safe

  At Risk

  N/A

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• 3.05 All harnesses and fall protection systems inspected and are in serviceable condition

  Safe

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  N/A

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• 3.06 Power Tools inspected and are in serviceable condition (not modified, factory guards in place, cords in good condition, etc...)

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  N/A

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• 3.07 Hand tools are not modified or show evidence of "cheater bar" use

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  N/A

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• 3.08 Proper tools are available and utilized on the job

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  N/A

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• 3.09 Propane bottles are not stored inside tool trailer/connex

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  N/A

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• 3.10 Other

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4. Hot Work & Fire Protection

• 4.01 Fire extinguishers provided and inspected

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  N/A

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• 4.02 Flammable liquid storage

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  N/A

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• 4.03 Designated welding and cutting areas

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  N/A

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• 4.04 Housekeeping, clutter or combustible materials in Hot Work area<br>

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  N/A

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• 4.05 Hot Work Permit

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  N/A

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• 4.06 Welding / Cutting hoses and cords

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  N/A

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• 4.07 Gauges

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• 4.08 Cylinders

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• 4.09 Acetylene cylinder storage

  Safe

  At Risk

  N/A

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• 4.10 Labeling

  Safe

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  N/A

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• 4.11 Other

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5. Excavation & Trenching

• 5.01 Overhead Power Lines Identified

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• 5.02 Goal Posts In Place as Required

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• 5.03 Current 811 Locate

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• 5.04 Line Crossings on Job

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• 5.05 Proper sloping / trench box

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• 5.06 Proper Access Every 25 Feet

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• 5.07 Spoil piles 2 feet from edge

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• 5.08 Trench Box Manufacturing Data Posted

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• 5.09 Ladders used properly in trenches

  Safe

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• 5.10 Trench box condition

  Safe

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• 5.11 Adequate trench guard / barrier

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• 5.12 Trenching competent person present

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• 5.13 Other

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6. Fall Protection

• 6.01 100% tie-off over 4 feet

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• 6.02 Scaffolding installed and inspected

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• 6.03 Guard Rails

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• 6.04 Harness / Personal fall protection

  Safe

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• 6.05 Other

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7. Equipment: Track-Hoe, Loaders, Forklifts, etc....

Equipment

• Add media

  Media

• Equipment Type

• ID#

• 7.01 Overall Operating Condition

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• 7.02 Daily Equipment Inspection Completed (All deficiencies noted)

  Safe

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• 7.03 Slings, chokers, and safety latches on hooks

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• 7.04 Seatbelts used at all times

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• 7.05 Leaks

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• 7.06 Spotter Present & Alert

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• 7.07 Clutter in cab

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• 7.08 Butter Bar With Rounded Edges (If Required)

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• 7.09 Equipment Properly Secured

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• 7.10 Other

  Safe

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• 7.11 Compressor Hoses Wired & Whip Checks Installed

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• 7.12 Trailer decking

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• 7.13 Lifting/Suspended Loads

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8. Special Operations

• 8.01 Traffic Control

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• 8.02 Confined Space Operations

  Safe

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• 8.03 Crane Operations

  Safe

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• 8.04 Other

  Safe

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• Risk Severity Matrix