63108ALLC General Project Set-Up rev. 0115

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Saftey Observations

• Tool box talk had been conducted (weekly) INSERT topic in coments

  Yes

  No

  N/A

• Adequate supply of clean water and soap for washing (waterless soap is adequate)

  Yes

  No

  N/A

• Eyewash station, botles, or other designated source is on-site and readily availble.

  Yes

  No

  N/A

• One Person CPR/First Aid trained is on site at ALL times?<br>

  Yes

  No

  N/A

• Emergency numbers are posted and crew members have the means to summon help in case of emergency. Refer to CSE permit.

  Yes

  No

  N/A

• Is housekeeping (truck and site) neat and in order?

  Yes

  No

  N/A

• Are equipment and tools neat and organized?

  Yes

  No

  N/A

• Crew completed daily checklist?<br>

  Yes

  No

  N/A

PPE and Personnel Hazards

• The minimal PPE required is being worn by all (steel-toed boots, reflective vest, safety glasses, 3" sleeved T-shirt, jeans, hard hat)

  Yes

  No

  N/A

• Employees are NOT wearing inappropriate items such as shorts, baggy shirts, loose jewelry. Additionally, long hair is pulled back and kept out of the way.

  Yes

  No

  N/A

• Dust Mask are used where required (Especially Lining Crews)

  Yes

  No

  N/A

• If a respirator is being used in the appropriate environment. It is only being worn by employees that have been fit tested and are clean shaven.

  Yes

  No

  N/A

• Are Subcontractor(s) adhering to ABNA's safety policy?

  Yes

  No

  N/A

• Are the proper tool(s) being utilized for the task?

  Yes

  No

  N/A

• All tools are in good working condition with guards in place?

  Yes

  No

  N/A

• Tools are being lowered by means of rope and not by a power cord or other unsafe means?

  Yes

  No

  N/A

Confined Space Entry

• Appropriate work permits are posted and in use at manhole or trench?

  Yes

  No

  N/A

• Qualified attendant is present during entry?

  Yes

  No

  N/A

• Entrants are wearing body harness and attached to fall restraint device (tripod)?

  Yes

  No

  N/A

• Serviceable tripod is available for use?

  Yes

  No

  N/A

• Gas meters on site have been calibrated on 60 day cycles. Additionally meters have calibration stickers on front.

  Yes

  No

  N/A

• Two (2) reliable forms of communication are being used and are available?

  Yes

  No

  N/A

• Plugging is installed, secured, and monitored with working pressure gauge?

  Yes

  No

  N/A

• Open manholes or trenches are protected (barricades, signs, cones, etc.)?

  Yes

  No

  N/A

• Smoking is prohibited on ABNA property and job sites. There is no smoking on site or in ABNA vehicles?

  Yes

  No

  N/A

Hazards Communication, Chemical and Fuel Safety

• Safety Data Sheets are readily available for all chemicals/cleaners on site?

  Yes

  No

  N/A

• Chemicals are stored in approved containers and are properly labeled?

  Yes

  No

  N/A

• Employees are aware of applicable chemical/physical/exposure hazards, and protective means?

  Yes

  No

  N/A

• Gasoline, Fuel and other flammable chemicals are in automatic closure containers with flame arrestor?

  Yes

  No

  N/A