A-Core Flat Saw - Jobsite Audit

• Branch / Division:

  Select

• Audit Title:

• Conducted on:

  Date

• Prepared by:

• Client / Site:

• Location:
  Address

• Job details:

• Audit Number:

• A-Core Personnel on job

Service Truck

• Operator completed and documented a Pre-Trip Inspection of the truck

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Service Truck is kept in clean & orderly to A-Core Standards

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Service Truck has all required DOT items (Fire Extinguisher, Triangles, First Aid Kit, Strobe Lights, etc.)

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• SDS Binder is located in the truck

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator has completed a JHA, and communicated all hazards with other A-Core staff on site

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Required Posters/Signs posted and legible

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Measures are in place to protect the public or other trades from hazards created by A-Core

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator communicated with others in the area that could be exposed to hazards created by A-Core

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• If needed, a SWWP was developed prior to work starting

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Project has sufficient lighting to work and move around safely

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

Housekeeping

• Work area is kept clean and clear of material and or debris

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Slurry being created is vacuumed, funneled, and disposed of legally

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Hard Hats worn by all A-Core personnel on job

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Eye & Face protection worn as required

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Hearing Protection worn as required

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Safety Toed foot protection worn

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• High Visibility shirt or vest being worn

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Hand Protection worn as required

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Respiratory Protection worn as required

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

Fall Protection

• Job task requires elevated work above 6' from work surface or working near a leading edge

  Yes

  No

  N/A

• Operator have proper PPE required for fall protection

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• A Fall Rescue Plan has been documented and communicated

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Fall protection PPE has been inspected prior to use

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Tie off point able to withstand 5000 lbs. per person

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator has a way to prevent tools and equipment from falling

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

Excavation, Trenching, and Shoring

• Operator is working in an open excavation

  Yes

  No

  N/A

• Excavation is properly shored or sloped as per OSHA Regulations

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Spoils, materials, and equipment set back a minimum of 2' from the edge of excavation

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Egress is available in trenches 4' deep or more and 25' laterally from workers

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Workers are protected from loose rock or soil

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Trench boxes & Shoring have they been inspected and have proper pinning/bracing

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Excavation is shored, sloped, or benched properly according to the soil type

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator is following the Table 1 chart

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Integrated Water Delivery System is being utilized to eliminate silica dust exposure

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Dust mask or respirators being used properly if needed

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• All tools and power cords been tested and color coded as per A-Core's Assured Grounding Program

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Ground fault circuit interrupters provided on all temporary electrical circuits

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• All extension cords have 3-prong plugs and all 3 prongs are intact

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• All electrical cords are in good working condition (no splices, frays, or the ground prong being removed, cord ends tight)

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator is using the right tool for the job

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Hand tools maintained and in safe working condition

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Rotor Hammer Drills maintained in safe condition

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Dustless attachment being utilized on Hammer Drill

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Hammer Drill Bit being used is the correct diameter for anchor size

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Hammer Drill Bit has legal side clearance for safe anchor setting

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator Utilizing Diesel or Gas Powered Flat Saw

  Yes

  No

  N/A

• Flat Saw is maintained in a safe operating position

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Flat Saw has been inspected prior to use (Greased, check oil levels, etc.)

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Saw is being Operated in a well ventilated area without risk of carbon monoxide poisoning

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• All guards are in place to prevent injury

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• All oil levels have been checked and are at required levels

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator utilizing 480V powered Flat Saw.

  Yes

  No

  N/A

• Flat Saw has been maintained in a safe operating position

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Flat Saw has been inspected prior to use (Greased, electrical components, raise and lower switch, etc.)

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• All guards are in place to prevent injury

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Saw is in safe operating condition

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Integrated Water Delivery System is working properly

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• LOTO observed when changing/removing blade(s)

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Proper blade RPM used for blade diameter per manufacturers recommendations

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator is not wearing loose fitted clothing

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator is deemed competent for task(s)

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Sawing Location does require Traffic Control

  Yes

  No

  N/A

• Proper signs placed on road to alert drivers of construction work ahead

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• The cones or barrels are set up to prevent drivers from entering work zone

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator has the A-Core truck positioned to help protect himself and others

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Sawing location possess risk of utility strike

  Yes

  No

  N/A

• Utility locates have been called in prior to Saw Cutting Operations

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Operator asked customer if we could potentially strike any utility

  Select Safe / Compliant Level 1 Failure - Must be corrected ASAP Level 2 Failure - Must be corrected within 2 weeks Level 3 Failure - Must be corrected Immediately N/A

  • Safe / Compliant
  • Level 1 Failure - Must be corrected ASAP
  • Level 2 Failure - Must be corrected within 2 weeks
  • Level 3 Failure - Must be corrected Immediately
  • N/A

• Sawing location was GPR Scanned prior

  Yes

  No

  N/A

• Customer signed field ticket prior to sawing operations

  Yes

  No

  N/A