A-Core Wall Saw - Jobsite Audit

• Branch / Location:

  Select

• Audit Title:

• Conducted on:

  Date

• Prepared by:

• Customer / Jobsite Name:
  Address
• Location:
  Address

• Audit Number:

• List of A-Core Personnel on site?

Service Truck

• Pre-Trip Inspection has been completed and documented

  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 clean and orderly

  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 Safety items per DOT Regulations (Fire Extinguisher, Triangles, First Aid Kit, 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 truck or on project

  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

General Work Environment

• 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 has 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 has been 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

PPE

• 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

• Respirator or dust mask used as per Table 1

  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

• Is Operator 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, or equipment are 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

• Trench has legal means of egress? 25' lateral feet from work area

  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

• If trench boxes or shoring are used, they have 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 protected 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

Fall Protection

• Does job task require elevated work above 6' from working surface or near a leading edge?

  Yes

  No

  N/A

• Operator is utilizing safe means to access work elevation

  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 tool or equipment being used to gain elevation 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

• Operator is using proper 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

• The Harness and Lanyard 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

• Operator has a documented "Fall Rescue Plan"

  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 Tie Off point is able to hold a minimum of 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

Jobsite Housekeeping

• Work area is kept clean and clear of material 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

• Cords & Hoses are strung or routed to prevent trip and fall hazards

  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

• Cords are strung or routed to prevent being cut, sliced, crushed, or damaged

  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

Electrical

• Tools and power cords have been tested and are color coded as per A-Core 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 inspected and in good working condition. No splices, frays, ground prong missing, cord ends are 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

Hand & Power Tool Safety

• 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

• All hand tools are maintained in safe working condition. Hammer, chisel, anchor setter, 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

• Rotor Hammer Drills are maintained 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

• The 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

• The Hammer Drill Bit being used, is the right 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

• The 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

Wall Saw

• Wall Saw is maintained 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

• Proper blade diameter and blade RPM being used for depth of cut

  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

• Blade Guard is 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

• 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 Anchoring is used for Wall Saw track feet

  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 tasks

  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 a 480V Powered Wall Saw

  Yes

  No

  N/A

• 480V Powered Wall Saw and Power Pack have been inspected and follow 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

• Wall Saw Remote is in proper 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

• Cords and Leads are strung so to not be cut or damaged in anyway

  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 a Hydraulic Powered Wall Saw

  Yes

  No

  N/A

• Hydraulic Wall Saw been inspected (Hoses, Fittings, 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

• Operator has kill switch or Deadman near Sawing 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

• GPM is set to Manufactures 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 utilizing a Hand Saw

  Yes

  No

  N/A

• Saw 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

• Correct Power Source is used to power the saw (GPM, Electricity, Mixed Gasoline)

  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 is being used on saw

  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 deemed competent with a Hand Saw.

  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 utilizing a Ring Saw

  Yes

  No

  N/A

• Saw 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

• Saw has been properly maintained (Greased, rollers are adjusted and within spec, 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 guarding is in place & proper 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

• Correct Power Source is used to power the saw (GPM, Electricity, Mixed Gasoline)

  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 deemed competent with a Ring Saw

  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 utilizing a Chain Saw

  Yes

  No

  N/A

• Saw 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

• Saw has been properly maintained and is 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

• Bar and Chain 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

• Correct Power Source is used to power the saw (GPM, Electricity, Mixed Gasoline)

  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 with a Chain Saw

  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

Silica Dust Control

• Operator following Table 1 chart for Silica Dust Controls

  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 being used and providing adequate water supply to the blade

  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 Sawing all day in enclosed area with no circulation, Operator is wearing a dust mask or Respirator

  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

• Controls are in place to prevent others from being exposed to Silica Dust

  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

Traffic Control

• Proper signs placed on road to alert drivers of construction danger 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

• Truck is placed in a way to help protect worker(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