Ace Tree Enterprises Inc. Crew Safety Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

General Details

• Foreman Name.

• Prime Contractor.

• Utility Company.

• Work Description.

Personal Protective Equipment (PPE)

• Hard Hats.

  Yes

  No

  N/A

• Safety Glasses.

  Yes

  No

  N/A

• Ear Plugs.

  Yes

  No

  N/A

• Work Boots.

  Yes

  No

  N/A

• High Vis Vest/ Shirts.

  Yes

  No

  N/A

• Appropriate Pants.

  Yes

  No

  N/A

• Leg Chaps.

  Yes

  No

  N/A

• Work Gloves

  Yes

  No

  N/A

Job Safety Analysis

• Crew Had Thorough Tailboard Documented.

  Yes

  No

  N/A

• Crew Has Documented Emergency Action Plan.

  Yes

  No

  N/A

• All Crew Members Have Participated And Signed JSA/ EAP.

  Yes

  No

  N/A

• Utility Voltage.

Fire Suppression Tools

• All Tools Are Present And In Good Working Order.

  Compliant

  Non-Compliant

  N/A

Aerial Lift Operations

• Clearly Marked and Enforced Drop Zone, No Hangers.

  Yes

  No

  N/A

• Tool Used Aloft Are Secured.

  Yes

  No

  N/A

• Clear Communication Among All Crew Members.

  Yes

  No

  N/A

• Fall Protection Correctly Worn, Lanyard Attached To Bucket Anchor.

  Yes

  No

  N/A

• Lift Truck Set Up With Outrigger Pads And With Chocks.

  Yes

  No

  N/A

Climbing Operations

• Yes

  No

  N/A

Chipper Operations

• No Ropes Or Loose Clothing, Tear Away Vest Only, No Jewelry.

  Compliant

  Non-Compliant

  N/A

• Safety Bar/ Emergency Stop System In Place And Working.

  Compliant

  Non-Compliant

  N/A

• Feed Chipper From Curb Side, Butt End First.

  Safe

  At Risk

  N/A

• Use Push Stick To Move Debris Into Chipper.

  Safe

  At Risk

  N/A

• Lock Out Tag Out When Maintaining, Not In Use, Or Clearing A Jammed Chute.

  Safe

  At Risk

  N/A

• Standing To The Side When Feeding Chipper.

  Yes

  No

  N/A

• All Guards And Covers In Place, Chute Properly Aimed.

  Yes

  No

  N/A

• Appropriate PPE For Safe Chipper Operations.

  Yes

  No

  N/A

Ladders Use

• Crew Maintains 3 Points Of Contact.

  Yes

  No

  N/A

• Ladder In Good Condition/ 4 To 1 Angle.

  Yes

  No

  N/A

• Non Slip Safety Feet On Each Step.

  Yes

  No

  N/A

• Engaged Obsever When Working Above 12 Feet.

  Yes

  No

  N/A

Tree Felling Operations

• Keep Body And Tools Out Of MAD Distance, Or 10 Feet In Not Qualified.

  Yes

  No

  N/A

• Rigged Pull Rope To Start Safe Fall Direction.

  Yes

  No

  N/A

• Notch And Back Cut Used To Fell Trees Over 5 DBH.

  Yes

  No

  N/A

• Tree Assessment Completed.

  Yes

  No

  N/A

• Clearly Marked And Enforced Drop Zone - 1x5X for Rope Pullers, 2X For Bystanders, 4 Or more Cones.

  Yes

  No

  N/A

• Feller Leaves Danger Zone As Soon As Tree Begins To Fall, Feller Uses Clear Path/ Escape Route.

  Yes

  No

  N/A

• Clear 3 Way Communication Among All Crew Members.

  Yes

  No

  N/A

• Crew Assess New Hazards Before Bucking And De-Limbing Felled Trees.

  Yes

  No

  N/A

Traffic

• Effective Traffic Control For Job site Conditions.

  Yes

  No

  N/A

• Room To Work Inside The Work Zone.

  Yes

  No

  N/A

• Crew Faces Oncoming Traffic When Possible.

  Yes

  No

  N/A

• Crew Wearing Appropriate High Visibility Clothing.

  Yes

  No

  N/A

• Flaggers Are In A Safe Location With Retreat Paths.

  Yes

  No

  N/A

• Boom Not Over Passing Traffic or Pedestrians When Possible.

  Yes

  No

  N/A

• Chipper Feed From Curbside/ Crew Stays out Of Roadway When Possible.

  Yes

  No

  N/A

Chainsaws Operation

• Proper PPE (Including Chaps Or Pants For Ground Use) Hard Hat , Hearing Protection, Eye Protection.

  Yes

  No

  N/A

• Crew Using Right Size Saw.

  Yes

  No

  N/A

• Crew Maintains Two Hands When Operating Chain Saw.

  Yes

  No

  N/A

• Chain Saw Safety Features Are In Place And Functional. (5)

  Yes

  No

  N/A

• Crew Maintains Stable Body Postion While Operating Chain Saw.

  Yes

  No

  N/A

• Crew Uses Chain Saw Appropriately That Does Not Cause Kick Back, Crew Does Not Use Chain Saw Above Head.

  Yes

  No

  N/A

• Crew Has Secondary Tie-In When using Chain Saw Aloft.

  Yes

  No

  N/A

• Chain Saw Is Secure From Falling.

  Yes

  No

  N/A

Palm Tree Operations

• Palm Tree Operations Are Performed By A Certified Member Of The Crew.

  Yes

  No

  N/A

• Pre-Climb And Trim Assessment Completed.

  Yes

  No

  N/A

• Double Tie-In, Tied In To Main Stem With A False Crotch.

  Yes

  No

  N/A

• Body And All Tools Are Kept Out Of The Minimum Approach Distance (MAD) Or 10 Feet If Not Qualified.

  Yes

  No

  N/A

• Crew Has A Engaged Observer.

  Yes

  No

  N/A

• Fronds Cut Above Power lines Are Dropped Or Lowered With Control.

  Yes

  No

  N/A

• Fronds In Contact With Power Lines Are Removed With Non Conductive Tools.

  Yes

  No

  N/A

• Crew Has A Clearly Marked And Enforced Drop Zone.

  Yes

  No

  N/A

• Crew Ensures Tools Used Aloft Are Secured.

  Yes

  No

  N/A

• Entire Crew Is Using 3 Way Communication.

  Yes

  No

  N/A

Vehicles

• Pre-Trip Inspection Walk Around.

  Yes

  No

  N/A

• Seat Belts Are Worn By Every Occupent.

  Yes

  No

  N/A

• Crew Maintains Safe Following Distance.

  Yes

  No

  N/A

• Driver Uses Turn Signals As Appropriate.

  Yes

  No

  N/A

• Crew Avoids Distracted Driving, Including Cell Phone Use.

  Yes

  No

  N/A

• House Keeping No Trash In Cab, Dashboard Clear Of Obstruction.

  Yes

  No

  N/A

• Driver Slows Before Turns, And Aware For Soft Shoulders.

  Yes

  No

  N/A

• Crew Avoids Overloading For Driving Conditions.

  Yes

  No

  N/A

• Crew Checked Trailer Connection Before Driving.

  Yes

  No

  N/A

• Chains And Tie Downs Are Right For The Jobs, In Good Condition, And Used Properly, And Not Twisted.

  Yes

  No

  N/A

• Crew Conducts A Walk Around And Utilizes A Spotter If Available, Crew Avoids Backing Up When Possible.

  Yes

  No

  N/A

• Crew Manages Appropriate Speed On Declines.

  Yes

  No

  N/A

• Crew Uses Appropriate Gears For Incline And Decline Driving.

  Yes

  No

  N/A

Weather Conditions

• Weather Is Conducive For Tree Crew Operations.

  Yes

  No

  N/A

• Crew Has Ample Drinking Water.

  Yes

  No

  N/A

First Aid Kit

• Present

  Yes

  No

  N/A

COVID 19 precautions

• Face Mask/ Face Shields Present And Worn Properly

  Yes

  No

  N/A

• Crew Is Maintaining 6 Feet Apart

  Yes

  No

  N/A

• Crew Notified Supervisor If Filling ill

  Yes

  No

  N/A