Metropolitan Environmental Services, Inc. Management Site Review Dewatering Group

• Document No.

• Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Supervisor / Crew Leader

• Crew

• Weather conditions

  Select Sunny Overcast Windy Rain Drizzle Foggy Snow Sleet / freezing rain

  • Sunny
  • Overcast
  • Windy
  • Rain
  • Drizzle
  • Foggy
  • Snow
  • Sleet / freezing rain

• Job hours

  Select 8 hrs/day 10 hrs/day 12 hrs/day 4 days/week 5 days/week 6 days/week 7 days/week

  • 8 hrs/day
  • 10 hrs/day
  • 12 hrs/day
  • 4 days/week
  • 5 days/week
  • 6 days/week
  • 7 days/week

• Job description

• Job site equipment (major list)

  Select Filter press Belt press Geotubes Dredge Mix box Shaker table Frac tank Poly tank Generator Compressor Conveyor (cross) Conveyor (incline) Roll off container Dump truck Dump trailer Excavator Loader Skytrak Skidsteer Polymer system Precoat system Lime slurry system Ferric chloride system

  • Filter press
  • Belt press
  • Geotubes
  • Dredge
  • Mix box
  • Shaker table
  • Frac tank
  • Poly tank
  • Generator
  • Compressor
  • Conveyor (cross)
  • Conveyor (incline)
  • Roll off container
  • Dump truck
  • Dump trailer
  • Excavator
  • Loader
  • Skytrak
  • Skidsteer
  • Polymer system
  • Precoat system
  • Lime slurry system
  • Ferric chloride system

• Are there any new hazards or unseen conditions that have come up?

  Yes

  No

  N/A

• Is any equipment in need of repair?

  Yes

  No

  N/A

• Can any rental equipment be taken off of rent?

  Yes

  No

  N/A

• Does the job require any additional supplies or support?

  Yes

  No

  N/A

• Is company equipment being maintained and cleaned?

  Yes

  No

  N/A

• Is general housekeeping acceptable?

  Yes

  No

  N/A

• Are company vehicles being maintained and cleaned?

  Yes

  No

  N/A

• Is crew being utilized efficiently?

  Yes

  No

  N/A

• Are appropriate safety devices being used when applicable?

  Yes

  No

  N/A

• Is crew using correct personal protective equipment?

  Yes

  No

  N/A

• Is crew wearing company uniforms?

  Yes

  No

  N/A

• Is Supervisor / Crew Leader conducting Safety Toolbox Meetings?

  Yes

  No

  N/A

• Are employees aware of the location of SDS's (Safety Data Sheets)?

  Yes

  No

  N/A

• Are employees aware of the location of the JSA's (Job Safety Analysis)?

  Yes

  No

  N/A

• Are the employees aware of the location of the EAP (Emergency Action Plan)?

  Yes

  No

  N/A

• Is the EAP up to date?

  Yes

  No

  N/A

• Are there any specific customer standards or expectations?

Conditions

• Is electrical system acceptable? (including panels, cables, cords, etc.)

  Yes

  No

  N/A

• Are there any leaks in piping, hoses, fittings or valves in product, water, hydraulic or air?

  Yes

  No

  N/A

• Are walkways clear of tripping hazards?

  Yes

  No

  N/A

• Are there any high noise areas?

  Yes

  No

  N/A

• Are all belt guards in place?

  Yes

  No

  N/A

• Are first aid kits stocked and accessible?

  Yes

  No

  N/A

• Are fire extinguishers in place and inspected?

  Yes

  No

  N/A

• Are appropriate caution/warning/danger signs posted?

  Yes

  No

  N/A

• Has the job site been properly barricaded off?

  Yes

  No

  N/A

• Is supplemental lighting required?

  Yes

  No

  N/A

• Are spill kits stocked and accessible?

  Yes

  No

  N/A

• Is there any work on or near water?

  Yes

  No

  N/A

• Is there any work at heights?

  Yes

  No

  N/A

• Is there any work in confined spaces?

  Yes

  No

  N/A

• Is any hot work being performed?

  Yes

  No

  N/A

• Is there any work with pneumatic pipe plugs?

  Yes

  No

  N/A

• Is there any work near overhead power lines?

  Yes

  No

  N/A

• Is there any work near excavation or trenching?

  Yes

  No

  N/A

• Is there any work near railroad tracks?

  Yes

  No

  N/A

• Is there any work near street traffic?

  Yes

  No

  N/A

• Other notes or comments

• Media

  Media

• Drawing

  Drawing

• Management Signature

  Sign

• Supervisor / Crew Leader Signature

  Sign