Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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COMMUNICATION
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T5 / Risk Assessment done?<br>
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Tool Box Talkes being done and up to date?
TRAFFIC CONTROL
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Traffic Control Inspections being done daily and documented?
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Is the traffic control plan properly implemented? <br>
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Are employees unnecessarily exposed to traffic?<br>
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Are flaggers properly trained, attired, equipped, and using proper technique?<br>
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Backer Spotter being used and wearing spotter vest with emegency whistle?
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Is equipment parked so as not to present a hazard to through traffic or job traffic? <br>
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Is equipment and materials stored outside clear zone?<br>
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Internal traffic cntrol plan in place?<br>
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A copy of the most current TMUTCD and stater project specific traffic control standards are immediately available for review?
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EQUIPMENT & PEDESTRAIN SEGREGATION
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Breakdown roller clear zone 15 to 20' in effect?
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All equipment operators following requirements that no equipment is to approach closer than 10 feet to any worker with whom they do not have direct eye contact.
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No employees riding equipment, unless aprroved seat is provided?
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GENERAL HEALTH AND SAFETY
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Is adequate potable water provided with single service cups in a clean, closed container that is clearly marked?<br><br><br>
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Are adequate number and types of portable toilets provided where needed?<br>
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Is the job site kept free of excess debris, lumber with protruding nails, and other scrap that may present a hazard?<br>
MEDICAL AND FIRST AID
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Are an adequate number of properly stocked first aid kits present on site & readily available?<br>
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Is at least one employee present who is trained in first aid / CPR / bloodborne pathogens?<br>
PERSONAL PROTECTIVE EQUIPMENT
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Are employees / subcontractor personnel wearing hard hats, traffic vests, safety glasses and safety boots?<br>
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Distributor operators have chemical resistant gloves, hard hat with faceshield and long sleeves to protect against hot material?<br>
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Dust masks are immediately available while any individual is saw cutting concrete or asphalt?
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Personal Protective Equipment in good working condition?
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Superviors / Foreman have extra PPE?<br>
Mobile Equipment
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Are daily inspections conducted on machinery at the site? (fluid levels, brakes, warning devices, etc)<br>
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Equipment Number
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Is equipment kept clean to a point of not being an operational hazard?<br>
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Are all glass panels in equipment free of cracks or breaks?<br>
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Are seat belts present and in use on all equipment with ROPS?<br>
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Do all drivers / operators use 3 point contact when climbing on or off vehicles and equipment?<br>
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Do all pieces of mobile equipment have a slow moving vehicle sign, strobe light and reflective tape?<br>
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All equipment have back up alarms that can be heard over construction and traffic noise?<br>
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Does the finish roller have the safety siren / intursion alarm?<br>
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Equipment being serviced or repaired have proper lockout tagout and blocking procedures?<br>
FIRE PROTECTION AND PREVENTATION
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Are flammable liquids present only in approved and properly labeled safety cans?<br>
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Asphalt paver screed free of trash?
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Are fire extinguishers present in sufficient number & size, properly serviced, and inspected on a periodic basis?<br>
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Are other fire hazards apparent?<br>
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HAND AND POWER TOOLS
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Are tools free of obvious physical damage with all required guards in place and in good condition?<br>
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Fall Protection
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Are employees and subcontractors working above 6 feet pertoected with adequate fall prtoection?
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OVERHEAD AND UNDERGROUND UTILITES
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Are all overhead power lines identifed and marked / signed "Overhead Power Lines"?
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Is no work conducted within 10 ft of transmission lines rated greater or equal to 600 V without required precautionary measures taken?<br>
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Has the one call center (811) been notified?
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Pot Holeing or Best Practices used for verfication of utilities?
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Trench and Excavation
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Are excavations or trenches deeper than 5 feet on the job site proplery sloped, benched or shored?
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Have underground utilities been located?
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Is there a means of exiting any trench 4 feet or more within 25 lateral feet of any employee?
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Is the pile kept at least 2 feet from edge of anmy excavation?
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Competent person performed inspection of excavation?
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ENVIRONMENTAL
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No diesel being used on project, biodegradable products being used?<br>
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Is required sediment control in place and maintained as required by the job plans are standard practices?<br>
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Are spill response materials present and readily available?<br>
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Are appropriate housekeeping practices in place to insure responsible environmental performance?<br>
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COMPANY VEHICLES
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All crew drivers trained in company safe driving program (Smith System)?
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Vehicle clean appropriate housekeeping?<br>
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Tires in good condtion, tread depth?
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Mirrors in good working condition?
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Physical Condition, any body damage?
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Physical Condition, any body damage?
OTHER SAFETY RELATED IITEMS NOTICED
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Was unsafe behavior observed during this audit? If yes, please exlian below how it was corrected.
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Other
SUBCONTRACTORS
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Are employees unnecessarily exposed to traffic? <br>
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Wearing proper personal protective equipment?
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Following CRH FFE's?
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