Title Page
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Conducted on
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Prepared by
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Location
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Job Description
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Truck Number
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Does the crew have a valid Digsafe?
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Did crew wait the correct amount of time after calling in the digsafe ticket?
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Is the digsafe within its expiration date and time?
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When does the digsafe ticket expire?
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Does digsafe ticket include address that crew is currently working at?
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Is crew obeying all digsafe laws?
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Has the company job brief been filled out correctly?
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Was the job brief completed?
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Did foreman ask for visitor to sign and review job brief upon arrival?
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Does job brief have digsafe number written?
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Is Proper PPE used?
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Are all crew members wearing company issued hard hats?
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Are all crew members wearing a vest or the proper Hi-Visibility clothing?
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Are all crew members wearing hearing protection when necessary?
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Are all crew members wearing proper eye protection?
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Are all crew members wearing correct footwear?
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Are all crew members wearing the correct Fire Retardant clothing when required?
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Are all Customer/ Company/ OSHA/ DPU regulations being followed?
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Is the jobsite setup properly?
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Are tools properly stored?
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Is the job site clear of slips/ trips & falls?
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Is the job perimeter clear of debris and construction material?
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Are signs properly spaced out and in the correct order?
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Are sidewalks properly closed and detoured if necessary?
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Is the crew truck and equipment placed accordingly with the flow of traffic?
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Does the crew have the appropriate amount of flaggers/ police details?
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Does the excavation meet all OSHA/ Customer/ Company requirements?
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Is there an excavation competent person on site?
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Is the spoil set back 2' or more?
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Has the excavation been checked prior to entry?
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Is the proper protective system being used at depths greater than 5'?
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Is the shoring properly installed?
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Are other company/ customer/ regulatory requirements being met?
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Do ladders meet all OSHA/ Customer/ Company requirements?
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Is there a minimum of one ladder in good condition on the jobsite?
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Is the 4' access/ egress requirement being met?
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Is there a ladder within 25' of any employee within the trench?
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Is the ladder properly sized for the excavation?
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Are dust/ silica controls being used?
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Are dust controls in place and adequate?
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Are silica dust controls in place and adequate?
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Do fire extinguishers meet all OSHA/ Customer/ Company requirements?
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Is the annual inspection complete?
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When will the annual inspection expire?
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Is the monthly inspection complete?
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When was the most recent inspection performed?
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Are operating instructions legible?
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Is nozzle in good working condition?
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Are safety seals/ zip ties in place?
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Is the fire extinguisher full?
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Is the fire extinguisher properly placed in accordance with company requirements?
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Is a fire watch required?
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Is fire watch present?
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Is all equipment in good working condition and calibrated?
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CGI
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CGI Unit Number
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Electrofusion Box
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Electrofusion Box Unit Number
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Torque Wrench
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Pyrometer
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1st Aid Kit
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Burn Gel Kit
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Class 2 electrical rubber gloves
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Are Slings/ Straps/ Chains in good working condition?
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Are all slings/ straps in good working condition?
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Do all chains have proper tags attached to them?
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Are all tags legible?
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Does safety latch on chain work properly?
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Are the Hand & Power tool requirements being met?
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Are all air hoses/ fittings in good condition?
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Are all air hoses/ fittings properly restrained?
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Are guards in place on required tools/equipment?
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Has the Cable Avoidance Tool (CAT) been used prior to work commencing?
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Does crew have CAT tool on truck?
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Is the CAT tool in good working condition?
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Did crew check accuracy on a known utility?
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Is the respirator equipment in good working condition?
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Does crew have enough members qualified for breathable air?
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Does crew know how to properly use and take care of breathable air equipment?
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Are air tanks properly secured in trucks?
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Are tanks capped when being transported?
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Does everyone on the crew have their applicable licenses with them?
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Does the operator have a valid hydraulics license?
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Do all employees have a DOT medical card?
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Do all employees have their company ID card?
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Are all QR codes able to be scanned?
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Are Vehicles and equipment following State/ federal and company requirements?
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Are crew members using 3 points of contact when necessary?
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Are floors of vehicles and equipment kept clear/ clean?
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Are operators/ drivers wearing a seatbelt?
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Has the DVIR been completed for all vehicles/ equipment?
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Do all the vehicles/ equipment have proper documentation on site?
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Are loads properly secured prior to transport?
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Are chock blocks being used properly?
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Does crew truck have chock blocks properly deployed?
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Does dump truck have chock properly deployed?
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Do trailers and other equipment have chock blocks deployed when necessary?
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Are all vehicle/ equipment safety measures operational?
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Are "body up" alarms working on all dump trucks?
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Do all vehicles have working hazard lights?
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Does all equipment have a working back up alarm?
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Does all equipment have a working beacon when necessary?
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Are crew members following red zone requirements?
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Are line of fire and struck by requirements being met?
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Employees aware and free from pinch point hazards?
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Is crew aware of overheads and swing areas?
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Is a spotter being used to back any vehicle/ equipment?
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Are hazardous chemicals being transported properly?
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Are hazardous chemicals located in their correct containers?
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Are secondary containers labeled properly and legible?
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Are hazardous chemicals stored properly?
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Are spill prevention controls in place?
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Does crew have spill kit located somewhere on site?
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Is the spill kit properly stocked?
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Does crew have proper means of grounding pipe/ tools?
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Is the grounding system in good working condition?
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Does the crew have all pieces to properly ground pipe/ tools?
Crew Makeup
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Gas Company
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Neuco Supervisor
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Foreman
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Safety Observer
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Leadman
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Operator
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Truck Driver
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Laborer
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Gas Company Supervisor