Title Page

  • Conducted on

  • Prepared by

  • Location
  • Job Description

  • Truck Number

  • Does the crew have a valid Digsafe?

  • Did crew wait the correct amount of time after calling in the digsafe ticket?

  • Is the digsafe within its expiration date and time?

  • When does the digsafe ticket expire?

  • Does digsafe ticket include address that crew is currently working at?

  • Is crew obeying all digsafe laws?

  • Has the company job brief been filled out correctly?

  • Was the job brief completed?

  • Did foreman ask for visitor to sign and review job brief upon arrival?

  • Does job brief have digsafe number written?

  • Is Proper PPE used?

  • Are all crew members wearing company issued hard hats?

  • Are all crew members wearing a vest or the proper Hi-Visibility clothing?

  • Are all crew members wearing hearing protection when necessary?

  • Are all crew members wearing proper eye protection?

  • Are all crew members wearing correct footwear?

  • Are all crew members wearing the correct Fire Retardant clothing when required?

  • Are all Customer/ Company/ OSHA/ DPU regulations being followed?

  • Is the jobsite setup properly?

  • Are tools properly stored?

  • Is the job site clear of slips/ trips & falls?

  • Is the job perimeter clear of debris and construction material?

  • Are signs properly spaced out and in the correct order?

  • Are sidewalks properly closed and detoured if necessary?

  • Is the crew truck and equipment placed accordingly with the flow of traffic?

  • Does the crew have the appropriate amount of flaggers/ police details?

  • Does the excavation meet all OSHA/ Customer/ Company requirements?

  • Is there an excavation competent person on site?

  • Is the spoil set back 2' or more?

  • Has the excavation been checked prior to entry?

  • Is the proper protective system being used at depths greater than 5'?

  • Is the shoring properly installed?

  • Are other company/ customer/ regulatory requirements being met?

  • Do ladders meet all OSHA/ Customer/ Company requirements?

  • Is there a minimum of one ladder in good condition on the jobsite?

  • Is the 4' access/ egress requirement being met?

  • Is there a ladder within 25' of any employee within the trench?

  • Is the ladder properly sized for the excavation?

  • Are dust/ silica controls being used?

  • Are dust controls in place and adequate?

  • Are silica dust controls in place and adequate?

  • Do fire extinguishers meet all OSHA/ Customer/ Company requirements?

  • Is the annual inspection complete?

  • When will the annual inspection expire?

  • Is the monthly inspection complete?

  • When was the most recent inspection performed?

  • Are operating instructions legible?

  • Is nozzle in good working condition?

  • Are safety seals/ zip ties in place?

  • Is the fire extinguisher full?

  • Is the fire extinguisher properly placed in accordance with company requirements?

  • Is a fire watch required?

  • Is fire watch present?

  • Is all equipment in good working condition and calibrated?

  • CGI

  • CGI Unit Number

  • Electrofusion Box

  • Electrofusion Box Unit Number

  • Torque Wrench

  • Pyrometer

  • 1st Aid Kit

  • Burn Gel Kit

  • Class 2 electrical rubber gloves

  • Are Slings/ Straps/ Chains in good working condition?

  • Are all slings/ straps in good working condition?

  • Do all chains have proper tags attached to them?

  • Are all tags legible?

  • Does safety latch on chain work properly?

  • Are the Hand & Power tool requirements being met?

  • Are all air hoses/ fittings in good condition?

  • Are all air hoses/ fittings properly restrained?

  • Are guards in place on required tools/equipment?

  • Has the Cable Avoidance Tool (CAT) been used prior to work commencing?

  • Does crew have CAT tool on truck?

  • Is the CAT tool in good working condition?

  • Did crew check accuracy on a known utility?

  • Is the respirator equipment in good working condition?

  • Does crew have enough members qualified for breathable air?

  • Does crew know how to properly use and take care of breathable air equipment?

  • Are air tanks properly secured in trucks?

  • Are tanks capped when being transported?

  • Does everyone on the crew have their applicable licenses with them?

  • Does the operator have a valid hydraulics license?

  • Do all employees have a DOT medical card?

  • Do all employees have their company ID card?

  • Are all QR codes able to be scanned?

  • Are Vehicles and equipment following State/ federal and company requirements?

  • Are crew members using 3 points of contact when necessary?

  • Are floors of vehicles and equipment kept clear/ clean?

  • Are operators/ drivers wearing a seatbelt?

  • Has the DVIR been completed for all vehicles/ equipment?

  • Do all the vehicles/ equipment have proper documentation on site?

  • Are loads properly secured prior to transport?

  • Are chock blocks being used properly?

  • Does crew truck have chock blocks properly deployed?

  • Does dump truck have chock properly deployed?

  • Do trailers and other equipment have chock blocks deployed when necessary?

  • Are all vehicle/ equipment safety measures operational?

  • Are "body up" alarms working on all dump trucks?

  • Do all vehicles have working hazard lights?

  • Does all equipment have a working back up alarm?

  • Does all equipment have a working beacon when necessary?

  • Are crew members following red zone requirements?

  • Are line of fire and struck by requirements being met?

  • Employees aware and free from pinch point hazards?

  • Is crew aware of overheads and swing areas?

  • Is a spotter being used to back any vehicle/ equipment?

  • Are hazardous chemicals being transported properly?

  • Are hazardous chemicals located in their correct containers?

  • Are secondary containers labeled properly and legible?

  • Are hazardous chemicals stored properly?

  • Are spill prevention controls in place?

  • Does crew have spill kit located somewhere on site?

  • Is the spill kit properly stocked?

  • Does crew have proper means of grounding pipe/ tools?

  • Is the grounding system in good working condition?

  • Does the crew have all pieces to properly ground pipe/ tools?

Crew Makeup

  • Gas Company

  • Neuco Supervisor

  • Foreman

  • Safety Observer

  • Leadman

  • Operator

  • Truck Driver

  • Laborer

  • Gas Company Supervisor

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