BergHelix Joint Venture

Employees wearing hard hats?

Safety glasses being worn?

Proper gloves being worn?

Employees wearing proper clothing (boots, serviceable clothing)?

Employee wearing approved vest?

PTA filled out entirely?

PTA has adequate detail of tasks?

PTA available and on-hand?

Every crew member signed?

Are inspection forms being filled out?

Underground utilities located/marked?

Competent person identified?

Trench over 4 foot deep?

Ladder is located within 25 ft. of workers while in an excavation?

Spoils at least 2 feet from edge of excavation?

Are barricades being used?

Signs with contact information posted?

Correct color for hazard

Barricade adequate distance from hazard?

Pre-operation inspection sheet completed?

Ground hazards assessed?

Overhead obstructions?

Fall protection used when required?

Equipment being used per manufacturer specifications?

Equipment disabled while working?

Employee has training card on them?

Pre-operation inspection sheet completed?

Ground hazards assessed?

Seat belt worn?

Load secured?

Proper model of forklift used for work?

Employee has training card on them?

Fall arrest/protection system used properly (including in aerial lifts)?

Protection from openings/edges/holes?

Guardrail systems correct?

Personnel has been trained in Fall Protection?

Rescue plan in place?

Proper connecting device used (duel lanyards, retractable, restricting, etc.)

Proper anchor point used?

Appropriate and undamaged ladders?

Correct positioning/set-up of ladders?

Ladder suitable for job?

Ladder information stickers present and legible?

Was ladder inspected prior to use?

Hand/Power tools are operational, functional, safe and applicable guards in place?

Hand/Power tools are being used correctly / safely?

Using appropriate tools to hold material while cutting (tri-vise).

Are users of powder actuated tools certified to use them?

Are warning signs displayed where powder actuated tools are used?

Powder actuated tools left unattended?

Sufficient lighting?

Adequate housekeeping (slip, trip, fall hazards, etc.)

Adequate noise/ vibration control?

Exits marked and unobstructed?

Impalement hazards protected?

Proper handling, use and storage of chemicals?

Fire Extinguisher present and serviceable

Floor Holes Covered?

MOP has been developed for energizing any piece of equipment?

All outlets/tools are GFCI protected?

Temporary lights elevated & lamps caged?

Energized work authorization form used?

All openings in cabinets or boxes covered?

Energized Panels covered, locked and labeled?

Was the LOTO record sheet completely filled out?

If a Lock-Box was used, is it labeled?

Is the isolation adequate for the work being performed?

Were all affected personnel notified of the equipment to be isolated and the expected duration?

Were approved locks and tags used?<br><br>

Was the placement of all applied locks and tags documented on the LOTO log sheet?