Bright Star Solutions Safety Audit

• Description of Work being performed.

• Client

• Conducted on

  Date

• Auditor:

• Location
  Address

• Time arrived and time departed job site

• Crew

DOCUMENTATION (COMPLETE FOR ALL JOBS)

• JSA complete for all tasks being performed.<br>

  Yes

  No

  N/A

• If temperature is above 80 degrees has a heat chart been filled out.

  Yes

  No

  N/A

• If the heat chart has been filled is it being followed.

  Yes

  No

  N/A

• Adequate control measures in place to address hazards.<br>

  Yes

  No

  N/A

• All employees have signed-off on JSA/procedures.<br>

  Yes

  No

  N/A

• JSA reviewed with all visitors to site prior to entry.<br>

  Yes

  No

  N/A

• Emergency plan complete and communicated.<br>

  Yes

  No

  N/A

HOUSEKEEPING (COMPLETE FOR ALL JOBS)

• Debris/materials not accumulating on jobsite.<br>

  Yes

  No

  N/A

• Trucks clean and organized.<br>

  Yes

  No

  N/A

PPE (COMPLETE FOR ALL JOBS)

• Saw chaps being worn while chainsaw being used on the ground.

  Yes

  No

  N/A

• Gloves appropriate to the task are being worn.<br>

  Yes

  No

  N/A

• Hard hat, safety glasses and protective footwear in use.<br>

  Yes

  No

  N/A

• Fall protection equipment inspected and used.<br>

  Yes

  No

  N/A

• Rubber goods/hot sticks test dates are current.<br>

  Yes

  No

  N/A

• Has drop zone barricade been installed

  Yes

  No

  N/A

• Additional PPE used as needed.<br>

  Yes

  No

  N/A

ENERGIZED EQUIPMENT

• Has a qualified observe been designated?

  Yes

  No

  N/A

• Is the qualified observer observing all hot work?

  Yes

  No

  N/A

• Approach distances are maintained by all.<br>

  Yes

  No

  N/A

• Adequate cover in place on all energized parts.<br>

  Yes

  No

  N/A

• Line on one shot or working behind fuses.

  Yes

  No

  N/A

GROUNDING

• Grounding flags installed at all grounding locations.

  Yes

  No

  N/A

• Lines de-energized, tested and grounded as required.<br>

  Yes

  No

  N/A

• Clearance points communicated and understood.

  Yes

  No

  N/A

• All energy sources/induced voltage addressed.<br>

  Yes

  No

  N/A

• Grounding equipment inspect-ed and adequate for task.<br>

  Yes

  No

  N/A

OPERATING ORDERS

• Clearance issued and documented.<br>

  Yes

  No

  N/A

• Clearance points communicated and understood.<br>

  Yes

  No

  N/A

WORK ZONE PROTECTION

• Traffic control in place appropriate to the task.<br>

  Yes

  No

  N/A

• Are road cones adequately placed around equipment

  Yes

  No

  N/A

• All employees are wearing high-visibility clothing when working near a roadway?<br>

  Yes

  No

  N/A

• Road-crossing permits obtained and in effect.<br>

  Yes

  No

  N/A

RIGGING

• If positive lock rigging is available is it being used correctly?

  Yes

  No

  N/A

• Rigging equipment in good condition/inspected.<br>

  Yes

  No

  N/A

• Rigging protected from sharp edges, heat, etc.<br>

  Yes

  No

  N/A

EXCAVATIONS

• Excavations inspected by competent person.<br>

  Yes

  No

  N/A

• Barricades in place on un-attended excavations.<br>

  Yes

  No

  N/A

EQUIPMENT

• Pre-/post-use inspections complete.<br>

  Yes

  No

  N/A

• Operators are trained for equipment in use.<br>

  Yes

  No

  N/A

• Equipment is grounded as needed for the task.<br>

  Yes

  No

  N/A

• Outrigger pads being used on every set up.<br>

  Yes

  No

  N/A

• Equipment is barricaded/ chocked as needed.<br>

  Yes

  No

  N/A

• First Aid kits and burn blankets up to date and not expired

  Yes

  No

  N/A

• Fire Extinguisher up to date and not out of range on the gauge.

  Yes

  No

  N/A

HAND TOOLS

• Yes

  No

  N/A

• Power tools inspected and in good condition.<br>

  Yes

  No

  N/A

• Are all "sharps" protected by a guard? I.E. gaff guards, chainsaw bar guard

  Yes

  No

  N/A

• Ladders in good condition and inspected.<br>

  Yes

  No

  N/A

• Hand tools in good condition and used as intended.<br>

  Yes

  No

  N/A

PERSONNEL TRAINING

• Has the crew encountered any good catches or near misses?

  Yes

  No

  N/A

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• What was the good catch or near miss?

  Yes

  No

  N/A

• Employees have site-specific training as required.<br>

  Yes

  No

  N/A

• Other required training complete, up to date.<br>

  Yes

  No

  N/A

• ADDITIONAL COMMENTS

• Add media

  Media

• Jobsite Foreman/Person in Charge Signature

  Sign

• Auditor Signature

  Sign