Civil Operations Safety Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Planning

• 1.1. SWI at worksite, updated, and being followed by crew?

  Yes

  No

  N/A

• 1.2. PTPC at worksite and reviewed / signed by entire crew?

  Yes

  No

  N/A

• 1.3. All hazards identified on PTPC?

  Yes

  No

  N/A

• 1.4. Management of change being utilized and documented on PTPC?

  Yes

  No

  N/A

2. Equipment

• 2.1. Unsafe or damaged equipment?

  Safe

  At Risk

  N/A

• 2.2. Incorrect equipment for job?

  Safe

  At Risk

  N/A

• 2.3. Unsafe or incompatible attachments used with equipment?

  Safe

  At Risk

  N/A

• 2.4. Unqualified operators?

  Safe

  At Risk

  N/A

• 2.5. Lack of training in safe operation, clean-up and maintenance?

  Safe

  At Risk

  N/A

• 2.6. Lack of daily inspections?

  Safe

  At Risk

  N/A

3. Excavations

• 3.1. Excavation properly controlled for cave-ins (sloping, shoring, trench box, etc.)?

  Safe

  At Risk

  N/A

• 3.2. Dig permit in place including locate information?

  Safe

  At Risk

  N/A

• 3.3. Competent Person identified on PTPC?

  Safe

  At Risk

  N/A

• 3.4. Barricades / warning lines in place where required?

  Safe

  At Risk

  N/A

4. Traffic Management

• 4.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  Safe

  At Risk

  N/A

• 4.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  Safe

  At Risk

  N/A

• 4.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, etc)

  Safe

  At Risk

  N/A

• 4.4. Lack of spotters where necessary?

  Safe

  At Risk

  N/A

• Trucking training complete?

  Safe

  At Risk

  N/A

5. Environmental Hazards

• 5.1. Lack of/or inadequate Environmental Management plan (EMP)?

  Safe

  At Risk

  N/A

• 5.2. Lack of/or inadequate, dust suppression system?

  Safe

  At Risk

  N/A

• 5.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  Safe

  At Risk

  N/A

• 5.4. Spill kits easily available in event of a spill / leak?

  Safe

  At Risk

  N/A

6. Hazardous Chemical (including fuel and oil)

• 6.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Safe

  At Risk

  N/A

• 6.2. Incompatible chemicals stored near each other?

  Safe

  At Risk

  N/A

• 6.3. Inadequate spill containment equipment?

  Safe

  At Risk

  N/A

• 6.4. Safety Data Sheets not accessible on site?

  Safe

  At Risk

  N/A

• 6.5. Lack of emergency procedures for injury/spills/fire etc?

  Safe

  At Risk

  N/A

• 6.6. Excessive quantities stored on site or in vehicles?

  Safe

  At Risk

  N/A

• 6.7. Insufficient ventilation?

  Safe

  At Risk

  N/A

• 6.8. Insufficient, or incorrect, PPE?

  Safe

  At Risk

  N/A

• 6.9. Unsuitable storage containers? (unlabeled or stored in food containers)

  Safe

  At Risk

  N/A

7. Emergency Response

• 7.1. Lack of, or no emergency plans for site?

  Safe

  At Risk

  N/A

• 7.2. Emergency procedures not displayed at site?

  Safe

  At Risk

  N/A

• 7.3. Lack of training and rehearsal of emergency plans?

  Safe

  At Risk

  N/A

• 7.4. Lack of, or inadequate first aid kits aid equipment for site?

  Safe

  At Risk

  N/A

• 7.7. Radio communication in place and working?

  Safe

  At Risk

  N/A

8. Electrical Hazards

• 8.1. Contact with underground utilities?

  Safe

  At Risk

  N/A

• 8.2. Contact with overhead electrical lines?

  Safe

  At Risk

  N/A

• 8.3. Electrical equipment near flammables?

  Safe

  At Risk

  N/A

9. Ladders

• 9.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 9.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 9.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 9.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

10. Personal Protective Equipment (PPE)

• 11.1. Lack of, or inadequate PPE (including sun protection)

  Safe

  At Risk

  N/A

• 10.2. Lack of system to issue, inspect, replace and monitor PPE?

  Safe

  At Risk

  N/A

• 10.3. Lack of training in safe use, clean-up and inspection of PPE?

  Safe

  At Risk

  N/A

• 10.4. Lack of proper respirator program / management?

  Safe

  At Risk

  N/A

11. Work Environment

• 11.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 11.2. Insufficient lighting?

  Safe

  At Risk

  N/A

• 11.3. Inadequate housekeeping?

  Safe

  At Risk

  N/A

• 11.4. Lack of, or inadequate noise/ vibration control?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign