Construction Cross Assessment Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• The reviewing team is expected to make recommendations for improvement whenever opportunities for enhancements and/or implementing leading practices exist. This process is not simply a compliance review but a robust exercise for improving overall safety. Answer Yes or No and provide supporting comments for the below items; use notes section for comments and recommendations

• 1) Are Weekly Toolbox talks / Safety Topics and Safety Alerts discussed with a copy of supporting documentation kept at the site or local office?

  Yes

  No

  N/A

• 2) Leaders and workers at this site have an effective Risk Assessment process in place. RA process is robust and the focus on eliminating risks first, whenever possible, before mitigating or reducing risks (pre-shift, pre-task, T-5, risks that kill, etc.)

  Yes

  No

  N/A

• 3) Has the traffic control checklist been completed with regularity? Is there an effective communication process established for flaggers? Are established traffic control measures in line with work zone needs?

  Yes

  No

  N/A

• 4) Are all flex steps rigidly constructed so they do not flex excessively when weight is applied on applicable equipment?

  Yes

  No

  N/A

• 5) Mobile equipment and vehicles inspected as required and observations confirm units are safely operated at the site. All safety devices fully functional and utilized (i.e. cameras, b/u alarms, b/u radar, Greenroads, etc.), if equipped

  Yes

  No

  N/A

• 6) Housekeeping is excellent (not just good) equipment and trucks included

  Yes

  No

  N/A

• 7) Evidence that all employees are fully engaged in safety is present and noticeably visible during the site review

  Yes

  No

  N/A

• 8) ITCP has been discussed with the crew, inspectors, and any visitors

  Yes

  No

  N/A

• 9) All PPE is in place and in good condition (i.e., Hi Viz shirts, vest etc. are relatively clean, class III vests and shirts where exposed to traffic

  Yes

  No

  N/A

• 10) Evidence of seat belt use

  Yes

  No

  N/A

• 11) Evidence of 3 Points of Contact when climbing

  Yes

  No

  N/A

• 12) Backer / Spotter utilized for backing trucks to the paver

  Yes

  No

  N/A

• 13) Rollers maintain a 20 foot distance from the back of the paver when employees are present

  Yes

  No

  N/A

• Project Name:

• The reviewing team should provide comments on both positive observations and any improvement recommendations as determined from your site review

• Improvement recommendations can be made even where items are marked “Yes” if implementation will enhance the level of safety at the site or to implement a CRH, Divisional or Regional Leading Practice. Any “No” items above should have a recommendation to address the issue

Positive Observations and/or Leading Practices identified during the site review (provide at least 3):

• 1.

• 2.

• 3.

• 4.

• 5.

Recommendations for Safety Improvement or Leading Practices that should be implemented (provide at least 3):

• 1.

• 2.

• 3.

• 4.

• 5.

• Overall Assessment:

Notes:

• Auditors:

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• Site Supervisor:

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