Construction Safety Audit

• Audit Title

• Pad

• CHK Rep

• Location
  Address

• Conducted on

  Date

• Prepared by

• Contractors Onsite

• Pad Construction

• Production Construction

EHS POLICY 101: HAZCOM

• SDS'S available at all times

  Yes

  No

  N/A

• All containers in work area properly labeled with NFPA or HMIS labels

  Yes

  No

  N/A

• Windsock deployed at muster point

  Yes

  No

  N/A

EHS POLICY 102: PPE

• FR clothing worn properly by crew, buttoned, zipped and sleeves down

  Yes

  No

  N/A

• Hard hats used by crew

  Yes

  No

  N/A

• Safety glasses with side shields used by crew

  Yes

  No

  N/A

• Hard toed shoes used by crew

  Yes

  No

  N/A

• Hand protection used when necessary

  Yes

  No

  N/A

• Hazardous jewelry not worn by crew

  Yes

  No

  N/A

• Personal gas monitor worn by at least one member of each crew

  Yes

  No

  N/A

• Long hair contained

  Yes

  No

  N/A

• Proper PPE worn while handling chemicals, based on SDS/HMIS

  Yes

  No

  N/A

EHS POLICY 104: HEARING PROTECTION

• High noise areas present and marked

  Yes

  No

  N/A

• Proper hearing protection available

  Yes

  No

  N/A

EHS POLICY 105: LOTO

• LOTO being used

  Yes

  No

  N/A

• Locks and tags available to crew

  Yes

  No

  N/A

EHS POLICY 106: HOT WORK MANAGEMENT

• Smoking or open flames not permitted within 35' of compressed gases

  Yes

  No

  N/A

• Hot work permit available and completed prior to commencing hot work

  Yes

  No

  N/A

• Qualified Individual onsite

  Yes

  No

  N/A

• No smoking rules observed

  Yes

  No

  N/A

EHS POLICY 107: CONFINED SPACE

• Site evaluated to determine the presence of of confined space/permit required confined spaces

  Yes

  No

  N/A

• Confined space permit available

  Yes

  No

  N/A

• Atmospheric testing of confined space prior to entry

  Yes

  No

  N/A

• Confined space warning signs erected

  Yes

  No

  N/A

• Emergency rescue equipment readily available

  Yes

  No

  N/A

EHS POLICY 108: TRENCHING AND EXCAVATING

• One call activated 48 hours but no more than 10 days before to digging

  Yes

  No

  N/A

• Trenching and excavation checklist available and daily inspections performed

  Yes

  No

  N/A

• For excavations or trenches greater than 4' deep, requirements for protective systems noted on trenching and excavation checklist

  Yes

  No

  N/A

• Condition of soil noted and discussed on PJSA

  Yes

  No

  N/A

• Crosswalks utilized over open ditches

  Yes

  No

  N/A

• Adequate exit available for excavations or trenches 4' deep or greater

  Yes

  No

  N/A

EHS POLICY 109: FIRST AID AND CARDIOPULMONARY RESUSCITATION

• First aid training provided

  Yes

  No

  N/A

• First aid supplies available onsite

  Yes

  No

  N/A

• Adequate 2-way radio or cell phone communication available

  Yes

  No

  N/A

• Emergency phone numbers posted

  Yes

  No

  N/A

• Provisions made for known workers with allergies

  Yes

  No

  N/A

• Provisions made for prompt medical attention

  Yes

  No

  N/A

EHS POLICY 111: CHEMICAL, FLAMMABLE AND COMBUSTABLE LIQUIDS/MATERIALS

• Flammable liquids not stored within 50' of the wellhead

  Yes

  No

  N/A

• When not in use, flammables and combustibles are stored in designed area or cabinets

  Yes

  No

  N/A

• All containers are grounded and bonded, conforming to manufacturers specifications when dispensing flammable or combustable liquids

  Yes

  No

  N/A

EHS POLICY 112: HEAT AND COLD STRESS

• All workers taking precautions for heat or cold

  Yes

  No

  N/A

• Heat stress and cold stress training provided

  Yes

  No

  N/A

EHS POLICY 113: FIRE PROTECTION

• Fire extinguisher present in company trailer, vehicle and all work areas

  Yes

  No

  N/A

• Annual inspections tag present

  Yes

  No

  N/A

• Monthly inspection tags on extinguishers

  Yes

  No

  N/A

EHS POLICY 114: ELECTRICAL SAFETY

• Electrical equipment 600V or greater labeled HIGH VOLTAGE

  Yes

  No

  N/A

• Work clearance of 36" maintained in front of electrical equipment

  Yes

  No

  N/A

• Fixed and portable equipment connected by cord grounded

  Yes

  No

  N/A

• Only 3 wire cords in good condition used onsite

  Yes

  No

  N/A

• No cords running through doorways or windows

  Yes

  No

  N/A

EHS POLICY 115: POWERED INDUSTRIAL TRUCKS (FORKLIFTS AND TELE-HANDLERS)

• Operators certified and certificate available for forklift/tele-handler

  Yes

  No

  N/A

• Seatbelt provided (per manufacturer)

  Yes

  No

  N/A

• Back up alarm working

  Yes

  No

  N/A

• Auxiliary lighting working

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Rated lifting capacity posted

  Yes

  No

  N/A

• Pre-use inspection checklist completed

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

• Refueling and hydraulic lines are checked with engine off

  Yes

  No

  N/A

• No damage to windows or mirrors

  Yes

  No

  N/A

• Loads moved low to the ground

  Yes

  No

  N/A

• Parked with brake on, key removed and forks grounded

  Yes

  No

  N/A

EHS POLICY 116: HOISTING AND LIFTING EQUIPMENT

• Workers operating hoisting and lifting equipment properly trained

  Yes

  No

  N/A

• Monthly hoisting machinery inspection record available

  Yes

  No

  N/A

• Pre-use inspection checklist completed

  Yes

  No

  N/A

• Straps and slings have been inspected and are in proper working condition

  Yes

  No

  N/A

EHS POLICY 118: LIFTING AND CARRYING SAFETY

• Proper lifting and carrying techniques being used

  Yes

  No

  N/A

EHS POLICY 119: WALKING AND WORKING SURFACES

• Any working surface above 4' from the ground must be protected by a work platform with guardrails at 42" above platform, have an intermediate rail and toe board or personal fall arrest system

  Yes

  No

  N/A

• Fall arrest system must have a full body harness, deceleration device, and a lifeline and inspected prior to each use

  Yes

  No

  N/A

• Anchorage used for fall arrest equipment must be capable of supporting at least 5,000lbs.

  Yes

  No

  N/A

• All walking and working surfaces are clear of debris and tripping hazards and/or tripping hazards have been identified

  Yes

  No

  N/A

EHS POLICY 120: LADDER SAFETY

• No wooden ladders allowed onsite

  Yes

  No

  N/A

• Metal/fiberglass ladders must have a warning label for electrical caution

  Yes

  No

  N/A

• Ends/feet of ladder must be fitted with insulated non-slip material

  Yes

  No

  N/A

• Extension ladders must extend 3' past the landing if used to access another working surface and be secured

  Yes

  No

  N/A

• 3 points of contact utilized by workers while on ladder

  Yes

  No

  N/A

• Fixed ladders and cellar ladders are inspected and in good condition and noted on annual inspection

  Yes

  No

  N/A

• Portable ladders inspected monthly and noted on monthly ladder inspection checklist

  Yes

  No

  N/A

EHS POLICY 122: PRE-JOB SAFETY ASSESSMENT

• Pre PJSA safety tour of site conducted for each shift

  Yes

  No

  N/A

• Daily safety meeting being conducted for each shift

  Yes

  No

  N/A

• Special safety meeting conducted when H2S/SO2 present

  Yes

  No

  N/A

• Safety meetings properly documented

  Yes

  No

  N/A

• Accidents, if any, are discussed during safety meetings

  Yes

  No

  N/A

• Physical address of site discussed

  Yes

  No

  N/A

• Emergency route to nearest hospital discussed

  Yes

  No

  N/A

• PJSA filled out completely and properly

  Yes

  No

  N/A

• Individual contractors conducting Job Safety Analysis (JSA) to identify task-specific hazards

  Yes

  No

  N/A

• Simultaneous operation hazards assessed and discussed at each safety meeting

  Yes

  No

  N/A

GENERAL

• Proper incident reporting procedure known and utilized when necessary

  Yes

  No

  N/A

• Stop work authority in use

  Yes

  No

  N/A

• Adequate communication between contractors onsite

  Yes

  No

  N/A

• Emergency response plan understood

  Yes

  No

  N/A

• Smoke point identified outside of gate or no less that 125' away from hydrocarbon containing vessels

  Yes

  No

  N/A

PAINTING OPERATIONS

• No cell phone use within 35' of hydrocarbon containing equipment

  Yes

  No

  N/A

• Brass/non sparking tool utilized

  Yes

  No

  N/A

• Painters have accounted for wind direction and taken proper steps to prevent over spray

  Yes

  No

  N/A

• If scaffold system is present, proper tagging system is utilized (red, yellow, green)

  Yes

  No

  N/A

PAD CONSTRUCTION

• Bulk fuel tanks are double walled within a lined containment dike

  Yes

  No

  N/A

• Fire extinguisher within 30' of bulk fuel

  Yes

  No

  N/A

• Dumpster or drum onsite for non-haz trash

  Yes

  No

  N/A

• Portable restroom onsite

  Yes

  No

  N/A

• Flagger utilized when loading/unloading on haul routes

  Yes

  No

  N/A

• Spotter clear of danger during loading/unloading

  Yes

  No

  N/A

• Spill kit onsite and inventoried

  Yes

  No

  N/A

ADDITIONAL COMMENTS