Crew Site Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Setup

• Job Briefing was conducted

  Yes

  No

  N/A

• Proper warning signs and flaggers being used

  Yes

  No

  N/A

• Traffic cones were being used and properly set up

  Yes

  No

  N/A

• Flashing beacons were used

  Yes

  No

  N/A

• Wheel chocks were properly used

  Yes

  No

  N/A

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Personal Protected Equipment (PPE)

• High visibility clothing was being worn

  Yes

  No

  N/A

• Hard hats were being worn

  Yes

  No

  N/A

• Safety glasses were being worn

  Yes

  No

  N/A

• Hearing protection was being worn

  Yes

  No

  N/A

• FR clothing was being worn

  Yes

  No

  N/A

• Truck grounds were in place

  Yes

  No

  N/A

• Personal protective grounds were in place

  Yes

  No

  N/A

• Cover up was being used

  Yes

  No

  N/A

• Rubber gloves were being worn

  Yes

  No

  N/A

• Chaps were being worn when operating the chain saw on the ground

  Yes

  No

  N/A

• Shoring was being used and properly set up

  Yes

  No

  N/A

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General Safety

• Switching and tagging was being used

  Yes

  No

  N/A

• The was a designated safety watcher

  Yes

  No

  N/A

• Proper storage and handling of live line tools

  Yes

  No

  N/A

• Job Site Safe for Workers and Public

  Safe

  At Risk

  N/A

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