Title Page

  • Conducted on

  • Document No.

  • Audit Title

  • Client / Site

  • Prepared by

  • Personnel

  • Location

Job Description Being Performed

  • undefined

JOB PLANNING

  • Job Briefing?

  • Documented?

  • Discussion on site?

  • Comments:

PERSONAL PROTECTIVE EQUIPMENT

  • Is eye protection being worn?

  • Are hard hats used according to Safety Manual requirements?

  • Is hand protection being used?

  • Is foot ware appropriate to job?

  • Is hearing protection used when needed?

  • Is clothing policy followed?

  • Comments:

VEHICLES

  • Are wheel chocks used?

  • Daily pre-trip inspection performed?

  • Did they "fly" the booms?

  • Diggers/buckets properly set up?

  • Vehicles grounded?

  • Comments:

OVERHEAD AND URD CONSTRUCTION

  • All equipment inspected prior to use?

  • All equipment used correctly?

  • Working between grounds?

  • Are grounds in good condition and tested?

  • Are hand lines used?

  • Is there good housekeeping?

  • Are excavations safe?

  • Comments:

ENERGIZED WORK

  • Are sleeves and gloves correct rating and date?

  • Are gloves air tested and inspected prior to use?

  • Is adequate cover-up used?

  • Are approach distances maintained?

  • Is ground-ground, lock-lock policy followed?

  • Are employees performing hot work observed?

  • Comments:

GENERAL

  • Are poles tested prior to climbing?

  • Is proper fall protection in used?

  • Is climbing equipment inspected before use?

  • Are gaff guards used?

  • Are slings in good shape?

  • Is work area clean when job is finished?

  • Comments:

TRAFFIC CONTROL

  • Are beacon/strobe lights used?

  • Are four way flashers used?

  • Are reflective vests used?

  • Were cones used?

  • Were signs used?

  • Was law enforcement used?

  • Was a flagger used?

  • Comments:

REVIEWED

  • Department Head:

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Photos

  • Take photos of the job site or use from gallery.

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