Daily Safety inspections

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Information

• I-225 LRT- Kiewit - Contract #

Audit Area 1

• What type of operation is being observed?

  Select Excavation Utilities Erect/ Strip Forms Pour Conrete Crane Work Bridge Deck Work Girder Placement

  • Excavation
  • Utilities
  • Erect/ Strip Forms
  • Pour Conrete
  • Crane Work
  • Bridge Deck Work
  • Girder Placement

• Who is the Foreman of the operation?

  Select Trent Wade Marcus Ellis Joe Gonzalez Josh Allen John Gruntorad Jon Bradtmueller Kevin Hoy Matt Tolsma Terry Miller Sam McKay

  • Trent Wade
  • Marcus Ellis
  • Joe Gonzalez
  • Josh Allen
  • John Gruntorad
  • Jon Bradtmueller
  • Kevin Hoy
  • Matt Tolsma
  • Terry Miller
  • Sam McKay

• Date & Time of Inspection

  Date

• Is a JHA/ Work Plan completed for the operation?

  Yes

  No

  N/A

• Add media

  Media

• Was this corrected?

  Yes

  No

  N/A

• Does this operation require a Dig Permit?

  Yes

  No

  N/A

• Add media

  Media

• Was this corrected?

  Yes

  No

  N/A

• Does this operation require a Lift Plan?

  Yes

  No

  N/A

• Has the Lift Plan been filled out properly and been reviewed by the crew?

  Yes

  No

  N/A

• Was this corrected?

  Yes

  No

  N/A

• Is the Proper PPE for the operation being worn?

  Yes

  No

  N/A

• Was this corrected?

  Yes

  No

  N/A

• Is there task specific PPE for the operation?

  Yes

  No

  N/A

• Describe task specific PPE.

• Is the work area "extreme clean?"

  Yes

  No

  N/A

• Does the work area have proper access?

  Yes

  No

  N/A

Sign Off

• Auditor's signature

  Sign