Title Page
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Daily Work Zone Evaluation Project Description:
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Conducting Work For:
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Conducted on
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Prepared By:
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Location
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Foreman:
- Vernon Andrews
- Recole Cash
- Steve Daye
- Shontez Daye
- Cory Estes
- James Haas
- Chris Halinka
- Oliver Kiehl
- Josh Moore
- Duane Owens
- Jarret Sawders
- John Zilinskas
Safety and Compliance Items
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The attached document is provided as a means to identify evaluate and control potential job site hazards and maintain compliance through the PUC and NiSource. The Safety Coordinator must evaluate employee job performance and complete this document.
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Vacuum Truck Operations
Work Zone
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Work Zone Properly set up meeting MUTCD guidelines.
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Workers, excavations, and vehicles protected by cones.
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Sidewalk closed if applicable.
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Qualified Flaggers utilized as necessary
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Housekeeping adequate for the jobsite. No trip/fall hazards.
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Fire extinguisher properly positioned and upwind of the excavation
PPE
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Employees don and use correct PPE for the job.
Vehicles
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Wheels chocked
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First aid kit properly inspected for the month and contains minimum contents that is not expired
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Fire extinguisher annually and monthly inspected and is secured
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Secondary labels properly labelled and contains NFPA diamond pictogram.
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Maintenance performed on vehicles as required
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Locating Lines
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Valid One Call
Tools/Equipment
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Tools and equipment in operative condition and inspected prior to work
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Safety Whip Check Safety Cords used on all air hose connections.
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Employees utilize worker rotation and recognize potential hazards while operating equipment.
Procedures
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O2 monitors properly bump tested
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Employees safely use air striker and vacuum hose.
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Employees recognize underground utilities and prevent damages.
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Employees remove rocks as applicable
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Corrosion Control
Procedures
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Employees inspect interior and exterior of the pipe
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Employees prepare pipe surface
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Employees take CGI prior to burning anode
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Employees safely apply anode and protect welds following the gas standards.
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Abandons
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Employees use proper methods to stop the flow of gas following the gas standards.
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Employees use intrinsically safe tools to cut and abandon gas piping.
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Employees properly cap cut end
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Directional Drilling
Procedures
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Equipment in operative condition and inspected prior to use.
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Employees validate one call
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Bore gel used for lubrication.
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Employees recognize and react to underground utilities
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Employees use equipment properly following manufacturers recommendations.
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Weak link used on pulls 50 feet or greater
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Employees back ream in appropriate diameter not to exceed 1.5 times the pipe diameter
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Flagging
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Employees set up work zone meeting MUTCD Requirements
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All advanced warning signs in place and in proper location
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Tapper area contains at least 6 devices
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Proper equipment used