Danella Safety Audit

• Foreman / Job Number

• Safety Representative

• Date

  Date

• Location

• Weather

• Scope of Work

1.0 Workplace

• 1.1- Code 753 (Mark Outs)

  Yes

  No

  N/A

• 1.2- Inspector

  Yes

  No

  N/A

• 1.3- Competent Person

  Yes

  No

  N/A

2.0 Administrative

• 2.1- Documentation of Job Briefing

  Yes

  No

  N/A

• 2.2- Certifications, Certificates of Fitness, & Training Cards

  Yes

  No

  N/A

• 2.3- Air monitor in use & calibrated

  Yes

  No

  N/A

• 2.4- Current HASP on-site

  Yes

  No

  N/A

• 2.5- Current permits posted & visible

  Yes

  No

  N/A

• 2.6- Burn Gel in Truck & within Expiration Date

  Yes

  No

  N/A

• 2.7- First Aid Kit/Blood Bourne Pathogen Kit on-site & current

  Yes

  No

  N/A

• 2.8- Spill Kit on-site

  Yes

  No

  N/A

• 2.9- Fire extinguisher visible, current, & immediately available

  Yes

  No

  N/A

• 2.10- CEHSP 13.00 Excavation Procedures

  Yes

  No

  N/A

• 2.11- Current RWLB matrix posted

  Yes

  No

  N/A

3.00 Work Area Protection

• 3.1- Flagger present with advanced warning signs

  Yes

  No

  N/A

• 3.2- Barricades/Cones/Stanchions complete & in compliance

  Yes

  No

  N/A

• 3.3- MUTCD signs in use where required

  Yes

  No

  N/A

• 3.4- Arrow board operating & in use when applicable

  Yes

  No

  N/A

• 3.5- Pedestrians provided with safe & clear path of travel

  Yes

  No

  N/A

• 3.6- Plates Pinned, ramped, flush, skid resistant, & in complete compliance

  Yes

  No

  N/A

• 3.7- Fall Protection when Required

  Yes

  No

  N/A

• 3.8- Slings & chains in good condition

  Yes

  No

  N/A

• 3.9- KV Gloves dated & within expiration

  Yes

  No

  N/A

• 3.10- Proper PPE in use when required

  Yes

  No

  N/A

• 3.11- Vehicle’s Engine turned off (Idling regulations)

  Yes

  No

  N/A

• 3.12- Wheels Chocked when truck on standby

  Yes

  No

  N/A

• 3.13- Compressor Check Valves / Whip Checks in Place

  Yes

  No

  N/A

• 3.14- All Tools in Good Shape

  Yes

  No

  N/A

• 3.15- Housekeeping

  Yes

  No

  N/A

4.00 Excavation

• 4.1- Spoils & equipment 2’ away from excavation

  Yes

  No

  N/A

• 4.2- Gas monitoring where required

  Yes

  No

  N/A

• 4.3- Ladders used at 4’ depth or greater and extending 3’ above landing

  Yes

  No

  N/A

• 4.4- Ladders in place every 25’ of lateral travel

  Yes

  No

  N/A

• 4.5- Shoring/sheeting when required

  Yes

  No

  N/A

• 4.6- Daily excavation Inspection conducted

  Yes

  No

  N/A

Sign off

• On- site Representative