DIG Safety Evaluation

Information

Audit Title
All Contractors On Job Site (Example: Papalas, ILE, etc.)
Conducted on
Current Weather Conditions
- Sunny
- Overcast
- Cloudy
- Rainy
- Windy
- Snow
Number Of Worker On Site
Prepared by
Location
Reminder: While completing this audit do NOT walk and look down at the phone. You must find an area that you are able to safely observe the workers and complete the audit. Do not take any pictures of production only take pictures of the work area with the flash OFF. Take pictures of the details. Pictures must relate to the section you are completing. Audits should roughly take 15-20 mins to complete. If any of the questions in the next section are marked as "At Risk" you must STOP WORK and correct the action immediately. You are to re-evaluate the PTA in the event this happens to ensure the workers are following the PTA and DTA. If the work does not line up with the PTA/DTA it is your responsibility to correct the at risk behavior!

PTA/DTA Audit

Is the PTA / DTA available at the work location?
Does the work line-up with the information contained on the PTA / DTA?
Are all permits present that are required for the work operation?
Does the PTA / DTA address the potential hazards of the work operation?
Does the PTA / DTA address the location specific potential hazards and control measures?
Are the required PPE specified on the PTA / DTA?
Are the required tools and equipment specified on the PTA / DTA?
Are the emergency response plan and/or contingency plan specified in the PTA / DTA?
Was the daily safety huddle signed by those performing the work?
Have the workers completed 'Stretch and Flex' prior to starting work? (Ask A Worker To Demonstrate One Stretch)

Project Documentation

Have tool, ladder, and equipment checklists been completed?
Is the PTA signed by the DIG Safety Manager?

Safety Observations

Housekeeping
Clear Walkways
Gang Boxes Organized
Fall Protection Properly Stored
Rigging Properly Stored
Storage and Labeling
Industrial Hygiene
Scrap and Debris Removed
Materials Properly Stacked
Fire Prevention and Protection
Approved Containers and Tanks
Flammable Liquid Storage
Hotwork Permit Issued
Hotwork Permit Stated In the PTA
Firewatch Has Clear Sight Of Work
Proper Fire Extinguisher For the Task
Cabinets and Storage Labeled
Portable Gas Tanks Labeled
Portable Gas Tanks Grounded
Signs, Signals, And Barricades
Danger Signs (Hazards Exist)
Danger Tape (Hazards Exist)
Caution Signs (Potential Hazards)
Caution Tape (Potential Hazards)
Traffic Logistic Plan Created
Directional Signs to Guide Traffic
Flaggers/Spotters Being Used
Proper Hand Signals
Barricades/Fencing Placed
Proper Signs Placed For Lead
Proper Signs Placed for Asbestos
Hands Tools and Equipment
Guards in Place
GFCI Being Used
Cords Properly Inspected
Defective Cords Tagged
Proper Tools For The Task At Hand
Defective Tools Tagged
Aerial Lift Procedures
Occupational and Environmental Controls
First AID/CPR Training
First AID Supplies
Water Provided
Proper Laser Use
Fumes Properly Ventilated
Properly Lifting Techniques
Proper Cell Phone Use
Concrete and Masonry
Protruding Steel Capped
Protruding Nails Removed
Proper Formwork Supports
Proper Shoring
Proper Cleanout Area
Water Controls
Welding and Cutting
Valve Caps In Place
Cylinders Up Right
Cylinders Properly Secured
Condition of Hoses and Caps
Cylinders Are Located A Safe Distance From Cutting Operations
Electrical
5 Foot Candles Minimum
Temp Lighting Provided
Temp Lighting Guarded
Portable Generators Have GFCI
LOTO Procedures Being Followed
Scaffolds
Work Platforms Level
OSHA Boards Not Cracked
Handrail and Midrail
Baseplates In Proper Condition
Pins All In Place
Competent Person Inspection
Properly Tagged
Materials Not Exceeding Rating
Steel Erection
Guardrails In Place
Guardrails Tight
Proper Tie Off
Whistles and Air Horn Communications
Tie Off Points Exceed 5000 LBS
Engineered Drawings
Excavations and Trenching
Underground Action Plan Completed
Utilities Located/Marked
Hand Dig Utilities
Excavation Protected
Ladders Located Every 25 Feet
Air Monitor In Place
Basket Stretcher Available
Free Of Accumulating Water
Slopes
Trench Boxes
Trench Boxes Engineered
Ramps
Spoils Pile
Demolition
Cut and Cap Utilities
Utilities Marked and Tagged
Holes Protected
Chutes Angled and Barricaded
Fire Alarms In Bypass and Covered
Cranes
Operator Has License On Person
Crane Action Plan Completed and On Site
Qualified Assembly
Acceptable Ground Condition
Outriggers
Load Capacity
Rigging
Communication
Powerlines
Stairways and Ladders
3 Points of Contact
Extension Ladders 3' Past The Landing
Safety Stickers Legible
Top 2 Steps of A-Frames
Cleats Intact
Free Of Oil and Grease
Proper Use
Defective Ladders Tagged Out Of Service
Motorized Equipment
Back Alarms Properly Working
Lights On and Working
Windshields
Seatbelts Being Worn At All Times
Operators License On Person

Environmental Impacts

Is there any work containing Asbestos? (If yes, please give detailed information on the monitoring and abatement process)
Is there any work containing Lead? (if yes, please give detailed information on the monitoring and abatement process)
Is there any work containing Silica? (if yes, please give detailed information on the monitoring and abatement process)

Checklists

PPE Inspection Form Of Workers on Site
Hard Hats ANSI Z89
Safety Glasses
Boots ANSI Z41
Harness
Lanyard
Respiratory
Hearing Protection
Gloves
Aerial Work Platform Inspection
Operating and Emergency Controls
Safety Devices and Designated Fall Protection Tie-Off Points
Air, Fuel, Hydraulic Lines
Cables and Wiring Harnesses
Tires and Wheels (Proper Inflation and Condition)
Equipment Welds (Check For Cracks)
Outriggers, Stabilizers, Extendable Axels and Other Relevant Components
Warning and Control Decals or Placards (Present and Legible)
Guardrail System, Safety Gates, Chains
Platform Condition (Platform Is Free Of Slip and Trip Hazards)
Operating and Safety Manuals
PPE
Daily Inspection of Trenches and Excavations
Weather
Temperature
Soil Type
Trench Depth
Trench Length
Trench Width
Excavations and protective systems inspected by qualified person daily before start of work
Qualified person has authority to remover workers from excavation immediately
Surface encumbrances supported or removed
Employees protected from loose rock or soil
Spoils, materials, and equipment set back a minimum of 2' from edge of excavation
Barriers provided at all remote excavations, wells, pits, shafts, etc
Walkways and bridges over excavations 4' or more equipped with guardrails
Employees prohibited from working on faces of sloped or benched excavations about other employees
Employees prohibited from working or walking under suspended loads
Warning system established and used when mobile equipment is operating near edge of excavation
Utility companies contacted and or utilities located
Exact location of utilities marked when near excavation
Underground installations protected, supported, or removed when excavation is open
Precautions taken to protect employees from accumulation of water
Water removal equipment monitored by qualified person
Surface water controlled or diverted
Inspection made after each rainstorm
Atmosphere rested when there is a possibility of oxygen deficiency or build up of hazardous gas
Oxygen content is between 19.5% and 21%
Ventilation provided to prevent flammable gas build up to 20% of LEL of the gas
Testing conducted to ensure that atmosphere remains safe

Ask the Foreman the Following Questions

Has the foreman completed the daily yellow card? If no, they must complete.
Has the foreman completed a green card for the day? If no complete the next question.
If the above is no, click the switch.
Observation By: (Foreman's Name)
Observation:
Contractor Observed:
Notes: