DIGCO Gas Construction

• Document No.

• Audit Title

• Client / Site

• DIGCO Truck number?

• Conducted on

  Date

• Prepared by

• Location
  Address

• Revision 10/15/2015

VEHICLES

• Is the crew at the location?

  Yes

  No

  N/A

• D.V.I.R. completed

  Yes

  No

  N/A

• Equipment Trailer in safe condition?

  Yes

  No

  N/A

• Seat Belts being worn while riding or operating company vehicles?

  Yes

  No

  N/A

TRENCHING and EXCAVATIONS

• Job Briefing Completed?

  Yes

  No

  N/A

• Competent person at jobsite?

  Yes

  No

  N/A

• Trenches/Excavations greater than 4'sloped or shored?

  Yes

  No

  N/A

• Spoil Pile back 3' from edge?

  Yes

  No

  N/A

• Means of access/egress? (Ladder, etc.)

  Yes

  No

  N/A

• Ladder in safe condition?

  Yes

  No

  N/A

• Underground facilities marked?

  Yes

  No

  N/A

• CGI/O2 meter onsite? (Calibrated)

  Yes

  No

  N/A

• Locate request on jobsite?

  Yes

  No

  N/A

• Excavations/Spoil Piles fenced as needed?

  Yes

  No

  N/A

TOOLS/EQUIPMENT

• Any Heavy Equipment hazards present?

  Safe

  At Risk

  N/A

• Are guards in place on all Hand and Power tools?

  Yes

  No

  N/A

• Are lifting devices/tie-down equipment in safe condition?

  Yes

  No

  N/A

• Equipment Operator trained?

  Yes

  No

  N/A

• Seat Belts worn while operating equipment?

  Yes

  No

  N/A

• Is Housekeeping on trucks/trailers good?

  Yes

  No

  N/A

• Metal cans used for Gas/Diesel?

  Yes

  No

  N/A

• Fire Extinguisher available, tagged, and employee's trained in use?

  Yes

  No

  N/A

Health and Safety

• Certified Firstaid/CPR trained person on jobsite?

  Yes

  No

  N/A

• Firstaid Kid stocked and available onsite?

  Yes

  No

  N/A

• Drinking Water and Cups available on jobsite?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard Hats being worn?

  Yes

  No

  N/A

• Safety Glasses being worn?

  Yes

  No

  N/A

• Safety Vest/High Vis-Shirt being worn?

  Yes

  No

  N/A

• Appropriate Hand Protection worn?

  Yes

  No

  N/A

• Hearing Protection worn as needed?

  Yes

  No

  N/A

• Additional PPE as needed? (Toe Caps, face Shield, Goggles, etc.)

  Yes

  No

  N/A

GENERAL

• Traffic Control (signs and cones) properly displayed?

  Yes

  No

  N/A

• Monthly AED inspection completed?

  Yes

  No

  N/A

• Jobsite Housekeeping good?

  Yes

  No

  N/A

• Is Crew eligible for drawing?

  Yes

  No

  N/A

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