"Digco Gas Construction Bore Rig Safety Audits"

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

"Bore Crew PPE"

• "Bore Crew Wearing Safety Glasses">?

  Yes

  No

  N/A

• "Bore Crews Wearing Hard Hats">?

  Yes

  No

  N/A

• "Bore Crews Wearing High/Vis Vest/Shirts">?

  Yes

  No

  N/A

• "Bore Crews Wearing Proper Hand Protection">?

  Yes

  No

  N/A

"Proper Documentation"

• "Does Bore Crew Have Required "JHA" Paperwork Completed">?

  Yes

  No

  N/A

• "Does Bore Crew Have Their "DVIR" And Truck Inspection Completed">?

  Yes

  No

  N/A

"Bore Rig Truck"

• Bore Rig Truck #>?

  Yes

  No

  N/A

• "Bore Rig Truck And Trailer In Good Condition.....Tires, Treads/'Boards Etc>?

  Yes

  No

  N/A

• "Housekeeping On Truck Looks Good">?

  Yes

  No

  N/A

• "Fire Extinguisher-"Mounted/Charged And Ready">?

  Yes

  No

  N/A

• "First Aid Kit Stocked And Updated">?

  Yes

  No

  N/A

"Bore Machine"

• "Bore Set Up In "Safe Location"(Traffic Controlled And On Level Ground, ETC">?

  Yes

  No

  N/A

• "Has All Underground Utilities Been Located">?

  Yes

  No

  N/A

• "Bore Rig In Good Condition">?

  Yes

  No

  N/A

• "Strike Alert Sensor In Place And Being Used Properly">?

  Yes

  No

  N/A

• "Bore Rig Functioning Properly No (Fluid Leaks)"<?

  Safe

  At Risk

  N/A

• "Additional Comments"

  Safe

  At Risk

  N/A

• Add signature

  Sign