Digco Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Information:

• JOB NUMBER:

• 9/17/14

  Date

• LOCATION:

• VEHICLE NUMBER:

• SUPERVISOR:

Vehicle

• Drivers Log (if required)

  Yes

  No

  N/A

• D.V.I.R Log

  Yes

  No

  N/A

• Windshield Wipers

  Yes

  No

  N/A

• Tires

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Seat Belts OK & Worn

  Yes

  No

  N/A

• Parking Brake

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Body Components

  Yes

  No

  N/A

• Seat Belts Worn

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

Trenching, Excavation, Shoring

• Competent Person Trench Inspection

  Yes

  No

  N/A

• Trenches > 4' Shored or Benched

  Yes

  No

  N/A

• Means of Access and Egress

  Yes

  No

  N/A

• Spoil Piles Back 3'

  Yes

  No

  N/A

• Underground Facilities Marked

  Yes

  No

  N/A

• CGI On Site

  Yes

  No

  N/A

• Locate Request Copies on Jobsite

  Yes

  No

  N/A

Tools/Equipment

• Safety Guards in Place

  Yes

  No

  N/A

• Operators Trained

  Yes

  No

  N/A

• Seat Belts Used (while operating equipment)

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Safety Cans Used For Gasoline

  Yes

  No

  N/A

• Fire Extinguishers Available, Inspected, Tagged, and Employees Trained to Use

  Yes

  No

  N/A

• First Aid Kit Stocked

  Yes

  No

  N/A

General

• Job Briefing Completed

  Yes

  No

  N/A

• Competent Person at Site

  Yes

  No

  N/A

• Traffic Control/Signs

  Yes

  No

  N/A

• AED I inspection

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

Health & Enviromental

• Certified First Aid/CPR Person

  Yes

  No

  N/A

• Drinking Water & Cups Available

  Yes

  No

  N/A

Personal Protective Equipment

• Safety Glasses

  Yes

  No

  N/A

• Safety Vest

  Yes

  No

  N/A

• Hard Hat

  Yes

  No

  N/A