Drilling Site Safety Observation 2020

• Job # & Job Name

• Location
  Address

• Task

• Foreman

• Conducted on

  Date

• Prepared by

PERSONAL PROTECTIVE EQUIPMENT

• Safety glasses with side shields or goggles available & being used.

  Safe

  At Risk

  N/A

• Proper tinted lens for welding, cutting.

  Safe

  At Risk

  N/A

• Face shield being used?

  Safe

  At Risk

  N/A

• Foot protection worn as required?

  Safe

  At Risk

  N/A

• Hearing protection worn when required?

  Safe

  At Risk

  N/A

• Hard hats proper and worn correctly?

  Safe

  At Risk

  N/A

• Harness/Lanyard/D ring extender

  Safe

  At Risk

  N/A

• High viz and reflective clothing worn?

  Safe

  At Risk

  N/A

• Arc-rated FR clothing worn when required?

  Safe

  At Risk

  N/A

ELECTRICAL SAFETY

• MAD maintained with overhead lines?

  Safe

  At Risk

  N/A

• Overhead lines de-energized and grounds visible?

  Safe

  At Risk

  N/A

• GFCI's used properly for portable hand tools?

  Safe

  At Risk

  N/A

• Portable generators/welders equipped with GFCI's?

  Safe

  At Risk

  N/A

• Electrical cords inspected and have all prongs in tact?

  Safe

  At Risk

  N/A

• Electrical hand tools are grounded or double insulated?

  Safe

  At Risk

  N/A

• Ground rods available and used when required?

  Safe

  At Risk

  N/A

• Ground cables available, used when required, absent of damage?

  Safe

  At Risk

  N/A

• Ground cable tested within two (2) years?

  Safe

  At Risk

  N/A

• Ground cable test dates:

• Ground cable test dates:

COMPRESSED GAS

• Compressed gas cylinders stored secured & upright?

  Safe

  At Risk

  N/A

• Oxygen/acetylene torch units have flashback arrestors?

  Safe

  At Risk

  N/A

• Compressed gas cylinders not in use have caps in place?

  Safe

  At Risk

  N/A

FALL PROTECTION

• Are Barricades set up per policy?

  Yes

  No

  N/A

• Why are they set up different than policy?

• Barricades minimum six feet from excavation?

  Yes

  No

  N/A

• Why are they set up different than policy?

• Proper fall protection while working at or above six feet?

  Yes

  No

  N/A

• Anchor points available and used? Minimum four feet from excavation?

  Good

  Fair

  Poor

  N/A

• Are Anchor Points placed properly to eliminate exposure to drill swinging?

  Good

  Fair

  Poor

  N/A

• Are Poles and braces assembled correct?

  Yes

  No

  N/A

• Self Retracting Lanyard used

  Yes

  No

  N/A

• Self Retracting Lanyard inspected?

  Yes

  No

  N/A

• Full Body Harness used?

  Yes

  No

  N/A

• Full body Harness Inspected?

  Yes

  No

  N/A

• Open holes securely covered and labeled?

  Good

  Fair

  Poor

  N/A

HAZARD COMMUNICATION

• SDS available on site?

  Safe

  At Risk

  N/A

• Flammable liquids in approved safety cans?

  Safe

  At Risk

  N/A

• All hazardous chemicals labeled appropriately?

  Safe

  At Risk

  N/A

• Spill kits available?

  Safe

  At Risk

  N/A

CRANES AND DERRICKS

• Daily inspection documented?

  Good

  Fair

  Poor

  N/A

• Annual inspection documented?

  Yes

  No

  N/A

• Equipment capacity adequate for the load?

  Safe

  At Risk

  N/A

• Operator demonstrating safe work practices?

  Good

  Fair

  Poor

  N/A

• Outrigger pads being used?

  Safe

  At Risk

  N/A

• Swing radius protected?

  Good

  Fair

  Poor

  N/A

• Rigger and signal person trained and using proper signals?

  Good

  Fair

  Poor

  N/A

MATERIAL HANDLING

• Lift/Loader operator demonstrating safe work practices?

  Safe

  At Risk

  N/A

• Rigging inspected for damage and used properly?

  Safe

  At Risk

  N/A

• Lifting hooks and/or safety latch absent of deformation?

  Safe

  At Risk

  N/A

• Fork lift hoisting load using hook attachment with retention cable?

  Safe

  At Risk

  N/A

• Workers demonstrating safe work practices? (Tag lines, spotting equipment, not standing under load, etc.)

  Good

  Fair

  Poor

  N/A

HAND TOOLS / POWER TOOLS

• Grinders have guards in place?

  Safe

  At Risk

  N/A

• Portable circular/table saws equipped with protective guards?

  Safe

  At Risk

  N/A

• Unsafe hand tools removed from service?

  Safe

  At Risk

  N/A

ADMINISTRATIVE

• Company safety policy available?

  Yes

  No

  N/A

• Hazard Right Of Way review completed?

  Good

  Fair

  Poor

  N/A

• Daily Job Briefing completed?

  Good

  Fair

  Poor

  N/A

• JHA/JSA/THA available and reviewed with personnel and visitors?

  Good

  Fair

  Poor

  N/A

• Emergency plan / PSSP completed and reviewed with personnel?

  Good

  Fair

  Poor

  N/A

• Training documented: safety orientation, OSHA 10 & 30, first aid/CPR?

  Good

  Fair

  Poor

  N/A

• Equipment operator training documented? (Ex. CCO, forklift)

  Good

  Fair

  Poor

  N/A

• Critical set-up plan completed when working near energized lines?

  Good

  Fair

  Poor

  N/A

• New hires drug tested within last 12 months?

  Yes

  No

  N/A

• Toolbox talks conducted and documented?

  Good

  Fair

  Poor

  N/A

• Competent person on site?

  Yes

  No

  N/A

EMERGENCY / FIRST AID

• Emergency contacts and maps posted in known location?

  Safe

  At Risk

  N/A

• Eye wash accessible?

  Safe

  At Risk

  N/A

• First aid kits available and location marked?

  Safe

  At Risk

  N/A

• Blood Born pathogens kit accessible?

  Yes

  No

  N/A

• Fire extinguishers readily available during hot work?

  Safe

  At Risk

  N/A

• Fire extinguishers inspected and storage location marked?

  Safe

  At Risk

  N/A

GENERAL SAFETY

• Personnel demonstrate safe work practices?

  Good

  Fair

  Poor

  N/A

• Good housekeeping in storage and work areas?

  Good

  Fair

  Poor

  N/A

• Rebar caps used on impalement hazards?

  Good

  Fair

  Poor

  N/A

• Monitoring of weather conditions as required?

  Good

  Fair

  Poor

  N/A

• Task lighting adequate?

  Good

  Fair

  Poor

  N/A

• Back-up alarms operational on vehicles?

  Safe

  At Risk

  N/A

OTHER SAFETY OBSERVATION

• Safe

  At Risk

  N/A

OTHER SAFETY OBSERVATION

• Safe

  At Risk

  N/A

360-DEGREE JOB SITE PHOTOS

• Photograph job set-up, work in progress, site conditions and equipment.

  Media

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