Duphil, Inc. Safety Audit

• Document No.

• Job Number

• Customer Name / Site Name

• Location
  Address

• Conducted on

  Date

• Who performed this Audit?

  Select Domingue, Russell Felice, James Jacobo, Gustavo Lemoine, Trey Rodriguez, Marcelino Whitman, Kevin

  • Domingue, Russell
  • Felice, James
  • Jacobo, Gustavo
  • Lemoine, Trey
  • Rodriguez, Marcelino
  • Whitman, Kevin

Job Site Safety Set-up

• Have the emergency contact numbers been identified?

  Yes

  No

• Is the information readily available to all crew members?

  Yes

  No

• Have the emergency facility locations been identified?

  Yes

  No

• Is the information readily available to all crew members?

  Yes

  No

• Have evacuation prodedures been identified?

  Yes

  No

• Is the information readily available to all crew members?

  Yes

  No

• Are all necessary and applicable MSDS's available onsite?

  Yes

  No

• Is the information readily available to all crew members?

  Yes

  No

• Are the appropriate H.R. Labor Law posters displayed on job site?

  Yes

  No

• Are the posters put in a conspicuous place that all employees will be able to see them?

  Yes

  No

Daily Permits & Paperwork

• Has a Pre-Task been completed?

  Yes

  Incomplete

  No

• Has a B.B.O. Report been completed?

  Yes

  Incomplete

  No

• If APPLICABLE, have any customer permits been completed?

  Yes

  Incomplete

  No

• Does the customer have a Short Service Employee Program in place?

  Yes

  No

• Are any of the onsite employees classified as an S.S.E.?

  Yes

  No

• Is an S.S.E. variance necessary?

  Yes

  No

• Is the S.S.E. variance approved by an authorized person?

  Yes

  No

General Work Site Area

• Are all employees wearing appropriate P.P.E.?

  Yes

  No

• Are employees using Hand or Power Tools?

  Yes

  No

• Are employees using the appropriate tool for the task at hand?

  Yes

  No

• Are employees using the tools as intended? (Ex: guards, line of fire, grounded)

  Yes

  No

• Are the tools in a satisfactory condition?

  Yes

  No

• Are First Aid Kits and Eyewash Stations available and accessible?

  Yes

  No

• How is the Housekeeping Conditions in the work site area?

• Unsatisfactory Conditions : Work Site Operations need to be stopped until site is cleaned and organized.

• Housekeeping Work Site Conditions are below acceptable standards, Site needs to be cleaned and organized at next break or stopping point in work schedule.

• Housekeeping Work Site Conditions are above average.

• Housekeeping Work Site Conditions are excellent.

• Are Fire Extinguishers properly located and available?

  Yes

  No

• Are all Fire Extinguishers tagged and do they have current inspections?

  Yes

  No

• Are all vehicles on work site adhering to Duphil's Motor Vehicle Policy?

  Yes

  No

• Are all combustible and flammables properly stored and labeled?

  Yes

  No

• Does the customer require Secondary Containment for hazardous materials? (Example : fuels, paints, thinners)

  Yes

  No

• Do any Environmental Protection Measures apply to this Job Site?

  Yes

  No

• Are they being adhered to?

  Yes

  No

• Are Spill Kits available and accessible?

  Yes

  No

• Are there any Traffic Control Measures that apply to this Job Site?

  Yes

  No

• Are they DOT approved posted and visible?

  Yes

  No

• Will flaggers be needed to direct traffic?

  Yes

  No

Tasks

• Are generators being used on this Job Site?

  Yes

  No

• Are additional GFCI's necessary?

  Yes

  No

• Are electrical extension cords being used?

  Yes

  No

• Will GFCI's be necessary?

  Yes

  No

• Are the electrical extension cords in satisfactory conditions?

  Yes

  No

• Are overhead power lines present and a danger to this Job Site?

  Yes

  No

• Are the appropriate Signs posted and visible?

  Yes

  No

• Are operators using a signal person with air horn when crossing under the power lines?

  Yes

  No

• If APPLICABLE, are proximity alarms being used properly?

  Yes

  No

• Will there be any Trenching and/or Excavating performed on this Job Site?

  Yes

  No

• Are Forklifts being used on this Job Site?

  Yes

  No

• Was a ONE CALL performed?

  Yes

  No

• Has the initial waiting period been allowed to pass?

  Yes

  No

• Is the ONE CALL current?

  Yes

  No

• Have all underground lines been marked and/or flagged?

  Yes

  No

• Is a Spotter available to assist the operator during the digging process?

  Yes

  No

• Is the Spotter continually probing to locate underground hazards?

  Yes

  No

• Are Trenches or Excavations properly sloped for employee access?

  Yes

  No

• Are additional support systems necessary for employee access?

  Yes

  No

• Have the support systems been installed and utilized properly?

  Yes

  No

• Are appropriate access and egress points properly set up? (Example : ladders, stairs)

  Yes

  No

• Is the spoil at least 2 feet away from the edge of the trench and/or excavation?

  Yes

  No

• Has a Trenching/Excavation Permit been completed by a Competent Person?

  Yes

  No

• Are the Forklift Operators qualified?

  Yes

  No

• Are Aerial Lifts / Man Lifts being used on this Job Site?

  Yes

  No

• Are the Aerial Lift/Man Lift Operators qualified?

  Yes

  No

• Are Cranes being used on this Job Site?

  Yes

  No

• Are the Crane Operators qualified?

  Yes

  No

• Have all operators performed a daily inspection form for all equipment?

  Yes

  No

• Are all operators using qualified riggers when hoisting loads?

  Yes

  No

• Are Tag Lines being used with all hoisted loads?

  Yes

  No

• Is any elevated work being performed on this Job Site?

  Yes

  No

• Are any Ladders being used?

  Yes

  No

• Are the correct ladder types being used in the correct manner?

  Yes

  No

• Are the ladders in satisfactory condition?

  Yes

  No

• Are employees working on elevated platforms?

  Yes

  No

• Are OSHA approved guardrails in place?

  Yes

  No

• Are Scaffolds being used on the Job Site?

  Yes

  No

• Was the Scaffold erected to standard?

  Yes

  No

• Was a Scaffold Inspection Tag completed and posted by a competent person?

  Yes

  No

• If APPLICABLE, are personal fall arrest systems being used?

  Yes

  No

• Is the correct type of personal fall arrest system being used?

  Yes

  No

• Is the personal fall arrest system in a satisfactory condition?

  Yes

  No

• Is there any Hot Work being performed on this Job Site?

  Yes

  No

• Does the customer require a hot work permit?

  Yes

  No

• Is there a qualified Fire Watch present, with a satisfactory fire extinguisher for each hot work task?

  Yes

  No

• Are the employees that are performing the task wearing the proper FRC?

  Yes

  No

• Is air monitoring required?

  Yes

  No

• Is the calibration current on the Gas Monitor?

  Yes

  No

• Are there satisfactory fire extinguishers available for each hot work task?

  Yes

  No

• Is there any welding and cutting being performed on this Job Site?

  Yes

  No

• Are spoggles and faceshields both being used by all employees operating a grinding tool?

  Yes

  No

• Are employees wearing clothing that could present a hazard if caught in rotating equipment, such as a buffer / grinder?

  Yes

  No

• Do all grinding tools have guards in place?

  Yes

  No

• Is there any Sand blasting or painting being performed on this Job Site?

  Yes

  No

• Are employees performing these tasks wearing all the proper P.P.E., such as a Blaster's Hood?

  Yes

  No

• Are measures being taken to prevent the hoses from separating? (Ex: safety pins, clips, whip-checks)

  Yes

  No

• Is there any Confined Space work being performed on this Job Site?

  Yes

  No

• Does the customer require a confined space permit?

  Yes

  No

• Are the employees that are performing the Confined Space Work tasks qualified to do so?

  Yes

  No

• Is the task being performed in accordance to Duphil's policies and procedures?

  Yes

  No