Duro Electric Field Safety Audit

• Conducted on

  Date

• Prepared by

• Location

• Project Number

• Safety/HR posters or binders on site

  Yes

  No

  N/A

• SDS binders on site or readily available

  Yes

  No

  N/A

• Pre-Task forms being completed daily

  Compliant

  Non-Compliant

  N/A

• JHA's being completed as necessary

  Compliant

  Non-Compliant

  N/A

• Toolbox talks being reviewed

  Compliant

  Non-Compliant

  N/A

• Duro employees new to project have been through site-specific orientation

  Compliant

  Non-Compliant

  N/A

• First Aid Kits are available and stocked

  Yes

  No

  N/A

General Safety

• General Housekeeping

  Good

  Fair

  Poor

  N/A

• Access and egress points clear of debris and marked

  Yes

  No

  N/A

• Isles and hallways free of clutter and debris

  Yes

  No

  N/A

• Material storage areas clean and orderly

  Good

  Fair

  Poor

  N/A

• Access/egress lighting sufficient

  Yes

  No

  N/A

• Task lighting being provided for areas where Duro employees are working

  Yes

  No

  N/A

• Flammable chemicals stored properly

  Yes

  No

  N/A

• Fire extinguishers available and in good condition (inspected monthly)

  Yes

  No

  N/A

Personal Protective Equipment

• All Duro employees wearing PPE as required

  Yes

  No

  N/A

• All Duro PPE is in good condition free from damage or defects

  Yes

  No

  N/A

Tools and Equipment

• All Duro tools in good working order and free from damage or defects

  Yes

  No

  N/A

• All Duro corded power tools have cord in good condition

  Yes

  No

  N/A

Material Handling

• Duro employees following safe and sound lifting practices when carrying or moving materials

  Safe

  At Risk

  N/A

• Materials stacked properly to prevent collapse and damage

  Yes

  No

  N/A

• Mechanical devices available to assist in moving materials (ex. pallet jack, forklift, chain fall, tugger, etc.)

  Yes

  No

  N/A

• Forklifts have been inspected and are free from damage or defects

  Yes

  No

  N/A

• Employees have been trained and are authorized to operate the equipment

  Compliant

  Non-Compliant

  N/A

• Duro employees utilizing carts and/or tri-vices to hold and secure materials when cutting

  Yes

  No

  N/A

Electrical

• Extension cords in good condition, no missing ground prongs and damage

  Yes

  No

  N/A

• Temporary lighting adequate and cages/bulbs in place

  Yes

  No

  N/A

• Temporary power devices in good condition

  Yes

  No

  N/A

• LOTO in place and being used properly

  Yes

  No

  N/A

• Employees performing LOTO have been trained and are authorized to perform such work

  Compliant

  Non-Compliant

  N/A

• Electrical panels secured and adequately protected

  Yes

  No

  N/A

• Energized Electrical Permit has been completed and safety notified of energized work

  Yes

  No

  N/A

• Electrical rooms are secured and signed

  Yes

  No

  N/A

Fall Protection

• Fall protection equipment available to Duro employees

  Yes

  No

  N/A

• Fall protection equipment in good condition free from damage or defects

  Yes

  No

  N/A

• Fall protection systems available for falls 6' or more

  Yes

  No

  N/A

• Fall protection harnesses and lanyards/yo-yo's being used properly

  Yes

  No

  N/A

• Anchor devices installed properly

  Yes

  No

  N/A

• Guard rails installed properly (42" top rail +/- 3", mid-rail and toe boards)

  Yes

  No

  N/A

• Horizontal lifelines installed properly

  Yes

  No

  N/A

Scaffold/Stairs/Ladders

• Scaffold has been inspected by a competent person (for the day being used)

  Yes

  No

  N/A

• Scaffold in good condition free from damage or defects

  Yes

  No

  N/A

• Stairs are accessible and free of clutter or debris

  Yes

  No

  N/A

• Stair pans are filled and safe for use

  Yes

  No

  N/A

• Duro ladders are available for use and adequate for work being performed

  Yes

  No

  N/A

• Duro ladders have been inspected and are free from damage or defects

  Yes

  No

  N/A

Heavy Equipment

• Scissor Lift have been inspected and free from damage or defects

  Yes

  No

  N/A

• Duro employees have been trained and are authorized to use the scissor lift

  Compliant

  Non-Compliant

  N/A

Trenching/Excavations

• Competent Person on site

  Yes

  No

  N/A

• Safety notified of excavation work

  Yes

  No

  N/A

• Soil classification determined and protective system provided (for trenches/excavations greater than 5' in depth)

  Yes

  No

  N/A

• Access/egress (ladder) provided for trenches/excavations greater than 4' in depth

  Yes

  No

  N/A

• Spoil piles and equipment set at least 2' back from edge of excavation

  Yes

  No

  N/A

Cranes/Rigging

• Crane Pick Plan completed and safety notified of pick

  Yes

  No

  N/A

• Duro employees trained and qualified for rigging

  Compliant

  Non-Compliant

  N/A

• Duro employees trained and qualified for signaling crane

  Compliant

  Non-Compliant

  N/A

• Review of crane pick discussed with crane company and crew performing work

  Yes

  No

  N/A

• Rigging equipment inspected and free from damage or defects

  Yes

  No

  N/A

Other Safety Concerns

• Additional Safety Hazards

• Additional Safety Hazards

• Additional Safety Hazards

• Any action items following this audit?

  Yes

  No

  N/A

• List/describe action item(s) and person responsible for addressing

• Signature

  Sign