Eastern District Pass/Fail

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Foreman's Work Plan

• Specific to the operation, comprehensive, being followed

  Yes

  No

  N/A

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  Media

Play of the day

• Completed, addresses hazards of the day, reviewed by supt, reviewed with craft

  Yes

  No

  N/A

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  Media

Hazard analysis

• Step by step follows work plan, pictures, reviewed by supt, signed by craft, DNA all over it

  Yes

  No

  N/A

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  Media

Toolbox meeting

• Every box complete, crew comments noted, hands on training documented

  Yes

  No

  N/A

• Add media

  Media

Fall protection plan

• Accurate (equipment used, sketch of system), signed by crew, followed

  Yes

  No

  N/A

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  Media

Overhead power line permit

• Completed, OHP addressed in HA, salaried spotter, air horn

  Yes

  No

  N/A

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  Media

Excavation permit

• At the operation, specific to location, verified utility location, signed off

  Yes

  No

  N/A

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  Media

Trench inspection

• Competent person, accurate and complete prior to start of operation

  Yes

  No

  N/A

• Add media

  Media

Daily visuals on cranes

• Must be completed prior to putting machine to work

  Yes

  No

  N/A

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  Media

On-the-spot lift plan

• Weight known accurate, signed by crew

  Yes

  No

  N/A

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  Media

Critical lift plan

• Initiated as necessary, pull tape to verify radius, proper signatures

  Yes

  No

  N/A

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  Media

Periodic rigging inspection

• Stored properly and in good condition

  Yes

  No

  N/A

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  Media

Temporary construction devices/False work policy

• Calc's available in the field, built correctly

  Yes

  No

  N/A

• Add media

  Media

Safety is visible

• Proper amount of signs, strategically places in visible locations

  Yes

  No

  N/A

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  Media

Listen up, speak up mentality

• Craft buy in, attitude, open communication

  Yes

  No

  N/A

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  Media

Operations

PPE

• Correct for the task

  Yes

  No

  N/A

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  Media

Access

• Planned out, FLG, pathways clear, free from trip/slip hazards

  Yes

  No

  N/A

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  Media

Housekeeping

• Waste containers available and accessible, IS IT EXTREME?

  Yes

  No

  N/A

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  Media

Material handling

• Well planned, square to the world, nothing touches the ground

  Yes

  No

  N/A

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  Media

Ladders

• Condition, right ladder for task, extends 3' above the landing, built to spec.

  Yes

  No

  N/A

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  Media

Tool safety

• Condition, proper use, trigger locks disabled

  Yes

  No

  N/A

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  Media

Electrical

• GFCI, cords in good condition, cord routing out of access, cord covers

  Yes

  No

  N/A

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  Media

Cutting and welding

• Proper PPE, fire extinguisher available, leads and hoses in good working condition

  Yes

  No

  N/A

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  Media

Equipment

• Designated operator, visuals, chocks, seat belts, lights on

  Yes

  No

  N/A

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  Media

Access road conditions

• Smooth running surface, dust control, signed properly

  Yes

  No

  N/A

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  Media

Crane set up

• Level, swing guards in place, set up correctly

  Yes

  No

  N/A

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  Media

Trenches

• Sloped or benched correctly, access every 25', fall protection as needed

  Yes

  No

  N/A

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  Media

Scaffolding and stair towers

• Inspected, tagged, proper assembly, protected from public access

  Yes

  No

  N/A

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  Media

Fall protection

• Right type, used properly, engineered, trained

  Yes

  No

  N/A

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  Media

Lock out/tag out

• Tag filled out, positive lock out in place, proper number of locks

  Yes

  No

  N/A

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  Media

Night Operations

• Class III vests, proper lighting, headlamps

  Yes

  No

  N/A

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  Media

General

• First aid kits stocked, eye wash stations available, rebar caps, gas cans, etc

  Yes

  No

  N/A

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  Media

MOT

• Properly set-up, inspected and documented

  Yes

  No

  N/A

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  Media

Management visibility

• Foreman with operation, craft superintendent in the field

  Yes

  No

  N/A

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  Media

Subcontractors

• Following our safety program (all aspects)

  Yes

  No

  N/A

Assessment Bonus/Deductions

• At discretion of assessor

  Yes

  No

  N/A

• Add media

  Media

Score