Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
DTA & JHA Review
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Daily Toolbox Talk / Job Hazard Analysis completed Properly?
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Daily Equipment Inspection Checklist completed?
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Safety Manual & MSDS on site?
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Job specific paperwork available (AHA and/or SSJHA)?
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Federal, Ethics and EEO Statement Posted?
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Emergency numbers and facilities identified?
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Proper First Aid Kit on site?
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Fresh drinking water available on site?
Personal Protective Equipment (PPE)
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Employee(s) dressed properly for work (shirts w/ 4" sleeves, long pants, and safety-toe work boots)?
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Safety Glasses?
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Hardhats
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Gloves?
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High Visibility Clothing and/or Reflective Vest?
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All suppliers and sub contractors involved with HJ Foundation are in compliance w/ PPE requirements?
Heavy Equipment
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Qualified Operator(s)?
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Machine Type:
- Excavator
- Backhoe
- Bobcat
- End-Loader
- Fork Lift
- Multiple
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Operator's Manual in Equipment?
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E-Stop(s) Operational?
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Swing Alarm Operational?
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Back-Up Alarm Operational?
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Mirrors and Windows in good condition?
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Tracks Clean?
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Mechanical deficiencies reported on daily equipment inspection checklist?
Work Area Set-Up
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Shade Tent set-up?
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Iron Work Area Ground Leveled?
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Iron Work Area Safe? (No Overhead Hazards, Ground Obstacles, Obstructions)
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Brief Description
Steel Materials Delivery
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Using 2 Spotters to direct delivery truck and prevent unauthorized personnel entrance of delivery area?
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Rigging Properly Tagged and Inspected?
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Shackles?
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Nylon Straps?
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Chains?
Steel Cage Assembly
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Proper Lifting Techniques Being Used?
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Type of Lifting:
- Employee(s) Lifting
- Equpiment Lifting
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Iron Rack Stands Being Used?
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Dywidag Nuts OR Couplers Installed At Ends Of Iron Rack Cross Bars?
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Are Cages Stacked LESS Than 5 Feet?
Weather
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Weather Application Installed on Superintendent/Foreman Phone?
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Shelter Available for safe hiding from inclement weather? Grounded Conex, Mobile Office, or Personal Vehicle?
Company Vehicle
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Company Truck is reasonably clean?
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Company Truck is well organized?
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Back-Up Alarm OR Camera Operational?
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Which Device:
- Back-Up Alarm
- Camera
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Mirrors, Seat Belts, & Windows in good condition?
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Mechanical deficiencies reported?
Signatures
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Superintendent
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Inspector