Effective Supervision

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SUPERVISOR INFORMATION

• Supervisors name:

• Beat location:

• Select date

  Date

MORNING HUDDLE/SAFETY CREW MEETING:

• What is today's safety topic?

• Does the supervisor act professionally?

  Yes

  No

  N/A

• Is the information clear and relevant?

  Yes

  No

  N/A

• Does the supervisor give opportunity for crew discussion?

  Yes

  No

  N/A

• Is the meeting conducted in an timely and orderly fashion?

  Yes

  No

  N/A

CREW SAFETY CARDS (WE CARE CARD):

• Has the supervisor written clear, specific instructions?

  Yes

  No

  N/A

• Has the supervisor indicated any special precautions?

  Yes

  No

  N/A

• Does the supervisor display a high level of competency in regards to how the card is to be properly used?

  Yes

  No

  N/A

• Does the supervisors direct reports understand how they are to use the safety card?

  Yes

  No

  N/A

• Does the supervisor utilize the safety card to engage the worker in the workplace?

  Yes

  No

  N/A

• Does the supervisor follow up on the safety concerns of his workers?

  Yes

  No

  N/A

HAZARD IDENTIFICATION

• Does the supervisor identify workplace hazards?

  Yes

  No

  N/A

• Does the supervisor follow the "time to act" model when notifying workers of hazards?

  Yes

  No

  N/A

HOUSEKEEPING

• Fuel/oil stored correctly?

  Yes

  No

  N/A

• Explosives/caps stored correctly?

  Yes

  No

  N/A

• Is the travel way and workplace clear of scrap?

  Yes

  No

  N/A

• Is gear, resin and vent tubing stored correctly?

  Yes

  No

  N/A

SERVICES

• Installed as per company standard?

  Yes

  No

  N/A

• Vent tubing 50' from face and physically felt?

  Yes

  No

  N/A

• Vent tubing in good condition?

  Yes

  No

  N/A

• Vent board up to date?

  Yes

  No

  N/A

• Air and water pipe installed as per company standards?

  Yes

  No

  N/A

• Is pipe and vent installed where it does not pose a hazard in the travel way?

  Yes

  No

  N/A

GROUND SUPPORT

• Installed according to print?

  Yes

  No

  N/A

• Proper tools being used?

  Yes

  No

  N/A

• Is the area well scaled?

  Yes

  No

  N/A

• Proper PPE being used?

  Yes

  No

  N/A

• Proper length and number of scaling bars present?

  Yes

  No

  N/A

• Are workers trained and competent?

  Yes

  No

  N/A

COMMUNICATION

• Does supervisor engage crews at "muck pile" talks?

  Yes

  No

  N/A

• Give clear instructions?

  Yes

  No

  N/A

• Holds crews accountable?

  Yes

  No

  N/A

• Provide follow-up discussion?

  Yes

  No

  N/A

• Provide quality cross-shift notes?

  Yes

  No

  N/A

• Provides "captains log" information to communicate with other crews?

  Yes

  No

  N/A

PROVIDE SPECIFIC INFORMATION

• Huddle meetings:

• Hazard identification:

• Housekeeping

• Safety cards (we care card)

• Services

• Ground support

• Communication

• Photo examples

  Media

• Inspection informed by:

  Sign