FBUS Safety Audit #1

Safety Audit

• Foreman

• Area Supervisor

• Customer/Client

  National Grid

  Eversource

  Liberty
• Location
  Address

• Jobsite Region

  Select Boston Boston North Boston South Lawrence, MA Springfield, MA Waterbury, CT Worcester, MA Merrimack, NH

  • Boston
  • Boston North
  • Boston South
  • Lawrence, MA
  • Springfield, MA
  • Waterbury, CT
  • Worcester, MA
  • Merrimack, NH

• Conducted on

  Date

• Prepared by

Administrative

• Has the job brief been properly filled out and submitted for the day? Has a new brief successfully autogenerated for the next day?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance with the job brief?

  Select Missing crew signatures Proper dates not filled out Calibrations not filled out 3 AOC's not listed No SOP# No Dig-safe # iPad Dead

  • Missing crew signatures
  • Proper dates not filled out
  • Calibrations not filled out
  • 3 AOC's not listed
  • No SOP#
  • No Dig-safe #
  • iPad Dead

• Was a detailed task section filled out adequately?

  Yes

  No

  No Corrected onsite

  N/A

• Is the excavation log properly filled out?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance with the excavation log?

  Select Depth not listed Incorrect Depth of trench Protective Systems being used and not listed Soil Classification not listed Hazards not Identified

  • Depth not listed
  • Incorrect Depth of trench
  • Protective Systems being used and not listed
  • Soil Classification not listed
  • Hazards not Identified

• Has all additional paperwork been filled out?

  Yes

  No

  No Corrected onsite

  N/A

• What additional paperwork was missing?

  Select Lift Plans DOT Book Job Specific Environmental Inspection Form

  • Lift Plans
  • DOT Book
  • Job Specific Environmental Inspection Form

• Are overhead utilities & obstructions identified to the crew before doing work?

  Yes

  No

  No Corrected onsite

  N/A

• Does the Foreman/Crew leader know how to access the safety documents and tabulated data on the iPad (Content Locker)?

  Yes

  No

  No Corrected onsite

  N/A

• What couldn't be accessed by Foreman/ Crew leader?

  Select Tabulated Data Client O&Ms SDS Toolbox Talks

  • Tabulated Data
  • Client O&Ms
  • SDS
  • Toolbox Talks

Work Zone Setup (MUTCD)

• Is there sufficient signage throughout the job site?

  Yes

  No

  No Corrected onsite

  N/A

• What was the issue with the signage?

  Select Missing signage No signs are up No advance warning signs Signage not legible Signs not spaced out enough

  • Missing signage
  • No signs are up
  • No advance warning signs
  • Signage not legible
  • Signs not spaced out enough

• Are Police Details and/or Flaggers available on the jobsite?

  Yes

  No

  N/A

• Are vehicles/ equipment/ material placed in the buffer zone to protect the workers?

  Yes

  No

  No Corrected onsite

  N/A

• Are there sufficient barriers to prevent access of pedestrians & vehicles throughout the work zone?

  Yes

  No

  No Corrected onsite

  N/A

• What was insufficient with the barriers?

  Select Missing top & bottom barricades Trench barrier not setup Insufficient amount of cones Missing water barriers at end of jobsite No warning/trench barrier at end of driveway(s)

  • Missing top & bottom barricades
  • Trench barrier not setup
  • Insufficient amount of cones
  • Missing water barriers at end of jobsite
  • No warning/trench barrier at end of driveway(s)

Excavation Safety

• Have utilities been marked out and have all markings been refreshed so they are clearly visible? (Walk the jobsite)

  Yes

  No

  No Corrected onsite

  N/A

• What utilities have not been marked out or refreshed?

  Select Natural Gas/ Oil/ Steam Electric Potable Water Sewer/ Drainage Communication Reclaimed Water (Irrigation) Survey Marks Proposed Excavation

  • Natural Gas/ Oil/ Steam
  • Electric
  • Potable Water
  • Sewer/ Drainage
  • Communication
  • Reclaimed Water (Irrigation)
  • Survey Marks
  • Proposed Excavation

• Was a CAT Tool used prior to excavation? (Refer to job brief)

  Yes

  No

  No Corrected onsite

  N/A

• Is the CAT Tool functioning?

  Yes

  No

  No Corrected onsite

  N/A

• Were the methods used in identifying the underground facilities an accepted practice?

  Yes

  No

  No Corrected onsite

  N/A

• What incorrect methods were being utilized?

  Digging in the tolerance zone

  Not utilizing correct tools

• Have all excavations been barricaded correctly?

  Yes

  No

  No Corrected onsite

  N/A

• What was the out of compliance action?

  Select No cones/barricades/rope/cone bars Inadequate cones/barricades/rope/cone bars

  • No cones/barricades/rope/cone bars
  • Inadequate cones/barricades/rope/cone bars

• Are all the excavation(s) compliant and consideration has been given to protect employees (depth)?

  Yes

  No

  No Corrected onsite

  N/A

• If in use, have all protective systems been properly installed and in compliance?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Missing pins Improperly installed Broken/Damaged Wrong type of shoring for situation

  • Missing pins
  • Improperly installed
  • Broken/Damaged
  • Wrong type of shoring for situation

• Has the 5 Gas Meter been used to test the air in the trench at 4ft or greater? (If not continuous use its required to be checked throughout the day at beginning, after break(s) & after lunch)

  Yes

  No

  No Corrected onsite

  N/A

• Why was it not utilized?

  Select 5 Gas meter's battery is dead 5 Gas meter is out of calibration Reading was just not taken

  • 5 Gas meter's battery is dead
  • 5 Gas meter is out of calibration
  • Reading was just not taken

• Are all spoil piles, tools and equipment set back two feet? If "yes" take a picture of the spoil piles 2 feet back.

  Yes

  No

  No Corrected onsite

  N/A

• Are fire extinguisher(s) in good condition, inspected and readily available? (Near trench) Take a picture of the Fire extinguisher readily available

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance

  Select FE left in crew truck Not within 25' of work area Missing Cotter Pin No Breakaway tie Gauge in red Expired Missing monthly inspection tag

  • FE left in crew truck
  • Not within 25' of work area
  • Missing Cotter Pin
  • No Breakaway tie
  • Gauge in red
  • Expired
  • Missing monthly inspection tag

• Is the ladder in good working order and readily available?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Cracked/ Broken Ladder Labels missing/ illegible Insufficient size of ladder No ladder on truck

  • Cracked/ Broken Ladder
  • Labels missing/ illegible
  • Insufficient size of ladder
  • No ladder on truck

• Is the ladder in the excavation if at a depth of 4 feet or greater? Within 25 feet of crew member and extend 36'' above the trench?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Not in the trench Not within 25ft of employees Did not extended 36" above trench

  • Not in the trench
  • Not within 25ft of employees
  • Did not extended 36" above trench

• Are all employees free of the swing zone? (Is good communication present with operator?)

  Yes

  No

  No Corrected onsite

  N/A

• Are all open trenches attended to at all times by a Feeney Brothers Employee? (Police Officer is not allowed)

  Yes

  No

  No Corrected onsite

  N/A

• Is the housekeeping of the job site in good order? (No loose rocks, equipment, tools, trip hazards, etc)

  Yes

  No

  No Corrected onsite

  N/A

Tools & Equipment Safety

• Is there a complete unopened First Aid kit?

  Yes

  No

  No Corrected onsite

  N/A

• Is the Burn Kit in compliance?

  Yes

  No

  No Corrected onsite

  N/A

• Are the eyewash bottle(s) in compliance?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Expired Opened Container Frozen

  • Expired
  • Opened Container
  • Frozen

• Are chock blocks in use on all required equipment onsite and in good working order?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance with the chock blocks?

  Crew Truck not chocked

  Triaxle not chocked

  Compressor not chocked

  Chock Blocks broken

• Are spotters being utilized onsite?

  Yes

  No

  No Corrected onsite

  N/A

• What task was performed onsite without a spotter?

  Select Backing up Triaxle Backing up Backhoe/Excavator Backing up crew truck Backing up vac-truck Offloading/Loading material with boom-truck Raising truck bed to dump material Digging trench Working in close proximity to overhead wires

  • Backing up Triaxle
  • Backing up Backhoe/Excavator
  • Backing up crew truck
  • Backing up vac-truck
  • Offloading/Loading material with boom-truck
  • Raising truck bed to dump material
  • Digging trench
  • Working in close proximity to overhead wires

• Are all pieces of equipment/vehicles onsite clear of overhead utilities/ obstructions? (10ft policy)

  Yes

  No

  No Corrected onsite

  N/A

• Is the 5-Gas meter calibrated & charged enough to turn on? (Required even when not at depths 4' or greater)

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Battery dead Expired Calibration Broken

  • Battery dead
  • Expired Calibration
  • Broken

• Are dixon whips and pins being used correctly?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Missing Dixon whips Missing pins Dixon whips not used correctly

  • Missing Dixon whips
  • Missing pins
  • Dixon whips not used correctly

• Are silica exposure control methods being used properly?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance with Silica control methods?

  Select Sweeping with no water Sawcutting with no water Insufficient water used for control

  • Sweeping with no water
  • Sawcutting with no water
  • Insufficient water used for control

• Is the rigging equipment in good operating condition? (*Red is dead*)

  Yes

  No

  No Corrected onsite

  N/A

• What is out of compliance?

  Select Illegible rating labels/tags Missing rating labels/tags Broken clasp on plate hook Broken clasps on 4-point chains Snags/ Punctures/ Frayed/ Cut sling Sling is knotted Distorted/ kinked/ broken chain links Discolored/ Rotted sling Acid/ Caustic burns on sling Melted or Charred spots on sling surface

  • Illegible rating labels/tags
  • Missing rating labels/tags
  • Broken clasp on plate hook
  • Broken clasps on 4-point chains
  • Snags/ Punctures/ Frayed/ Cut sling
  • Sling is knotted
  • Distorted/ kinked/ broken chain links
  • Discolored/ Rotted sling
  • Acid/ Caustic burns on sling
  • Melted or Charred spots on sling surface

• Are workers free from pinch points while lifting and moving material?

  Yes

  No

  No Corrected onsite

  N/A

• Were proper taglines and/or magnet sticks being used with suspended loads?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance with the suspended loads?

  Select Magnet sticks not used while moving road plates Taglines not used while hoisting equipment (trench boxes, compressors, pipe, etc.) Crew used shovels/ brooms to control suspended load Crew used hands to control suspended loads

  • Magnet sticks not used while moving road plates
  • Taglines not used while hoisting equipment (trench boxes, compressors, pipe, etc.)
  • Crew used shovels/ brooms to control suspended load
  • Crew used hands to control suspended loads

• Are all tools & fusion equipment up to date on calibrations?

  Yes

  No

  No Corrected onsite

  N/A

• What is out of compliance due to expired calibration?

  Select Pyrometer Gauge Electrofusion Box Torque Wrench Other*

  • Pyrometer
  • Gauge
  • Electrofusion Box
  • Torque Wrench
  • Other*

• Are all the proper safety guards in place on tools & equipment when required?

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Grinder missing a guard Bull saw missing a guard Chainsaw missing a guard

  • Grinder missing a guard
  • Bull saw missing a guard
  • Chainsaw missing a guard

• Are the correct tools & equipment being used for the job?

  Yes

  No

  No Corrected onsite

  N/A

PPE

• Is the crew in compliance with the basic truck to truck PPE requirements?

  Yes

  No

  No Corrected onsite

  N/A

• What truck to truck PPE was not being worn or not in good working order?

  Select No Hard Hat Hard Hat out of compliance (punctured, broken) No safety glasses Safety Glasses not ANSI Z87 compliant No FR High Viz Vest High Viz Vest worn/cut/faded/broken No safety toe EH rated boots Safety Toe EH rated boots not compliant (Visible defects: exposed safety toe, etc.)

  • No Hard Hat
  • Hard Hat out of compliance (punctured, broken)
  • No safety glasses
  • Safety Glasses not ANSI Z87 compliant
  • No FR High Viz Vest
  • High Viz Vest worn/cut/faded/broken
  • No safety toe EH rated boots
  • Safety Toe EH rated boots not compliant (Visible defects: exposed safety toe, etc.)

• Is hearing protection being worn when required onsite?

  Yes

  No

  No Corrected onsite

  N/A

• Are work gloves being worn by employee when required?

  Yes

  No

  No Corrected onsite

  N/A

• Are face-shields being worn when required?

  Yes

  No

  No Corrected onsite

  N/A

• What task was being performed without a face-shield?

  Select Blow-piping Grinding Cutting when sparks are present Cutting with Chainsaw

  • Blow-piping
  • Grinding
  • Cutting when sparks are present
  • Cutting with Chainsaw

• Are electrical gloves onsite in compliance? (Testing due every 6 months)

  Yes

  No

  No Corrected onsite

  N/A

• Is additional PPE being worn for the task being performed?

  Yes

  No

  No Corrected onsite

  N/A

• What additional PPE was not being worn?

  Select Chainsaw Chaps Mesh Face shield for chainsaw Respirator Equipment FR Chaps for sparks Cut Resistant Gloves FR Suit Electrical Gloves while using Jeeper

  • Chainsaw Chaps
  • Mesh Face shield for chainsaw
  • Respirator Equipment
  • FR Chaps for sparks
  • Cut Resistant Gloves
  • FR Suit
  • Electrical Gloves while using Jeeper