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 (4 feet or greater)?

  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 Fire extinguisher was not taken out of the truck Missing pin/breakaway tag/gauge is bad Not within immediate work area No fire extinguisher near open excavation

  • Fire extinguisher was not taken out of the truck
  • Missing pin/breakaway tag/gauge is bad
  • Not within immediate work area
  • No fire extinguisher near open excavation

• Is the ladder in good working order and readily available? If "no" what is out of compliance

  Yes

  No

  No Corrected onsite

  N/A

• What was out of compliance?

  Select Ladder out of compliance (cracked, broken, label missing) No ladder on truck

  • Ladder out of compliance (cracked, broken, label missing)
  • 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 trench at a depth over 4 ft Not within 25ft of employees Did not extended 36" above trench

  • Not in trench at a depth over 4 ft
  • 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? (not expired)

  Yes

  No

  No Corrected onsite

  N/A