FBUS Safety Audit

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

• 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

• Is the excavation log properly filled out?

  Yes

  No

  No Corrected onsite

• 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

• 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

• 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

• 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

• 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

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

  Yes

  No

  No Corrected onsite

• 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

• 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