Audit

Project comments

Project type
Crew on site
Personnel on project

Personnel on site

Employee Name

Personnel

High vis vests/ apparel
Add media
Trucks Onsite

Truck drivers on site

Drivers Name

High vis vests/ apparel
Add media
Contractors on site

Contractors

Comtactors Name

High vis vests/ apparel
Add media
PPE Requirement Question
Hearing Protection

Number of employees wearing hearing protection (Example 8 out of 10)

How many employees are wearing dB blockers:

High vis vests/ apparel

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Day project

Check Box if Night Gear is Required

Hard hat required?
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Safety glasses
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Respiratory protection required?
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Hand Protection

Other PPE

Traffic
Our traffic control?
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If no, who?

Traffic plan

Traffic Control Comments

Comments

Is Traffic Control setup properly?

Arrow Board Used

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PCMS Used ( Portable Changeable Message Sign )

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Are all NCHRP 350 Traffic Control Devices being used
Comments
Warning Sign Being Used On This Project

Comment about warning signs

Comments
TRAFFIC CONTROL PERSONNEL

Flaggers

flagger name

Flaggers name

High vis vests/ apparel

Add media
Two-Way radio communication:

Does traffic control personnel all have radio communication to communicate with each other?

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Misc. items

Miscellaneous Item

Site audit item

Is item discuss in compliance?

Describe item

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Project Comments

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.