Information

  • Center / Location
  • Conducted on

  • Prepared by

Field Safety Audit

JSA

  • JSA Complete

  • JSA Adequate

  • Employee knowledgeable of Southern Safety Policies

Personal Protective Equipment (PPE)

  • High visibility vest

  • Hard hat

  • Proper gloves for task

  • Safety footwear

  • Hearing Protection

  • Eye Protection

  • PPE Condition

  • PPE Properly Worn

Fall Protection / Ladders

  • Measures in place to eliminate fall hazards

  • Safety Harness condition

  • Safety harness properly worn

  • Ladders - Correct ladder for task

  • Ladders - Inspected prior to use

  • Ladders - Proper use of the ladder

Working Environment

  • Work area free of excessive dust

  • Adequate lighting

  • Walkways and exits clear of obstructions

Electricity

  • Proper electrical PPE worn

  • Power tools are inspected prior to use

  • Electrical circuits have been isolated and tested to confirm dead?

  • Isolated circuits LO/TO applied

Hot Work

  • Gas Cylinders Secured

  • Fire Extinguishers Present

  • Gauges In Good Condition

  • Hoses In Good Condition

  • Flash Back Arrestors In Good Condition

  • Fire Blankets In Place

Storage / Housekeeping

  • Work area cleaned continuously

Vehicle

  • Is the operatives vehicle in a road worthy condition?

  • Tire condition

  • Loading

  • Fire extinguisher

  • First aid kit

Other items identified

  • undefined

  • undefined

  • Signed:

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