GF M+W Safe Behavior Observation

• Audit Title

• Conducted on

  Date

• Prepared by

• Personnel

• Date / Time of Observation

  Date

• Contractor Observed

  Select TFSE TFSM Gross Jersen AAA Reinforcing Tetra Tech Postler & Jaeckle Gomez Electric Rosetti CME Ovivo Selby & Smith Burt Crane

  • TFSE
  • TFSM
  • Gross
  • Jersen
  • AAA Reinforcing
  • Tetra Tech
  • Postler & Jaeckle
  • Gomez Electric
  • Rosetti
  • CME
  • Ovivo
  • Selby & Smith
  • Burt Crane

• Specific Location

  Select 8.1 SubFab 8.1 Fab 8.1 Fan Deck TDC CUB L1 CUB L2 Parking Lot Other

  • 8.1 SubFab
  • 8.1 Fab
  • 8.1 Fan Deck
  • TDC
  • CUB L1
  • CUB L2
  • Parking Lot
  • Other

• Insert Column Location or other Comments Here for Clarification

  Yes

  No

  N/A

• Number of Employees Observed

• Observer(s)

  Select Scott Cashin Tracy Newman Ed Lashua Ceasar Gonzalez Mervyn Wilson Vince Jamnik Mike Morgan Roger Glover John Axten

  • Scott Cashin
  • Tracy Newman
  • Ed Lashua
  • Ceasar Gonzalez
  • Mervyn Wilson
  • Vince Jamnik
  • Mike Morgan
  • Roger Glover
  • John Axten

Any Marked "At Risk" Must Include Details and a photo.

• Face / Eye PPE

  Safe

  At Risk

  N/A

• Foot PPE

  Safe

  At Risk

  N/A

• Hand / Arm PPE

  Safe

  At Risk

  N/A

• Head PPE

  Safe

  At Risk

  N/A

• Hearing PPE

  Safe

  At Risk

  N/A

• Respiratory PPE

  Safe

  At Risk

  N/A

• Fall Protection

  Safe

  At Risk

  N/A

• Mobile Lifts

  Safe

  At Risk

  N/A

• Electrical / GFCI

  Safe

  At Risk

  N/A

• Lockout / Tagout

  Safe

  At Risk

  N/A

• Work Permits

  Safe

  At Risk

  N/A

• Excavations

  Safe

  At Risk

  N/A

• Hot Work

  Safe

  At Risk

  N/A

• Storage Area

  Safe

  At Risk

  N/A

• Body Position

  Safe

  At Risk

  N/A

• Ladders

  Safe

  At Risk

  N/A

• Scaffolds

  Safe

  At Risk

  N/A

• Access / Egress

  Safe

  At Risk

  N/A

• Aerial Lifts

  Safe

  At Risk

  N/A

• Barricades / Signage

  Safe

  At Risk

  N/A

• Slips / Trips / Falls

  Safe

  At Risk

  N/A

• Lifting / Rigging

  Safe

  At Risk

  N/A

• Confined Space

  Safe

  At Risk

  N/A

• Equipment / Tools

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Chemical

  Safe

  At Risk

  N/A

• Material Handling

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

PTP Audit

• All Steps Identified

  Yes

  No

  N/A

• All Hazards Identified

  Yes

  No

  N/A

• All Controls Identified

  Yes

  No

  N/A

• All crew and foreman signatures in place

  Yes

  No

  N/A

• Work activities match PTP

  Yes

  No

  N/A

• Good PTP

  Yes

  No

  N/A
Corrective Action

• Detail issue

• Detail Corrective Action and owner

• Due date

  Date

• Check box if completed

• Name of Auditor and Signature

  Sign