Information
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Project
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Document No.
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Date
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Prepared by:
- Harold Durden
- Bert Laaker
- David Bennett
- Chuck Hucks
- Andy Douglas
- Rick Cummings
- Frank DiGilio
- Kevin Rozendaal
- Bryan Reese
Section 1 General
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1.1 SCOW program in place and completed daily with craft engagement?
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1.2 Project safety plan is updated and correct?
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1.3 the crisis plan utilizes the Corp. communications model and is updated?
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1.4 Competent persons for the project are identified and listed?
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1.5 Qualified persons for the project are identified and listed?
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1.6 Operator skills evaluations are completed on all operators?
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1.7 Weekly tool box meeting chart posted and up to date?
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1.8 Utility Map is located in the office with all utilities color coded and updated?
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1.9 Overhead and underground utilities are properly marked/signed?
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1.10 Job is following job specific respirator plan?
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1.11 TCSD chart is updated with proper signatures?
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1.12 Safety indoctrination process is being followed with new hires?
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1.13 Management is engaged with craft?
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1.14 Sponsor visits job every month?
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1.15 Extreme housekeeping in the office?
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1.16 "Nobody gets Hurt" culture is obvious and visible in the office?
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1.17 Company vehicles are kept clean and free from hazards?
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1.18 All drivers have completed all steps of the Designated driver program?
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1.19 Safety is visible in immediate office area?
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1.20 Why I Work Safe posters are up and to date?
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1.21 Black and white expectations are established?
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1.22 Safety Commitment board is in place and signed by job team?
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1.23 The diamond watch sign is posted and updated?
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1.24 The job has a safety recognition program?
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1.25 Job management has completed OSHA inspection training?
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1.26 The project has key personnel hands-on training in first aid and CPR?
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1.27 The project has an active craft engagement program?
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1.28 Subcontractors are included in craft engagement program?
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1.29 The project is following the documentation process on the OCC site/KieTrac?
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1.30 The Hazcom program and MSDS/SDS binder are up to date?
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1.31 Daily traffic reports are fully completed and signed by management?
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1.32 MOT is videotaped at least weekly, when it changes, and after a traffic incidents?
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1.33 Work Zone incident files are complete with TCP plan and MOT drawings specific to the scene?
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1.34 Mass safety meeting are utilizing hands on training?
Section 2 General Site
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2.1 Foreman's work plan-specific to the operation, comprehensive and followed?
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2.2 P.O.D. -completed, address hazards of the day, reviewed by superintendent/ craft?
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2.3 JHA - Step by step following the work plan, pictures, reviewed by superintendent and craft?
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2.4 Toolbox Meetings-all sections completed, crew comments, hands on training?
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2.5 Fall protection plan-accurate (equip/rescue/sketch/anchors), signed by crew?<br>
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2.6 Overhead Power Line Permit - used, correct, in JHA, signs, spotter, air horn and signed by crew?
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2.7 Trench Inspection - Competent person, completed prior to each shift completely filled out?
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2.8 Excavation Permit - At the operation, specific, verified with map, signed off?
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2.9 Daily Crane inspections - completed prior to putting to work each shift?
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2.10 On The Spot Lift Plan - weight known, Accurate, Signed, set up matches plan?
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2.11 Critical Lift Plan- Use as required, pull tape to verify radius, proper signatures?
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2.12 Rigging Inspections - At purchase, before each use, tags in place, condition and storage?
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2.13 TSCD/Falsework - Calculations in the field, built per plan, inspections, documents?
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2.14 Safety Visibility - proper signs in strategic locations, understood by craft?
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2.15 Listen up/Speak up - Craft buy-in, Positive attitude, open communication at all levels?
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2.16 Craft are engaged with safety on the project?
Section 3 Operations
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3.1 PPE - Correct for the task, Called out in the hazard analysis?
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3.2 Access- Pathways clear, free from slips, trips & falls, over 18" change has access?
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3.3 Work area - Planned out, level working area, free from slips, trips & falls?
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3.4 Stairs - Level, each same height & depth, stair rail with 3 or more steps?
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3.5 Ladders, General - Face the ladder, not carrying anything in hands, hips within rails?
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3.6 Extension Ladders - 4:1 angle, secured, 36" above landing, walk through ladder access?
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3.7 Step Ladder - Open and locked not on top 2 steps?
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3.8 Job Built ladders - Built to specifications and maintained?
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3.9 Housekeeping - is Extreme, waist containers utilized?
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3.10 Hazardous Materials - HAVE MSDS/SDS with JHA, properly labled?
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3.11 Material Handling - well planned, square to the world, nothing touched ground?
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3.12 Material Handling - Using proper tools/equipment, stacked properly and secured?
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3.13 Material Handling - Proper lifting, not lifting more than 50 lb. by one person?
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3.14 Trailer Loading/Unloading - Flagging system being used, properly loaded and secured?
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3.15 Tools- Good condition, trigger locks removed?
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3.16 Tool Storage - Proper storage, bits removed, housekeeping, blades hung up, right RPM blade for tool?
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3.17 Tool Use - Proper tool for the job, unplugged/disconnected when changing bit/blade?
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3.18 Tools General - Mushroomed heads, using correct hammer, damaged tools?
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3.18.1 Proper use of guards, handle used on tools?
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3.19 Electrical - GFCI, cords in good condition, good cord management, cord covers correct size cords?
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3.20 Fire Extinguishers - In correct locations, Serviced annually, training on correct use completed?
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3.21 Welding - PPE, Fire extinguisher, hot work permit if required, leads, stinger in good condition?
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3.22 Cutting Torch- PPE, Fire Extinguisher, hot work permit if required?
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3.23 Cutting Torch - Hoses in good condition, flashback arrestors, proper cart, proper storage?
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3.24 Equipment - Authorized operators, visuals, seatbelts, lights on, turned off when out of cab?
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3.25 Access Roads - Maintained, smmoth, dust control, proper signage, berms?
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3.26 Cranes (operator) - Authorized, daily inspection,On The Spot Lift Plan completed?
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3.27 Cranes (Set Up) - Level, swing radius up, Pads correct, proper handling of pads, overhead utilities?
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3.28 Riggers - Properly trained and qualified?
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3.29 Signal Persons - Properly trained and qualified?
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3.30 Trenches - Sloped 1.5:1, shielded or shored properly, access every 25 feet?
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3.31 Trenches - Spoils and equipment 2' back, fall protection in place?
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3.32 Scaffolding/Stair Towers - Inspected daily, Competent person signed off, tagged, secured?
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3.33 Fall Protection - Engineered sysem, trained workers, 100% correct, 100% tied off?
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3.34 Dropped Objects - Area below barricaded, tool lanyards used, trained in dropped object prevention?
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3.35 LOTO - Tagged properly, all energy sources locked out, everyone has own lock, trained in LOTO?
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3.36 Night Operations - Class 3 vest near traffic, proper lighting, headlamps?
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3.37 First Aid - Kits stocked, eye wash stations in place at work area?
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3.38 MOT - Properly set up to TCP/MUTCD, inspected daily, documentation signed?
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3.39 MOT - Employees are trained for being in work zone, proper protection in place ( attenuator/Blocking vehicle)?
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3.40 MOT - Traffic control supervisors ASSTA training is up to date?
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3.41 General - Implement hazards addressed, proper gas cans labeling?
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3.42 General - All cans, sprayers etc. properly labeled?
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3.43 Management Visibility - Foreman are with crews, craft superintendents with operations?
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3.44 Subcontractors - Following our safety program, Red tag program in place?
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3.45 Field Operations - Following all district Standard Operating Procedures?
Section 4 Overall Opinion of the project
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Do you feel the project is following the basics that make for a good job?
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Does the project need more management support?
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Do you feel the job has owner issues that are taking focus away from building a successful project?
Signatures on audit
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Required signatures
