Jobsite Information
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Company
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Type of work being performed?
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Jobsite Foreman
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Conducted on
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Prepared by
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Location
General Safety
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1a. Was a job briefing conducted before work began?
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1b. Is a two-way radio or cell phone available in case of emergency?
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1c. Is the jobsite / yard clean and organized to prevent injuries?
Workzone Protection
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2a. Are the proper advanced warning signs in place?
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2b. Is the workzone clearly marked with the appropriate size and number of traffic cones?
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2c. Are emergency lights being used on the vehicles?
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2d. If traffic conditions or location warrant it, is a flagger present?
Personal Protective Equipment
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3a. Are all employees wearing the appropriate ANSI class 2 traffic safety vest at a minimum?
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3b. Are all employees wearing the appropriate PPE for the hazards present? (i.e., Safety toed boots, gloves, glasses, hard hats, hearing protection, etc.)
Utility Safety
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4a. Are dig tickets current?
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4b. Are all utilities clearly marked with the appropriate paint color or flags? (Red=Electric, Yellow=Gas, Orange=Communications, Blue=Water, Green=Sewer)
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4c. Are all utility crossings properly exposed?
Vehicles
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5a. Are all vehicles parked safely as to not create blind spots for traffic?
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5b. Do all vehicles in the workzone have traffic cones in place?
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5c. Do all vehicles have a current fire extinguisher and first aid kit?
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5d. Are all equipment and accessories properly secured in vehicle?
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5e. Are all DOT inspections current?
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5f. Are all registrations and insurance cards current?
Trailers and Equipment
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6a. Are all trailers properly connected/secured?
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6b. Is all equipment properly secured to the trailer?
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6c. Are all buckets and/or accessories properly secured?
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6d. Are all lifting devices properly rated and in serviceable condition?
Excavations
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7a. Are all excavations properly barricaded?
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7b. Are all open holes properly covered or protected?
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7c. Are all spoils piles a minimum of 2' feet from edge of trench?
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7d. Is adequate egress provided for all employees working in the excavation?
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7e. Is water in the excavation being properly managed?