Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Personnel & Administration
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Is Safety Program available on site?
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Have employees received Safety Orientation training?
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Is the work over log maintained?
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Are weekly tool box talks documented?
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Can all employees understand English?
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Is there a translator on the job site for Non-English speaking employees?
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Is HSE thumb stick present on location?
Employee Training & Documentation
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Safety Training held before start of job?
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MSDS reviewed for each chemical used on the job with each employee?
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Sufficient instruction given in recognition an avoidance of job hazards, unsafe conditions on job rules, regulations and procedures?
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Personal protective equipment?
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Employees instructed to promptly report injury/illness and accidents involving damage to operation equipment or materials?
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ISS procedures Part 1, Part 2, Part 3 present on job site?
Minimum Posting Requirements
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Job Safety Health and protection poster?
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ISS Virtues/and cards with employees?
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Emergency notification numbers?
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Miscellaneous safety bulletins reminder posters, and general company information?
Safety Meetings
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Meetings minutes filed and distributed as required?
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Special safety meetings held when necessary (i.e.. confined space entry, etc.)?
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JSA's conducted, reviewed and signed-off by work crews?
Hazard Communication Program
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MSDS available for materials on site?
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Are containers properly labelled?
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Are MSDS for owner or sub-contractor materials on site and accessable?
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Listing of chemicals used on the job site, and quantities?
Recordkeeping
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Accident reports completed and distributed as required?
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Daily work reports completed on file?
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Inspection of work site- check list used?
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Inspection of equipment- safety belts, scaffolds, cables?
Work Permits- Are the following procedures understood/followed
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Hot Work
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Lock out tag out
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Confined Space
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Is proper permit on jobsite?
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Special warning posted (High Pressure, men working, overhead dangers) if necessary?
Emergency Response
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Do employees know the evacuation alarm?
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Do employees know emergency telephone numbers?
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Do employees know the primary and secondary evacuation sites?
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Have employees been trained in site specific evacuation procedures?
Orderliness and Material Storage
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Are work areas neat and orderly?
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Are containers provided for trash, waste or other garbage?
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Are passageways and walkway clean?
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Are nails removed or bent down?
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Are spills cleaned up properly?
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Is their sufficient Spill clean up kits for location needs?
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Proper lifting methods/materials handling?
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Proper/Approved lifting gear used?
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Are flammables properly stored?
Hand and portable tools
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Tools and cords in good condition?
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Tool guards in place?
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Are tools stored properly?
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Proper Eye and Face protection worn?
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Are hoses properly secured?
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Are hoses properly used?
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Are hose restraints used?
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Sledge hammers are made of non destructible plastic handles?
Personal Protective Equipment
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Sufficient Equipment provided?
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Equipment properly used and maintained?
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Hardhats and safety glasses worn by all personnel?
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Proper eye and face protection used, where applicable?
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Protective clothing worn as required?
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Ear protection provided where required?
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Respirators properly cleaned and stored and in good condition?
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Employees clean shaven. (H2S locations)
Flammable and combustible liquids
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Containers clearly marked to show contents?
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Drum/tanks used for outdoor dispensing and fueling purposes are located at least 25 feet from the building and work area?
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Drum/tanks used for outdoor dispensing and fueling purposes are grounded and bonded?
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"No Smoking" signs posted?
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Fuel properly stored including secondary containment?
Welding and Cutting
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Is fuel gas and oxygen separated in storage?
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Are compressed bottles upright and secured?
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Power cables and hoses protected and in good repair?
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Flow gauges and regulators maintained? Removed when not in use?
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Back flow check valves in oxygen and acetylene?
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Are welders and helpers using PPE and protection against sparks? Welding and cutting? UV Radiation?
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Proper fire protection present?
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Are all welders aware of the shut off processes for the welding shop gas syste?
Fall Protection
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Safety harness worn when working above 6 feet?
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Double locking shock absorbent lanyards?
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Fall arrestors in test?
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Stages and Lifts certified?
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Do all ladders have non-skid tape on rungs?
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Employees have fall protection training?
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At least one employee on location hold a current Fall Rescue Certificate?
Maintenance
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Is weekly maintenance performed as per the ISS Maintenance Program?
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Is the maintenance documented?
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Are defects found corrected and documented?
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All used oils properly disposed of?
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Have the LOTO procedures been followed and documented?
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Is the pressure relief valve register current?
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Is the wire rope on the scoping, main and counterbalance winches been inspected?
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Are all hydraulic hoses not in use capped?
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Are the ESD's on the HPU functioning? Must see documentation with date and person testing.
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Are all safety latches in place on chain falls?
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Have the cellars been pumped of oil and hydraulic fluid?
Ladders and Scaffolds
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Erected under proper supervision?
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Proper footings- sound, rigid, secured?
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Safely tied into structure?
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Access ladder provided and used?
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Defective and damaged parts, planks, etc. removed from service?
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Guardrails, mid rails and toe boards installed on all open sides of platforms 10 feet or higher?
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Complete platforms, planks, close together and overlapped by at least 12 inches or secured by wire or proper cleating?
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Inspected and in good condition?
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Properly secured top and bottom?
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All straight and extension ladders equipped with safety shoes and or blocked off in use?
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Rails extend at least 36 inches above landing or work platform?
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Step ladders fully opened when in use?
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Metal ladders not used around electrical hazards?
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Defective ladders tagged and removed from work area?
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Ladder areas barricaded where required?
Equipment
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Safety devices operational on equipment (i.e. Grayco guys etc.)?
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Cables free of excessive wear
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All equipment properly lubricated and maintained?
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Tools and cords in good condition?
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Explosion proof lighting in areas with limited ventilation?
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Vehicles properly maintained with safety equipment including seat belts?
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Dog house clean and orderly?
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Whip checks on all hydraulic lines?
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All guy wires in place and flagged?
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Caps on fluid end of pumps secured with restraint?
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Snubbing Jack, crane and all rig components properly grounded?
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All guards in place on rotating gear?
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All pumping on jack and Husco in good condition and not over tightened?
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Have the emergency drills been conducted and documented?
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Are the escape devices in good condition?
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All fire extinguishers charged and in position?
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Are the safety switches working on power tongs?
Office
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Job Safety Health and Protection poster posted?
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Emergency notification numbers posted?
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Misc. safety bulletins reminder posters, and general company information posted?
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Are work areas neat and orderly?
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All fire extinguishers charged, inspected, and in positon?
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Are all exits clearly labelled and have clear paths to them?
Print/Sign Attendies
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