Jacks DIG

• Job Number and Name

• Contractor(s) Observed

• Conducted on

  Date

• Prepared by

• Location
  Address

PTA/DTA Audit

• Is the PTA / DTA available at the work location?

  Yes

  No

  N/A

• Does the work line-up with the information contained on the PTA / DTA?

  Yes

  No

  N/A

• Are all permits present that are required for the work operation?

  Yes

  No

  N/A

• Does the PTA / DTA address the potential hazards of the work operation?

  Yes

  No

  N/A

• Does the PTA / DTA address the location specific potential hazards and control measures?

  Yes

  No

  N/A

• Are the required PPE specified on the PTA / DTA?

  Yes

  No

  N/A

• Are the required tools and equipment specified on the PTA / DTA?

  Yes

  No

  N/A

• Are the emergency response plan and/or contingency plan specified in the PTA / DTA?

  Yes

  No

  N/A

• Has the yellow card (PTA/DTA) been competed by the contractor?

  Yes

  No

  N/A

Safety Observations

• PPE

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Signs, Signals, Barricades

  Yes

  No

  N/A

• Fire Prevention and Protection

  Yes

  No

  N/A

• Hand Tools and Protection

  Yes

  No

  N/A

• Occupational and Environmental Controls

  Yes

  No

  N/A

• Concrete and Mansory

  Yes

  No

  N/A

• Welding and Cutting

  Yes

  No

  N/A

• Electrical

  Yes

  No

  N/A

• Scaffolds

  Yes

  No

  N/A

• Steel Erection

  Yes

  No

  N/A

• Excavations and Trenching

  Yes

  No

  N/A

• Demolition

  Yes

  No

  N/A

• Cranes

  Yes

  No

  N/A

• Stairways and Ladders

  Yes

  No

  N/A

• Motorized Equipment

  Yes

  No

  N/A

Environmental Impacts

• Is there any work containing Asbestos? (If yes, please give detailed information on the monitoring and abatement process)

  Yes

  No

  N/A

• Is there any work containing Lead? (if yes, please give detailed information on the monitoring and abatement process)

  Yes

  No

  N/A

• Is there any work containing Silica? (if yes, please give detailed information on the monitoring and abatement process)

  Yes

  No

  N/A

Overall Comments

• General Comments

• Auditor Signature

  Sign