Audit

Job Setup

Barricade

House keeping

Pump Manned

Line of Sight

Personal Safety

Head

Eye & Face

Hearing

Hand

Clothing

Fall Protection

Respirator

Ergonomics

Straining

Over-extending

Lifting (back)

Line of Fire

Body Positioning

Safe Footing

Safety/Compliance

Per-job Checklist

Permits

MSDS

Pre/Post Trip

Lockout Tagout

Confined Space

Variance

Equipment

Use

Fittings

Ground

No Leaks

Chocks

Relief Valves

Guards

Hoses

Hazard Control

H2O Cuts

Trips/Slips

Chemical Exposure

Pinch Points

Spills

Heat Stress

Vehicle Use

Speed

Space Cushion

Land Guide

Seat Belts

Shotgunning

66" Total

6' Shroud

Whip Check

Guard Trigger

Chemical Cleaning

Job Plan

Air Machine

Safety "T"

Handle in Place

Flash Point Below 140

Roll-off Truck

Box Secure

Tarp

Labels

Bill of Lading

Liquid Vacuum

Cam Locks

Not Over Filled

Handling Hose PPE

Lance or Line Mole

Safe Hands

No Gap @ Tubesheet

Channel Head

Stabbed Controls

Stinger 1 1/2 X Pipe Diameter

Hose Marked 3'

Guard on Back

Foot Pedal

Tank Cleaning

Cam Locks

Hazard Signs

Sump Barricade

Temp Gauge

Hose Connections

COMMENTS

Additional Hazards Identified

Overall Evaluation of Job