KCRC Maintenance Audits

• Audit Title

• Foreman

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ADMINISTRATIVE

• Is there a qualified person on site?

  Yes

  No

  N/A

• Are the road closure or signs set up properly?

  Yes

  No

  N/A

• Is there an accident prevention plan on site or available upon request?

  Yes

  No

  N/A

• Are first aid kits available and stocked?

  Yes

  No

  N/A

• Is there at least one person with CPR and First Aid credentials?

  Yes

  No

  N/A

• Is there adequate illumination provided for working areas?

  Yes

  No

  N/A

• Are the proper SDS sheets on site?

  Yes

  No

  N/A

• Is there drinkable water with cups on site or available upon request?

  Yes

  No

  N/A

• Is the jobsite free of repetive motion and poor ergonamics?

  Yes

  Somewhat

  Not at All

• Is there a clean porta jon on site or close for use?

  Yes

  No

  N/A

INSPECTIONS

• For excavator or Gradeall is there a copy of annual equipment inspection on site?

  Yes

  No

  N/A

• Have inspections been done on lifting chains, cable, and straps?

  Yes

  No

  N/A

• Do all the lifting chains, cables, straps have a MIOSHA weight tag on them?

  Yes

  No

  N/A

• Has a daily inspection been done on trucks and each piece of equipment?

  Yes

  No

  N/A

• Is there proper guarding on all equipment, pinch points, sharp objects, and moving parts?

  Yes

  No

  N/A

• Are all power tools in good working order?

  Yes

  No

  N/A

• Are loads checed to be secure while in transport and before releasing tie downs?

  Yes

  No

  N/A

OPERATIONAL

• Are Truck Drivers and Equipment Operators wearing seatbelts if there is a ROPS system in place?

  Yes

  No

  N/A

• Are all trucks and equipment operating in a safe manor (no horse play, working on stable surface)?

  Yes

  No

  N/A

• Are all trucks that are parked on an incline block or chocked?

  Yes

  No

  N/A

• Are all Materials, scraps, or debris piled and stored as to not create a hazard?

  Yes

  No

  N/A

• Is the area free of any trip hazards?

  Yes

  Need Improvement

  No

• Have overhead power lines been identified?

  Yes

  No

  N/A

• Are overhead power lines coned off at a distance of 10' when using derricks or cranes?

  Yes

  No

  N/A

• Are we maintaining a 10' clearance from all power lines?

  Yes

  No

  N/A

• Are all employees staying away form elevated load over head height?

  Yes

  No

  N/A

• Is everyone wearing a safety vest?

  Yes

  No

  N/A

• Is everyone wearing hardhats and appropriate areas?

  Yes

  No

  N/A

• Is everyone wearing safety glasses where needed?

  Yes

  No

  N/A

• Does everyone have safety toed shoes?

  Yes

  No

  N/A

• Has Miss dig been called?

  Yes

  No

  N/A

• Is there a copy of positve response on site?

  Yes

  No

  N/A

• Have all utilites been located by hand before using equipment, if we are diging within 4' of them?

  Yes

  No

  N/A

• Are there designated area's for foot traffic and equipment traffic?

  Yes

  No

  N/A

• Are tools being used for their intended purpose?

  Yes

  No

  N/A

• Are GCFI's being used?

  Yes

  No

  N/A

FALL PROTECTION

• Is there proper fall protection in place (railing, hole covers, fall arrest systems)?

  Yes

  No

  N/A

• All fall arrest systems inspected before each use?

  Yes

  No

  N/A

• Are all fall arrest systems adjusted and worn correctly?( 2 fingers beneath strap, D-ring in center of back, chest and leg straps adjusted properly)

  Yes

  No

  N/A

• Is there a rescue plan in place that assures rescue within 15 Minutes?

  Yes

  No

  N/A

• Holes greater than 2" in deminsion protected by covers that will support twice the weight of employees, secured, and marked with words "hole" or "cover"?

  Yes

  No

  N/A

• Can all railings resist a load of 200 lb when applied 2" from top, are 42" +/- 3" high, mid rail at 21" high from working surface platform, and toe board to prevent objects from falling below?

  Yes

  No

  N/A

EQUIPMENT

• Equipment Inspection

Equipment

• What type of equipment and equipment number

• Does the equipment have an operators manual, swing radius, danger signs, and hand signal chart?

  Yes

  No

  N/A

• Has the equipment received the proper servicing (grease, oil check)

  Yes

  No

  N/A

• Is the cab free of all clutter?

  Yes

  No

  N/A

• Is all glass clean and free of visual distortion?

  Yes

  No

  N/A

• Are all tools and material in cab secured?

  Yes

  No

  N/A

• Are the proper warning lables on the equipment and readable?

  Yes

  No

  N/A

• Is there a fire extinguisher within 200' of equipment?

  Yes

  No

  N/A

• Are tire lugs tight, tire pressure good, and tires free from damage?

  Yes

  No

  N/A

• Are all gauges in working order?

  Yes

  No

  N/A

• Does the steering work properly?

  Yes

  No

  N/A

• Are the breaks in good working order?

  Yes

  No

  N/A

• Does the horn work properly?

  Yes

  No

  N/A

• Does the backup alarm work properly?

  Yes

  No

  N/A

• Are the wipers working properly?

  Yes

  No

  N/A

• Are all hydralics free of leaks and bulges in hoses?

  Yes

  No

  N/A

• Are all gears, sprockets, pullies, driveshafts, and all other moving parts guarded?

  Yes

  No

  N/A

• Are all mirrors clean, adjusted properly, and free of visual distortion?

  Yes

  No

  N/A

• Are all controls working properly?

  Yes

  No

  N/A

• Is the boom and Stick free of cracks, bends, or unusual ware?

  Yes

  No

  N/A

• Are the bucket hooks secured properly, free of cracks, and the hooks have less than 10 degree twist and 15 degree spread?

  Yes

  No

  N/A

• Are all track idlers, sprockets, adjusters, and rollers in good working order?

  Yes

  No

  N/A

• Are all pins and bushings secured and free of unusual ware?

  Yes

  No

  N/A