KDC SERV MAIN SAFETY INSPECTION 2022.2

• Job No

• Audit Title

• Client / Site

• Prepared by

• Personnel

• Add location
  Address

SIGNAGE

• Completed 1 pg DRA

  Yes

  No

  N/A

• Proper regulatory signs

  Yes

  No

  N/A

• KDC HSE and SDS on phone

  Yes

  No

  N/A

• MPN Location

  Yes

  No

  N/A

• Incident Reporting Instruction Understood

  Yes

  No

  N/A

• Heat Illness SOP if Applicable

  Yes

  No

  N/A

Public

• Duty To Warn, Duty To Protect & Duty To Control

  Yes

  No

  N/A

• Public protection access egress

  Safe

  At Risk

  N/A

Fall Protection/Prevention

• Fall protection if exposed to a free fall six feet or more

  Safe

  At Risk

  N/A

• PFAS Inspected

  Yes

  No

  N/A

• Electrical cords extension cords GFCI

  Safe

  At Risk

  N/A

Ladders

• Ladder Safety including manufacturing labels

  Safe

  At Risk

  N/A

• Ladder usage and set up

  Yes

  No

  N/A

• Housekeeping

• FOCUS FOUR - electrical , caught in between , struck by & fall protection

• Any trip and fall hazards

  Safe

  At Risk

  N/A

• SWPPP ISSUES?

  Safe

  At Risk

  N/A

Safety Plans - Required Permits

• Daily Risk Assessment

• KDC Required Plans<br>Silica, LOTO, Excavation, Hot Work, Demo, Pedestrian Protection, Rolling and Fixed Scaffold

  Yes

  No

  N/A

• Hot Work Permit

  Yes

  No

  N/A

• Demo Plan

  Safe

  At Risk

  N/A

PPE

• PPE - Hard Hat, Class II Vest, Hand Protection, Face and Eye Protection, Respiratory Protection & Foot Protection.

  Yes

  No

  N/A

• Equipment safety

  Yes

  No

  N/A

• Material Handling Cart

  Safe

  At Risk

  N/A

• Machinery equipment tool certifications

  Yes

  No

  N/A

• Chemical Storage in van

• Current registration & insurance and claims information

  Yes

  No

  N/A

• Vehicle walk around prior to operation

  Yes

  No

  N/A

• Cleanliness of Van

• 1st Aid & BBP Kits readily accessible

  Safe

  At Risk

  N/A

• Fire extinguisher readily accessible

  Safe

  At Risk

  N/A

• Clean company logo shirt

• Final Thoughts

• Signature

  Sign