Management Worksite Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Program Administration

• Is project filing organized, complete, and accurate?

  Yes

  No

  N/A

• Are sign in/out logs completed daily?

  Yes

  No

  N/A

• Are function test logs completed daily where required?

  Yes

  No

  N/A

• Is Proactive Indicators completed daily?

  Yes

  No

  N/A

• Is the company SafetyPortal updated daily?

  Yes

  No

  N/A

• Is applicable legislation available?

  Yes

  No

  N/A

• Is the company HSSE manual available?

  Yes

  No

  N/A

• Is the site specific ERP available?

  Yes

  No

  N/A

• Are daily logs or reports updated?

  Yes

  No

  N/A

• Are site orientations and training documents complete and accurate?

  Yes

  No

  N/A

• Are all company policies and procedures implemented and followed on this site?

  Yes

  No

  N/A

Injury Prevention

• Does each worker or crew conduct / participate in relevant Field Level Risk Assessments?

  Yes

  No

  N/A

• Are daily toolbox meetings conducted prior to work start?

  Yes

  No

  N/A

• Are JSAs and MSDS reviewed prior to work start?

  Yes

  No

  N/A

• Is there a controlled inventory of hazardous substances and applicable MSDS?

  Yes

  No

  N/A

• Has an ERP drill been conducted for this project?

  Yes

  No

  N/A

• Is PPE additional PPE available to workers when needed?

  Yes

  No

  N/A

• Is all safety and emergency equipment function tested at acceptable intervals or as per company policy?

  Yes

  No

  N/A

• Are all safepoints, emergency routes, and STARS landing zones prepared, free of obstructions and inspected daily?

  Yes

  No

  N/A

• Is the worksite inspected at an adequate interval and at minimum after a change in conditions (i.e. rain, equipment, structures)?

  Yes

  No

  N/A

• Are overhead powerline caution signs in place?

  Yes

  No

  N/A

• Is adequate signage present for hazardous zones such as those requiring additional PPE?

  Yes

  No

  N/A

Equipment

• Are all units inspected by a competent worker prior to the shift?

  Yes

  No

  N/A

• Are all units equipped with a suitable fire extinguisher?

  Yes

  No

  N/A

• Have all broken windows been replaced?

  Yes

  No

  N/A

• Are all steps and grab-bars in place and in safe operating condition?

  Yes

  No

  N/A

• Are seatbelts and provided and worn by operators?

  Yes

  No

  N/A

• Are only designated and competent workers assigned to operate equipment?

  Yes

  No

  N/A

• Are spill kits provided on the units?

  Yes

  No

  N/A

• Are units secured against unintentional movement when the controls are left unattended?

  Yes

  No

  N/A

• Is the interior of each unit clean and free of debris?

  Yes

  No

  N/A

Excavating

• Are safe and regulated shoring and cutting back practices used?

  Yes

  No

  N/A

• Are excavations free of an accumulation of water?

  Yes

  No

  N/A

• Is pedestrian traffic controlled by signs, walkways or any other reasonable means?

  Yes

  No

  N/A

• Is the spoil pile at least 1 meter from the excavation?

  Yes

  No

  N/A

• Is loose materials scaled or trimmed from excavation walls and spoil piles?

  Yes

  No

  N/A

• Does the open or access side of an excavation have a high enough barrier to stop the equipment from sliding or rolling?

  Yes

  No

  N/A

• Are all excavations provided with adequate signage when left unattended?

  Yes

  No

  N/A

• Are exposed underground facilities protected, supported, or removed?

  Yes

  No

  N/A

• Is process equipment provided with adequate barriers with which there is a risk of contact with the machine?

  Yes

  No

  N/A

Traffic Control

• Is traffic adequately controlled by the use of signs, flagging, spotters, or a combination?

  Yes

  No

  N/A

• Are trucks entering the site adequately directed?

  Yes

  No

  N/A

• Are all workers on site wearing adequate high visibility clothing?

  Yes

  No

  N/A

• Are spotters, flaggers or signal persons using a signal light during low visibility conditions?

  Yes

  No

  N/A

Site Office

• Is general housekeeping acceptable?

  Yes

  No

  N/A

• Do wash facilities have soap, papertowel, and toilet paper?

  Yes

  No

  N/A

• Are stairs and ramps safe to use and legislatively compliant?

  Yes

  No

  N/A

• Is lighting sufficient?

  Yes

  No

  N/A

• Are all doors and windows operating in a safe manner?

  Yes

  No

  N/A

• Is the unit level and blocked from unintentional movement?

  Yes

  No

  N/A

• Is the designated smoking area in an acceptable location?

  Yes

  No

  N/A

• Are cigarettes disposed of properly?

  Yes

  No

  N/A

• Is the muster point clearly marked?

  Yes

  No

  N/A

• Is site access adequately controlled and do procedures address visitors?

  Yes

  No

  N/A

Crew Trucks

• Are the units clean, parked away from the work area, and in such a way that allows for effective emergency escape or transport?

  Yes

  No

  N/A

• Are documented trip inspections conducted as per company policy?

  Yes

  No

  N/A

• Are all units in good repair?

  Yes

  No

  N/A