Information
-
Audit Title
-
Date Conducted
-
Location
-
Job Number
-
Foremen
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Superintendent
-
Project Manager
- Steve Abernathy
- Brian Liotti
- Brent Hofer
- Dave Howell
- Chad Oldham
- Lucas Clark
-
Work Being Conducted?
-
Prepared by
Job Set-Up
-
Trailers kept in clean and orderly condition?
-
OSHA posters or booklet are visible?
-
"In Case of an Injury" sheet made and posted?
-
No smoking signs posted outside of trailer and at flammable storage areas?
-
Trailer has an available broom?
-
First Aid kit is mounted and stocked?
-
Chains and straps are hung up or kept separate when stored?
-
Daily Huddle completed by Forman and job hazard analysis is being utilized?
Hazard Communication
-
All containers are labeled as to the contents and hazards?
-
Safety Manual readily available?
-
MSDS are readily available?
Welding and Compressed Gas Cylinders
-
Stored and secured in an upright position?
-
Regulators removed and caps placed on tank when stored?
-
Full and empty cylinders are separated and identified?
-
Gauges are functional and have covers?
-
Oxygen and acetylene are separated by distance or barrier?
-
Welding leads and torch hoses are in good condition?
-
"No Smoking" sign is posted at or near the compressed gas cylinders?
-
Cylinders have back-flow preventers and torches have flash suppressors?
Locates
-
All utilities should be marked and properly protected.
-
All utilities should have documented Call-ins.
PPE
-
All workers wearing hard hats on site (exception is inside tight tunnels)?
-
All workers wearing safety glasses on site?
-
All workers wearing steel toe shoes on site?
-
All workers wearing high-vis-tee-shirts or safety vests?
-
Workers wearing safety vests on DOT sites, working near traffic or flagging?
Fire Safety
-
Fire extinguisher's monthly inspections are up to date?
-
A fire extinguisher is kept within 10 feet of each torch and hot work area?
-
Fuel tank has a fire extinguisher located between 25 and 75 feet from the tank?
-
Generator(s) have fire extinguisher(s) located within 20 feet?
-
Safety cans and all flammables are stored properly?
-
Fire extinguisher kept at the entrance to the trailer and visible?
Electrical Safety
-
GFCI's are used on all power cords?
-
Power cords are in good condition?
-
Portable generators are grounded?
-
If overhead electrical power-lines are present are precautions taken?
Excavations
-
If a PE stamped drawing of the pit is required, it is on site and visibly posted?
-
Tabulated Data sheets are on site during construction of protection system?
-
Trench Box Sheet Ratings are available on site?
-
Spoils edge is a minimum of two (2) feet from the edge of the pit?
-
Bottom grade is no more than two (2) feet below bottom of shield?
-
Top of trench box is extended a minimum of eighteen (18) inches above the grade?
-
Workers are protected by either shielding, trench boxes or sloping/benching?
Ladders
-
Ladders are in good condition and without defects?
-
Ladder is secured properly?
Fall Protection
-
Workers use fall protection restraint harnesses and lanyards when needed?
-
Openings to ladders have a sliding bar or gate that is closed?
Underground Construction 1926.800
-
Tag boards are in place, readable and current?
-
Communication methods are in practice between top man, pit and tunnel?
-
Each person in the tunnel has a Self-Rescuer immediately available?
-
A designated person is on duty whenever an employee is working underground?
-
Each worker underground has a cap-light?
-
Rescue services have been coordinated and posted?
-
Air monitors are located in the shaft and at the face of tunnels?
-
Air readings are taken and documented at a minimum of every four hours?
-
Fresh air is properly provided into the tunnel or pipe? (Min. 200 c.f.m. per employee)
-
Illumination requirements (5 foot-candles) have been met?
-
A fire extinguisher is provided at the head and tail pulley of the conveyor?
-
Rescue basket is on site and accessible?
-
Flashing light is used to indicate overhead loads during tunnel work?
-
Ladder placement is correct?
-
Midwest Mole's accepted pit is protected by guard rails?
-
Ankle straps on site and available?
Cranes/Excavations/Trucks
-
Kept in reasonably clean and maintained condition?
-
Daily inspections are conducted on cranes?
-
Daily inspections are conducted on excavators?
-
Daily inspections are conducted on backhoe/loaders?
-
Outriggers have foot pads in place and mats if needed?
-
Crane's swing radius properly barricaded?
-
Excavator's Quick Coupling is being properly used and/or safety pin is in place?
-
Crane's anti two-block inspected by operator?
-
Crane annual inspection date is up-to-date?
Air Monitors
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
-
Is there another?
-
Monitor Number
-
Calibration Date
-
Whose
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Returned to Shop
Equipment
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
-
Number
-
Type
- Generator
- Light Plant
- Welder
- Mixer/Pump
- Trailer
- Excavator
- Bobcat
- Crane
- Boom Truck
- Other
- 5000 Jacking Unit
- ASD 750
-
Fire Extinguisher
-
Operators Manual
-
Defects/Problems
-
What
-
Is there another piece of equipment you wish to add?
DOT Vehicles
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
-
Is there anther DOT vehicle?
-
Vehicle Number
-
Type
-
What type?
-
Color
-
What color?
-
DOT Date
-
Current
Self Rescuers
-
Number
-
Date of manufacturing
-
Whose?
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Is there another?
-
Number
-
Date of manufacturing
-
Whose?
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Is there another?
-
Number
-
Date of manufacturing
-
Whose?
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Is there another?
-
Number
-
Date of manufacturing
-
Whose?
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Is there another?
-
Number
-
Date of manufacturing
-
Whose?
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
-
Is there another?
-
Number
-
Date of manufacturing
-
Whose?
- Jeremy Beckner
- Shawn Butler
- Bill Corsaro
- Bill Fuchs
- Arturo Mendez
- Jose Ortega
- Jason Smith
- Charlie Starr
- Matt Temple
- Dave McGinnis
- Willie Byrd
- Dave Kelly
-
Condition
Rigging
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
-
Is there another one?
-
Number
-
Type
-
Size
-
Grade
-
Condition
-
Taken out of service by?
Comments/Concerns
-
Comments?
-
Photo?
-
Add media
-
Comments?
-
Photo?
-
Add media
-
Comments?
-
Photo?
-
Add media
-
Comments?
-
Photo?
-
Add media