Title Page
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M+W ENERGY PROJECT SAFETY AUDIT
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Prepared by
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Conducted for
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Supervisor
Site Preparation
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Proper traffic control signs
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Emergency Action Plan Posted
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Federal And State Posters Posted
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Muster Area Identified
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Overhead Powerlines Identified
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Storm And Lightning Alert
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Safety Bulletin Board
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Cooling And Heat Stations Available
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Proper Amount Of Toilets Cleaned And Maintained On Schedule
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Site Address Posted
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Emergency Phone Numbers Posted
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SDS For Hazardous Chemicals
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No Out Dated First Aid Supplies
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Training Documentation
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Site Specific Safety Orientation
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Site Management
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Competent Person(s)
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OSHA Required Training
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Qualified Equipment Operators
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Site Conditions
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Detailed Pre-Task Plan Readily Available
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Fall Hazards Mitigated
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Tools In Good Condition With All Handles And Guards
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Proper Gloves For The Task
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Eye Protection In Use
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Hard Hats
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High-Vis Vest Or Shirts With Reflective Stripes
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Adequate Hearing Protection
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Safety Toed Work Boots
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House Keeping
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Break Areas Clean And Neat
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Dumpsters Emptied In A Timely Manner
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GFCI In Use
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Cords Routed Out Of Harms Way And Not A Trip Hazard
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Material Stored As Not To Create A Hazard
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Material Handled With Proper Lifting Techniques
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No Employees Lifting Over 45 Pounds Without Assistance
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Proper Use Of Ladders
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Mobile Equipment / Material Handling
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Bulk Fuel Storage Is Equipped With A 20# Fire Extinguisher A Minimum Of 25' And A Maximum Of 75' From Storage Area
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Seat Belt Use In UTV's
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Documented Pre-Use Inspection By A Competent Person
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Seat Belt Use
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Qualified Operator
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Spotter In Use
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Back Up Alarm
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Flammable Storage Area
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Operating In A Safe Manner
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Trench And Excavation
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Excavation Plan In Place
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Proper Cave-In Protection
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Daily Inspection
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Documented Inspection (When Required)
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Spoils A Minimum Of 24" From Edge
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Means Of Ingress/Egress If Over 48" Deep
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Multi-Gas Monitor In Use (If Required)
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Proper Barricade Installed
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Water Controlled/ Removed
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Cranes And Rigging
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Certified Crane Operator
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Qualified Rigger
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Qualified Signal Person
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Crane Annual Inspection
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Lift Plan In Place
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Communication Established
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Pre-Use Inspection
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Crane Radius Barricaded
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Tag Lines In Use
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Crane Leveled On Pads
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Overhead Lines
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Employees Kept Clear Of Loads About To Be Lifted And Suspended Loads
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Rigging Equipment Inspected Prior To Use. Defective Equipment Removed From Service
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All Sling & Rigging Identification In Place & Legible
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No Indication Of Severe Localized Abrasion Or Scraping
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No Indication Of Kinking, Crushing, Bird Caging, Or Any Other Damage
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Other Conditions, Including Visible Damage, That May Cause Doubt As The Continued Use
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Lock Out / Tag Out
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LOTO Plan Developed
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Only Trained Authorized Employees Preform Lockout And Remove Locks
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Affected Workers Trained And Notified
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Competent Person
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Assigned Locks
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Locks / Tags Applied
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Energy Source Isolated
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Employees Trained In ERP
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All Notified Of Restored Power
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Energized Electrical Work
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Justification Of Why The Equipment Or Circuit Cannot Be De-energized
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Detailed Job Description And Procedure
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Description Of The Safe Work Practices To Be Used
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Means To Restrict Access To Unqualified Employees
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PPE To Safely Perform The Task
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Completed Job Briefing Including Discussion Of Any Job Related Hazards Documented On PTP
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Qualified Person Performing The Task
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Confined Space
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Competent Person
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Supervisor, Attendant, And Entrants Trained Proof Available
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Proper Confined Space Postings
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PTP Understood By Complete Team
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PRCS Plan Implemented And Involved Employees Understand It
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Entry Permit Signed By Supervisor Posted
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Documented Atmospheric Monitoring
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Rescue / Retrieval Unit In Place
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Trained Rescue Team Onsite/Offsite Notified Of Entry
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Comments
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Additional Comments
