Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Job Safety Analysis, a Requirement for all High-Risk Tasks
All those involved in the task must identify the potential hazards and discuss steps/techniques to eliminate or mitigate the hazards. The Job Safety Analysis must be performed and documented by qualified people for the type of work and its potential hazards.
The first safeguard is you. To reduce the odds for human error, you must address any factors that may interfere with your readiness to perform well and to react effectively to unexpected events or changes.
Thoroughly review and follow the procedures for the task
Question what you would do in an emergency.
Discuss the JSA with your co-workers to ensure it addresses the hazards associated with the work, that you understand what you will be doing and that you know how to do it safely.
If the job changes: Stop, evaluate and revise the JSA as needed. Don’t make snap decisions.
Preventing serious injuries and fatalities requires operational discipline. This means performing every task the right way every time
Stop-Work Authority
All employees and contractors have the authority and responsibility to stop work that does not comply with safe procedures or that presents an imminent hazard - without the threat of reprisal. Perform these steps in sequence if you feel your own work or the work of others is not safe:
1. Decide to intervene (take ownership). 4. Resolve the issue.
2. Stop the unsafe act. 5. Resume work (or stay shut down until risk is mitigated).
3. Notify immediate supervisors. 6. Share what you learned.
Do it safely or not at all. There is always time to do it right.
Human Performance
Human error has been shown to be a factor in nearly every serious incident and fatality. Your focus on improving human performance is critical to achieving an incident-free operation.
Distractions Can Happen to Anyone
In fact, the more familiar we are with a task, the easier it is to lose focus. Loss of focus can lead to an error. Even with established worker qualification, tools and experience to guide us, we must also be personally ready to perform each job at our highest capacity.
The risk for error and injury goes up at all experience levels when individual or organizational factors, task demands or the work environment interfere with our ability to focus on our tasks. -
What specfic task(s) will perform on this project:
Personal Protective Equipment
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All employees are required to wear: Hard Hat, Traffic Vest, Safety Glasses and Safety Toe Boots
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Are all employees wearing all approved personel protective equipment?
Slip/Trip Hazardous Housekeeping
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Have all slip/trip hazardous been removed or identified before starting work?
Traffic Control / Flagging
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All traffic cotrol and flagging operations must be set up in accordance with the TMUTCD
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Are the traffic signs and devices set up per the TMUTCD?
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Take photo of traffic control
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Which TMUTCD typical application for traffic control is being used?
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Is the flagger using a 24 x 24 stop/slow padde on a 7 foot staff?
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Are flaggers clearly visible and postioned correctly with an escape route?
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Is a spotter/backer being used to back all transfer vehicles?
Equipment
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Are all equipment inspections performed and documented?
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Are all defects reported to the equipment department?
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Is equipment being repaired, locked out and blocked against hazardous motion?
Underground and Overhead Utilities
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Have all overhead utilites been identifed and marked with yellow traffic cones or traffic sign?
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Have undground utilities been identified? (Gas valves, manhole covers, etc...)
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Mark all low obejects. Use orange/yellow traffic cones so low objects can be sence by equipment and vehicles entering project.
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Take photos showing underground and overheaad utilites have been marked.
Project Conncerns
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