Part 2 URS\Flint Attest Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Pre Job Plan (Discussed-Documented)

• 1.1 Do all employees understand the objective and scope of the work which they are involved?

  Safe

  At Risk

  N/A

• 1.2 Does each employee have sufficient knowledge and understanding of their specific job, enabling them to execute it in a safe and effective manner?

  Safe

  At Risk

  N/A

• 1.3 Do all employees have a general knowledge and understanding of all work occurring or expected to occur in their work area

  Safe

  At Risk

  N/A

• 1.4 Is there evidence that prior to start of work, preparation is done? this includes planning for special equipment and/or external factors.

  Safe

  At Risk

  N/A

• 1.5 Has the Pre Job Agenda been completed and signed by all attendees?

  Safe

  At Risk

  N/A

2.0 Pre Job and Task Hazard Assessment (Completed and Documented)

• 2.1 Do all employees understand the hazards of the job and job site and are they able to respond appropriately to them

  Safe

  At Risk

  N/A

• 2.2 Have all Emergency Response Action Plans been reviewed? (Map or Drawing of the area is required)

  Safe

  At Risk

  N/A

• 2.3 Are Emergency Response Telephone numbers available and posted in common areas for employees?

  Safe

  At Risk

  N/A

• 2.4 Are all employees capable of initiating Emergency Response and can they use the communication equipment?

  Safe

  At Risk

  N/A

• 2.5 Has a "Working Alone"Task Hazard Assessment been done (if applicable)

  Safe

  At Risk

  N/A

• 2.6 Has a "Manual Lifting"Task Hazard Assessment been reviewed by supervisor and crew?

  Safe

  At Risk

  N/A

3.0 Orientation/Work Environment/Training (New to Flint-Short Service Worker Program)

• 3.1 Does work assigned to the individual employee match his/her capabilities and competencies?

  Safe

  At Risk

  N/A

• 3.2 Is the correct number of formally trained individuals on site at all times?

  Safe

  At Risk

  N/A

• 3.3 Do all new employees receive assistance from others, sufficient to enable them to learn and field execute Flint processes to produce quality work?

  Safe

  At Risk

  N/A

• 3.4 Do all employees receive sufficient ongoing supervision and coaching to enable them to do workin a safe and cost effective manner?

  Safe

  At Risk

  N/A

• 3.5 Are apprenticeship processes in place for new workers who demonstrate appropriate interest in a trade?

  Yes

  No

  N/A

• 3.6 Are workers currently in apprenticeship receiving exposure to duties, as per their apprenticeship contract?

  Yes

  No

  N/A

4.0 Tools and Equipment

• 4.1 Are tools available and are they sufficient for the job at hand

  Safe

  At Risk

  N/A

• 4.2 Is there a working security and accountability process in place to control hand tools and other equipment?

  Yes

  No

  N/A

• 4.3 Do workers understand the proper use and inherent hazards when using specific tools and equipment?

  Yes

  No

  N/A

• 4.4 Have manufactures recommended practices been reviewed with the user and have they been deemed competent in its use?

  Yes

  No

  N/A

• 4.5 Is there current documentation indicating tools and equipment have been maintained as per manufacture specifications?

  Yes

  No

  N/A

5.0 Vehicles/Mobile Equipment

• 5.1 Has equipment been certified and / or inspected in the last 12 months, checklist completed, turned in as required and follow up as appropriate?

  Yes

  No

  N/A

• 5.2 Has the attached Vehicle Checklist been utilized for transportation and welding units that are allowed on worksite?

  Yes

  No

  N/A

• 5.3 Does the operator have license or certification to operate vehicle or equipment?

  Yes

  No

  N/A

• 5.4 Is there a "SEAT BELT" decal affixed to the external side of all windowed doors of vehicles and equipment?

  Yes

  No

  N/A

• 5.5 is there a "Vehicle Accident Reporting" kit in the glove compartment of all vehicles?

  Yes

  No

  N/A

• 5.6 Are the manufactures recommended practices for the use of each specific unit available to the operators?

  Yes

  No

  N/A

• 5.7 Are lifting devices certified where required?

  Yes

  No

  N/A

• 5.8 Are diesel engines in use in hazardous areas equipped with positive air shutdown?

  Yes

  No

  N/A

• 5.9 Are spotters used when vehicle is in operation? Are spotters identified and competent?

  Yes

  No

  N/A

• 5.10 Does equipment with winches/thumbs have window guards and/or cage in use if required?

  Yes

  No

  N/A

6.0 Policies/Procedures/Practices

• 6.1 Have appropriate references and responses been made to Workplace Health and Safety regulations pertaining to job scope and worksite?

  Yes

  No

  N/A

• 6.2 Have appropriate references and responses been made to Owner/Client documented and/or verbal expectations?

  Yes

  No

  N/A

• 6.3 Have appropriate references and responses been made to Flint's documented and/or verbal expectations?

  Yes

  No

  N/A

• 6.4 Are Employee Best Practices Handbooks issued at orientation, available upon request with evidence of competency sign off and extra handbooks available in common area?

  Yes

  No

  N/A

• 6.5 Are policies and rules, as well as applicable procedures and practices, posted in office and employee common areas?

  Yes

  No

  N/A

• 6.6 Are codes of practice pertinent to the work being done reviewed and signed off by applicable employees?

  Yes

  No

  N/A

7.0 Housekeeping

• 7.1 Overall site impression?

  Yes

  No

  N/A

• 7.2 Material stored in orderly manner?

  Yes

  No

  N/A

• 7.3 Lunchroom clean and tidy?

  Yes

  No

  N/A

• 7.4 Walkways free of obstructions?

  Yes

  No

  N/A

• 7.5 Ramp or stairs provided?

  Yes

  No

  N/A

• 7.6 Are the areas under power lines designated for non storage of materials?

  Yes

  No

  N/A

• 7.7 Free of slipping/tripping hazards?

  Yes

  No

  N/A

• 7.8 Floor clean of oil or grease?

  Yes

  No

  N/A

• 7.9 Openings covered or barricaded?

  Yes

  No

  N/A

• 7.10 Railings installed on ramps or stairs?

  Yes

  No

  N/A

• 7.11 Adequate lighting/emergency lighting?

  Yes

  No

  N/A

• 7.12 Are roads leading to the site adequately identified for emergency vehicles?

  Yes

  No

  N/A

• 7.13 Vehicles parked appropriately?

  Yes

  No

  N/A

• 7.14 Vehicles reasonably clean?

  Yes

  No

  N/A

• 7.15 Idling engines attended?

  Yes

  No

  N/A

• 7.16 Loose items in vehicles secured?

  Yes

  No

  N/A

• 7.17 Is the site posted for no entry of unauthorized personnel, no smoking, PPE requirements and other requirements?

  Yes

  No

  N/A

8.0 Job site Conditions

• 8.1 Have temperature impacts been addressed? (Extreme cold or heat, freeze/thaw, etc,,,)

  Yes

  No

  N/A

• 8.2 Have weather conditions impacting the equipment (metal, hydraulics), people, and work quality been addressed?

  Yes

  No

  N/A

• 8.3 Has location of worksite (remoteness) been addressed, including travel considerations, communication etc,,,,,?

  Yes

  No

  N/A

• 8.4 Have traffic/road conditions been considered?

  Yes

  No

  N/A

9.0 Working at Heights/Ladders/Scaffolds/Fall Protection Planning

• 9.1 Safety feet serviceable and used?

  Yes

  No

  N/A

• 9.2 Proper angle and tied off? (4:1)

  Yes

  No

  N/A

• 9.3 Serviceable condition?

  Yes

  No

  N/A

• 9.4 Three foot extension above top support?

  Yes

  No

  N/A

• 9.5 Top two rungs used for hands only?

  Yes

  No

  N/A

• 9.6 Nonconductive material where electricity?

  Yes

  No

  N/A

• 9.7 Not Painted?

  Yes

  No

  N/A

• 9.8 One person on ladder at a time?

  Yes

  No

  N/A

• 9.9 Doors blocked or guarded?

  Yes

  No

  N/A

• 9.10 Landings clear and level?

  Yes

  No

  N/A

• 9.11 Footings stable and level?

  Yes

  No

  N/A

• 9.12 Plumb well braced?

  Yes

  No

  N/A

• 9.13 Anchored, vertical-15 feet, horizontal-20 feet?

  Yes

  No

  N/A

• 9.14 Overhead work signs, ribbon or barricade?

  Yes

  No

  N/A

• 9.15 Built to ACS, AB,OH&S standard and tagged?

  Yes

  No

  N/A

• 9.16 Rolling scaffold height base ratio less than 3:1?

  Yes

  No

  N/A

• 9.17 Wheels blocked or locked?

  Yes

  No

  N/A

• 9.18 Temperature/weather change impacts on footing?

  Yes

  No

  N/A

• 9.19 Has a fall protection plan been built by a competent individual to specifically meet the job scope?

  Yes

  No

  N/A

• 9.20 Has the Fall Protection plan been documented and signed off by those utilizing the plan in their work?

  Yes

  No

  N/A

• 9.21 Has a task hazard assessment been documented and signed off by those utilizing the plan in their work?

  Yes

  No

  N/A

• 9.22 Scaffold tagged and inspected?

  Yes

  No

  N/A

10.0 Compressed Gas

• 10.1 Stored upright and secured?

  Yes

  No

  N/A

• 10.2 Caps in place?

  Yes

  No

  N/A

• 10.3 Segregated and marked regarding content?

  Yes

  No

  N/A

• 10.4 Stored away from electrical contact and heat?

  Yes

  No

  N/A

• 10.5 Not stored in enclosed building?

  Yes

  No

  N/A

• 10.6 Removed from work area when empty and marked "MT"?

  Yes

  No

  N/A

• 10.7 Bottle shut off when not in use?

  Yes

  No

  N/A

• 10.8 Equipment fittings and hoses in good repair and part of the plant PM plan?

  Yes

  No

  N/A

• 10.9 Not stored in stairways or egress routes?

  Safe

  At Risk

  N/A

• 10.10 Regulator installed and used properly?

  Yes

  No

  N/A

11 Electrical (Overhead/Underground)

• 11.1 System and cords grounded?

  Yes

  No

  N/A

• 11.2 Cords and cables in good condition?

  Yes

  No

  N/A

• 11.3 Extension cords of sufficient size

  Yes

  No

  N/A

• 11.4 Distribution boxes closed and secured?

  Yes

  No

  N/A

• 11.5 Isolated from energy source?

  Yes

  No

  N/A

• 11.6 Overhead power lines - 7 meter rule?

  Yes

  No

  N/A

• 11.7 Explosion proof fixtures if required?

  Yes

  No

  N/A

• 11.8 Modifications by qualified personnel?

  Yes

  No

  N/A

• 11.9 Portable power plant grounded to ground rod or equivalent?

  Yes

  No

  N/A

• 11.10 Is confirmation in place that equipment is de-energize prior work (i.e. grounding process)

  Yes

  No

  N/A

12 Rigging and Hoisting

• 12.1 Weight of load determined?

  Yes

  No

  N/A

• 12.2 Center of gravity indicated?

  Yes

  No

  N/A

• 12.3 Sling properly rated for load?

  Yes

  No

  N/A

• 12.4 Sling angle correct for load?

  Yes

  No

  N/A

• 12.5 Connections meet standards?

  Yes

  No

  N/A

• 12.6 Route of travel checked?

  Yes

  No

  N/A

• 12.7 Clearances confirmed?

  Yes

  No

  N/A

• 12.8 Proper hitches?

  Yes

  No

  N/A

• 12.9 Safety latches, missing? (mousing)

  Yes

  No

  N/A

• 12.10 Taglines utilized as required/proper use?

  Yes

  No

  N/A

• 12.11 Designated signal person identified?

  Yes

  No

  N/A

• 12.12 Documented lift planes as required?

  Yes

  No

  N/A

• 12.13 Are maintenance and annual inspection records for cranes current? Is the daily checklist completed?

  Yes

  No

  N/A

• Tap to enter information

• 12.14 Prior to the lift, has the practice and checklist been referenced with those involved?

  Yes

  No

  N/A

• 12.15 Has the rigging load rating been identified for all the rigging components involved in the lift?

  Yes

  No

  N/A

• 12.16 Has a task hazard assessment specific to the work been documented and signed off with the operator, supervisor and crew?

  Yes

  No

  N/A

• 12.17 Where applicable (over 2000 kg capacity) are the hoist log book entries up to date? Are hand/crane signals posted on the unit?

  Yes

  No

  N/A

• 12.18 Is there a legible crane lifting capacity chart attached to the unit?

  Yes

  No

  N/A

• 12.19 Is equipment firmly supported?

  Yes

  No

  N/A

• 12.20 Are the proper signals understood?

  Yes

  No

  N/A

• 12.21 Are crane operators certified/competent in accordance with applicable government regulations?

  Yes

  No

  N/A

• 12.22 Are riggers and spotters properly identified by high visibility clothing?

  Yes

  No

  N/A

13 Ground Disturbance/Excavation/Trenching

• 13.1 Correct back slope?

  Yes

  No

  N/A

• 13.2 Engineered shoring?

  Yes

  No

  N/A

• 13.3 Checks for buried lines done?

  Yes

  No

  N/A

• 13.4 Drawings reviewed?

  Yes

  No

  N/A

• 13.5 Are all excavations barricaded, lighting provided and warning signs posted as required?

  Yes

  No

  N/A

• 13.6 Is equipment kept a safe distance from the edge of excavation?

  Yes

  No

  N/A

• 13.7 Are all ground disturbance requirements met prior to excavation (permit, crossing agreement, hand exposure, etc..)?

  Yes

  No

  N/A

• 13.8 Spoil pile -1 meter back?

  Yes

  No

  N/A

• 13.9 Competent operator?

  Yes

  No

  N/A

• 13.10 Prior to start of work, have underground utility markings or "as built" drawings been reviewed by supervisor and ground disturbance crew?

  Yes

  No

  N/A

• 13.11 Are there sufficient ladders or ramps for egress?

  Yes

  No

  N/A

• 13.12 Has there been a check for flammability/toxic gas prior to initial entry as required?

  Yes

  No

  N/A

• 13.13 Excavator-cage required/not required?

  Yes

  No

  N/A

14 Fire Prevention

• 14.1 Fire extinguishers in good order? (inspections)

  Yes

  No

  N/A

• 14.2 Fire extinguishers at areas of risk?

  Yes

  No

  N/A

• 14.3 Water truck utilized as required?

  Yes

  No

  N/A

• 14.4 Gas monitored within 50 meters of gas source?

  Yes

  No

  N/A

• 14.5 Are smoking areas posted?

  Yes

  No

  N/A

• 14.6 Welding and grinding-blankets/screens used?

  Yes

  No

  N/A

• 14.7 Individual competent in use of gas monitor/fire extinguishers?

  Yes

  No

  N/A

• 14.8 Gas monitor calibration/daily bump test current and documented?

  Yes

  No

  N/A

• 14.9 Are fire hydrants kept clear -15 feet radius?

  Yes

  No

  N/A

15.0 Materials Storage /TDG/WHMIS/Environmental

• 15.1 Controlled or regulated products labeled?

  Yes

  No

  N/A

• 15.2 Vehicles placarded when required?

  Yes

  No

  N/A

• 15.3 Individuals WHMIS trained?

  Yes

  No

  N/A

• 15.4 Handled and stored as per manufacturers recommended practice?

  Yes

  No

  N/A

• 15.5 Is practical First Aid knowledge tied specifically to the MSDS on site?

  Yes

  No

  N/A

• 15.6 Is temporary waste area properly posted?

  Yes

  No

  N/A

• 15.7 Are spills reported, documented and cleaned up properly?

  Yes

  No

  N/A

• 15.8 Are spill kits available as required?

  Yes

  No

  N/A

• 15.9 Are individuals TDG trained where required?

  Yes

  No

  N/A

• 15.10 Products segregated?

  Yes

  No

  N/A

• 15.11 Current MSDS sheets available for all products on site?

  Yes

  No

  N/A

• 15.12 Is employee knowledge of required PPE tied specifically to the MSDS on site?

  Yes

  No

  N/A

• 15.13 Are workers aware of their environmental responsibilities?

  Yes

  No

  N/A

• 15.14 Is there evidence of proper disposal of controlled product waste and trash?

  Yes

  No

  N/A

• 15.15 Are storage/holding tanks properly contained from spills/accidental releases?

  Yes

  No

  N/A

16.0 Guarding/Personal Protective Equipment (PPE)

• 16.1 Hardhat, safety glasses with side shields?

  Yes

  No

  N/A

• 16.2 Safety toed boots, gloves?

  Yes

  No

  N/A

• 16.3 Long sleeved shirt and long paints?

  Yes

  No

  N/A

• 16.4 Flint "Noise Level Posters" reviewed with employees and posted in employee common areas?

  Yes

  No

  N/A

• 16.5 Are riggers/spotters properly identified by high visibility clothing?

  Safe

  At Risk

  N/A

• 16.6 FRC outerwear where required?

  Yes

  No

  N/A

• 16.7 Harness and lanyards inspection checklist utilized?

  Yes

  No

  N/A

• 16.8 Is hearing protection appropriate to the noise level?

  Yes

  No

  N/A

• 16.9 Is respiratory protection available to meet the needs of job scope and are the workers involved clean shaven?

  Yes

  No

  N/A

• 16.10 Are "New To Flint" workers wearing green stickers on their hard hat?

  Yes

  No

  N/A

• 16.11 Is there evidence that PPE maintenance and "Out of Service" items are being documented?

  Yes

  No

  N/A

17.0 Equipment/Facilities Lockout and Isolation/Confined Space/Hot Tap

• 17.1 Flint locks installed prior to work?

  Yes

  No

  N/A

• 17.2 Double block and bleed or blind?

  Yes

  No

  N/A

• 17.3 Deviation process followed, if required?

  Yes

  No

  N/A

• 17.4 Deviation documented?

  Yes

  No

  N/A

• 17.5 If applicable to work scope or work plan, is the Flint Group Lockout Procedure fully implemented?

  Yes

  No

  N/A

• 17.6 Has a competent Flint representative personally confirmed the integrity of isolated from potential energy source?

  Yes

  No

  N/A

• 17.7 Is the confined space code or practice and permit (when required) in place and has it been reviewed by employees engaged in this work?

  Yes

  No

  N/A

• 17.8 Has the Hot Tap Plan (specific to type/class of Hot Tap being performed) been reviewed with the crew involved and has it been signed off by both Flint and client senior representative?

  Yes

  No

  N/A

• 17.9 Has energized equipment been rendered inoperative in a manner that prevents accidental reactivation?

  Yes

  No

  N/A

18.0 Health Controls and Services

• 18.1 Proper first aid facilities on site?

  Yes

  No

  N/A

• 18.2 Correct number of First Aiders?

  Yes

  No

  N/A

• 18.3 Sanitary facilities appropriate and adequate?

  Yes

  No

  N/A

• 18.4 Drinking facilities appropriate and adequate?

  Yes

  No

  N/A

• 18.5 Have health assessment test results been provided to workers exposed to Asbestos, Silica or Coal Dust?

  Yes

  No

  N/A

• 18.6 Have Audiometric test results been provided to workers exposed to noise?

  Yes

  No

  N/A

• 18.7 Have Noise Exposure Assessments been completed, Documented and made available to workers?

  Yes

  No

  N/A

• 18.8 Have Fit Test results been made available for those workers required to wear respirators?

  Yes

  No

  N/A

• 18.9 Are all injuries and illnesses being documented as per the reporting requirements for "Acute Injury or Illness"?

  Yes

  No

  N/A

19.0 Daily Diary/Job Trailer and/or Office Facility (if applicable)

• 19.1 Significant events documented?

  Yes

  No

  N/A

• 19.2 Regularly utilized?

  Yes

  No

  N/A

• 19.3 Safety policies posted in office/lunch room areas?

  Yes

  No

  N/A

• 19.4 First aid kit/room as per Provincial Regulations or Code?

  Yes

  No

  N/A

• 19.5 Flint Safety Management System manual available?

  Yes

  No

  N/A

• 19.6 Emergency Response Plan and phone numbers posted?

  Yes

  No

  N/A

• 19.7 Safety Minutes/Inspections/Attest/Audits posted?

  Yes

  No

  N/A

• 19.8 Road Crossing equipment available? (high visibility vest/signage/paddles/white disposable coveralls/flashlight and wand for use at night/dusk/dawn)

  Yes

  No

  N/A

20.0 Driver

• 20.1 Can the driver produce a valid drivers license, insurance card and registration upon request?

  Yes

  No

  N/A

• 20.2 can the driver produce a TDG certificate (if applicable) upon request?

  Yes

  No

  N/A

• 20.3 Can the driver adequately perform a pre trip and post trip inspection? (driver safety and compliance handbook)

  Yes

  No

  N/A

• 20.4 Does the driver appear to have sufficient knowledge of cargo securement for the types of loads hauled? (i.e. oil and gas industry cargo securement best practice)

  Yes

  No

  N/A

• 20.5 Is the driver familiar with the requirements for completing TDG manifest?

  Yes

  No

  N/A

• 20.6Is the driver aware of his authorization level to operate vehicles?

  Yes

  No

  N/A

Drivers operating vehicle registered >4500kg

• 20.7 Does the driver have copies of the pre-trip inspection for every day worked?

  Yes

  No

  N/A

• 20.8 Does the driver account for everyday of the month in his drivers daily log book?

  Yes

  No

  N/A

• 20.9 Can the driver produce all vehicle documentation (i.e. Insurance card, registration/cab card, safety fitness certificate, last CVIP inspection and any permits i.e. annual front axle permit and oilwell service vehicle HoS permit, applicable to the truck)?

  Yes

  No

  N/A

• 20.10 Does the driver have the previous 14 days of log book entries in his possession? (24 days if on HoS permit)

  Yes

  No

  N/A

• 20.11 Can the driver demonstrate his air breaks are properly adjusted? (as per pre-trip inspection)

  Yes

  No

  N/A

21.0 Use of vehicle PPE

• 21.1 Are seat belts in use?

  Yes

  No

  N/A

• 21.2 Is the operator aware of current cell phone use policy?

  Yes

  No

  N/A

• 21.3 Is the interior of the vehicle reasonably free from loose material or objects?

  Yes

  No

  N/A

• 21.4 Are the windows reasonably clean and visibility adequate?

  Yes

  No

  N/A

• 21.5 Are the mirrors positioned properly for the driver?

  Yes

  No

  N/A

22.0 CVIP Station License (Shop)

• 22.1 Does the shop have the mechanical equipment which include wheel and hub removal and installation tools, wheel dolly, wheel seal installation tool, feeler gauge, pry bar, air system timing equipment (i.e. stop watch) vacuum gauge, electrical test light?

  Yes

  No

  N/A

• 22.2 Does the shop have tire inflation and tread measuring equipment which includes tire tread gauge capable of measuring in 0.8mm increments, tread depth gauge, tire pressure gauge capable of measuring tire pressure in the ranges required for the types of vehicles inspected?

  Yes

  No

  N/A

• 22.3 Does the shop have a torque wrench capable of measuring the torque requirements of the types of vehicles inspected and is there a record of manufactures recommended practice maintenance on each torque wrench?

  Yes

  No

  N/A