Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Traffic Control

  • Are there adequate signs placed? (Advance warning)

  • Are Stop/Slow paddles being used?

  • Trained flaggers with proper equipment being used?

  • Detours set up right?

  • Delinators, barricades, cones. Are they damaged/placed right/quantatie?

  • Awareness of staying protected in work area. Placing signs, delineators, temp. tabs, etc.

  • Following the TC plans or MUTCD?

Stockpile

  • Exit/Entrance. Safe or signs needed?

  • Is there tracking being swept?

  • Outhouse on site?

  • Open buckets?

  • Tanker & pump secured/on plastic/waddles/leaking?

  • Sulphate tank, leaking/safe spot for trucks to fill up?

  • Quality control sheets being used?

  • Trash can or trash bags being used?

  • Clean out area-berms/waddles/plastic?

  • Aggergate pile. In safe spot? Out of gutter or bushes?

  • Noise in morning?

Program Applications

  • Weekly safety meetings?

  • Daily tailgate meeting?

  • Following a good daily plan?

  • MSDS/IIPP available?

  • Near Miss Cards being filled out?

Heat Illness

  • Water Available?

  • Shade available?

  • IIPP available?

  • High heat hazard?

PPE

  • Safety vest are in use and clean?

  • Compliant eye protection?

  • Hard hats being worn?

  • Safety flags or escort being used for spreader box?

  • PCC shirts clean and being worn?

  • Safety boots?

  • Gloves being used where needed?

  • First aid kit available and stocked?

Water Meter

  • Safe location?

  • Hazard for public/pedestrians?

  • Secure and not leaking?

  • Warning signs being used if needed?

Streets

  • Storm drains protection in place?

  • Cross gutters-Tarps being used?

  • Enough No Parking signs?

  • Weeds removed?

  • Oil spots?

  • Assisting trucks to leave and enter street/turn around?

PCC vehicles

  • Truck clean?

  • Clean of trash inside and outside?

  • Back up alarms working slurry trucks/delivery trucks/loader?

  • Placards/Hazardous Materials being used,visible and clean?

  • Fire extinguisher in trucks?

  • Chains secured during MOB?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.