Paving Crew Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

First aid and Emergency

• First aid kits available

  Yes

  No

  N/A

• Phone works for emergency notifications

  Yes

  No

  N/A

Work Zone

• Traffic Control Personnel are placed in correct positions?

  Yes

  No

  N/A

• Signs,lights barricades are in place to identify work zone

  Yes

  No

  N/A

• Communications between flaggers are maintained and working

  Yes

  No

  N/A

Mobile Equipment

• Operators are trained in the use of the equipment

  Yes

  No

  N/A

• Pre and post trip inspections are completed by the operator

  Yes

  No

  N/A

• Back up alarms, Lights, Horns, Beacon Lights are installed and working

  Yes

  No

  N/A

• Trucks and other equipment are staged so not to create traffic issues or congestion

  Yes

  No

  N/A

• Machine guards are in place around moving parts, augers, belts, rollers

  Yes

  No

  N/A

• Seat belts are being worn on all equipment while in motion

  Yes

  No

  N/A

• Equipment is in good working condition

  Yes

  No

  N/A

Hand and Power Tools

• Hand tools have handles in good shape free from splits, cracks, or loose parts

  Yes

  No

  N/A

• Air hoses are secured with whip check and pin to keep from separating

  Yes

  No

  N/A

• Electrical tools are in good condition free from defects in cord or missing ground plug

  Yes

  No

  N/A

• Guards are in place on all hand and power tools

  Yes

  No

  N/A

Personal Protection Equipment

• Eye and face protection is being worn as required

  Yes

  No

  N/A

• Hand protection is being worn as required

  Yes

  No

  N/A

• Hearing protection is being worn while operating open cab equipment running saws, chipping guns,jackhammers.

  Yes

  No

  N/A

• Hard hats are being worn at all times with the brim forward

  Yes

  No

  N/A

• Hi Vis shirts or vest are being worn at all times

  Yes

  No

  N/A

• Access to work platforms of equipment are in good condition

  Yes

  No

  N/A

Ladders/Steps/Gates/Handrails

• Handrails on equipment are not broken, bent or missing

  Yes

  No

  N/A

• Gates and chains are closed at access areas when employees are on the platform

  Yes

  No

  N/A

• Equipment steps and ladders are not bent or broken

  Yes

  No

  N/A

Chemical Safety

• Containers are labeled as to the contents in them

  Yes

  No

  N/A

• Containers are in good shape free from leaks

  Yes

  No

  N/A

Utilities

• Manholes, pipes, and other objects are clearly marked to prevent striking or running into with equipment

  Yes

  No

  N/A

• Has the area been surveyed for overhead power lines and over head objects

  Yes

  No

  N/A

• Miss Utility ticket is on site when required

  Yes

  No

  N/A

Housekeeping

• Unused tools are kept out of walkways and work area to prevent slips and trips

  Yes

  No

  N/A

• Equipment platforms are clear of debris, trash, and other materials to prevent slip, trip,or fall

  Yes

  No

  N/A

Work Practices

• Operators are looking in the direction of travel

  Yes

  No

  N/A

• Employees are keeping clear of pinch points to hands, arms, feet, and legs.

  Yes

  No

  N/A

• Employees are keeping themselves out from between stationary and moving equipment to avoid crush hazards

  Yes

  No

  N/A

• Employees are staying away from traffic lanes while taking a break, walking to other locations and while waiting on work

  Yes

  No

  N/A

• Employees are using 3pt contact while ascending and descending equipment.

  Yes

  No

  N/A

Toolbox Meetings

• Toolbox meeting was held with employees

  Yes

  No

  N/A

• Are there any Subcontractors onsite if yes write names

  Yes

  No

  N/A

• Sub names

Corrective Actions

• Enter corrective actions taken here

• Signature

  Sign