Production Safety Audit

• Pad

• Location
  Address

• Conducted on

  Date

• Prepared by

• Project Manager

• Superintendent

• Supervisor

• Construction Operations

• Production Operations

• Midstream Operations

General

• JSA, Permits to work, tailgate meetings; properly filled out?

  Yes

  No

  N/A

• First aid supplies and readily available?

  Yes

  No

  N/A

• Muster point and emergency egress identified

  Yes

  No

  N/A

• Manpower and equipment adequate for job?

  Yes

  No

  N/A

Personal Protective Equipment

• Hard hats, eye and face, hearing, fall protection, dress apparel, respiratory all adequate?

  Yes

  No

  N/A

Housekeeping

• Walkways, stairs, cords, spills, restrooms and eating areas, trailer site/ conex, trash , debris, scrap organized?

  Yes

  No

  N/A

Fire Extinguisher

• Monthly inspected, pressure correctly, third party inspected, free of debris, extinguishers located at welders?

  Yes

  No

  N/A

Material Handling and Storage

• Stored properly, tag lines in place when lifting materials, safety latches on hoisting hooks, slings and chokers in good working condition, loose materials contained or palletized?

  Yes

  No

  N/A

Tools/ small tools

• Guards in place, double insulated tools, cords free of damage, plugs not missing ground pin, tools taken of of service, proper tools for the job, adequate tools for the job?

  Yes

  No

  N/A

Welding and Cutting

• Gas cylinders stored properly upright, caps in places of cylinders if not in use, welding leads free from damage, permits issued (if required), fire watch posted as needed, fire extinguisher located close to hot work?

  Yes

  No

  N/A

Electrical

• Equipment properly grounded, lock out in used if needed, extension cords free from damage/ with ground pin in place. damage equipment taken out of service?

  Yes

  No

  N/A

Ladders

• Ladders secured to landing, ladder extends 36 inches above top of landing, ladder has 4 to 1 slope, employees have 3 points contact at all times, employees hoisting equipment by rope instead of carrying tools?

  Yes

  No

  N/A

Manlifts

• Good working condition, trained employees only allowed to operate, employees tied off to man lift, using man lift properly?

  Yes

  No

  N/A

Handrails and Hole Covers

• Handrails properly secured at 42 inches + or - 3 inches, mid rails in place, hole covering in place with proper labeling (hole).

  Yes

  No

  N/A

Excavation And Trenching

• Excavations deeper then 5' (shored, sloped, benched), spoil piles kept safe distance away, back fill placed after work finshed, fencing and barricades in placed when need be.

  Yes

  No

  N/A

Employee Communications

• Do superintendents and supervisors communicate properly, do superintendents and supervisors address unsafe actions and conditions, are safety meetings held weekly with all employees?

  Yes

  No

  N/A

• Addition notes

• Add signature

  Sign