PROJECT INSPECTION REVIEW

• Conducted on

  Date

• Prepared by

• Date / Time

  Date
• Location
  Address

• Site location

• Who was on the crew?

PAPERWORK

• THA is with the crew and filled out correctly?

  Yes

  No

  N/A

• Signed CWP with the crew?

  Yes

  No

  N/A

• Safety Data Sheets with the CWP?

  Yes

  No

  N/A

• Current Construction Drawings (Stamped Working Copy)?

  Yes

  No

  N/A

• Track Allocation with the Crew?

  Yes

  No

  N/A

• Confined Space Permit filled out and complete?

  Yes

  No

  N/A

PPE

• Hard hat, safety glasses, gloves and vest being worn?

  Yes

  No

  N/A

• Fall protection / harness (harness, anchor, SRL or lanyard)?

  Yes

  No

  N/A

• Gas meter (on, working, not damaged)?

  Yes

  No

  N/A

• Guardrails (around confined space)?

  Yes

  No

  N/A

• Any additional PPE?

  Yes

  No

  N/A

WORKZONE

• Housekeeping?

  Yes

  No

  N/A

• De-Rail installed with EIC contact?

  Yes

  No

  N/A

• Vehicle chocked?

  Yes

  No

  N/A

• Known Road Rail access point?

  Yes

  No

  N/A

• Crew operating safely and away from hazards (Dangerous area / Unsafe act)?

  Yes

  No

  N/A

• Traffic control (vehicle / pedestrian)

  Yes

  No

  N/A

• Trip hazards?

  Yes

  No

  N/A

• Impalement hazards?

  Yes

  No

  N/A

TOOLS

• Tools in good condition / used correctly?

  Yes

  No

  N/A

• Tools inspected, Proper color tape?

  Yes

  No

  N/A

POSITIVE OBSERVATIONS

• List positive observations?

OPPORTUNITIES

• List opportunities where we can do better?

CORRECTIVE ACTIONS

• List corrective actions

• Has all items identified been corrected?

  Yes

  No

  N/A

• Has the superintendent been notified?

  Yes

  No

  N/A

• Auditor Name