PRSI Job Site Safety Checklist - ReNew

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

On site Job Contact

• Name

  Yes

  No

  N/A

• Phone #

  Yes

  No

  N/A

Traffic Control

• Contractor Controlled?

  Safe

  At Risk

  N/A

• Signs

  Safe

  At Risk

  N/A

• Flagmen/Escorts

  Safe

  At Risk

  N/A

• Pedestrian Hazards

  Safe

  At Risk

  N/A

• Traffic Flow

  Safe

  At Risk

  N/A

• Cones/Delineators<br>

  Safe

  At Risk

  N/A

• Condition Of Signs/Cones

  Safe

  At Risk

  N/A

Trucking On-Site

• Seat Belts

  Safe

  At Risk

  N/A

• Wearing PPE

  Safe

  At Risk

  N/A

• Back Up Alarm

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Use Of Cell Phones

  Safe

  At Risk

  N/A

PPE

• Safety Vests

  Safe

  At Risk

  N/A

• Hard Hats

  Safe

  At Risk

  N/A

• Safety Boots

  Safe

  At Risk

  N/A

• Compliant Eye Protection

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Long Pants

  Safe

  At Risk

  N/A

• Long Sleeves

  Safe

  At Risk

  N/A

• Gloves

  Safe

  At Risk

  N/A

• Respirators

  Safe

  At Risk

  N/A

• Water Coolers Clean

  Safe

  At Risk

  N/A

Equipment Operation

• Operation

  Safe

  At Risk

  N/A

• Maintenance

  Safe

  At Risk

  N/A

• Fire Extinguisher

  Safe

  At Risk

  N/A

• Idling An Issue / Sticker

  Safe

  At Risk

  N/A

• Back-up Alarms

  Safe

  At Risk

  N/A

• Staging Area Safe & Secure

  Yes

  No

  N/A

Work Practices

• Cell Phone Use Limited to controlled area? <br>

  Safe

  At Risk

  N/A

• Emergency Response

  Safe

  At Risk

  N/A

• Body Mechanics

  Safe

  At Risk

  N/A

• LO/TO or Blocking

  Safe

  At Risk

  N/A

• 3 Point Contact

  Safe

  At Risk

  N/A

• G.O.A.L

  Safe

  At Risk

  N/A

• Proper Tool Use

  Safe

  At Risk

  N/A

• Hazardous Materials

  Safe

  At Risk

  N/A

PRSI Vehicles

• Clean Of Debris

  Safe

  At Risk

  N/A

• Chains

  Safe

  At Risk

  N/A

• Company Stickers

  Safe

  At Risk

  N/A

• Secure

  Safe

  At Risk

  N/A

• Back-up Alarms working?

  Safe

  At Risk

  N/A

Program Applications

• IIPP On-Site

  Yes

  No

  N/A

• Daily Safety Meeting

  Yes

  No

  N/A

• Foreman's Awareness

  Safe

  At Risk

  N/A

• MSDS Book On-Site

  Yes

  No

  N/A

Heat Illness

• Water

  Safe

  At Risk

  N/A

• Shade

  Safe

  At Risk

  N/A

• Any Indicators?

  Yes

  No

  N/A

Vendors and Other Contractors Onsite

• List Other Equipment on site

  Safe

  At Risk

  N/A

• Pre-Planning

  Safe

  At Risk

  N/A

• Safety Meeting included all?

  Yes

  No

  N/A

• Communication on job layout

  Yes

  No

  N/A

• PRSI PPE Policy Followed?

  Safe

  At Risk

  N/A

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