PRSI Job Site Safety - Pulv

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Traffic Control

• 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

• K-Rail

  Safe

  At Risk

  N/A

• Aircraft

  Safe

  At Risk

  N/A

• Construction Lighting

  Safe

  At Risk

  N/A

Vehicular Safety

• Vehicular Safety

  Safe

  At Risk

  N/A

• Fire Extinguisher

  Safe

  At Risk

  N/A

• Beacons

  Safe

  At Risk

  N/A

• 1-800 Stickers

  Safe

  At Risk

  N/A

• Back Up Walk Around

  Safe

  At Risk

  N/A

• Truck Lights & Signals

  Safe

  At Risk

  N/A

• Tires

  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

• Sun Block

  Safe

  At Risk

  N/A

• Spreader Truck Harness

  Safe

  At Risk

  N/A

Program Applications

• Field Manual Available

  Safe

  At Risk

  N/A

• Tailgate Meeting Records

  Safe

  At Risk

  N/A

• Foreman's Awareness

  Safe

  At Risk

  N/A

Machine Safety

• Point Of Operation

  Safe

  At Risk

  N/A

• Maintenance &Leaking Of Fluids

  Safe

  At Risk

  N/A

• Safe Operator Station/Seat Belts

  Safe

  At Risk

  N/A

• Fire Extinguisher

  Safe

  At Risk

  N/A

• ROPS

  Safe

  At Risk

  N/A

• Back Up Alarm

  Safe

  At Risk

  N/A

• Safety Lift Locks

  Safe

  At Risk

  N/A

• Beacons

  Safe

  At Risk

  N/A

• Parking Brake

  Safe

  At Risk

  N/A

Unsafe Practices

• Excessive Vehicle Speed

  Safe

  At Risk

  N/A

• Unguarded Machinery

  Safe

  At Risk

  N/A

• Horseplay

  Safe

  At Risk

  N/A

• Smoking in Danger Area

  Safe

  At Risk

  N/A

• Improper Lifting Techniques

  Safe

  At Risk

  N/A

• Improper Work Procedures

  Safe

  At Risk

  N/A

• Not Using Safety Locks

  Safe

  At Risk

  N/A

Vehicles/Equipment Present

• Pickup/Service Trucks

  Yes

  No

  N/A

• Water Truck - Rental

  Yes

  No

  N/A

• Water Truck - PRSI

  Yes

  No

  N/A

• Spreader

  Yes

  No

  N/A

• Compactor

  Yes

  No

  N/A

• Pulverizer

  Yes

  No

  N/A

• Cement/Lime Trucks

  Yes

  No

  N/A

• Oil Tanker

  Yes

  No

  N/A

• Boot Truck

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

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