PRSI Job Site Safety

• 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

• Condition Of Signs/Cones

  Safe

  At Risk

  N/A

Trucking On-Site

• Experienced?

  Yes

  No

  N/A

• Seat Belts

  Safe

  At Risk

  N/A

• Wearing High Vis

  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

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

Work Practices

• Pre-Planning

  Safe

  At Risk

  N/A

• Emergency Response/ First Aid

  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/ Spill Kit

  Safe

  At Risk

  N/A

PRSI Vehicles

• Clean Of Debris

  Safe

  At Risk

  N/A

• Chains/Load Securement

  Safe

  At Risk

  N/A

• Company Stickers

  Safe

  At Risk

  N/A

• Secure

  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/SDS Available?

  Yes

  No

  N/A

Heat Illness

• Water

  Safe

  At Risk

  N/A

• Shade

  Safe

  At Risk

  N/A

• Any Indicators?

  Yes

  No

  N/A

• High heat hazard?

  Safe

  At Risk

  N/A

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