PSI WWTP Weekly Audit

Information

PSI WWTP Weekly Audit
Conducted on
Prepared by
City of Jackson Waste Water Treatment Plant Savanna Street
Personnel

Site Admin

Site Health and Safety Plan on location?
Site Safety Data Sheets on Location?
Spill response supplies, including 2 empty 55 gallon drums?
Items missing?
First Aid Kit Stocked and checked?
Snake Bite Kit located above First Aid Kit?
Biohazard Kit located below First Aid Kit?
Emergency Alert / Evacuation Air Horn located in office?
Daily JSA completed and signed for today and prior 6 days?
Days missing?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Why are they missing?
Daily Site Supervisor log completed for last 7 days?
Days Missing?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Why are they missing?
Completed Daily Inspection on CAT 336 Loader for the last 7 Days?
Days missing?
Why are they missing?
Completed Daily Inspection on CAT 336 with Screener for the last 7 Days?
Days Missing?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Why are they missing?
Completed Daily Inspection on CAT 336 with thumb for the last 7 Days?
Days Missing?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Why are they missing?
Completed Daily Inspection on CAT Dozer for the last 7 Days?
Days Missing?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Why are they missing?
Completed Daily Inspection on Skid Steer for the last 7 Days?
Days Missing?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Why are they missing?
PSI Trucks DVIR completed and turned in for last 7 days?
Trucks and days missing?
GA Trucks DVIR completed and turned in for last 7 days?
Trucks and days missing?
Love Trucks DVIR completed and turned in for last 7 days?
Trucks and days missing?

Personal Protective Equipment

Hard hats being worn?
Who is not wearing their hardhat?
Safety vest or Hi-viz shirt being worn?
Who is not wearing their Hi-viz?
Safety glasses being worn?
Who is not wearing their safety glasses?
Orange cones on every parked vehicle?
Who does not have a cone on their vehicle?
Is there spare hard hats, safety glasses and reflective vests in the office?
What needs to be restocked?

Site Inspection

Proper labels on all containers?
Add media
Description of photo.
Are all tools used by employees in good working condition?
Tools removed from service?
Fire extinguishers are located at the below sites with current inspections?
- Office
- Off road Fuel Tank
- On Road Fuel tank
- Conex Box
- Bathroom NE side
- Wheel wash
Issues identified?
Ladders maintained and in good condition?
Issues identified?
Flammables stored properly?
Issues identified?
Equipment operators are operating in a safe and controlled manner?
Issues identified?
Project established Stop signs are in place?
Primary evacuation sign posted?
Secondary evacuation sign posted?
Project direction signs in place?
Hand washing station located with each port-a-pot?