Redi Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment

• Are all workers wearing proper head protection?

  Yes

  No

  N/A

• How many were not wearing proper head protection?

• Are all workers wearing proper eye protection?

  Yes

  No

  N/A

• How many were not wearing proper eye protection?

• Are all workers wearing proper hand protection?

  Yes

  No

  N/A

• Are all workers wearing proper foot protection?

  Yes

  No

  N/A

• Are all workers wearing proper hearing protection?

  Yes

  No

  N/A

• Are all workers wearing proper respiratory protection?

  Yes

  No

  N/A

• Are all workers wearing proper protective clothing?

  Yes

  No

  N/A

• Are all workers wearing proper fall protection?

  Yes

  No

  N/A

• Are all workers wearing proper H2S/4 gas monitors?

  Yes

  No

  N/A

Vehicles (Motorized Equipment)

Vehicle (any motorized equipment)

• Is the vehicle chocked?

  Yes

  No

  N/A

• Does the vehicle have wheel chocks on board?

  Yes

  No

  N/A

• Does the vehicle have a valid fire extinguisher on board?

  Yes

  No

  N/A

• Why does it not pass?

  Select Expired Yearly Expired Monthly Pressure out of range Other damage

  • Expired Yearly
  • Expired Monthly
  • Pressure out of range
  • Other damage

• Scan the fire extinguisher barcode

  Media

• Does the vehicle have a First Aid Kit on board?

  Yes

  No

  N/A

• Does the driver have his JJ Keller/DOT logs up to date?

  Yes

  No

  N/A

• Did the driver perform a pre-trip inspection and submit a DVIR?

  Yes

  No

  N/A

• Does the driver have all required paperwork and documents?

  Yes

  No

  N/A

• Is all cargo secure?

  Safe

  At Risk

  N/A

• Would the vehicle pass an inspection?

  Yes

  No

  N/A

• Rate the appearance of the vehicle from 1-10 with 1 being the worst condition

Driving

• Was the driver focused or distracted? (Ex. playing with phone, eating...)

  Safe

  At Risk

  N/A

• Did the driver follow the posted speed limits?

  Safe

  At Risk

  N/A

• Did the driver and all passengers wear their seat belts?

  Safe

  At Risk

  N/A

• Did the driver use a spotter to back up?

  Safe

  At Risk

  N/A

• Did the driver mount/dismount the vehicle using proper 3 points of contact?

  Safe

  At Risk

  N/A

• Rate the safety of the drivers performance from 1-10 with 1 being Poor:

Environmental

• Are there any visible leaks coming from any of the trucks?

  Safe

  At Risk

  N/A

• Was the material contained or reaching the ground?

  Safe

  At Risk

  N/A

• Were there any spills on location?

  Safe

  At Risk

  N/A

• Was the spill reported and cleaned up properly?

  Yes

  No

  N/A

• Were containment units set up to prevent possible spills?

  Yes

  No

  N/A

• Was the location left in good condition?

  Yes

  No

  N/A

Other

• Was a Job Safety Analysis performed for the job?

  Yes

  No

  N/A

• Rate the quality of the JSA from 1-5 with 1 being poorly done

• Were the proper permits implemented for the job? (Ex. Hot work, Confined Space, Etc.)

  Yes

  No

  N/A

• Did employees have their training, operator, and stop work authority cards?

  Yes

  No

  N/A

• Were proper barricades and warning signs in place?

  Yes

  No

  N/A

• Was safety equipment being used and in good condition?

  Yes

  No

  N/A

• Were tools and equipment in good condition?

  Yes

  No

  N/A

• Were there any pinch point/line of fire concerns?

  Safe

  At Risk

  N/A

• LOTO/Energy Isolation

  Safe

  At Risk

  N/A

• Emergency response (SDS's, Etc.)

  Safe

  At Risk

  N/A

• Body Mechanics

  Safe

  At Risk

  N/A

Service Quality

• Are their standard operating procedures for this type of job?

  Yes

  No

  N/A

• Was the job performed in an acceptable manner?

  Yes

  No

  N/A

• Were the procedures followed?

  Yes

  No

  N/A

• Is the customer satisfied?

  Yes

  No

  N/A

• Customers rating of 1-10 on quality of service

• Customers Signature

  Sign

• Enter any comments that need explanation from previous page

• Auditor Signature

  Sign

• Manager Signature

  Sign
Employee Signature

• Employee Signature

  Sign