REEVES YOUNG LLC - Heavy Civil Jobsite Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Requirements:

• Site specific safety plan located on site?

  Yes

  No

  N/A

• Safety manual located on site?

  Yes

  No

  N/A

• SDS book located on site?

  Yes

  No

  N/A

• Weekly tool box meetings complete?

  Yes

  No

  N/A

• Jobsite required posters?

  Yes

  No

  N/A

• At least two employees trained in first-aid/CPR on site?

  Yes

  No

  N/A

• First-aid kit is stocked?

  Yes

  No

  N/A

• Nearest health clinic/hospital identified?

  Yes

  No

  N/A

• Emergency action plan shared with all employees?

  Yes

  No

  N/A

• Fire extinguishers on site and up to date?

  Yes

  No

  N/A

• Drinking water available?

  Yes

  No

  N/A

• Does all hand tools have the original guards in place?

  Yes

  No

  N/A

• Secondary containers have GHS labels?

  Yes

  No

  N/A

Personal Protective Equipment (PPE):

• Hard hats, safety glasses and gloves being worn?

  Yes

  No

  N/A

• Hi-visibility safety vests or shirts with reflective stripes being worn?

  Yes

  No

  N/A

• Dust masks or respirators being worn when required?

  Yes

  No

  N/A

• Face shields being used when cutting?

  Yes

  No

  N/A

• Hearing protection being worn when needed?

  Yes

  No

  N/A

Housekeeping:

• Conex clean and material neatly stored?

  Yes

  No

  N/A

• Laydown area organized?

  Yes

  No

  N/A

• Fuel storage bermed/protected; 20 lb fire extinguisher located between 25 feet and 75 feet?

  Yes

  No

  N/A

• Flammable materials stored in fire box outside of conex?

  Yes

  No

  N/A

• Damaged tools or cords disposed of or tagged "Do Not Use"?

  Yes

  No

  N/A

Trenching & Excavations:

• Written daily inspections done by Competent Person?

  Yes

  No

  N/A

• Shored, Sloped, or benched 1.5:1 unless can prove better soil type?

  Yes

  No

  N/A

• Tabulated for trench box date on site?

  Yes

  No

  N/A

• Slope toe is 18" below trench box?

  Yes

  No

  N/A

• Trench box max 2 feet above bottom of trench?

  Yes

  No

  N/A

• Trench box not damaged or missing parts?

  Yes

  No

  N/A

• Excavation is barricaded?

  Yes

  No

  N/A

• Spoil pile is 2 feet away from edge?

  Yes

  No

  N/A

• Exit for employees - ramp of ladder within 25 feet?

  Yes

  No

  N/A

• Ladders extended 36" above excavation or trench box?

  Yes

  No

  N/A

• Ladder rails and rungs in good repair?

  Yes

  No

  N/A

• Warning labels/stickers in place and legible on ladders?

  Yes

  No

  N/A

• Underground locate performed prior to digging?

  Yes

  No

  N/A

• Existing utilities potholed prior to digging?

  Yes

  No

  N/A

• Equipment parked minimum of 20 feet from excavation?

  Yes

  No

  N/A

• Is blasting required?

  Yes

  No

  N/A

• Is a blasting safety plan in place and being followed?

  Yes

  No

  N/A

Equipment Safety:

• Lights, brakes, horn and back-up alarm functioning?

  Yes

  No

  N/A

• Windshields are in good repair?

  Yes

  No

  N/A

• Inspection and maintenance logs current?

  Yes

  No

  N/A

• Fire extinguisher installed?

  Yes

  No

  N/A

• Seat belts being worn?

  Yes

  No

  N/A

• Safe speeds, controlled motion?

  Yes

  No

  N/A

• Rigging inspected, safely configured, tagged?

  Yes

  No

  N/A

Confined Space:

• Is the area a permitted confined space? If so, is the entry permit filled out?

  Yes

  No

  N/A

• Manhole air quality tested before entry?

  Yes

  No

  N/A

• Manholes are ventilated? Blowers used before and during work, especially in shot rock areas?

  Yes

  No

  N/A

• Purge with air at least 5 minutes before entry?

  Yes

  No

  N/A

• Tripod and safety harness in place?

  Yes

  No

  N/A

• No employees in manhole during stack out?

  Yes

  No

  N/A

Roadways

• Roads, sidewalks, public access areas safe to public?

  Yes

  No

  N/A

• Traffic control plan complete?

  Yes

  No

  N/A

• Traffic control per MUTCD, local, county or state standards?

  Yes

  No

  N/A

• Correct warning signs installed per plan?

  Yes

  No

  N/A

• Flaggers are trained?

  Yes

  No

  N/A

• Flaggers wearing proper PPE?

  Yes

  No

  N/A

• Flaggers using proper signage or flags?

  Yes

  No

  N/A

• PM Signature

  Sign

• Superintendent Signature

  Sign

• Foreman Signature

  Sign