Information
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Job Site
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GC/Client
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Conducted on
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Foreman
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Superintendent
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Project Manager
Excavations
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Has the "Competent Person" had specific training in -- and is knowledge about -- soil analysis, use of protective systems, and the requirements of 29CFR1926-Subpart P:
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Are all on surface encumbrance removed or supported
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Are all employees protected from loose rock or soil that could pose a hazard by falling or rolling into the excavation?
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Does the "Competent Person" have the authority to remove workers from the excavation immediately?
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Are excavations, adjacent areas, and protective systems inspected by a competent person?
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Are spoiled, materials, and equipment set back at least 2 feet from the edge of your excavation
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Are barriers provided at all remotely located excavations, wells, pits, shafts, etc.?
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Are barrier ownership signs in place on barriers?
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Are walkways and bridges over excavations 6 feet or more in depth and 30 inches or more in width equipped with standard guard rails and toe-boards?
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Are employees required to stand away from vehicles being loaded and unloaded?
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Are warning systems established and used when mobile equipment is operating near the edge of an excavation?
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Are employees prohibited from going under suspended loads?
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Are employees prohibited from working on the face of slope or benched excavation above other employees?
Utilities
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Are utilities companies contacted and/or utilities located as required by local, state, and federal law?
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Are the exact locations clearly marked?
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Are underground installations protected, supported, or removed when the excavation is open?
Access & Egress
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Are ladders or other means of access and egress in place and all trenches 4 feet or more in depth?
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Are ladders in good condition and free of damage?
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Are all employees within 25 feet of a means of access and egress?
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Are the ladders that are used in the excavation secure and extended 3 feet above edge of the excavation?
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Are precautions taken to protect employees from water accumulation?
Hazardous Atmosphere
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Is the atmosphere within all excavations tested when there is a reasonable possibility of an oxygen deficiency, oxygen enriched, combustible, toxic, or other harmful contaminant?
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Are adequate precautions taken to protect employees from exposures to an atmosphere containing less then 19.5% oxygen and or other hazardous atmosphere?
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Is verification provided to protect employees from an atmosphere containing flammable gases in excess of 10% of the lower explosive limit of the gas?
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Is emergency equipment available when hazardous atmosphere could or do exist?
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Are employees trained to use personal protective equipment and other rescue equipment?
Soils
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Has the competent person classified the soil using one manual test and one visual test, as specified by the standard?
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Soil type
Support Systems
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Are protective systems in place when excavations are greater than 5 feet in depth or when conditions warrant their use?
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.Type of support system being used?
- Sloping
- Shoring
- Shielding (trench box)
- N/A
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Are protective systems installed properly?
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Is tabulated data on site and being followed?
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Are materials and/or equipment chosen based upon soil analysis, Trench depth and expected it loads?
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Are materials and equipment that are used for protective systems inspected and in good condition?
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Are damaged materials and equipment immediately removed from service?
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Are protective systems installed without exposing employees to hazards of cave-ins, collapses, or other threat of being struck by materials or equipment?
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Are all members of support system securely fastened together prevent failure?
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Are support systems provided to insure stability of adjacent structures, buildings, roadways, sidewalks, etc.?
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Are excavation below the level of the base or footings supported, and approved by a Registered Professional Engineer?
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Does back-filling progress with removal of the support system?
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Is a shield system installed to prevent lateral moment?
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Are employees prohibited from remaining in a shield system during vertical movement?
Rigging
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Is rigging in good condition?
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Is the rigging properly rated for the load being picked?
PPE
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Is a face shield being worn when needed
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Are hard hats worn by all employees?
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Are warning vests or other highly visible clothing provided and worn by all employees?
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Are safety glasses being worn at all times?
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Are metatarsal guards being worn when operating compactor or jack hammer
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Are gloves being worn when working
GHS
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Hazcom/SDS'S available
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All containers are in good condition
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All containers are properly labeled
Fall protection
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Is personal fall arrest equipment in good condition?
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Is the equipment being used properly?
Electrical
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All power cords in good condition?
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Is a GFCI being used for all temporary power?
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Have all power cords been inspected for assured grounding?
Equipment/Machinery
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Are all hands tools in good condition and free of damage?
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Is the equipment in good condition?
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Is the operator wearing his seat belt?
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Is the backup alarm working?
Confined Space
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Is the confined space a PRCS?
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Is an air monitor being used?
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Is the air monitor calibration current?
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Has the permit been completed?
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Is the rescue equipment at the confined space?
Housekeeping
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Is the job site clean?
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Is the back of the crew truck clean?
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Are impalement hazards (including T-Posts) capped with square "rebar" caps?
Misc.
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Are the fire extinguishers charged and tagged?
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Is the first aid kit available and adequately stocked
Signatures
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Foreman signature
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Auditor Signature