Sabre Modifications Audit

• Document No.

• Date and Time

  Date

• Site Number

• Client

• Photo of Structure and BU#

  Media

• Conducted on

  Date

• Prepared by

• Location
  Address

Job Site Documentation

• Has a Daily Job Hazard Analysis been completed and onsite? <br>If answer is no job shall be shut down immediately and crew is to hold their daily meeting.

  Yes

  No

  N/A

• Rate the completeness of the JSA with zero being the worst and 10 the best. JSA should include but is not limited to all daily scopes of work being performed, the hazards, and preventive measures taken.

• Is rescue plan onsite? This is for aerial work?

  Yes

  No

  N/A

• Has property owner been notified that crew will be onsite? Schools, daycare, businesses etc...

  Yes

  No

  N/A

• Has crew checked in with the NOC?

  Yes

  No

  N/A

• Is current OSHA site sign with contractors name and phone number hung up and in view? <br>If no sign is onsite site shall be shut down until one is provided. OSHA 1910.145

  Yes

  No

  N/A

• Is an emergency action plan onsite with local emergency numbers and maps?

  Yes

  No

  N/A

• Have RF measurements been taken and documented?

  Yes

  No

  N/A

• Is RF monitor calibration sheet on site and valid? These are generally two years.

  Yes

  No

  N/A

• Is current rigging plan onsite and signed?

  Yes

  No

  N/A

• Is the 11x17 stamped drawings onsite?

  Yes

  No

  N/A

• Is bolt tightening sequence onsite?

  Yes

  No

  N/A

• Does crew have first aid kit on site? If no site shall be shut down until one is provided.

  Yes

  No

  N/A

• Are welding procedures onsite?

  Yes

  No

  N/A

• Is an MSDS book onsite?

  Yes

  No

  N/A

• Additional comments.

• Additional photos

  Media

Certifications

• Certifications are to be either the originals or a paper copy only. No digital copies!

• Are climbing/rescue certifications onsite?

  Yes

  No

  N/A

• Are rigging certifications onsite? Minimum one on site and must match the competent rigger in rigging plan.

  Yes

  No

  N/A

• Are Welding certifications onsite? Tuv certs

  Yes

  No

  N/A

• Are Current valid RF certifications on site?

  Yes

  No

  N/A

• Are there two valid First Aid/CPR certifications onsite? If no site is shut down until they are provided.

  Yes

  No

  N/A

• If heavy equipment is being used, does operator have certification?

  Yes

  No

  N/A

• Is man basket certifications onsite when applicable?

  Safe

  At Risk

  N/A

• Additional comments.

• Additional photos

  Media

Job site conditions.

• Is worksite clean of trash and debris?

  Yes

  No

  N/A

• Are materials stored properly and orderly?

  Yes

  No

  N/A

• Are measures taken to prevent access to unauthorized personal? Caution tape etc...

  Safe

  At Risk

  N/A

• Is a clear path to the compound entrance?

  Yes

  No

  N/A

• Additional comments

• Additional photos

  Media

P.P.E

• Are hard hat being worn while onsite? Hard hats have a maximum of 5years. Check the dates. If expired have them replace immediately.

  Yes

  No

  N/A

• Is appropriate clothing being worn while onsite? Pants, steel toe boots, shirts with sleeves, etc...

  Safe

  At Risk

  N/A

• Are safety glasses in accordance with ANSI Z-87.1 being worn?

  Safe

  At Risk

  N/A

• Are gloves being worn when applicable?

  Safe

  At Risk

  N/A

• Is ear protection available and being worn? 85db and above.

  Safe

  At Risk

  N/A

• Are Hi Visibility vests needed for traffic or when heavy equipment is being used?

  Safe

  At Risk

  N/A

• Is any additional P.P.E required onsite?

  Safe

  At Risk

  N/A

• Additional comments

• Additional photos

  Media

Fall Protection

• Is 100% fall protection being 6ft and above 100% of the time? Individual(s) not complying shall be removed immediately from site and will no longer be allowed to work on future sabre sites.

  Safe

  At Risk

  N/A

• Do employees who are exposed to falls have proper training?

  Yes

  No

  N/A

• Is fall protection being inspected daily and documented when being used? Harness life is five years from first use. Inspections tags are located on harness.

  Yes

  No

  N/A

• Are carabiners self closing and locking? If at risk equipment shall be tagged and put out of service.

  Safe

  At Risk

  N/A

• Additional comments

Rigging

• Will there be rigging of equipment, materials, or tools? Yes or NA

  Yes

  No

  N/A

• Does crew have Dynometer onsite for load test? If applicable. If no than crew shall not pick material until one is acquired.

  Yes

  No

  N/A

• Has a load test been performed and documented prior to any material lifts daily? This is a 1.5 times the max pick for the day. If no crew shall stop work and preform said test.

  Yes

  No

  N/A

• Does the rigging sequence match the rigging plan?<br>

  Yes

  No

  N/A

• Does the competent rigger know how to calculate numbers in rigging plan?

  Yes

  No

  N/A

• If answer is no advise they need to learn this ASAP as future sites will be shut down. If they are able to preform this have them write how it's configured on the back of the rigging plan.

• Do all blocks rated for the capacity of the load?

  Yes

  No

  N/A

• Are blocks the correct size for rope being used?

  Yes

  No

  N/A

• Do all blocks labeled for weight rope size etc...

  Yes

  No

  N/A

• Are carabiners being used anywhere in the rigging? If at risk job site shall be shut down and corrected before work resumes.

  Safe

  At Risk

  N/A

• Is the capstan winch mount correct per rigging plan?

  Yes

  No

  N/A

• Does crew have rescue bag and first aid kit at or around base of tower? If no site shall be shut down until provided.

  Yes

  No

  N/A

• Additional comments

• Additional photos

  Media

Hoists (Capstan)

• Is operator qualified?

  Safe

  At Risk

  N/A

• Are hoists secured properly and properly anchored?

  Safe

  At Risk

  N/A

• Does capstan winch have rope bar attached? If no, winch shall not be used until provided. Winch may have rope lock installed as additional safety but not as a replacement for bar.

  Yes

  No

  N/A

• Does capstan winch have legible working load limit tags?

  Safe

  At Risk

  N/A

• Is capstan winch in good working order?

  Safe

  At Risk

  N/A

• Additional comments

• Additional photos

  Media

Cranes

• Is the lift plan documented and on site?

  Yes

  No

  N/A

• Is a qualified signal person onsite?

  Yes

  No

  N/A

• Additional comments

• Additional photos.

  Media

Ladders

• Are ladders onsite in good working condition?

  Yes

  No

  N/A

• Has a daily pre-work inspection been completed of all ladders in use, and is the inspection noted in the daily?

  Yes

  No

  N/A

• Are extension ladders tied off or staked at ground to prevent slipping? If no correct onsite.

  Yes

  No

  N/A

• Are A-frame ladders set up correctly with legs fully opened and locked in place?

  Yes

  No

  N/A

• Are extension ladders set up at the proper slope of 4:1?

  Yes

  No

  N/A

• Do extension ladders extend at least 36" above the landing level?

  Yes

  No

  N/A

• Is extension ladder tied off of staked to prevent slipping? If no than correct onsite.

  Yes

  No

  N/A

• Additional photos

  Media

• Additional comments

Hot work/ Welding

• Any tool that emits sparks in or around compound is considered hot work?

• Was a pre construction meeting held prior to any hot work being performed?

  Yes

  No

  N/A

• Is the cutting and welding plan on site and signed by all applicable persons?

  Yes

  No

  N/A

• Is the hot work permit on site and signed by all applicable persons? CWI, CCI CM, Etc...

  Yes

  No

  N/A

• Is all combustible items identified in C&W plan?

  Yes

  No

  N/A

• Have all gas/ fuel line in and around site been checked for leaks and documented prior to hot wor beginning? If at risk site work shall stop until corrected.

  Safe

  At Risk

  N/A

• Is there a fire watch onsite?

  Safe

  At Risk

  N/A

• Fire watch signiture

  Sign

• Is an additional fire watch needed for aerial work?

  Yes

  No

  N/A

• If a fire should occur, who calls 911? <br>If answer is the fire watch than at risk.

  Safe

  At Risk

  N/A

• How long is the fire watch after hot work is complete?

  Safe

  At Risk

  N/A

• Is there a minimum five ten pound ABC fire extinguishers onsite with valid annual inspection tag? If no site shall be shut down until corrected.

  Yes

  No

  N/A

• Is there a minimum 300 gal of water for suppression? Hose needs to be at hot work area.

  Yes

  No

  N/A

• Is additional water needed for aerial work?

  Safe

  At Risk

  N/A

• Overall compliance of hot work?

  Safe

  At Risk

  N/A

• Additional comments

• Additional photos

  Media

Conclusions

• We're all issues corrected immediately? If no explain.

  Yes

  No

  N/A

• Is a follow up visit with documentation needed?

  Yes

  No

  N/A

• Overall impression of visit?

  Yes

  No

  N/A

• Comments

• Reviewed with?

• Auditor signature

  Sign

• Foreman signature

  Sign

• Crew signature

  Sign

• Crew signature

  Sign

• Crew signature

  Sign

• Crew signature

  Sign