Safety & Quality Jobsite Inspection

Morning Tailboard completed

Job Walked prior to start

JSA has been completed and signed by all onsite personnel working for Miller Pipeline

USA Tickets Valid and onsite

Tab data for plates and shoring available on site

Utility standards on site/available

OQ cards/records on site/available

OQ's are valid for tasks to be performed

Span of control procedures properly followed

All subcontractors have their own JSA properly filled and signed by all onsite personnel

3 Point of Contact when accessing & exiting equipment

Bell Hole/Excavation large enough to perform work

Easing in/out of trenches without jumping

Team lift utilized

Communication between heavy equipment operator and spotter/other ground personnel when equipment is in motion

Pinch points identified on tools, equipment, etc.

Jobsite personnel distracted while in motion

Jobsite housekeeping is up to standard

Pipehorn used to verify nearby utilities

Excavation Daily Checklist completed

Competent Person present

Live utilities being hand dug around to prevent damage

Spoils 2ft or more from edge of excavation

Ramps/Steps/Ladders used in excavation 4ft or more in depth

Ladder 3ft above grade

Ladder inspected for defects

Ladder within 25ft in long trenches

Sloped/benched/ or Shored in excavation 5ft or more in depth

Water kept from accumulating in excavation

Gas Monitor in excavation when required

Gas Monitor calibrated

Protective systems installed correctly according to Tab Data

All components of protective systems in good condition(no bent, dented, punctured, rusty, or leaky parts)

Trench is not occupied during installation

Tabulated Data on site & available

Static Protection used

Butt Fusion machine & Irons in good shape

E-Fusion Machine in good shape

Plastic Pipe prepped properly

Fuser ID Marked on pipe

Propper fusion iron temperature

Propper cooling time

Pipe fused properly

Soap tested

Pipe has been pressure tested

Damage Prevention Checklist filled out prior to start

Control Point exposed prior to excavation

Control Point squeezed off prior to excavation

Pipehorn being used during excavation

Hot tank being utilized

Service line purged

Warning signs present prior to purging gas

Pipe properly fused

New service installed at proper depth

Riser installed to proper depth & location

Excess flow valve properly sized & installed

Meter set installed per customer requirements

New Service line properly pressure tested

Meter soap tested

Meter Protection Post installed properly

Worker performing Meter task has valid OQ

Warning Signs properly placed/spaced

Traffic Control signs/barriers visible

Flaggers/traffic control personnel properly managing traffic

Equipment positioned as barrier

Adequate number of cones

Road plates installed correctly

Sidewalks/walkways provided for pedestrians and are cleared of debris

Trench free from rocks/debris

Pipe installed at proper depth

Proper separation from other utlities

Tracer wire properly installed

Warning tape properly installed

Pipe properly compacted & backfilled

Heavy Equipment Checklist completed

Defects to machinery reported

Slings, chains, and cables in good condition

Plates transported properly

Tools in safe working condition

Proper tool for job

Security/Locking/Whip Checks on all hose and couplings

Static Protection used

Operator utilizing proper PPE

All crossing utilites potholed/verified

Ground Rod place

Dielectic boots worn when crossing power lines

LOTO or machine turned off when changing borehead, reamer, or connecting pipe

Bore path walked prior to drilling

Drill head inspected

Safe work zone around drill rig

Proper communication between operator and locator

Proper clearance between other facilities

Weak link used per customer standards

Pipe Installed at proper depth

Warning tape installed in all potholes

Tracer wire installed properly

All container, gas cans, diesel cans are labeled

All container and compressed gas cylinder properly secured

Sewer drains properly protected from material contamination

Drinking water available

Work/rest periods utilized during elevated temperatures

First Aid Kit available and properly stocked

First Aid/CPR trained person on site

Epi-Pen on site for those allergic to bee stings

Monthly Fire Extinguisher inspected

Fire extinguishers accessible/available

Cargo area organized and cleaned

Cab area organized and cleaned

Each cord in good condition

GFCI's used at source of power

Electrical tools not used on live gas

Wet environments avoided with electric cords

Landscape restored to prior condition

Holes have been patched with asphalt

Asphalt installed correctly

Overall View of Job