Information
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Site conducted
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Job Site Activities/status
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PIC
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Has the Superintendent or Foreman completed the JSA
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Has a Daily Excavation Competent Person been completed in writing or on Heavy Job
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Are employees wearing mandatory PPE (hard hats, safety glasses, reflective vests, gloves and boots)?
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Are employees wearing additional PPE for specific tasks (ear protection, face shield, respirator, chaps, etc.)?
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House Keeping
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Material Storage
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Are employees working in excavations protected from "Cave-ins"
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Are employees working in excavation deeper than 4' provided with ladder or ramp for access/egress?
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Other Excavation hazards present (spoil piles, materials, tools, etc., back at least 2', etc)?
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Utilities - Are underground utilities marked and Georgia 811 - One Call ticket current?
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Material handling - Body Mechanics - Are employees manually lifting tools, materials, etc. in a safe manner?
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Material Handling - Rigging - Are slings on site inspected before each use and in proper condition? Are proper rigging methods being used?
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Is equipment being inspected each day before use including safety features, maintenance (fluid levels, etc.)?
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Is equipment being operated safely?
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Are equipment operators aware of existing and operating equipment a safe distance from overhead power lines?
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Are Georgia Development Company Trucks inspected and in good condition?
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Are fire extinguishers present on equipment, company crew trucks, company trucks with equipment fuel tanks and 25-75' from on site on-site storage fuel tanks
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Are flammable/combustible materials stored properly
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Are restrooms and potable water available?
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Is a First Aid kit readily available?
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Electrical?
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Hot work/welding?
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Traffic control
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Signs / Barricades
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Lock-Out / Tag-Out
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Fall protection
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Power and Hand Tools
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Confined Space
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Other
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Other