Audit
When performing the safety audit answer yes, no, or n/a to the following. If the answer is no, double click the item to add the violation/concern and a corrective action.
Tool-box talk had been conducted (daily)
Adequate supply of clean water and soap for washing (waterless soap is adequate)
Adequate supply of drinking water and cups (specific container for drinking water only)
Eyewash station, bottles, or other designated source is on-site and readily available
Shooter is in proper working condition
One person CPR/First Aid trained on site at all times
Scaffolding is properly erected and determined safe prior to us (fall restraint being utilized)
Emergency numbers are posted and crew members have the means to summon help in case of emergency
Is housekeeping neat and in order?
Equipment and tools neat and organized?
Supt/foreman have the necessary field handoff package?
Traffic control equipment, devices, and barricades are appropriately set up
Hose guards are protected with hose guards from traffic and other possibility of damage
Vehicles have serviceable fire extinguisher mounted and warning triangles/flares
Clean, serviceable first aid kit in each vehicle and job trailer
Vehicle pre-trip inspections are current and available
When necessary, vehicles and all mobile equipment (including pumps, compressors, etc.) have wheels chocked
Is equipment sake and in good working condition?
Minimal PPE required is being worn (steel-toed boots, reflective vest, 3" sleeved t-shirt, jeans, hard hat)
Additional PPE is being utilized if need be (safety glasses/goggles, gloves, hearing protection)
Employees are not wearing inappropriate items such as shorts, baggy shirts, loose jewelry. Additionally long hair is pulled back and kept out of way.
Appropriate respirators are being used for the right environment and only being worn by employees that have been fit tested and are clean shaven
Storage area for respirators and they are being kept there
Subcontract employees are adhering to the safety rules of SAK
Temporary laborers are performing tasks only for which they have received training
Proper tool(s) being used for the task?
All tools in good working condition with guards in place?
Appropriate work permits (hot work, confined space entry, etc.) are posted and in use at manhole
Qualified attendant is present during entries
Attendant is properly equipped and trained in rescue procedures
Entrants are wearing body harnesses, lanyards, and attached to fall restraint device (tripod)
Serviceable tripod is available for use
Gas detectors on site have been calibrated on 30 day cycles. Additionally have calibration stickers on front.
Two reliable forms of communication are being used and are available
Plugging is installed, secured, and is monitored with a working pressure gauge
Bypass pumping is installed and is monitored
Smoking is permitted in designated areas on (10ft or more away from manholes, away from fuels, chemicals, etc)
Open manholes are protected (barricades, signs, etc.)
SSSP is being followed if required and necessary steps are being taking to ensure implementation
Precautions against burns from steam burns are provided
Material Safety Data Sheets (MSDSs) are readily available for all chemicals/cleaners on site
Chemicals are stored in approved containers are are properly labeled
Company Hazard Communication Programs are being followed
Employees are aware of applicable chemical/physical/exposure hazards, and protective means
Gasoline and other flammable chemicals are in automatic closure containers with flame arrestor
Equipped with burn kit and/or water gel burn blankets and pads
Precautions against burns from steams bursts are provided
Precautions against splashing and other discharges of heated water (shooter, top-hat overflow, etc.) are provided
Are hoses in good condition?
Are drain valves in place?
Electrical equipment is grounded as required and all three prong plugs are in good condition
Ground fault (GFCI) receptacles are being utilized with all electrical power tools
All electrical boxes are closed and in good condition
Only round construction grade extension cords are being used and are protected from damage
Extension cords are in good shape free from any damage/electrical tape
Are all the cords from power tools and equipment in good working condition?
Policy on ground fault?
Signature
Asking me to overlook a simple safety violation would be asking me to compromise my entire attitude toward the value of your life.
