SAK Construction, LLC

• Tunneling Audit

• Job Number & Location

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel- List Field Supervisor, Operations Manager, Crew Members. List in this order

Housekeeping/Project Set up

• Tool-box talk has been conducted (daily)

  Yes

  No

  N/A

• Office area neat and orderly, garbage cleaned up, etc.

  Yes

  No

  N/A

• Job site trailers cleaned, properly organized

  Yes

  No

  N/A

• Specific location for trash & debris and/or container(s) is available and utilized

  Yes

  No

  N/A

• Adequate supply of clean water and soap for washing (waterless soap acceptable)

  Yes

  No

  N/A

• Adequate supply of drinking water and cups (specific container for drinking water only)

  Yes

  No

  N/A

• OSHA Safety Board posted and safety signs in place

  Yes

  No

  N/A

• Employees provided with all safety and personal protective equipment

  Yes

  No

  N/A

• Eyewash station(s), bottles, or other designated source is on site readily available

  Yes

  No

  N/A

• All walk areas, shaft, and tunnel entrance, etc. clear of debris

  Yes

  No

  N/A

Traffic & Vehicle Safety

• Traffic control equipment, devices and barricades are appropriately set up

  Yes

  No

  N/A

• Employees exposed to traffic are wearing appropriate PPE (Reflective Road Vest, etc)

  Yes

  No

  N/A

• Vehicles have serviceable fire extinguisher mounted and warning triangles/flares

  Yes

  No

  N/A

• Clean serviceable first aid kit in each vehicle and applicable trailers

  Yes

  No

  N/A

• Vehicle pre-trip inspections are current and available

  Yes

  No

  N/A

• DOT log book filled out and required vehicles

  Yes

  No

  N/A

• Tags on on vehicles are up to date

  Yes

  No

  N/A

• All vehicles have up to date insurance cards and accident report forms

  Yes

  No

  N/A

Electrical Safety

• Electrical equipment is grounded as required, all three prong plugs are in condition (two plug prongs are prohibited)

  Yes

  No

  N/A

• 110 V/120 V receptacles are ground fault (GFIC) protected and being utilized

  Yes

  No

  N/A

• Maintenance program on electrical cords in place & up to date (cords must be rated for hard, extra hard service or greater)

  Yes

  No

  N/A

• Electrical safety are in safe working order

  Yes

  No

  N/A

• Electrical boxes are properly labeled

  Yes

  No

  N/A

• Employees know where electrical boxes are

  Yes

  No

  N/A

• Employees are aware of overhead wires

  Yes

  No

  N/A

• Lighting systems are in place, grounded and working properly (adequate for night work)

  Yes

  No

  N/A

PPE & Personnel Hazards

• Emergency numbers are posted and crew members have the means to summon help in an emergency

  Yes

  No

  N/A

• Employees are wearing at least the minimum required PPE (steel toed boots, jeans, reflective vest, 3" sleeved t-shirt, hard hat)

  Yes

  No

  N/A

• Additional PPE being worn if needed (ear plugs, safety glasses)

  Yes

  No

  N/A

• Employees dressed appropriately (no shorts, baggy t shirts, loose jewelry, long pulled back)

  Yes

  No

  N/A

• Self-rescuers being used (employees trained in the use and care of unit)

  Yes

  No

  N/A

• Respirators being used (employees trained in use and care of units)

  Yes

  No

  N/A

• Subcontract employees are adhering to safety rules, training, and company policies

  Yes

  No

  N/A

• Employees have received safety training and orientation as required

  Yes

  No

  N/A

• Employees trained on operational procedures (job changes, equipment, etc)

  Yes

  No

  N/A

Hazard Communication, Chemical, and Fuel Safety

• Material Safety Data Sheet (MSDS) is readily available for all chemical on site

  Yes

  No

  N/A

• Employees trained and demonstrate proficiency with company hazard communication program

  Yes

  No

  N/A

• Employees aware of chemical/physical/exposure hazards, and protective measures

  Yes

  No

  N/A

• Gasoline and other flammable chemicals are in automatic closure containers with flame arrestor

  Yes

  No

  N/A

• Chemicals are stored in approved and labeled containers (HMIS and/or manufacturers labels are clearly legible)

  Yes

  No

  N/A

• Used oils, grease, and oily rags cleaned up and removed of properly

  Yes

  No

  N/A

• Fuel tank(s) properly marked, with fire extinguisher nearby

  Yes

  No

  N/A

Fire Protection

• Properly rated fire extinguisher in place

• Shaft

  Yes

  No

  N/A

• Trailers

  Yes

  No

  N/A

• Vehicles

  Yes

  No

  N/A

• Equipment

  Yes

  No

  N/A

• Fuel Area

  Yes

  No

  N/A

• Fire extinguishers checked and recorded monthly

  Yes

  No

  N/A

• Employees trained on proper use and handling of extinguishers

  Yes

  No

  N/A

Hand Tools, Misc. Tools

• Chains saws properly guarded

  Yes

  No

  N/A

• Grinders properly guarded (hand grinder, bench grinder, etc)

  Yes

  No

  N/A

• Employees trained on proper use

  Yes

  No

  N/A

• Whip checks on all pressured air connections (water, air, etc)

  Yes

  No

  N/A

Confined Space

• Appropriate work permits are in use and at entry point (entry, hot work, etc)

  Yes

  No

  N/A

• Permits are being filled out correctly and being completed all the way

  Yes

  No

  N/A

• Qualified attendant is present during entry

  Yes

  No

  N/A

• Attendant is properly trained in rescue procedures and know the number of entrants below ground

  Yes

  No

  N/A

• Entrants are aware of hazard prior to entry and are using necessary PPE

  Yes

  No

  N/A

• Gas detectors have been calibrated on 30 day interval and have calibration sticker on front and are in use

  Yes

  No

  N/A

• Necessary fall protection and retrieval systems are in place and being used

  Yes

  No

  N/A

• Adequate mechanical ventilation is in place and being used

  Yes

  No

  N/A

• Brass Tag Board is in place and being used

  Yes

  No

  N/A

• Adequate number of self rescuers are available (one for each employee) and are within reasonable reach of work area

  Yes

  No

  N/A

Cranes- RO & Hoisting Equipment

• Daily log being kept by operator

  Yes

  No

  N/A

• Positive lock on headache ball

  Yes

  No

  N/A

• Spring latch

  Yes

  No

  N/A

• Anti-two block system in place and working properly

  Yes

  No

  N/A

• Landing for operator

  Yes

  No

  N/A

• Crane certified and documented (annually by outside source)

  Yes

  No

  N/A

• Chain slings certified with proper tags

  Yes

  No

  N/A

• Cable slings inspected and recorded

  Yes

  No

  N/A

• Crane swings radius roped off

  Yes

  No

  N/A

• Adequate hoisting capability for emergencies

  Yes

  No

  N/A

Mancages & Work Platforms

• Mancage(s) have been inspected and certified (annually by outside source)

  Yes

  No

  N/A

• Documented meeting with all employees using the mancage

  Yes

  No

  N/A

• Mancage posted with proper signs

• Weight

  Yes

  No

  N/A

• Capacity

  Yes

  No

  N/A

• Keep door closed

  Yes

  No

  N/A

• Cables and lifting bridle inspected daily

  Yes

  No

  N/A

• Safety railing in place and inside cage

  Yes

  No

  N/A

• Positive latch on crane, headache ball

  Yes

  No

  N/A

• Mancage inspected daily and recorded

  Yes

  No

  N/A

Tunnel

• Communication system is in place and working (at least two forms)

  Yes

  No

  N/A

• Head sets being used

  Yes

  No

  N/A

• Tunnel lights

  Yes

  No

  N/A

• Temporary lights

  Yes

  No

  N/A

• Lighting systems being used

  Yes

  No

  N/A

• MSHA approved camp lamp

  Yes

  No

  N/A

• Lighting systems grounded

  Yes

  No

  N/A

• Light bulbs rough service, shielded, and have protective guards

  Yes

  No

  N/A

• Lights 100v/120v ground fault protection

  Yes

  No

  N/A

• Eye walk station located nearby

  Yes

  No

  N/A

• Hand washing available

  Yes

  No

  N/A

• Drinking water available and clearly marked drinking water

  Yes

  No

  N/A

• Employees aware of Emergency Action Plan (EAP) in case of evacuation

  Yes

  No

  N/A

Tunnel Boring Machine (TBM)

• Gas detector on machine working properly, recorded, and calibrated monthly

  Yes

  No

  N/A

• Bell and light signals on conveyer working properly

  Yes

  No

  N/A

• Employees know where emergency stop button is located

  Yes

  No

  N/A

• Emergency stop button working properly

  Yes

  No

  N/A

• Conveyer has emergency stop and working properly

  Yes

  No

  N/A

• Adequately stocked first aid kit

  Yes

  No

  N/A

• Necessary areas have fire extinguishers (operator, transformer, tail pulley, etc)

  Yes

  No

  N/A

Access & Egress

• Access and egress protected and clear of debris

  Yes

  No

  N/A

• Ladders and landings are safe and secure

  Yes

  No

  N/A

• Entrance to ladders guarded

  Yes

  No

  N/A

Check in/Check out & Safety Instructions

• Entry permit posted at entry point & filled out correctly

  Yes

  No

  N/A

• Designated person know the number of entrants in the tunnel/sewer line

  Yes

  No

  N/A

• First aid equipment in place

  Yes

  No

  N/A

• First aid kit have adequate supplies

  Yes

  No

  N/A

• Emergency Action Plan (EAP) on site

  Yes

  No

  N/A

• Location/numbers of rescue teams on site

  Yes

  No

  N/A

• Job location on site with plans available for review

  Yes

  No

  N/A

• Emergency numbers posted and employees are aware of their location

  Yes

  No

  N/A

• Hot work/ burn permits being filled out (required anytime cutting, welding, or grinding below ground)

  Yes

  No

  N/A

Ventilation

• System in place and in working order

  Yes

  No

  N/A

• Ventilation adequate for number of employees & equipment (200 com per person, 100 cfm per hp, 30 LMF velocity)

  Yes

  No

  N/A

• Anemometer readings taken each shift and recorded

  Yes

  No

  N/A

• Air test taken each shift and recorded

  Yes

  No

  N/A

• Silencer needed on ventilation system

  Yes

  No

  N/A

Air Monitors

• Proper number of monitors on site

  Yes

  No

  N/A

• Monitors calibrated every 30 days and have calibration sticker on front

  Yes

  No

  N/A

• Monitors are working properly

  Yes

  No

  N/A

• Records being kept on unit (calibration, repairs, batteries)

  Yes

  No

  N/A

• CSE spotters being used (calibrated, recorded, and working properly)

  Yes

  No

  N/A

• Employees trained for proper usage of air monitoring equipment

  Yes

  No

  N/A

• Air monitors cleaned and put on charge after each shift

  Yes

  No

  N/A

• Tunnel rescue trailer on site

  Yes

  No

  N/A

• Breathing apparatus inspected monthly

  Yes

  No

  N/A

• Air tanks fill to requirement (3135 PSI BG-174A, 3000 PSI BioPak-240)

  Yes

  No

  N/A

• Equipment in place and kept up to date and stocked

  Yes

  No

  N/A

• Camp lamps charged and ready

  Yes

  No

  N/A

• Generator started monthly and working

  Yes

  No

  N/A

• Monthly meeting held with Tunnel Rescue Team

  Yes

  No

  N/A

Locomotive/Train

• Lights working

  Yes

  No

  N/A

• Brakes working

  Yes

  No

  N/A

• Bell, horn, etc. working

  Yes

  No

  N/A

• Air purifier on unit

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• Operator properly trained on how to operate unti

  Yes

  No

  N/A

• Unit(s) checked daily (each shift)

  Yes

  No

  N/A

• Operator(s) checking muck box hookup s

  Yes

  No

  N/A

Welding & Cutting

• Gas cylinders separated by 20 feet, capped, and secure

  Yes

  No

  N/A

• Gauges in good working order/ both covers in place

  Yes

  No

  N/A

• Welding leads checked and repaired as needed

  Yes

  No

  N/A

• Welding hoods in good condition with welding headband in place

  Yes

  No

  N/A

• Trailers clean of debris with fire extinguishers in place

  Yes

  No

  N/A

• Burn permits issued for below ground work

  Yes

  No

  N/A

• Gauges removed after use

  Yes

  No

  N/A

• Welders operating properly with ground fault protection

  Yes

  No

  N/A

Trench & Excavation

• Competent person on site

  Yes

  No

  N/A

• Daily inspection of excavation by competent person

  Yes

  No

  N/A

• Personnel properly trained

  Yes

  No

  N/A

• Properly shored or sloped or trench box

  Yes

  No

  N/A

• Employees protected from cave-ins & loose rock/soil that could roll into the excavation

  Yes

  No

  N/A

• Spoils, materials & equipment set back at least 2 feet from the edge of the excavation

  Yes

  No

  N/A

• Engineering designs for sheeting and/or manufacturing data on trench box capabilities on site

  Yes

  No

  N/A

• Utility company contacted and given 24 hours notice and/or utilities already located and marked

  Yes

  No

  N/A

• Overhead lines located, noted, and reviewed with the operator

  Yes

  No

  N/A

• Precautions taken to protect employees from water accumulation

  Yes

  No

  N/A

• Surface water runoff diverted/controlled to prevent accumulation in the excavation

  Yes

  No

  N/A

• Air in excavation tested for oxygen deficiency, combustibles, other contaminants

  Yes

  No

  N/A

• Exit (i.e. ladder, slopped wall) no further than 25 feet from any employee

  Yes

  No

  N/A

• Ladders secured and extended 3 feet above the edge of the trench

  Yes

  No

  N/A

• Employees protected from cave ins when entering and exiting the excavation

  Yes

  No

  N/A

By signing you are acknowledging that you have read and will make efforts to correct safety violations and hazards.

• Foreman

  Sign

• Superintendent

  Sign

• Safety Manager

  Sign