Title Page
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Supervisor/Crew:
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Conducted on
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Auditor
- Caroline Diaz
- Conrad Reynolds
- Craig Stephanus
- Daryl Lloyd
- David Stanford
- Jim Sixsmith
- John Glinski
- Nate Flowers
- Peter Hamilton
- Ricky Gorley
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Location
1.0 Emergency
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1.1 At least one member of the crew onsite is 1st Aid, CPR, AED certified?
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1.2 First Aid Kit readily available, properly stocked, and supplies are within date?
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1.3 Eyewash station is readily available, sealed, and shelf life is within date?
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1.4 Emergency action plan posted with emergency contacts and their phone numbers including SCC emergency procedures?
2.0 Hazard Identification
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2.1 DSS is completed for today's activities, reviewed, and signed by persons involved in job activities?
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2.2 Hotwork, confined space permits, scaffold, trench, and trench inspection /permits are completed as required?
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2.3 Danger, Caution, Warning, and Notice signs are legible and in place as required?
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2.4 Defective tools, equipment and machinery are de-energized/inoperable locked and tagged out?
3.0 Housekeeping
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3.1 Work area is clean and free of excess trash/debri?
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3.2 Trash cans /skiff are available for use, and trash doesn't pass the confines of its container?
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3.3 Nails and other sharps doesn't pose a hazard?
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3.4 Equipment, tools, electrical cords, etc are properly stored when not in use?
4.0 Hand and electrical tools
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4.1 Right tool being used for job at hand?
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4.2 Tools in good condition (i.e. mushroom head on punch, cracked hammer handle, cracked stanchion on ladder), or is tagged and removed from service?
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4.3 Electrical cords are not frayed and ground prongs are in place where required?
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4.4 Eletrical tools are not being raised, lowered, or carried by the electrical cord?
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4.5 Guards and/or handles are in place as required?
5.0 Generators
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5.1 Exhaust doesn't pose a burn injury?
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5.2 Equipped with a GFCI or GFCI pigtail?
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5.3 Generators are connected to earth ground as required by the manufacture?
6.0 Access
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6.1 Proper access is provided when crossing or stepping (horizontal or vertically) 19 inches or more?
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6.2 Are there at least two means of access are available?
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6.3 Access areas are free of obstructions leading to, through, and beyond access points?
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6.4 Ladders and gangways are properly secured?
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6.5 Ladders extend three feet above landing and have proper angle (base out by the L÷4)?
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6.6 No open holes 2 inches or more on walking surfaces?
7.0 PPE
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7.1 Standard PPE being worn by all personnel on SCC Jobsite (hard hat, safety glasses, traffic vest or PFD, gloves, and proper foot protection)?
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7.2 Specialized PPE used as required by the job task and/or safety data sheet (SDS)?
8.0 Fire Protection
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8.1 Containers are labeled with its contents?
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8.2 SDSs are available for review?
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8.3 Containers are properly closed and stored when not in use?
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8.4 Fire extinguishers' inspections are current, they're ready for use, and are unobstructed?
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8.5 Compressed oxygen cylinders are not stored next oil, or other combustibles unless separated by a 1/2 hour fire wall or 20 feet?
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8.6 Check valves are in place between regulators and hoses of cutting rigs?
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8.7 Compressed oxygen /acetylene cylinders are secured in a vertical position? Additionally, regulators are removed and caps applied when stored (not used in 24 hours or more)? Note: Caps don't apply to a cascade system.
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8.8 Oily rags, soak pads, etc. are placed in a labeled metal container with lid?
9.0 Fall Protection
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9.1 Personal fall protection system (PFAS) is in good condition, properly worn and fitted?
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9.2 Fall protection is in place, being used as required, and per its design?
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9.3 Protection is provided for Impalement hazards?
10.0 Trench/Excavations
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10.1 One Call Conducted?
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10.2 Inspections are conducted by a competent person as required?
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10.3 Excavations/trenches are properly sloped and/or shored?
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10.4 Access provided at no more than 25 feet of traveling distance?
11.0 Marine Activities
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11.1 Personal Floatation Device (PFD) is in use, good condition, worn properly, and is equipped with a whistle and water activated light?
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11.2 Rescue boat/skiff is readily available and properly equipped
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11.3 Man overboard kit is readily available and properly equipped?
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11.4 At least two life rings with 90 feet of rope are available on each barge and not more than 100 feet in traveling distance?
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11.5 All rolling equipment and/or items that may be be blown/fall overboard are secured?
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11.6 Extra measures are in place during frigid weather conditions to prevent personnel from falling overboard?
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11.7 Man overboard drills are conducted on a regular basis with SCC peronnel when they're working over or near water's edge?
Signatures
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Supervisor
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Auditor
