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SES Jobsite HSE Audit
SES Jobsite HSE Audit
Brodie Eskind

SES Jobsite HSE Audit

Jobsite HSE Audit

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Free SES Jobsite HSE Audit Checklist

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Title Page

  • Conducted on

  • Client

  • Location

  • Tank Number

  • Group

  • Job Phase

    • Mobilization
    • Demobilization
    • Processing
    • Entry Detail Cleaning
    • Loading Trucks
    • General Work
    • N/A

  • Site Supervisor

    • Daniel Ross
    • Hugh Watson
    • Jeramie Ross
    • John St. Arnaud
    • Jordan Thompson
    • Jose Gil
    • Josh Williams
    • Michael James
    • Michael Meyers
    • Mylon Richard
    • Owen Flowers
    • Seth Umbach
    • Shane O'Neil
    • Shannon Jones
    • Skyler Williams
    • Tamarcus Price
    • Troy Meyers
    • Tyson Washington
    • Wayne Welch
    • N/A

  • Personnel- AM Shift

    • Daniel Ross
    • Hugh Watson
    • Jeramie Ross
    • John St. Arnaud
    • Jordan Thompson
    • Jose Gil
    • Josh Williams
    • Michael James
    • Michael Meyers
    • Mylon Richard
    • Owen Flowers
    • Seth Umbach
    • Shane O'Neil
    • Shannon Jones
    • Skyler Williams
    • Tamarcus Price
    • Troy Meyers
    • Tyson Washington
    • Wayne Welch
    • N/A

  • Personnel- PM Shift

    • Daniel Ross
    • Hugh Watson
    • Jeramie Ross
    • John St. Arnaud
    • Jordan Thompson
    • Jose Gil
    • Josh Williams
    • Michael James
    • Michael Meyers
    • Mylon Richard
    • Owen Flowers
    • Seth Umbach
    • Shane O'Neil
    • Shannon Jones
    • Skyler Williams
    • Tamarcus Price
    • Troy Meyers
    • Tyson Washington
    • Wayne Welch
    • N/A

  • Audit Prepared By

Administrative

  • Posters and safety signs/warnings posted where necessary?

  • HSE Manual on-site?

  • Site Specific Safety Plan completed?

  • SSSP acknowledged and signed by all personnel?

  • Personnel demonstrates knowledge of information in SSSP?

  • Toolbox safety meetings held prior to work and post-break?

  • Job Safety Analysis (JSA) completed?

  • JSA list job steps that align with work being performed?

  • Crew partcipated in interactive discussion during JSA meeting?

  • All affected employees reviewed and signed JSA?

  • Control measures in place to mitigate hazards?

  • JSA's being submitted in a timely manner?

  • Bump test being performed weekly on single gas meters?

  • Does documentation support bump tests frequency required?

  • Bump test being performed daily on multi gas meters?

  • Does documentation support daily bump tests on multi gas meters when required?

  • Visitor PPE available?

  • Job related safety training completed?

  • Personnel compliant in DISA?

  • Injuries and Illnesses reporting procedures followed?

  • Traffic routes identified?

  • Safe Work Permit procedures followed?

  • Confined Space Permit procedures followed?

  • Vehicle inspections being conducted and documented?

  • Forklift inspections being conducted and documented?

  • Inspection forms being submitted in a timely manner?

  • Heat stress illness logs being completed and submitted?

Behavioral

  • Blatant disregard to SES/Client policies and requirements?

  • Employees knowledgeable of current operation and plan?

  • Employees handling material and equipment in a safe manner?

  • Employees in the line of fire?

  • Employees using tools as intended and in a safe manner?

  • Do personnel rotate positions to prevent repetitious movement/positioning?

  • Are employees following SES and Client cell phone policy?

  • Employees using proper lifting techniques?

  • Behavioral based observations being conducted and cards submitted?

Compressors and Equipment

  • Hoses and lines inspected periodically?

  • Are compressors inspected and maintained by competent person?

  • Fittings, clamps and connectors in good condition and approved by manufacturer?

  • Whip checks/safety devices in place at couplings/connection of hoses?

  • Compressors equipped with pressure relief valves and pressure gauges?

  • Are all safety devices checked frequently?

  • Are employees prohibited from using highly compressed air for cleaning purposes?

  • Air receiver provided with a drainpipe and valve for the removal of accumulated oil and water?

Confined Space Operations

  • Area secured?

  • Signage present?

  • Attendant present and knows duties/roles?

  • Authorized entrants present and understand duties/roles?

  • Entry Supervisor present?

  • Employees trained and certified in roles fulfilled?

  • Entry equipment inspected?

  • Fire equipment available near the confined space?

  • Air monitoring sufficient?

  • Air assessment conducted and documented?

  • Ventilation adequate for the hazard?

  • Clean air flow provided?

  • Respiratory protection used when necessary?

  • Respiratory protection adequate for the hazard?

  • Rescue plan established and updated as necessary?

  • Affected employees are familiar with rescue plan?

  • Rescue plan adequate?

  • Rescue equipment inspected and inventoried periodically?

  • Confined Space protected using blocking/blanking/LOTO?

  • Training up to date for all employees working in confined space?

Electrical

  • High voltage equipment tagged with SES HV tag?

  • Electrical equipment properly maintained?

  • Equipment properly grounded?

  • Assured equipment ground program established?

  • GFCI used and tested where required?

  • Are terminal box covers being used?

  • Are circuits labeled in terminal boxes?

  • Electrical cords show signs of damage?

  • Electrical cords free of exposed wiring?

  • Electrical lines and tools used in wet areas protected?

  • Circuit breakers labeled properly?

Emergency Response

  • Emergency Action Plan on file?

  • Employee notification system in place?

  • Emergency action plan communicated to employees?

  • Employees with duties trained?

  • Exit markings/lighting adequate?

  • Number of exit routes adequate?

  • Means of egress free of obstructions?

  • Exit routes meet height and width requirements?

  • Evacuation drill conducted?

  • Spill kits available/accessible?

Fall Protection

  • Is fall protection equipment provided and adequate for work being performed?

  • Employees working at 6ft above a lower level protected?

  • Are anchor points adequate?

  • Does equipment appear to be in good condition?

  • Equipment inspected prior to each use by the user?

  • Equipment inspected by a competent inspector per manufacturer’s guidelines?

  • Are open holes, pits, sumps adequately protected?

Fire Protection

  • Adequate number and type of fire extinguisher(s) available?

  • Employees trained in fire prevention and extinguisher use?

  • SES owned fire extinguisher inspected monthly?

  • SES owned fire extinguisher(s) inspected annually?

  • Fire extinguishers provided on rental equipment inspected monthly?

  • Fire Extinguishers provided on rental equipment inspected annually?

  • Phone number of local fire dept. posted?

  • Fire extinguisher(s) provided on appropriate equipment?

  • Fire alarm available/evacuation plan established?

  • “No Smoking” signs posted and enforced?

  • Fire hydrants accessible?

Flammable Liquids and Materials

  • Are flammable/combustible liquids in approved containers and correctly labeled?

  • Empty containers removed?

  • Containers stored in approved and appropriate areas?

  • Outside storage bermed for containment?

  • Containers closed while not in use to prevent spillage?

  • Storage tanks properly grounded, bonded and pressure relief provided?

  • Cylinders stored/secured in upright position?

Fueling Operations

  • Equipment shut down prior to refueling?

  • Fuel supplies protected from accidental impact?

  • Is equipment bonded when necessary prior to refueling?

  • Is smoking/hot work prohibited near fueling operations?

  • Fueling operations done in a manner to have minimal spillage?

  • When spillage occurs, spilled fuel cleaned up completely?

  • Proper PPE being utilized during fueling operations?

Hand and Power Tools

  • Proper tool used for the job?

  • Tools being used properly?

  • Handles free of cracks and attached to tool properly?

  • Inspections and proper maintenance accomplished?

  • Neatly stored, safely carried?

  • Power cords in good condition?

  • Tools in good condition?

  • Guards in place and used correctly?

  • Tools grounded properly or double insulated?

  • Damaged or malfunctioning tools tagged out until repaired or replaced?

  • Power tools used in dry place?

HAZCOM

  • Written program available to personnel?

  • SDS’s available and current?

  • Control and disposal measure(s) established?

  • Material stored accourding to manufacturer's guidelines?

  • Log of all chemicals on site available?

  • Containers labeled?

  • Labels legible?

  • Proper signage in use?

  • Employees trained in HAZCOM?

Heat Stress Management

  • Potable drinking water adequate/available?

  • Water kept cool/ice

  • Heat stress monitoring procedures being followed?

  • Breaks taken when necessary?

  • Adequate clothing worn?

  • Employees trained on heat stress signs and prevention?

Hoisting Equipment

  • Annual inspection current?

  • Operator training current?

  • Daily inspections current?

  • Load rating posted and not exceeded?

  • Load properly secured?

  • Notification device functional?

  • Operator appears competent?

  • Rigging inspected/rated?

  • Safety latches in good condition and used?

  • Crane supported and level?

  • Means of communication adequate?

  • Outriggers extended/cribbed

  • Swing radius barricaded?

  • Tag lines used properly?

  • Weight of load verified?

Housekeeping and Sanitation

  • General neatness of work area(s)?

  • Procedures to handle hazardous waste?

  • Passageways and walkways clear?

  • Adequate lighting?

  • Waste containers provided and used?

  • Waste containers have tight fitting covers?

  • Waste containers emptied regularly?

  • Sanitary station/ facilities adequate and clean?

  • Toilet facilities adequate and accessible?

  • Adequate potable water supply and drinking cups?

  • Miscellaneous equipment, boards, debris removed?

  • Slip/Trip fall hazards protected/removed?

  • Material stacked and stored properly?

  • Eye flushing facility adequate and accessible?

  • Emergency wash down shower adequate and accessible?

Ladders and Stairs

  • Extension ladders 3’ above landing?

  • Clear of debris/materials?

  • 4:1 pitch for extension ladder?

  • Inspected prior to use?

  • Ladders secured in position?

  • Landings and treads in good condition?

  • Safe work distance from potential hazards?

  • Ladder being used for it’s intended purpose?

  • Fixed ladders/stairways in good condition?

Lockout / Tagout

  • Written LOTO procedures posted on machinery?

  • Proper use of locks for LOTO?

  • Proper use of tag for LOTO?

  • All sources of energy have been isolated?

  • All energy sources have proper shut off device?

  • Start button tested to verify shut off?

  • Training for affected employees conducted?

  • Training for authorized employees conducted?

  • Adequate number of locks issued to authorized employees?

Machine Guarding

  • One or more method of guarding in place to protect employees?

  • Point of operation protected?

  • Emergency stop buttons functional?

  • Proper signage in use?

  • Employees trained to inspect machine prior to use?

  • Process in place to replace all guarding after maintenance or repairs are complete?

Medical

  • First Aid cabinet readily accessible?

  • First Aid cabinet inspected and adequately stocked?

  • Personnel Trained in First Aid, CPR, and AED?

  • Map to medical facility adequate?

  • Means of communication adequate and functional?

  • Bloodborne Pathogen exposure plan in place?

  • Universal precautions in place?

  • PPE utilized as necessary?

  • Hepatitis B vaccination made available to employees?

  • Post exposure follow up made available?

  • BBP training provided to employees?

  • Medical records kept for duration of employment +30 years?

  • Training records kept for 3 years?

  • Bloodborne Pathogen kits available/accessible?

Motorized Equipment

  • Regular inspection and maintenance being conducted?

  • Daily inspections current?

  • Daily inspections align with condition of equipment?

  • Deficiencies corrected/repaired in a timely manner?

  • Operators trained, competent and authorized?

  • Brakes, lights, warning devices operative?

  • Weight limits and load stress controlled?

  • Personnel carried in correct manner?

  • All glass in good condition?

  • Backup signals provided?

  • Fire extinguisher(s) installed?

  • Spotter used when necessary?

  • Equipment used safely?

  • Equipment chocked when necessary?

  • Area barricaded if necessary?

  • Proper fall protection used in aerial lift?

  • Proper anchor point used in aerial lift?

  • Training documentation current?

Noise

  • Noise assessment conducted and documented by work area?

  • Written hearing conservation program in place?

  • Engineering and Administrative controls in place to reduce noise levels?

  • Hearing protection is available for employees?

  • Hearing protection training is provided?

  • Hearing protection postings/signage adequate?

  • Audiometric testing conducted annually on all affected employees?

  • Audiometric testing resulting in a threshold shift have been listed on the OSHA log?

Personal Protective Equipment

  • Protective equipment adequate for exposure?

  • Employees issued PPE where needed?

  • Is PPE being used when required?

  • Employees trained in the use of PPE?

  • Are inspections being accomplished periodically/before and after each use?

  • Adequate maintenance and sanitary storage available/utilized?

  • Eye protection?

  • Face protection (glasses, goggles, shields)?

  • Hearing protection?

  • Respirators and masks?

  • Is respiratory protection adequate for exposure?

  • Head protection?

  • Hand protection adequate for task being performed?

  • Work boots- steel toe/safety toe

  • Physicals accomplished as required?

  • FR clothing in good condition?

  • PPE in good condition?

Respiratory Equipment

  • Assessment conducted/documented?

  • Medical evaluations conducted?

  • All personnel's fit test up to date (annually testing required)?

  • Employee training documented?

  • Respirators are NIOSH approved?

  • Respirators are adequate for the hazard?

  • Employees trained on changing cartridges?

  • Respirators in good condition?

  • Respirators stored adequately?

  • Employees knowledgeable in pre-use inspection?

  • Employees trained annually?

Spill Prevention

  • Are funnels used with necessary to prevent spillage?

  • Are sensory walks being conducted around the site to ensure leaks or spills are not occurring?

  • Spill containment berms in place where required?

  • Are spill containers drained of rain water regularly?

  • Are berms erected fully?

  • Are periodic walk-arounds being conducted to ensure berms are erected?

  • Are hoses, lines and piping crossing berms chocked securely?

  • Are hoses, lines and/or piping pressing on berm, eliminating the spill containment?

  • Are hot/steam lines a safe distance from berms?

  • Do berms show signs of excessive wear, causing the sides not to fully erect?

  • Do berms show signs of damage/holes that are not repaired?

  • Are personnel aware of status/location of open ended system?

  • Open ended systems in-service being monitored effectively?

  • Are open ended systems not in-service isolated from process operation?

Walking and Working Surfaces

  • Adequate lighting provided?

  • Walkways provided in high traffic areas over piping, lines, and/or cables?

  • Floor dry and clean?

  • Covers and guardrails in place where required?

  • Hatchway and floor opening guarded?

  • Scaffolding load capacity verified?

  • Scaffolds properly braced?

  • Damaged scaffold parts removed from service?

  • Scaffold properly tagged?

Summary

  • Additional Notes

  • Auditor Signature

SES Jobsite HSE Audit
Brodie Eskind

SES Jobsite HSE Audit

Jobsite HSE Audit

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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