Title Page
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Site conducted -Address
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Conducted on
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Prepared by
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Location
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Country
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Signature
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Nearest Hospital
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Company (if subcon)
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Document Number
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Main Activity
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Sub-Activity
SCTION 1: PRE-BORING CHECKS
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1. Equipment Maintenance: Is the boring equipment properly maintained and functional?
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2. HDD Inspection: Are HDDs checked for damage or malfunction before boring?
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3. Employee Training: Are employees properly trained in the use of boring equipment?
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4. PPE: Is personal protective equipment (PPE) used during the boring process?
SECTION 2: SITE PREPARATION
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1. Locate Ticket: Is the locate ticket checked before starting work, using both the 811 tool to verify and physical inspection of marked utilities?
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2. Grounding: Is the HDD machine grounded?
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3. Traffic Control: Are traffic signs installed every 500 feet on both sides of the road?
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4. Utility Potholes: Are all utilities potholed before starting work?
Section 3: SAFETY & COMPLIANCE
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1. Rubber Mates: Are rubber mates available for the drill?
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2. Metronet Sign: Is a Metronet sign on every truck?
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3. Truck Parking: Is the truck parked properly with a safety cone?
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4. Employee Attire: Do all employees wear helmets and safety vests during work?
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5. Metronet ID: Is the Metronet ID card visible?
SECTION 4: POST DRILLING SAFETY PROCEDURES
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1. Is the site cleaning is done after completing of daily activity?
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2. Is te installed utility line is inspected to ensure it is properly buried?
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3. Is the site is restored to its original condition?
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4. Is the area sfe for public access?
SECTION 5: GENERAL CHECKS
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1. Is all control measures are adopted to protect both workers and the public?
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2. Is emeregncy plan is made and all team members are fully convrsant how to respond to emerrgencies?
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3. Is emergency contacts numbers are readily available?
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4. Is site is checked and verfied for any hazardous material?
