Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Job Number
ERP & DOCUMENTATION
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Is there an ERP in every vehicle?
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Does the site have adequate communication?
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Is there an approved Muster Area?
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Is there Medical Transportation on-site?
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Is there a Continental Safety Manual on-site?
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Is there a Copy of the WCB Regulations on-site?
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Is there Safety Meeting books on-site?
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Are the proper MSDS on-site?
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Have all hazards & controls been identified on a JSA?
GENERAL SITE CONDITIONS
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Scaffolds, Ladders or Manlifts are
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Lock Out Tag Out systems are
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Illumination of work areas are
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Ignition control sources are
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Site tools are considered
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Material Storage is
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Site has proper Warning Signs in place
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Site has proper barricades in place
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Danger trees have been removed
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Crews are using proper radio communication on the roadways
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TDG & WHMIS
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Excavations meet full compliance with Regulations
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Compressed gas cylinders stored properly
PERSONAL PROTECTIVE EQUIPMENT
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Hard hats are being worn where needed
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Safety Glasses are being worn on site
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Cutting & Welding shields being used when cutting, grinding, or buffing
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Hearing protection is being worn in areas over 85db
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All crews have CSA Footwear in good condition
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Proper Hand Protection is being worn for the task at hand
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High Visibility Vests are being worn around Mobile Equipment
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Flame Retardant Clothing is being worn where applicable
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There are SCBA / SABA's on-site
EQUIPMENT CONDITION
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Log Books are being filled out properly
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Mobile Equipment Warning Alarms are functional
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Seat Belts are being used
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Glass is in good condition
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Mobile Equipment Guarding is in place
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Lifting Device safety latches are in place and working properly
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Cables, Tag Lines, Rigging & Slings are in good condition
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Lifting Devices have certification dated within last year
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Mobile Equipment has proper lighting
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FIRE & GAS PROTECTION
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Site has adequate number of Fire Extinguishers
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Monthly Inspections of Fire Extinguishers have been completed
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Annual certification has been completed on all Fire Extinguishers
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Fire Extinguishers are proper size for the task
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Portable Gas Detection is being used
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Portable Gas Detection is properly calibrated
SAFE WORK PROCEDURES
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Housekeeping is adequate
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Foreign Crossing Procedures & Documentation is
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Crew is following CPFL's Working Alone policy.
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Tag lines are being used
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Logging, Clearing & Burning
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Falling & Slashing
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Grading & Ditching
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Stringing Pipe, Cones & Skids
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Mainline Welding
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Shrinking & Jeeping
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Lowering In
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Shading & Clean-Up
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Pressure Testing
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Steep Slopes
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Trucking & Hauling Equipment
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Cranes & Pickers - Heavy Lifting
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Pile Driving
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Purging
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Hot Work
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Confined Space Entry
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Blasting
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Facility Welding
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Excavations
ADDITIONAL COMMENTS
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Are there any additional comments?
ADDITIONAL MEDIA
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SIGNATURES
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