Solid Platforms Job Specific HSSE Audit - revised 10/2013

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Specific HSSE Audit

• 1. The SPI JHA / Task Planner / EAP was completed for the job audited (Job being performed). . .

  Yes

  No

  N/A

• 2. All elements of the JHA were completed per policy and job assignment - No blank areas noted. .

  Yes

  No

  N/A

• 3. All crew members assigned to specific task were signed onto the JHA. . .

  Yes

  No

  N/A

• 4. All contact information was completed including emergency contact information. . .

  Yes

  No

  N/A

• 5. Was evacuation location communicated to employee?

  Yes

  No

  N/A

• 6. Crew members audited understood job assignment, site requirements, and job hazards. . .

  Yes

  No

  N/A

• 7. Safety requirements of the JHA were being met - Including barricade tape, overhead work posted, material handling requirements, and hazards were communicated to other crafts

  Yes

  No

  N/A

• 8. Job walk (Review) confirmed all hazards were addressed on the JHA

  Yes

  No

  N/A

• 9. PPE requirements were outlined, understood, and were being met

  Yes

  No

  N/A

• 10. Was lockout / tag out required for job assignment?

  Yes

  No

  N/A

• 11. Did all crew members lock on, sign on, as part of the lockout / tag out requirement? . .

  Yes

  No

  N/A

• 12. Was CSE required for job assignment?

  Yes

  No

  N/A

• 13. Were hazards communicated to crew members?

  Yes

  No

  N/A

• 14. We're all elements of CSE in place and being followed? (Permit, testers, entry log). . .

  Yes

  No

  N/A

• 15. Was scaffold being built per Solid Platforms structural requirements/OSHA standards? . .

  Yes

  No

  N/A

• 16. Are plank sills laid beneath racks on grading / cat walks to distribute weight / avoid point-loading? . .

  Yes

  No

  N/A

• 17. Is staging platform outfitted with toe-board, and orange mess for falling object protection, or fully decked and pans set on edge against vertical uprights and wired to prevent materials from falling?

  Yes

  No

  N/A

• 18. Are elevated staged materials organized and separated so erectors can pull components from staged piles without upsetting other piled materials?

  Yes

  No

  N/A

• 19. Walkways & work platforms provided with a clear path "to do the work" so erectors don't have to climb over materials.

  Yes

  No

  N/A

• 20. Are unused staged elevated materials stacked neatly and secure at the end of shift as to not be toppled after hours from inclement weather or other similar events?

  Yes

  No

  N/A

• 21. All crew members tools tethered per SPI policy?

  Yes

  No

  N/A

• 22. All company vehicles being used on site have daily vehicle inspections completed?

  Yes

  No

  N/A

• 23. Are all Employees and safety lock labels legible?

  Yes

  No

  N/A

Job Audited

Corrective Actions

• Enter corrective actions taken or to be taken by item number (i.e. 1, 2, 3....)

Crew Audited

• Include names of all crew members

Foreman Signature

• Foreman Name

  Sign

General Foreman Signature

• General Foreman Name

  Sign

Auditor Signature

• Auditor Name

  Sign