SUB CONTRACTOR ROADSIDE CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Hard Hat (side impact)

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• Safety Boots

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Fire Retardant Reflective Coveralls

  Yes

  No

  N/A

• Reflective Vest

  Yes

  No

  N/A

• H2S Monitor

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Fire Shovel

  Yes

  No

  N/A

• Emergency Triangles

  Yes

  No

  N/A

• First Aid & Spill Kit

  Yes

  No

  N/A

• Tire Chains

  Yes

  No

  N/A

• Seat Belt

  Yes

  No

  N/A

• Cargo Nets

  Yes

  No

  N/A

Training

• HN Orientation

  Yes

  No

  N/A

• Site Specific Orientation

  Yes

  No

  N/A

• CSTS/PST

  Yes

  No

  N/A

• First Aid / CPR

  Yes

  No

  N/A

• Ground Disturbance

  Yes

  No

  N/A

• GODIVA

  Yes

  No

  N/A

• WHMIS

  Yes

  No

  N/A

• TDG

  Yes

  No

  N/A

• H2S Alive

  Yes

  No

  N/A

• Flagging

  Yes

  No

  N/A

• NCS - Safety Fitness Certificate

  Yes

  No

  N/A

MISC

• GPS System

  Yes

  No

  N/A

• Drivers License

  Yes

  No

  N/A

• Insurance/Registration

  Yes

  No

  N/A

• None Authorized Personnel

  Yes

  No

  N/A

• Load Securement

  Yes

  No

  N/A

• Speeding

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Facial Hair

  Yes

  No

  N/A

• Back Up Alarm

  Yes

  No

  N/A

• Positive Air Shut Off (Diesel)

  Yes

  No

  N/A

• Safety Manual

  Yes

  No

  N/A

• Site Signage

  Yes

  No

  N/A

• Fueling

  Yes

  No

  N/A