Information
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Audit Title
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Document No.
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Conducted on
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Prepared by
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Job Number
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Location
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Personnel
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Job Description
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Sunesys Region
- Northeast (Phila)
- Northeast (Pitt)
- Northeast (Chic)
- Southeast
- West
- ISP
- Make Ready
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In-house/Contractor
JSA
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On Job-site
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Completed as a team
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Signed by all crew members/visitors
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Address site hazards
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Address safeguards
Vehicle/DOT
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Unit
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Equipment placement
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Driver medical cards and licenses current
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Truck cabs clean (free of empty bottles, trash, etc)
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Lights and signals working properly
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Vehicle logs completed
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Vehicle Setup (cones, chocks, etc)
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Boom Inspection completed per manufacturer requirements?
Trailer
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Trailer lights working
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Trailer brakes working
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Safety chains properly attached
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Electrical Protection
Electrical protection
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Grounding & Clearances
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Strand tested
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Extension cords
Extension Cords
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GFCI used?
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Extension cords free from damage?
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Correct style of extension cord used
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Barrier devices and hot sticks
Barriers/hot sticks
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Measuring sticks tested
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Dielectric gloves tested
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Glove rating appropriate for task
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Horizontal Directional Drilling Operations
HDD Operations
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Drilling rig grounded
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Insulating gloves at operator station
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Locator wearing insulating gloves & dielectric boots
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Warning signs/barricades in place
HAZCOMM
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SDS Sheet(s) available for all chemicals at worksite
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Chemicals properly labelled
Housekeeping
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Work area free from accumulated debris/materials
Fall Protection
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Worker
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Proper anchorage point used
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Harness properly adjusted
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Lanyard properly attached
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Lanyard appropriate for height/task
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Fall protection equipment inspected prior to use
Trenching & Excavation
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Spoil piles located minimum 2 ft from edge of trench
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Competent Person Present
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Utilities marked
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Shore/benching/sloping in place as required (typically begins at 5ft of depth)
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Means of egress established for trenches over 4ft
PPE
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Worker
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Safety glasses worn (ANSI Z87)
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PPE inspected prior to use
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Hardhat in use
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Hard hats within recommended operational lifetime
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Gloves in use
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Chaps, head/face gear used with chainsaw operations
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Other
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Material Handling & Rigging
Rigging
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Straps, ropes, chains free from damage
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Come-alongs not damaged. (Safety catches intact)
Fire Protection
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Fire extinguisher present and has current inspection
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Fire extinguisher charged
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Gas can is a safety can
Traffic Control
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Traffic Flow Rate
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Work zone setup according to applicable local/state/federal guidelines
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Flagger trained/certified as required
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Stop/Slow paddle used
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Red flag used for intersections only
First Aid/CPR
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First Aid Kit present
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First Aid kit properly stocked
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Someone trained in1st Aid/CPR
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Safe Lifting
Safe lifting
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Planned the Lift
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Keeps the load close
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Lifts with legs
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Avoids twisting
Ladder Safety
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Ladder Inspected?
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Proper ladder for the task<br>
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User maintaining 3 points of contact?
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Area around base of ladder free of debris/construction materials?
Confined Spaces
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Permit completed (if applicable)
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Access Authorized
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Attendant Trained
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Atmospheric Testing completed
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Entrant Trained
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Confined space secured
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Special Precautions
Respiratory,Hearing Conservation, etc
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Respiratory Protection
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Hearing Conservation
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Comments
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Drawing
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Photo
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Audit Completed By