TIC JOB SAFETY AUDIT

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Section 1 General

• 1.1 CVIS program in place and completed daily with craft engagement?

  Yes

  No

  N/A

• 1.2 Project safety plan is updated and correct?

  Yes

  No

  N/A

• 1.3 The crisis plan utilizes the Corp. communications model and is updated?

  Yes

  No

  N/A

• 1.4 Competent persons for the project are identified and listed?

  Yes

  No

  N/A

• 1.5 Operators are qualified and have card with with them?

  Yes

  No

  N/A

• 1.6 Utility Map is located in the office with all utilities color coded and updated?

  Yes

  No

  N/A

• 1.7 Overhead and underground utilities are properly marked/signed?

  Yes

  No

  N/A

• 1.8 Job is following job specific respirator plan?

  Yes

  No

  N/A

• 1.9 TCSD chart is updated with proper signatures?

  Yes

  No

  N/A

• 1.10 Safety indoctrination process is being followed with new hires?

  Yes

  No

  N/A

• 1.11 Management is engaged with craft?

  Yes

  No

  N/A

• 1.12 Construction manager visits job every month?

  Yes

  No

  N/A

• 1.13 Extreme housekeeping in the office?

  Yes

  No

  N/A

• 1.14 "Nobody gets Hurt" culture is obvious and visible in the office?

  Yes

  No

  N/A

• 1.15 Company vehicles are kept clean and free from hazards?

  Yes

  No

  N/A

• 1.16 All drivers have completed driver training?

  Yes

  No

  N/A

• 1.17b Safety is visible in immediate office area?

  Yes

  No

  N/A

• 1.18 Why I Work Safe posters are up and to date?

  Yes

  No

  N/A

• 1.19 Safety Commitment board is in place and signed by job team?

  Yes

  No

  N/A

• 1.20 The job has a safety recognition program?

  Yes

  No

  N/A

• 1.21 Job management has completed OSHA inspection training?

  Yes

  No

  N/A

• 1.22The project has key personnel hands-on training in first aid and CPR?

  Yes

  No

  N/A

• 1.23 The project has an active craft engagement program?

  Yes

  No

  N/A

• 1.24 Subcontractors are included in craft engagement program?

  Yes

  No

  N/A

• 1.25 The project is following the documentation process on the OCC site/KieTrac?

  Yes

  No

  N/A

• 1.26 The Hazcom program and MSDS/SDS binder are up to date?

  Yes

  No

  N/A

• 1.26.1Employees have been trained in new SDS system?

  Yes

  No

  N/A

• 1.27 Work Zone incident files are complete with TCP plan and MOT drawings specific to the scene?

  Yes

  No

  N/A

• 1.28 Daily traffic reports are fully completed and signed by management?

  Yes

  No

  N/A

• 1.29 MOT is videotaped at least weekly, when it changes, and after a traffic incidents?

  Yes

  No

  N/A

• 1.30 Monthly safety meeting are utilizing hands on training?

  Yes

  No

  N/A

Section 2 General Site

• 2.1 Foreman's work plan-specific to the operation, comprehensive and followed?

  Safe

  At Risk

  N/A

• 2.2 - High Risk operations identifed?

  Yes

  No

  N/A

• 2.3 Red Book complted- Step by step following the work plan, pictures, reviewed by superintendent and craft?

  Safe

  At Risk

  N/A

• 2.4 Toolbox Meetings-all sections completed, crew comments, hands on training?

  Safe

  At Risk

  N/A

• 2.5 Fall protection plan-accurate (equip/rescue/sketch/anchors), signed by crew?<br>

  Safe

  At Risk

  N/A

• 2.6 Overhead Power Line Permit - used, correct, in JHA, signs, spotter, air horn and signed by crew?

  Safe

  At Risk

  N/A

• 2.7 Trench Inspection - Competent person, completed prior to each shift completely filled out?

  Safe

  At Risk

  N/A

• 2.8 Excavation Permit - At the operation, specific, verified with map, signed off?

  Safe

  At Risk

  N/A

• 2.9 Daily Crane inspections - completed prior to putting to work each shift?

  Safe

  At Risk

  N/A

• 2.10 On The Spot Lift Plan - weight known, Accurate, Signed, set up matches plan?

  Safe

  At Risk

  N/A

• 2.11 Critical Lift Plan- Use as required, pull tape to verify radius, proper signatures?

  Safe

  At Risk

  N/A

• 2.12 Rigging Inspections - At purchase, before each use, tags in place, condition and storage?

  Safe

  At Risk

  N/A

• 2.13 TSCD/Falsework - Calculations in the field, built per plan, inspections, documents?

  Safe

  At Risk

  N/A

• 2.14 Safety Visibility - proper signs in strategic locations, understood by craft?

  Safe

  At Risk

  N/A

• 2.15 Listen up/Speak up - Craft buy-in, Positive attitude, open communication at all levels?

  Safe

  At Risk

  N/A

• 2.16 Craft are engaged with safety on the project?

  Safe

  At Risk

  N/A

Section 3 Operations

• 3.1 PPE - Correct for the task, Called out in the hazard analysis?

  Safe

  At Risk

  N/A

• 3.2 Access- Pathways clear, free from slips, trips & falls, over 18" change has access?

  Safe

  At Risk

  N/A

• 3.3 Work area - Planned out, level working area, free from slips, trips & falls?

  Safe

  At Risk

  N/A

• 3.4 Stairs - Level, each same height & depth, stair rail with 3 or more steps?

  Safe

  At Risk

  N/A

• 3.5 Ladders, General - Face the ladder, not carrying anything in hands, hips within rails?

  Safe

  At Risk

  N/A

• 3.6 Extension Ladders - 4:1 angle, secured, 36" above landing, walk through ladder access?

  Safe

  At Risk

  N/A

• 3.7 Step Ladder - Open and locked not on top 2 steps?

  Safe

  At Risk

  N/A

• 3.8 Job Built ladders - Built to specifications and maintained?

  Safe

  At Risk

  N/A

• 3.9 Housekeeping - is Extreme, waist containers utilized?

  Safe

  At Risk

  N/A

• 3.10 Hazardous Materials - HAVE MSDS/SDS with JHA, properly labled?

  Safe

  At Risk

  N/A

• 3.11 Material Handling - well planned, square to the world, nothing touched ground?

  Safe

  At Risk

  N/A

• 3.12 Material Handling - Using proper tools/equipment, stacked properly and secured?

  Safe

  At Risk

  N/A

• 3.13 Material Handling - Proper lifting, not lifting more than 50 lb. by one person?

  Safe

  At Risk

  N/A

• 3.14 Trailer Loading/Unloading - Flagging system being used, properly loaded and secured?

  Safe

  At Risk

  N/A

• 3.15 Tools- Good condition, trigger locks removed?

  Safe

  At Risk

  N/A

• 3.16 Tool Storage - Proper storage, bits removed, housekeeping, blades hung up, right RPM blade for tool?

  Safe

  At Risk

  N/A

• 3.17 Tool Use - Proper tool for the job, unplugged/disconnected when changing bit/blade?

  Safe

  At Risk

  N/A

• 3.18 Tools General - Mushroomed heads, using correct hammer, damaged tools?

  Safe

  At Risk

  N/A

• 3.18.1 Proper use of guards, handle used on tools?

  Safe

  At Risk

  N/A

• 3.19 Electrical - GFCI/assured grounding-cords in good condition, good cord management, cord covers correct size cords?

  Safe

  At Risk

  N/A

• 3.20 Fire Extinguishers - In correct locations, Serviced annually, training on correct use completed?

  Safe

  At Risk

  N/A

• 3.21 Welding - PPE, Fire extinguisher, hot work permit if required, leads, stinger in good condition?

  Safe

  At Risk

  N/A

• 3.22 Cutting Torch- PPE, Fire Extinguisher, hot work permit if required?

  Safe

  At Risk

  N/A

• 3.23 Cutting Torch - Hoses in good condition, flashback arrestors, proper cart, proper storage?

  Safe

  At Risk

  N/A

• 3.24 Equipment - Authorized operators, visuals, seatbelts, lights on, turned off when out of cab?

  Safe

  At Risk

  N/A

• 3.25 Access Roads - Maintained, smmoth, dust control, proper signage, berms?

  Safe

  At Risk

  N/A

• 3.26 Cranes (operator) - Authorized, daily inspection,On The Spot Lift Plan completed?

  Safe

  At Risk

  N/A

• 3.27 Cranes (Set Up) - Level, swing radius up, Pads correct, proper handling of pads, overhead utilities?

  Safe

  At Risk

  N/A

• 3.28 Riggers - Properly trained and qualified?

  Safe

  At Risk

  N/A

• 3.29 Signal Persons - Properly trained and qualified?

  Safe

  At Risk

  N/A

• 3.30 Trenches - Sloped 1.5:1, shielded or shored properly, access every 25 feet?

  Safe

  At Risk

  N/A

• 3.31 Trenches - Spoils and equipment 2' back, fall protection in place?

  Safe

  At Risk

  N/A

• 3.32 Scaffolding/Stair Towers - Inspected daily, Competent person signed off, tagged, secured?

  Yes

  No

  N/A

• 3.33 Fall Protection - Engineered sysem, trained workers, 100% correct, 100% tied off?

  Safe

  At Risk

  N/A

• 3.34 Dropped Objects - Area below barricaded, tool lanyards used, trained in dropped object prevention?

  Safe

  At Risk

  N/A

• 3.35 LOTO - Tagged properly, all energy sources locked out, everyone has own lock, trained in LOTO?

  Safe

  At Risk

  N/A

• 3.36 Night Operations - Class 3 vest near traffic, proper lighting, headlamps?

  Safe

  At Risk

  N/A

• 3.37 First Aid - Kits stocked, eye wash stations in place at work area?

  Safe

  At Risk

  N/A

• 3.38 MOT - Properly set up to TCP/MUTCD, inspected daily, documentation signed?

  Safe

  At Risk

  N/A

• 3.39 MOT - Employees are trained for being in work zone, proper protection in place ( attenuator/Blocking vehicle)?

  Safe

  At Risk

  N/A

• 3.40 MOT - Traffic control supervisors ASSTA training is up to date?

  Safe

  At Risk

  N/A

• 3.41 General - Implement hazards addressed, proper gas cans labeling?

  Safe

  At Risk

  N/A

• 3.42 General - All cans, sprayers etc. properly labeled?

  Safe

  At Risk

  N/A

• 3.43 Management Visibility - Foreman are with crews, craft superintendents with operations?

  Safe

  At Risk

  N/A

• 3.44 Subcontractors - Following our safety program?

  Safe

  At Risk

  N/A

• 3.45 Field Operations - Following all district Standard Operating Procedures?

  Safe

  At Risk

  N/A

Section 4 Marine

• 4.1 Barge Vessel inspections complete?

  Yes

  No

  N/A

• 4.2 Personal flotation devises being worn?

  Yes

  No

  N/A

• 4.3 Proper signage in place?

  Yes

  No

  N/A

• 4.4 Proper access to and from barge or vessel?

  Yes

  No

  N/A

• 4.5 Rescue plan (man overboard) and rescue equipment in place, boat, life rings etc.

  Yes

  No

  N/A

• 4.6 confine space addressed on entering hull of barge?

  Yes

  No

  N/A

• 4.7 Equipment on barge has been designed?

  Yes

  No

  N/A

Section 5 Overall Opinion of the project

• Do you feel the project is following the basics that make for a good job?

  Safe

  At Risk

  N/A

• Does the project have enough management support?

  Yes

  No

  N/A

• Do you feel the job has owner issues that are taking focus away from building a successful project?

  Yes

  No

  N/A