Information

  • Document No.

  • Audit Title

  • Client / Site

  • Operation Observed

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Is the TRC Health and Safety Plan (HASP) available onsite?

Personal Protective Equipment (PPE)

  • Approved eye protection worn where required?

  • Head protection worn where required?

  • Hand protection where required?

  • Reflective safety vest/clothing worn where required?

  • Approved safety footwear worn where required?

  • Hearing protection worn in designated areas?

  • Face shield worn where required?

  • Fire Resistance (FR) clothing utilized where required?

  • Are respirators being worn at this work location?

  • Did workers complete pulmonary function test and fit test?

  • Are respirators being worn in compliance with regulator requirements?

  • Other?

Motor Vehicle

  • Are motor vehicles being used at this location? (TRC staff or Subs)

  • What type of vehicle?

  • Seat belts properly worn?

  • Is the driver free of distractions before they drive? (Cell phone calling, texting, email etc.)

  • Are vehicles/equipment properly set up?

  • Are vehicles parked where the first move is forward where possible?

  • Are there any tripping hazards around vehicle where it is parked?

  • Is this vehicle transporting a nuclear gauge?

  • Is gauge properly secured?

  • Is regulatory paperwork with gauge?

Neatness and Sanitation of Field Operation Work Area

  • General neatness of work areas?

  • Passageways and walkways clear?

  • Adequate lighting?

  • Adequate water provided?

  • Sanitary facilities furnished/maintained?

Material Handling

  • Is a nuclear gauge being used?

  • Is Gauge Calibrated?

  • Is gauge being properly and securely?

  • Is gauge being carried in manner to prevent injury?

  • Other?

Excavation/Trenching/Shoring

  • Are there any underground operations on site?

  • One call contacted for location of existing utilities?

  • Utilities have been properly identified?

  • Proper access/egress provided for excavations with a depth 4 feet or greater?

  • Access/egress points within 25 feet of workers?

  • Proper sloping/shielding/shoring for excavations 5 feet in depth or greater?

  • Spoil piles two feet back from edge?

  • Adequate barricades in place?

  • Other?

Electrical (Subpart K)

  • Is work being performed on or with electrical equipment 600 volts or less?

  • Extension cords in acceptable condition?

  • Extension cords routed to eliminate trip hazards?

  • Other?

Fall Protection

  • Are workers exposed to falling hazards that are greater than 6 feet?

  • General trades - 6 foot 100% fall rule applies?

  • Workers utilizing adequate anchorage points?

  • Harness/lanyards in acceptable condition?

  • Standard guardrails in compliance?

  • Openings to lower level properly protected?

  • Floor openings covered, secured and marked?

  • Other?

Fire Prevention and Protection

  • Are fire extinguishers required for the work operation?

  • Fire extinguishers are fully charged and inspected?

  • Adequate number of fire extinguishers for work location?

  • Flammable liquids stored in approved containers?

  • Proper storage practices for flammables observed?

  • Other?

Hand and Power Tools

  • Are hand or power tools used at this location?

  • Visible physical damage to tool?

  • Shields and guards in place?

  • GFCI protection used?

  • Proper use of tool?

  • Safety clips/pins in place on air hose connections?

  • Other?

Ladders

  • Are ladders in use at work location?

  • Ladders are in good condition?

  • Non-conductive ladders used when risk of contact with energized components is present?

  • Extension ladders properly secured when in use?

  • Side rails extend a minimum of 36 inches above top landing when used for access?

  • Step ladders are used in the fully open and locked position?

  • Other?

Scaffolds

  • Are scaffolds being used at the work location?

  • Guardrails/toe boards on scaffold over 10 feet?

  • Ladder provided for access to scaffold platform?

  • Platform fully decked and of scaffold grade?

  • Scaffold free of visible damage?

  • All pins/braces in place and locked?

  • Wheels locked on rolling scaffolds when in use?

  • Scaffold erected on firm and substantial surface?

  • Other?

Welding and Burning Operations

  • Are there welding or cutting operations at the work location?

  • Combustible's removed or cover with fire blankets?

  • Welding screen used when required?

  • Welding goggles, gloves and clothing being worn as required?

  • Other?

Work Zones

  • Is there traffic concerns associated with the work operation?

  • Traffic control devices appropriate for work location?

  • Signage appropriate for work location?

  • Properly trained flaggers used where appropriate?

  • Other?

Other

  • Are there other unsafe acts or conditions that need to be documented?

  • Other?

Signatures

  • Supervisor

  • Auditor

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