TRC Field Safety Observation (CEI/CIM/GEI)

• Document No.

• Audit Title

• Client / Site

• Operation Observed

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

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

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Approved eye protection worn where required?

  Safe

  At Risk

  N/A

• Head protection worn where required?

  Safe

  At Risk

  N/A

• Hand protection where required?

  Safe

  At Risk

  N/A

• Reflective safety vest/clothing worn where required?

  Safe

  At Risk

  N/A

• Approved safety footwear worn where required?

  Safe

  At Risk

  N/A

• Hearing protection worn in designated areas?

  Safe

  At Risk

  N/A

• Face shield worn where required?

  Safe

  At Risk

  N/A

• Fire Resistance (FR) clothing utilized where required?

  Safe

  At Risk

  N/A

• Are respirators being worn at this work location?

  Yes

  No

  N/A

• Did workers complete pulmonary function test and fit test?

  Safe

  At Risk

  N/A

• Are respirators being worn in compliance with regulator requirements?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Motor Vehicle

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

  Yes

  No

  N/A

• What type of vehicle?

  Personal

  Rental

  Fleet

• Seat belts properly worn?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Are vehicles/equipment properly set up?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

• Is this vehicle transporting a nuclear gauge?

  Yes

  No

  N/A

• Is gauge properly secured?

  Safe

  At Risk

  N/A

• Is regulatory paperwork with gauge?

  Safe

  At Risk

  N/A

Neatness and Sanitation of Field Operation Work Area

• General neatness of work areas?

  Safe

  At Risk

  N/A

• Passageways and walkways clear?

  Safe

  At Risk

  N/A

• Adequate lighting?

  Safe

  At Risk

  N/A

• Adequate water provided?

  Safe

  At Risk

  N/A

• Sanitary facilities furnished/maintained?

  Safe

  At Risk

  N/A

Material Handling

• Is a nuclear gauge being used?

  Yes

  No

  N/A

• Is Gauge Calibrated?

  Safe

  At Risk

  N/A

• Is gauge being properly and securely?

  Safe

  At Risk

  N/A

• Is gauge being carried in manner to prevent injury?

  Safe

  At Risk

  N/A

• Other?

  Yes

  No

  N/A

Excavation/Trenching/Shoring

• Are there any underground operations on site?

  Yes

  No

  N/A

• One call contacted for location of existing utilities?

  Safe

  At Risk

  N/A

• Utilities have been properly identified?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Access/egress points within 25 feet of workers?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Spoil piles two feet back from edge?

  Safe

  At Risk

  N/A

• Adequate barricades in place?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Electrical (Subpart K)

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

  Yes

  No

• Extension cords in acceptable condition?

  Safe

  At Risk

  N/A

• Extension cords routed to eliminate trip hazards?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Fall Protection

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

• Workers utilizing adequate anchorage points?

  Safe

  At Risk

  N/A

• Harness/lanyards in acceptable condition?

  Safe

  At Risk

  N/A

• Standard guardrails in compliance?

  Safe

  At Risk

  N/A

• Openings to lower level properly protected?

  Safe

  At Risk

  N/A

• Floor openings covered, secured and marked?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Fire Prevention and Protection

• Are fire extinguishers required for the work operation?

  Yes

  No

  N/A

• Fire extinguishers are fully charged and inspected?

  Safe

  At Risk

  N/A

• Adequate number of fire extinguishers for work location?

  Safe

  At Risk

  N/A

• Flammable liquids stored in approved containers?

  Safe

  At Risk

  N/A

• Proper storage practices for flammables observed?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Hand and Power Tools

• Are hand or power tools used at this location?

  Yes

  No

  N/A

• Visible physical damage to tool?

  Safe

  At Risk

  N/A

• Shields and guards in place?

  Safe

  At Risk

  N/A

• GFCI protection used?

  Safe

  At Risk

  N/A

• Proper use of tool?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Ladders

• Are ladders in use at work location?

  Yes

  No

  N/A

• Ladders are in good condition?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Extension ladders properly secured when in use?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Scaffolds

• Are scaffolds being used at the work location?

  Yes

  No

  N/A

• Guardrails/toe boards on scaffold over 10 feet?

  Safe

  At Risk

  N/A

• Ladder provided for access to scaffold platform?

  Safe

  At Risk

  N/A

• Platform fully decked and of scaffold grade?

  Safe

  At Risk

  N/A

• Scaffold free of visible damage?

  Safe

  At Risk

  N/A

• All pins/braces in place and locked?

  Safe

  At Risk

  N/A

• Wheels locked on rolling scaffolds when in use?

  Safe

  At Risk

  N/A

• Scaffold erected on firm and substantial surface?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Welding and Burning Operations

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

  Yes

  No

  N/A

• Combustible's removed or cover with fire blankets?

  Safe

  At Risk

  N/A

• Welding screen used when required?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Work Zones

• Is there traffic concerns associated with the work operation?

  Yes

  No

  N/A

• Traffic control devices appropriate for work location?

  Safe

  At Risk

  N/A

• Signage appropriate for work location?

  Safe

  At Risk

  N/A

• Properly trained flaggers used where appropriate?

  Safe

  At Risk

  N/A

• Other?

  Safe

  At Risk

  N/A

Other

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

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Signatures

• Supervisor

  Sign

• Auditor

  Sign

• Yes

  No

  N/A