Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Before leaving for the job site, check the following:
STOP/SLOW Paddle
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Clean
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Sign at least 18" x 18"?
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Rigid Handle at least 5 ft. High.
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Retroreflective if used at night
Flag
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Good Grade Red/Orange Material?
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Flag at least 18" x 18"?
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Staff at least 3 ft. Long?
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Retroreflective if used at night?
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Weighted?
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Used for Emergencies Only?
High-Visibility Safety Apparel
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ANSI Class 2 apparel for daytime work?
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ANSI Class 3 apparel for nighttime work?
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Proper Colors?
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Clean?
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Hard Hat?
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Does it protect you from the elements?
Communication Devices
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Two-Way Radio?
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Flag for token method?
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Extra Batteries?
Other
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Air Horn?
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Whistle?
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Water?
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Snacks?
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Pencil and Paper?
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Comfortable shoes?
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Sun protection?
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Gloves?
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Bug spray?
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First-Aid Kit
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Flagger Handbook?
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Have you asked your Supervisor all your questions?
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Do you have a way of contacting your Supervosor?
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Have you received the proper training to perform this job?
At the job site, before starting the flagging operation, if applicable:
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Are you wearing your at least ANSI 107 Class 2 high-visibility safety apparel and hard hat?
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Is your Air Horn easily accessible?
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Have you told your fellow workers how you plan to warn them?
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Is there at least a FLAGGER AHEAD sign ahead of you?
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If in rural area, is the sign at least 500 feet ahead of you?
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Can you effectively communicate with the other flagger(s)?
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Is your radio working properly?
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Are you clearly visible to oncoming traffic?
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Are you on the shoulder and away from moving traffic?
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Are you giving the proper signals to oncoming drivers?
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STOP
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RELEASE
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SLOW
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Have you expressed any concerns to your Supervisor?
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Have you identified your escape route?
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Are there a transition (taper) and a buffer space between you and the work space?
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Proper devices (such as cones).
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Taper should be no longer than 100 feet long.
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Buffer should be between 200 and 500 feet (check with the supervisor).
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Do not leave your post.
In case of a violation:
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Protect yourself FIRST!
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Alert other workers (air horn).
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Maintain your post.
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Note information about the violator, if possible.
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Notify your Supervisor.