Title Page

  • Supervisor/Crew:

  • Conducted on

  • Auditor

  • Location

1.0 Emergency

  • 1.1 At least one member of the crew onsite is 1st Aid, CPR, AED certified?

  • FOREMAN

  • SUPERINTENDENT

  • 1.2 First Aid Kit readily available, properly stocked, and supplies are within date?

  • FOREMAN

  • SUPERINTENDENT

  • 1.3 Eyewash station is readily available, sealed, and shelf life is within date?

  • FOREMAN

  • SUPERINTENDENT

  • 1.4 Emergency action plan posted with emergency contacts and their phone numbers including TZC emergency procedures?

  • FOREMAN

  • SUPERINTENDENT

2.0 Hazard Identification

  • 2.1 Team book is completed for today's activities, reviewd, and signed by persons involved in job activities?

  • FOREMAN

  • SUPERINTENDENT

  • 2.2 CWP onsite of where activities are being conducted, reviewed and signed by all personnel involved in activities.

  • FOREMAN

  • SUPERINTENDENT

  • 2.3 Equipment operators conducted inspection of equipment prior to the comensement of operations?

  • FOREMAN

  • SUPERINTENDENT

  • 2.4 Hotwork, confined space permits, scaffold, trench, and trench inspection /permits are completed as required?

  • FOREMAN

  • SUPERINTENDENT

  • 2.5 Danger, Caution, Warning, and Notice signs are legible and in place as required?

  • FOREMAN

  • SUPERINTENDENT

  • 2.6 Defective tools, equipment and machinery are de-energized/inoperable locked and tagged out?

  • FOREMAN

  • SUPERINTENDENT

3.0 Housekeeping

  • 3.1 Work area is clean and free of excess trash/debri?

  • FOREMAN

  • SUPERINTENDENT

  • 3.2 Trash cans /skiff are available for use, and trash doesn't pass the confines of its container?

  • FOREMAN

  • SUPERINTENDENT

  • 3.3 Nails and other sharps doesn't pose a hazard?

  • FOREMAN

  • SUPERINTENDENT

  • 3.4 Equipment, tools, electrical cords, etc are properly stored when not in use?

  • FOREMAN

  • SUPERINTENDENT

4.0 Hand and electrical tools

  • 4.1 Right tool being used for job at hand?

  • FOREMAN

  • SUPERINTENDENT

  • 4.2 Tools in good condition (i.e. mushroom head on punch, cracked hammer handle, cracked stanchion on ladder), or is tagged and removed from service?

  • FOREMAN

  • SUPERINTENDENT

  • 4.3 Electrical cords are not frayed and ground prongs are in place where required?

  • FOREMAN

  • SUPERINTENDENT

  • 4.4 Eletrical tools are not being raised, lowered, or carried by the electrical cord?

  • FOREMAN

  • SUPERINTENDENT

  • 4.5 Guards and/or handles are in place as required?

  • FOREMAN

  • SUPERINTENDENT

5.0 Generators

  • 5.1 Exhaust doesn't pose a burn injury?

  • FOREMAN

  • SUPERINTENDENT

  • 5.2 Equipped with a GFCI or GFCI pigtail?

  • FOREMAN

  • SUPERINTENDENT

  • 5.3 Generators are connected to earth ground as required by the manufacture?

  • FOREMAN

  • SUPERINTENDENT

6.0 Access

  • 6.1 Proper access is provided when crossing or stepping (horizontal or vertically)19 inches or more?

  • FOREMAN

  • SUPERINTENDENT

  • 6.2 Are there at least two means of access are available?

  • FOREMAN

  • SUPERINTENDENT

  • 6.3 Access areas are free of obstructions leading to, through, and beyond access points?

  • FOREMAN

  • SUPERINTENDENT

  • 6.4 Ladders and gangways are properly secured?

  • FOREMAN

  • SUPERINTENDENT

  • 6.5 Ladders extend three feet above landing and have proper angle (base out by the L÷4)?

  • FOREMAN

  • SUPERINTENDENT

  • 6.6 No open holes 2 inches or more on walking surfaces?

  • FOREMAN

  • SUPERINTENDENT

7.0 PPE

  • 7.1 Standard PPE being worn by all personnel on TZC Jobsite (hard hat, safety glasses, traffic vest or PFD, gloves, and proper foot protection)?

  • FOREMAN

  • SUPERINTENDENT

  • 7.2 Specialized PPE used as required by the job task and/or safety data sheet (SDS)?

  • FOREMAN

  • SUPERINTENDENT

8.0 Fire Protection

  • 8.1 Containers are labeled with its contents?

  • FOREMAN

  • SUPERINTENDENT

  • 8.2 SDSs are available for review?

  • FOREMAN

  • SUPERINTENDENT

  • 8.3 Containers are properly closed and stored when not in use?

  • FOREMAN

  • SUPERINTENDENT

  • 8.4 Fire extinguishers' inspections are current, they're ready for use, and are unobstructed?

  • FOREMAN

  • SUPERINTENDENT

  • 8.5 Compressed oxygen cylinders are not stored next oil, or other combustibles unless separated by a 1/2 hour fire wall or 20 feet?

  • FOREMAN

  • SUPERINTENDENT

  • 8.6 Check valves are in place between regulators and hoses of cutting rigs?

  • FOREMAN

  • SUPERINTENDENT

  • 8.7 Compressed oxygen /acetylene cylinders are secured in a vertical position? Additionally, regulators are removed and caps applied when stored (not used in 24 hours or more)? Note: Caps don't apply to a cascade system.

  • FOREMAN

  • SUPERINTENDENT

  • 8.8 Oily rags, soak pads, etc. are placed in a labeled metal container with lid?

  • FOREMAN

  • SUPERINTENDENT

9.0 Fall Protection

  • 9.1 Guardrails are in place and in good condition?

  • FOREMAN

  • SUPERINTENDENT

  • 9.2 Personal fall protection system (PFAS) is in good condition, properly worn and fitted?

  • FOREMAN

  • SUPERINTENDENT

  • 9.3 Fall protection is in place, being used as required, and per its design?

  • FOREMAN

  • SUPERINTENDENT

  • 9.4 Protection is provided for Impalement hazards?

  • FOREMAN

  • SUPERINTENDENT

11.0 Marine Activities

  • 11.1 Personal Floatation Device (PFD) is in use, good condition, worn properly, and is equipped with a whistle and water activated light?

  • FOREMAN

  • SUPERINTENDENT

  • 11.2 Rescue boat/skiff is readily available and properly equipped

  • FOREMAN

  • SUPERINTENDENT

  • 11.3 Man overboard kit is readily available and properly equipped?

  • FOREMAN

  • SUPERINTENDENT

  • 11.4 At least two life rings with 90 feet of rope are available on each barge and not more than 100 feet in traveling distance?

  • FOREMAN

  • SUPERINTENDENT

  • 11.5 All rolling equipment and/or items that may be be blown/fall overboard are secured?

  • FOREMAN

  • SUPERINTENDENT

  • 11.6 Extra measures are in place during frigid weather conditions to prevent personnel from falling overboard?

  • FOREMAN

  • SUPERINTENDENT

  • 11.7 Man overboard drills are conducted on a regular basis with TZC peronnel when they're working over or near water's edge?

  • FOREMAN

  • SUPERINTENDENT

12.0 Rigging and Slings

  • 12.1 Missing or illegible manufacturer's name or trademark and/or rated load identification (or size required)?

  • FOREMAN

  • SUPERINTENDENT

  • 12.2 No obvious indication of bent, twisted, distorted, stretched, elongated, cracked or broken load bearing components?

  • FOREMAN

  • SUPERINTENDENT

  • 12.3 No obvious indication of heat damage including weld spatter or arc strikes, evidence of unauthorized welding?

  • FOREMAN

  • SUPERINTENDENT

  • 12.4 No obvious indication of acid, caustic burns, melting, or charing on synthetic slings?

  • FOREMAN

  • SUPERINTENDENT

  • 12.5 No obvius abrasive wear, holes, tears, cuts, or snags

  • FOREMAN

  • SUPERINTENDENT

  • 12.6 No obvious holes, tears, cuts, abrasive wear or snags that expose the core yarns on round slings

  • FOREMAN

  • SUPERINTENDENT

  • 12.7 Rigging properly stored?

  • FOREMAN

  • SUPERINTENDENT

13.0 Other Issues or Concerns

  • 13.1 Other issues or concerns

  • FOREMAN

  • SUPERINTENDENT

  • 13.2 Other issues or concerns

  • FOREMAN

  • SUPERINTENDENT

Signatures

  • Supervisor

  • Auditor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.