UESI DIVING SAFETY AUDIT - duplicate

• Conducted on

  Date

• Client / Site

• Location
  Address

• Job Name

• Job Number

• Prepared by

• Personnel

TRUCKS

• Truck #

• Equipment secured properly during transit?

  Yes

  No

  N/A

• Service engine or other warning lights activated?

  Safe

  At Risk

  N/A

• Vehicle registration / DOT Paperwork present?

  Yes

  No

  N/A

• DOT inspection checklist filled out?<br><br>

  Yes

  No

  N/A

• Emergency Equipment Present?

  Select Spare Tire Jack Tire Tools Fire Extinguisher Road Markers First Aid Kit

  • Spare Tire
  • Jack
  • Tire Tools
  • Fire Extinguisher
  • Road Markers
  • First Aid Kit

• Lights, blinkers, wipers, tire issues?

  Safe

  At Risk

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

TRAILERS AND BOATS - TOWING

• Dive Trailer or Boat #

• Registration?

  Yes

  No

  N/A

• Spare tire, jack, tire tool present?

  Yes

  No

  N/A

• Trailer lights working?

  Yes

  No

  N/A

• Break-away switch, safety chains, hitch, electrical connection, safety pin in good condition and used properly?

  Yes

  No

  N/A

• Spare tire?

  Safe

  At Risk

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

BOAT SAFETY EQUIPMENT

• One PFD for each person onboard?

  Yes

  No

  N/A

• PFD's readily accessible?

  Yes

  No

  N/A

• Life-Ring with 90' of floating line immediately available?

  Yes

  No

  N/A

• USCG approved fire extinguisher/s (2) type B I or (1) type B II Inspected and good condition?

  Yes

  No

  N/A

• Visual distress signals in kit (3) day and (3) night?

  Yes

  No

  N/A

• Sound producing device in kit?

  Yes

  No

  N/A

• Lighting for night operation or reduced visibility?

  Yes

  No

  N/A

• Trash and oil pollution placards in place?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

SITE SAFETY

• Do hazardous conditions from vehicle traffic exist?

  Yes

  No

  N/A

• Do environmental hazards exist?

  Safe

  At Risk

  N/A

• Other site or topside safety hazards?

  Safe

  At Risk

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• PPE worn properly by all personnel?

  Yes

  No

  N/A

• Is PPE applicable to the task being performed?

  Yes

  No

  N/A

• PPE in good condition?

  Yes

  No

  N/A

• Hardhats less than 5 years old?

  Yes

  No

  N/A

• Eye and face protection worn as required?

  Yes

  No

  N/A

• Hearing protection worn as required?

  Yes

  No

  N/A

• Decibel level reading

  Select Not Taken < 80 db 81 db 82 db 83 db 84 db 85 db > 85 db

  • Not Taken
  • < 80 db
  • 81 db
  • 82 db
  • 83 db
  • 84 db
  • 85 db
  • > 85 db

• Respiratory protection worn as required?

  Yes

  No

  N/A

• Fall protection needed / worn?

  Safe

  At Risk

  N/A

• Fall protection condition?

  Safe

  At Risk

  N/A

• Workers dressed properly for the job / task?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

GENERAL SITE SAFETY / HOUSEKEEPING

• Walkways, stairs, steps clear of material and debris?

  Yes

  No

  N/A

• Cords and hoses strung to prevent trip and fall hazard?

  Yes

  No

  N/A

• Compressor has functioning catch pan or other method of containing spills?

  Yes

  No

  N/A

• Liquid spills cleaned up immediately?

  Yes

  No

  N/A

• Dive station and work areas clean and orderly?

  Yes

  No

  N/A

• Trailers, spaces, and equipment kept clean and orderly?

  Yes

  No

  N/A

• Trash, scrap, and debris picked up and disposed of?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

FIRE PROTECTION AND HAZARDS

• Fire fighting equipment well marked and accessible?

  Yes

  No

  N/A

• Employees trained to use fire fighting equipment?

  Yes

  No

  N/A

• Fire extinguishers inspected?

  Yes

  No

  N/A

• Smoking prohibited where flammables are located?

  Yes

  No

  N/A

• Flammables stored and handled in approved containers?

  Yes

  No

  N/A

• Refueling of machinery while in operation is prohibited?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

ELECTRICAL SAFETY CONSIDERATIONS

• Extension cords in good condition?

  Yes

  No

  N/A

• Cords protected from sharp edges / routed properly?

  Safe

  At Risk

  N/A

• Cords, connections, breakers, etc. Have sufficient AMP carrying capacity?

  Yes

  No

  N/A

• Electrical connections kept dry?

  Safe

  At Risk

  N/A

• Generators kept dry / protected from weather?

  Yes

  No

  N/A

• GFI's tested?

  Yes

  No

  N/A

• Overhead or nearby wiring hazards exist?

  Safe

  At Risk

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

PORTABLE LADDERS

• Proper ladder selected for task?

  Yes

  No

  N/A

• Ladder rated sufficiently for intended use?

  Yes

  No

  N/A

• Ladder inspected prior to use?

  Yes

  No

  N/A

• Ladder/s being used properly?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

FALL ARREST EQUIPMENT

• Harnesses in good condition?

  Yes

  No

  N/A

• Harnesses labeled, annual inspection marked?

  Yes

  No

  N/A

• Harnesses inspected prior to each use?

  Yes

  No

  N/A

• Lanyards in good condition?

  Yes

  No

  N/A

• Lanyards labeled, annual inspection marked?

  Yes

  No

  N/A

• Proper length lanyard being used?

  Safe

  At Risk

  N/A

• Attachment point rigged properly and capable of supporting at least 5000 lbs?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

DIVING READINESS

• Properly conducted Diving Brief?

  Yes

  No

  N/A

• UESI Safe Practices Manual on-site?

  Yes

  No

  N/A

• Emergency Aid / Phone List on-site and available to everyone?

  Yes

  No

  N/A

• Emergency telephone available?

  Yes

  No

  N/A

• First aid kit fully stocked with current inventory?

  Yes

  No

  N/A

• Emergency oxygen cylinders charged and within expiration date?

  Yes

  No

  N/A

• Emergency oxygen regulator in good condition?

  Yes

  No

  N/A

• AMBU bag with mask and oxygen tubing in good condition?

  Yes

  No

  N/A

• Depth / Time profile being tracked?

  Yes

  No

  N/A

• RNT of repet dives tracked and logged?

  Yes

  No

  N/A

• Deco Tables, Repet Tables, and No D Tables present?

  Yes

  No

  N/A

• Timekeeping device present and dedicated to the dive?

  Yes

  No

  N/A

• Divers' depth tracked by pneumo gauge?

  Yes

  No

  N/A

• Pneumo gauge/s calibrated within last 6 months?

  Yes

  No

  N/A

• Carbon Monoxide monitor calibrated monthly?

  Yes

  No

  N/A

• HP cylinders mounted securely?

  Yes

  No

  N/A

• HP Bank / E-Air system tested? Pressure and regulator setting checked frequently?

  Yes

  No

  N/A

• HP E-Air cylinder hydro test date within 5 years?

  Yes

  No

  N/A

• E-Air bank pressure?

• Diver's Air Compressor #

• Current air certification?

  Yes

  No

  N/A

• Intake Up-wind of exhaust? (6' / 12' rule)

  Yes

  No

  N/A

• LP Volume tank serviced within 1 year, hydro within 5 years?

  Yes

  No

  N/A

• 2-stage filter bank filters changed within 3 months, with string, then carbon filtration present?

  Yes

  No

  N/A

• Manifold pressure checked before every dive, and frequently during the dive?

  Yes

  No

  N/A

• Manifold pressure setting?

• Alpha and Recreational Diving Flags flown visibly during diving operations?

  Yes

  No

  N/A

• Diving ladder extends at least 3 feet below the water and at least 3 feet above the surface?

  Yes

  No

  N/A

• Umbilicals pressure tested and marked every 10 feet?

  Yes

  No

  N/A

• A plan exists to assist an injured diver out of the water with adequate equipment available?

  Yes

  No

  N/A

• All divers and standby appear healthy?

  Yes

  No

  N/A

• All dive team members are attentive to the dive?

  Yes

  No

  N/A

• Diver condition checked after each dive?

  Yes

  No

  N/A

• Diver tended continuously throughout dive?

  Yes

  No

  N/A

• Diver harness capable of supporting the divers weight by lifting point?

  Yes

  No

  N/A

• Diver harness, umbilical D-ring, and shackle secure and in good condition?

  Yes

  No

  N/A

• Divers dressed properly with sufficient exposure protection?

  Yes

  No

  N/A

• Diver's bailout pressure checked before every dive?

  Yes

  No

  N/A

• Personally owned diving equipment in good condition?

  Yes

  No

  N/A

• Standby rig capable of same or greater depth/length than the primary?

  Yes

  No

  N/A

• Standby rig connected to hat, air and comms tested, bailout ready, pressure recorded?

  Yes

  No

  N/A

• Standby diver ready for deployment?

  Yes

  No

  N/A

• Other notable conditions

  Safe

  At Risk

  N/A

• TERMINATION OF DIVE

  Select Diver lost voice communication Diver fails to respond to Comms or Signals Diver goes on bailout or E-air Diver wants to get out Hazardous conditions exist Supervisor directed Technical issues with equipment or work plan Dive profile limit Task completed Emergency drill conducted

  • Diver lost voice communication
  • Diver fails to respond to Comms or Signals
  • Diver goes on bailout or E-air
  • Diver wants to get out
  • Hazardous conditions exist
  • Supervisor directed
  • Technical issues with equipment or work plan
  • Dive profile limit
  • Task completed
  • Emergency drill conducted

• DIVING EMERGENCY DRILL

  Select Not Conducted Conducted Poor response Good response Excellent response

  • Not Conducted
  • Conducted
  • Poor response
  • Good response
  • Excellent response

SAFETY / READINESS STATUS

• Overall Result

  Pass (Excellent)

  Pass (Good)

  Pass (Fair)

  Needs correction to continue

  Fail - Stop Work

• Add signature

  Sign

• Add signature

  Sign