United Pipeline Systems Field Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Area

• JSA complete and reviewed with workers

  Yes

  No

  N/A

• FLRA completed for each task area

  Yes

  No

  N/A

• Toolbox meeting conducted

  Yes

  No

  N/A

• Safety Data Sheet or Task Hazard assessment available or accessible

  Yes

  No

  N/A

• Workers know Emergency Action Plan

  Yes

  No

  N/A

• Workers properly trained

  Yes

  No

  N/A

• Observations being conducted

  Yes

  No

  N/A

• Sufficient supply of PPE

  Yes

  No

  N/A

• First Aid on site

  Yes

  No

  N/A

• Workers know location

  Yes

  No

  N/A

• Fire Extinguisher(s) on site

  Yes

  No

  N/A

• Workers know location

  Yes

  No

  N/A

• All fire suppression is properly certified and up to date

  Safe

  At Risk

  N/A

Housekeeping

• General site cleanliness

  Safe

  At Risk

  N/A

• Fusion site general

  Safe

  At Risk

  N/A

• Pipe pile arrangement

  Safe

  At Risk

  N/A

• Garbage removed daily

  Yes

  No

  N/A

• Wood and banding properly stored

  Yes

  No

  N/A

• Slip and trip hazards removed or mediated

  Safe

  At Risk

  N/A

• Is garbage loose on trucks

  Safe

  At Risk

  N/A

• Equipment properly stored

  Safe

  At Risk

  N/A

• Are cords and hoses properly stored

  Safe

  At Risk

  N/A

Equipment

• Equipment inspections completed and documented

  Yes

  No

  N/A

• All certifications up to date

  Safe

  At Risk

  N/A

• Chains, tie downs inspected

  Safe

  At Risk

  N/A

• Have preventative maintenance forms been completed or started

  Yes

  No

  N/A

• Has PM been recently done

  Safe

  At Risk

  N/A

• Is hoisting equipment sufficient distance from overhead power lines, min 7 meters

  Safe

  At Risk

  N/A

• Are emergency shut down devices in place and operable

  Yes

  No

  N/A

Electrical

• Are all extension cords inspected and tagged

  Safe

  At Risk

  N/A

• Proper wiring to trailers/fusion machines

  Safe

  At Risk

  N/A

• Generators grounded

  Safe

  At Risk

  N/A

• GFCI in use

  Yes

  No

  N/A

• LOTO equipment available

  Yes

  No

  N/A

• Any exposed wires

  Yes

  No

  N/A

Personal Protective Equipment

• Are gas monitors required on site

  Safe

  At Risk

  N/A

• Are they within calibration dates

  Safe

  At Risk

  N/A

• Are all employees wearing required amount

  Yes

  No

  N/A

• Is it being worn correctly

  Safe

  At Risk

  N/A

• Is it clean and in good order

  Safe

  At Risk

  N/A

• Is it appropriate for the hazards

  Yes

  No

  N/A

• Are respirators required

  Safe

  At Risk

  N/A

• Is the noise level above 85dB

  Safe

  At Risk

  N/A

• Is hearing protection being used where it is needed

  Safe

  At Risk

  N/A

Hand Safety

• Are employees aware of the hazards

  Yes

  No

  N/A

• Have employees been trained in hand safety

  Yes

  No

  N/A

• Are the appropriate gloves available

  Yes

  No

  N/A

• Pinch points identified on the JSA/FLRA's

  Yes

  No

  N/A

• During cutting activities are Kevlar gloves being worn

  Safe

  At Risk

  N/A

Excavations

• Is a competent person on site

  Yes

  No

  N/A

• Excavation inspections been done

  Safe

  At Risk

  N/A

• Excavation guarded/barricaded appropriately

  Safe

  At Risk

  N/A

• Adequate means of access and egress

  Safe

  At Risk

  N/A

• Spoil pile appropriate distance from top of hole as per OH&S regulations

  Safe

  At Risk

  N/A

• Are appropriate shoring and stabilization methods being used for depth and class of soil

  Safe

  At Risk

  N/A

Material handling

• Proper storage of working equipment

  Safe

  At Risk

  N/A

• Proper equipment available for material handling

  Yes

  No

  N/A

• Have slings been inspected before use

  Yes

  No

  N/A

• Are chemicals being used

  Yes

  No

  N/A

• Is MSDS available

  Yes

  No

  N/A

• Do workers know how to handle chemical(s)

  Yes

  No

  N/A

• Is proper PPE available for handling chemicals

  Yes

  No

  N/A

• Is proper disposal available

  Yes

  No

  N/A

Ergonomics

• Workers using proper lifting techniques

  Safe

  At Risk

  N/A

• Do workers know proper techniques

  Safe

  At Risk

  N/A

• Is the buddy system being utilized where required

  Yes

  No

  N/A

• Are bellhole stairs adequate to transport equipment

  Yes

  No

  N/A

• If no, is a safe means being utilized ( rope, crane, buddy system)

  Yes

  No

  N/A

Other

• Anything removed from service

  Yes

  No

  N/A

• Items requiring repair

  Yes

  No

  N/A

• Safety concerns

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A