Title Page

  • Conducted on

  • Prepared by

  • Location
  • Active Leadership/ Active Visibility

  • Craft demonstrate obligation to safety, Safety Culture is strong.

  • Entire project team demonstrates an obligation to safety/ are accountable

  • CE/PM/Supt. leads by example and is visible & engaged on the project .

  • Housekeeping (Including Micro Trash)

  • Cluttered areas, walkways need attention, site lacks professionalism, etc.

  • Project is clean and organized, but a few areas need extra attention.

  • Project is very clean, organized, & professional

  • SWI and Pre Task Planning Cards

  • Haz Rec/Near Miss and Management of Change cards are submitted

  • Pre-task covers issues not on SWI. MOC discussion/training done

  • SWI's are trained to and updated continuously.

  • Incident Reporting (Near Miss, Haz Rec, MOC and Accident Investigation)

  • Incident Reporting is inadequate. Minimal subcontractor participation.

  • Project trends are visible & communicated to the project regularly.

  • Incidents are reviewed at safety / POD meetings and at stretching.

  • Work Observation Auditing Process

  • Audit schedule is created and visible. Audit done at least 3 times a week.

  • Audits include Safety, Quality, MPS and Innovation (one form - one auditor)

  • Audits are comprehensive (not just one piece) Project uses as part of CIP

  • 100% PPE (Hard Hats, Safety Glasses, Hi-vis vests, Gloves, Boots, Hearing Protection)

  • People are seen missing some portion of PPE - Is the issue addressed?

  • All on site follow PPE requirements;

  • Hearing Protection program is understood and followed at piles (2 types required)

  • POD Meetings

  • POD meetings & their attendance are irregular. No set agenda or schedule.

  • All contractors represented. POD is documented/available. Safety discussed

  • Collaborative meeting with Sub participation and use of technology.

  • Preconstruction Meeting

  • Not all contractors on site have been through the Pre-Construction Process. <br>

  • Meetings 1 week prior to mobilization. Agenda and minutes are kept and filed.

  • Exhibit E, Event Management, and Best Practice Database are utilized for trends, events, etc. relevant to work scope.

  • Emergency Response Plan (ERP)

  • ERP not posted or communicated to craft - Verify

  • Current ERP is developed, posted, and explained to all at orientations - Verify <br>

  • Mock drills conducted regularly (with or without EMS) <br>

  • Quality

  • QA/QC program built but not working well.

  • QA/QC program built and catching many issues.

  • QA/QC Program built and fixing processes so there are no or few issues.

  • Innovation Team

  • Innovations not being submitted or not being replyed to.

  • Innovations submitted and responded to.

  • Innovations being implemented or parked and action communicated to all.

  • Visit with three (3) random craft workers. Each should rate the overall safety, communication and team's engagement from 0-2. Total score from all three:

  • Sporadic Orientations, not always 1st day/1st hour. No Re-Orientations. <br>

  • Formal 1st Orientation conducted for all craft workers. No set schedule or plan for Orientations. 2nd & 3rd Orientations conducted but inconsistent.

  • Orientations have documentation. PM and/or Supt. participates in all of the Orientations. Re-Orientations are current, documented in a log, and occur within 5 weeks of starting on the project.

  • No evidence of a Site Safety Leadership Team (ID of members, minutes, etc.)

  • Meetings held monthly with an agenda and minutes distributed or posted.

  • Site Safety Leadership Team members are identified by photographs or equivalent means. Craft is included and meetings are held at least bi-weekly.

  • Sr. Level Safety Leadership Team (Safety Pro's, Supts, PM's, etc.) to assist the project's safety performance, discuss trends, etc. - separate meeting

  • Job Wide Safety Meetings

  • Meetings are inconsistent (no set day/time). Documentation is incomplete.

  • Meetings are conducted by the project team and held monthly with all workers on site in attendance. An agenda and attendance is documented.

  • Meetings scheduled bi-weekly (at least) with full attendance. Special training sessions have been conducted relevant to jobsite trends or activities.

  • Tool Box Talks

  • No set day of the week established - sporadic. Lacking documentation.

  • One Mortenson, subcontractor and tiered subcontractor safety meeting conducted per week, minutes & attendance filed.

  • A tracking form is used to identify all toolbox talks from all contractors on site. A plan is in place to address contractors not participating to 100%.

  • MSDS / Hazard Communication

  • Not all contractors have submmitted MSDS's. Missing books.

  • MSDS's current & plan to ensure all chemicals are accounted for - Verify.

  • Hot Work/Daily Dig Permits

  • HWP/DDP process is intermittent. No map. Outstanding permit(s).

  • HWP/DDP are issued daily from Mortenson and closed out at end of shift. No outstanding permits on map. Verify permit requirements are being followed.

  • Recognition and Reward Program

  • No project-specific plan to recognize and reward craft.

  • Monthly Safety, Quality, MPS and Innovation lunch meeting. Leading Indicators tracked and incentivized.

  • Vehicle/Equipment

  • Training programs not in use, records not kept up.

  • Vehicle Training and documentation complete - No incidents of equipment damage in the last month.

  • SWPPP and SPCC

  • No SWPPP or SPCC required.

  • SWPPP and SPCC not current

  • SWPPP and SPCC inspectons and paperwork current

Untitled page

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.