Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Housekeeping

  • Project work areas are clean, free of excess trash/debris

  • Project materials have been stored / stacked safely

  • Project materials stored with clear aisles for travel

  • Trash receptacles are provided for work areas

  • Portable water containers on site with adequate amount for crews

  • Portable water containers clean / sealed with cups properly contained

  • Are jobsite port-a-lets clean and properly placed

Personal Protective Equipment

  • Hard hats worn / maintained as required by PPE pgm/mgf recommendations

  • Safety glasses in use

  • Hearing protection is worn where required

  • Face shield or googles worn as required

  • High visibility garments worn where required

  • Safety toe footwear being worn

  • Correct gloves being utilized for task being conducted

  • Respirators utilized as required

Fall Protection

  • Body harness worn properly

  • Lanyards are adequately secured to suitable anchorage

  • Perimeter guarding in place

  • Man-Lift tie off points are in good condition

Excavations

  • Sloped, shielded or shored properly based on soil classification

  • Spoil set back 2' from excavation

  • Access and Egress is provided every 25 feet

  • Daily / periodic documented inspections conducted by competent person and posted at excavation

  • Propane bottles removed prior to start of welding

  • Ladders secured at top and extend 3' above

  • Ladder users facing ladders ascending and descending and not carrying a load

  • No work performed on slope above workers in the bottom of excavation

  • No workers in excavation during overhead lifts

  • Trench box certification paperwork on site

  • Water pumps utilized as necessary to reduce water accumulation and competent person monitoring pump

  • Ventilation adequate for any hazards that may exist

  • Barricades / Barriers installed for traffic control ( within 25' of roadway) pedestrian warning as needed

Scaffolds and Ladders

  • Scaffold built per specification

  • Scaffolding is inspected/tagged daily per requirements by competent person

  • Proper access and egress ladders provided, secured, and extends beyond the landing by 3'

Hoisting and Lifting Equipment

  • Proper rigging equipment utilized and in good condition

  • Proper rigging techniques used

  • Proper signaling used during lifts

  • Tag lines utilized during lifts

Seat belts used by all occupants

  • Stickers installed on vehicles (360 Walk a round, Don't start up til you buckle up)

  • Seat belts used by all occupants

  • All lights working properly

  • License plate(s) securely attached

  • Observed damage has been reported

Tools and equipment

  • Proper tools used for the job being performed

  • Guards on all hand grinders/circular saws (w/o modifications made)

  • Tools being carried correctly

  • Electrical cords free of visible damage

  • Tools are maintained in a safe condition

  • Tools are stored properly

  • Pneumatic / hydraulic hose connections properly secured (crows feet pins, whip checks)

  • Rebar caps installed on exposed rebar

Fire Protection

  • Flammables stored properly (bulk, portable in vehicles, proper distance, etc)

  • Oxygen and combustible cylinders separated

  • Containers labeled as to content

  • Fire extinguishers properly located and has current inspection tag

  • Compressed gas cylinders properly maintained

  • Containment of hot work and welding screens as required

  • Regulator gauges properly attached and maintained. Flash arrestors installed

  • Bulk fuel tanks grounded and electrical classification maintained

  • Portable equipment allowed to cool prior to refueling

  • Spout / funnel used during portable container refueling

JSA

  • Daily JSA available for review

  • Safety tailgate meeting content confirmed by worker interview(s)

  • JSA job steps described task being performed

  • JSA addresses specific hazards at the task location

  • JSA indicates utilization of Foreman/Employee handbooks for job discussions

Responsibilities

  • MSDS's are readily available

  • Supervisor observed making safe behavior interventions

  • Employees observed making safe behavior interventions

  • Stop work authority observed being used by supervisor or employee(s)

Power Line Crossings

  • Overhead power lines have been identified

  • Proper signage posted, legible, visible to approaching equipment

  • Goal posts and flagging are in place

  • Power line spotter is present during work near / under power lines and when passing equipment under lines

  • Spotter has proper PPE and horn while performing spotter duties

Confined Space Entry

  • CSE properly identified as permit / non-permit required

  • CSE properly cleared, cleaned and isolated

  • CSE respiratory protection adequate for the task (ventilation / air supply)

  • CSE checklist and procedures on site with the attendant

  • Permitted CSE rescue equipment on site with trained personnel on hand

  • CSE lighting is 32v or less and all electrical shock concerns eliminated / mitigated

  • CSE external / introduced air contaminate concerns have been eliminated

  • Environmental hazardous monitoring is adequate for the task performed

Welding / Cutting

  • Hard hats/Safety glasses worn outside the immediate welding zone

  • Welding leads are positioned to prevent tripping hazards

  • Spent rods are properly disposed of in a bucket

  • Fully operational/inspected fire extinguishers are present at "hot work" location

  • Flash arrestors in place on gauges

  • Proper cribbing support supplied for bottom welding to prevent subsidence

  • Proper excavation floor to prevent laying in mud/water to weld

  • No loose clothing worn during grinding / buffing operations

  • Thermal burn protection being worn

  • Double eye protection used during buffing / grinding

Abrasive Blasting and Coating

  • Hoods with proper air supply being used

  • CO monitors installed (inside hood/inline or both when applicable)

  • Unnecessary personnel are cleared crosswind / upwind of the abrasive blast

  • Proper respiratory protection being worn during coating (wet & dry powder)

  • Remote switches are protected from inadvertent operations

  • Abrasive media pot work area clear of trip hazards, empty bags, pallets, etc.

  • Environmental requirements are being met where applicable

  • Hoses, hose connections are in proper working order, cotter pins in place, whip checks on all connections

  • Personnel fit tested when applicable and medical questionnaires completed

Environmental

  • Silt fences and/or environmental logs installed and maintained

  • Wetland signage properly installed and maintained

  • Equipment is supplied with spill kits

  • No re-fueling within 100' of a wetland area

  • ROW boundary markers properly installed and being maintained

  • SPCC plan on site and requirements being met

  • Secondary containment in place for equipment / portable fuel storage etc.

  • Oil and fuel storage areas bermed and maintained dry

  • Proper ROW berming erosion control and flow water correctly directed to drainage area

  • Waste petroleum containers properly labeled and in secondary containment

Flagging

  • DOT (Federal, local) temporary traffic control plan, specific to the site, exists

  • Traffic control signage properly stored when flaggers not in attendance

  • Flaggers wearing proper PPE

  • Flaggers properly trained

  • Flaggers properly using hand and sign communications with traffic

Body Position

  • Workers not observed in pinch point / caught between line of fire

  • Workers not observed in falling object line of fire

  • Workers not observed in a struck by line of fire

  • Workers observed using control to prevent strike against / strain line of fire

  • Workers observed using proper lifting techniques or helping each other

  • Workers observed ascending / descending in a safe manner

  • Workers observed properly using push / pull for the task to be done

  • Workers observed properly maintaining focus (eyes) on the task being done

  • Workers observed using proper center of balance / walking technique to prevent falls

  • Workers are not under suspended loads

DOT

  • All documents in cab of trucks secured in a binder

  • Crew truck checklist available / completed correctly

  • All lights, all lighting, windshield washer and wipers operational

  • Fire extinguisher secured and charged

  • Driver documentation in order (DL, CDL, medical card current)

  • Windshields free of cracks

  • Willbros logo and USDOT number on both sides of vehicles

  • Set of 3 emergency triangles in vehicle

Inspection / Documentations

  • Electrical cords inspected (Color coded)

  • Ladders inspected (color coded)

  • Rigging tackle inspected / documented

  • Fall protection maintained and has current inspection documented

  • Forklift operator has certification

  • Personnel lifts inspected and documented

  • Daily equipment checklists available for review / completed for the day's operations

Lock - Out / Tag-Out Review

  • Is a review conducted at least once a year

  • Procedures properly followed during LOTO operations

  • Employees involved understand procedure

  • Proper documentation present

Other Site Specific

  • Other

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