Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Pre Work Safety Practices
-
Driving JSA Complete
-
Tailboard Complete<br>
-
JSA (filled out correctly for task and legible)
-
Emergency Action PLan
-
Powersafe Card up to date/ID badge
-
MSDS/fuel tank labels
-
Job Plan (does everyone know their duties
-
Job Professionalism (clean appearance)
-
Hazards Identified flagged, noted on JSA
-
Operator qualifications
-
Proper/adequate PPE
-
One calls completed and documented
-
Work area clearly defined on JSA
-
TOC/DOC contacted
-
Spotter training
Worksite Safety Practices
-
Taglines when moving suspended loads
-
Work zone barricades
-
Equipment setup correctly
-
Radios charged or hand signals being used
-
Jobsite Housekeeping
-
Vehicle housekeeping
-
Flagmen being used correctly
-
Public Safety addressed
-
Spill kits on jobsite
-
Fire Extinguishers
-
First Aid Kits (w/t no expired items)
-
Poison Ivy mitigation plan
-
Insect/snakes/spider mitigation plan
-
Heat mitigation techniques in use
-
Chainsaw guards in place
-
Seat belts use (equipment and vehicles)
-
Pinch Points/Line of fire identified
-
Proper lifting techniques
-
100% fall protection
-
Use of PPE (gloves, glasses, ear plugs etc.)
-
Slips Trips and Falls identified
Equipment Safety
-
Basic Machine Maintenance followed
-
Guards and safety switches in good order
-
Saw file handles in good order
-
Machine cleanliness
-
Hose wear
-
Fuel tanks full
-
Non-frayed winch line
-
Compressors covered
-
No loose bolts
-
Windows clean
-
Suspended booms
-
Tires/valve stems in good order
-
Insurance/inspections
-
Secured/Locked Equipment
-
Proper binding of Equipment
Human Performance
-
Leadership of Foreman/PM's
-
Job Debriefing completed and documented
-
Peer checks being done
-
Brothers Keeper practiced
-
Add signature
-
Add signature
-
Add signature
-
Job site sketch
