Information
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Project/Job Site ID
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Conducted on
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Prepared by
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Location
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Crew Leader
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Operator
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Select site weather conditions at time of this inspection (select all that<br>apply)
Site Inspection
On Site Procedures
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Do the written instructions have adequate TCP
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Describe the Daily Activities and Phase of the Project (Test Pit, UG, Encasement, Backfill etc. , what is remaining to be complete)
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Photo(s)
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Is proper traffic control in place ?
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Proper pedestrian control in place?
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Does Crew have Job Safety Analysis on site?
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Was Work Delayed for Any Reason?
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Describe the Reason
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Where any onsite Verbal instructions received outside of scope or specification ?
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Describe on Site Instruction
Welfare-Vehicle and Equipment
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Is the vehicle(s) in good order? Tidy? With debris removed?
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Is first aid kit present in vehicle?
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Is fire extinguisher present?
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Is traffic control equipment in good working condition?
Personal Protective Equipment
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Are employees 6ft apart when possible?
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Are all crew members wearing appropriate PPE (Mask, Vest, Gloves etc.) for the tasks they are carrying out?
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Are proper boots worn by employees?
Residents and Public
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Have "No Parking Signs" been posted?
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Have there been any concerns raised by public /residents or neighbouring businesses?
Materials and Hazardous Substances
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Do they have the right type and amount of materials to complete task for the day?
Permits
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Is permit active?
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Is Miss Utility ticket active?
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Are utility markings clear and accurate?
Excavations
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Are drawings available on site and the Crew Leader reviewed and understand the content?
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Are the tools and equipment in good working order?
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Is the work being performed according to standards and guidelines
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Is completed work properly measured and reported?
Any Other Observations?
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Is the crew staffed properly to do the work?
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Manhole-Confined Space Set-up properly?
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Any Major Compliance Issues found?
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Signed by Supervisor