WSFP High Tech KISS Audit

• Project Number

• Project Name

• Project Foreman

• Branch Office

• Conducted on

  Date

• Conducted By

• Location
  Address

Administrative

• Health & Safety Manual Onsite

  Yes

  No

  N/A

• MSDS Notebooks Onsite

  Yes

  No

  N/A

• All crew members know location of nearest emergency showers?

  Yes

  No

  N/A

• Claims Packets Onsite

  Yes

  No

  N/A

• Medcor Programmed into all Company Phones. Stickers on Hardhats / Toolbox.<br><br>1-800-775-5866

  Yes

  No

  N/A

• Weekly Toolbox Talk Completed

  Yes

  No

  N/A

• Daily PTP filled out and completed by a member of the crew.<br><br>Signed off by Foreman and Management

  Yes

  No

  N/A

• SIPP onsite and attached to Daily PTP

  Yes

  No

  N/A

• All documents attached to the SIPP completed as required

  Yes

  No

  N/A

• All crew members know and understand the task at hand as well as safety precautions.

  Yes

  No

  N/A

• Contacts - Intel / GC emergency numbers are readily available.

  Yes

  No

  N/A

• Spotter / Buddy System - All crew members are working with a buddy.

  Yes

  No

  N/A

• Lean Trucks - Are you proud of the appearance of your truck?

  Yes

  No

  N/A

PPE

• Hardhats, Safety Glasses, High Visibility Vests and Workboots worn by all employees

  Yes

  No

  N/A

• Additional PPE being worn

Electrical

• Electrical Cords in good condition

  Yes

  No

  N/A

• Cords are tested and taped per the assured grounding policy, Section 11.2 of Health and Safety Manual

  Yes

  No

  N/A

• GFCI is used at the electrical source

  Yes

  No

  N/A

Fall Protection / Fall Prevention

• Anchor points provided or approved anchor point device in use

  Yes

  No

  N/A

• Harness and lanyards stored properly when not in use

  Yes

  No

  N/A

• Holes created by WSFP covered or filled

  Yes

  No

  N/A

• Aerial Lifts in use have documented Lift Inspection completed

  Yes

  No

  N/A

• Guardrails in good condition

  Yes

  No

  N/A

• Work performed from Aerial Lifts is conducted safely

  Yes

  No

  N/A

Ladders

• Ladders are in good condition

  Yes

  No

  N/A

• Ladder stickers are legible

  Yes

  No

  N/A

• Work performed from ladders is being performed safely

  Yes

  No

  N/A

Material Handling / Storage

• Good Housekeeping in WSFP Lay-Down area

  Yes

  No

  N/A

• Material Stored neatly and out of the way of traffic

  Yes

  No

  N/A

• Carts in use

  Yes

  No

  N/A

• Rigging / Slings in good condition

  Yes

  No

  N/A

• Forklift Operator is certified to operate forklift

  Yes

  No

  N/A

• Forklift Operator operates the forklift safely

  Yes

  No

  N/A

• Hand tools are in good condition. <br><br>No cheater bars or cracked handles.

  Yes

  No

  N/A

Loss Prevention

• Crew knows NEVER WORK ON LIVE SYSTEMS and ALWAYS TRUST BUT VERIFYING the correct system is down

  Yes

  No

  N/A

• Sure-off Tester available and crew know how to use it

  Yes

  No

  N/A

• Signed agreement in place

  Yes

  No

  N/A

General Jobsite Comments

• Comments

Near Miss / Saves

• Has there been any Near Miss or Saves?

  Yes

  No