• Civil Work

  • Site
  • Date/Time
     - -
    2 digit month, 2 digit day, 4 digit year
  • Job Safety Briefing performed for the crew?*
  • Job Hazard Analysis performed?*
  • Does the JHA Process Form match the work?*
  • Is the JHA Form complete and with hazards and mitigation?*
  • Limits of working area clearly marked?*
  • Underground utilities marked?*
  • Overhead lines marked?*
  • Soil erosion BMPs in place?*
  • BMP Inspection documentation on site and current?*
  • Competent Person for trenching and excavation on site?*
  • Competent Person documents inspections of trenches and excavations prior to entry?*
  • Equipment Operator of machine #1 has competency (contractor documentation)?*
  • Equipment Operator of machine #2 has competency (contractor documentation)?*
  • Equipment Operator of machine #3 has competency (contractor documentation)?*
  • Equipment Operator of machine #4 has competency (contractor documentation)?*
  • Equipment Operator of machine #5 has competency (contractor documentation)?*
  • Spotter used when close to boundary or sensitive areas?*
  • Equipment Operators have insect repellent?*
  • Cut-and-Fill survey instruments in use and recording?*
  • Slings and chains inspected?*
  • Should be Empty: