Pipeline construction safety inspection checklist
Pipeline construction safety inspection
What does this form include?
This form contains 28 sections:
Work Permit/ JSA
- Appropriate for Task/Task Covered
- Performed
- Reviewed
- Signed
Environmental/Emergency Response
- Emergency Action Plan
- Spill Response Kit
- Certified Responders
- First-Aid Kit
Hazardous Communication
- Safety Data Sheet Available
- Safety Data Sheet Reviewed
- Containers Labeled Properly
- Handling Procedures Followed
PPE
- Hard Hat
- Hard Hat worn correctly
- Eye/Face
- Hand
- Hearing
- Footwear
- Hi-Vis Vest
- FRC
- Monitors Available, In Use, Calibrated (4-Gas, H2S or Other)
- Other:
Material Handling
- Body Mechanics
- Manual Lifting Devices (Come-a-Longs, Chain falls, etc)…)
- Safety Latch
- Slings
- Hooks & Shackles
- Wire Rope
- Lifting Chains
- Load Secure, Rigged Properly
- Tag Lines Used
- Other:
Worksite Protection
- Signs and crosswalks available for pedestrians
- Adequate cushion/warning for drivers
- Flagger present if necessary
- Flagger is wearing/using proper PPE/Equipment-hard Hat, Vest, Paddle
- Flagger positioning visible to drivers
- Signage is properly placed
- Cones are properly placed
- Retro reflective equipment and flashers in use at night
- Adequate clearance from overhead and other hazards
Vehicle/Equipment/Crane
- Authorized/Qualified Operator
- Designated Signal Person
- Seatbelt Used
- Backup Alarm
- Daily/Weekly/Annual Inspection
- Inspection Completed Properly
- Other:
Material Storage
- Material Stored Properly
- Flammable/Combustible Storage
- Pipe Chocked
- Other:
Fall Prevention/Protection
- Access/Egress
- Fall Protection
- Fall Protection Inspected
- Scaffolds/Ladders - Proper Type
- Scaffolds/Ladders - Inspected
- Scaffolds/Ladders - Use
Hand Tools
- Condition
- Guards/Handles
- Proper for Job/Use
Electrical
- GFCI/Assured Grounding Program
- Cords/Tools – Inspected
Hot Work
- Permit
- Permit Conditions Followed
- Fire Watch
- Gas Cylinder Management
- Leads/Hoses/Gauges
- Other:
Fire Protection & Prevention
- Extinguisher inspection tag present and current
- Properly Rated/Size (BC versus ABC)
- Combustible/Flammable Material Away from Hot Work
- Fire Extinguishers at least 25ft away but no further than 75ft away from Fuel Cells
Excavation
- Hand digging used when approaching/crossing buried facilities
- Spill kits on board and stocked
- Sloped Properly
- Benched Properly
- Trench Box/Shoring Proper
- Trench Box Certifications
- Access/Egress Points
- Spoil Pile Minimum 2-Feet From Excavation
- Signs, Signals & Barricades
- One Call Made
- Utilities Identified
Signs/Barricades
- Condition
- Proper Type
- Marking Hazards
Housekeeping
- Worksite free of clutter
- Equipment, machines/tools do not block pathway
- Tripping and slipping hazards
- Tools properly stored/staged
- Crew Trucks/Trailers clean and free of clutter
Ergonomics/ Jobsite
- Proper lifting techniques used
- Employees positioned away from hazards, moving parts and equipment
- Pinch points
Walking Surfaces
- Pathways
- Trip Hazards
- Holes Guarded
Overhead Power Lines
- Power Lines Marked with Goal Post and Signs
- Designated Spotter
- Proper Equipment for Spotter (Air Horn, Vest, etc…)
Radiation Sources
- Signs, Signals & Barricades
- Film Badges for X-Ray Crew
Pressure Testing
- Equipment Integrity
- Whip Checks/Connections Pinned
- Signs, Signals & Barricades
Confined Space
- Permitted
- Personnel Trained
- Emergency Rescue Plan
- Rescue/Retrieval Equipment (Anklets, Harness, Life Line, etc...)…)
Equipment/ Tools
- Availability and condition of tools
- Adequate lighting/visibility
- Grounding of tools/pipe/containers
- Air tools/hose connections/pins in place
Inspection Notes
Inspection Photos
HSE Specialist
Safety Inspector
Date & Time Date
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