3.0 TCM Safety Inspection - Supplemental - duplicate

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Employee Welfare

• 1. Employee welfare

  Safe

  At Risk

  N/A

2. Procedures

• Pre Task Plans

  Exceeds Expectations

  Meets Expectations

  Below Expectations

• Weekly Tool box quality

  Exceeds Expectations

  Meets Expectations

  Below Expectations

• Orientations Conducted

3. Access

• Adequate Lighting for work and access

  Safe

  At Risk

  N/A

• Fire extinguishers properly located and inspected

  Safe

  At Risk

  N/A

• Trip Hazards

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

4. Chemical, Fuel and HazCom

• Chemical Storage/Hazcom

  Safe

  At Risk

  N/A

5. Elevated Work

• Fall Protection exposures

  Safe

  At Risk

  N/A

• Fall Protection equipment

  Safe

  At Risk

  N/A

• Ladder Use and inspections

  Safe

  At Risk

  N/A

6. Tools and Electrical

• Tools and Equipment

  Safe

  At Risk

  N/A

• Electrical equipment/exposures

  Safe

  At Risk

  N/A

7. PPE

• Personal Protective Equipment use and condition

  Safe

  At Risk

  N/A

8. Excavations

• Excavation Protective systems/inspections/access

  Safe

  At Risk

  N/A

9. Cranes

• Crane Plan / use / rigging

  Safe

  At Risk

  N/A

10. Mechanical Equipment (aerial lifts, fork lifts, earth moving)

• MEWP use / inspection

  Safe

  At Risk

  N/A

• Forklift use / inspection

  Safe

  At Risk

  N/A

11. Hot Work

• Hotwork Permits / use / protection

  Safe

  At Risk

  N/A

12. Confined Space

• Confined Space

  Safe

  At Risk

  N/A

13. Other

• 13. Other Issues

• Add media

  Media

• Jobsite Photos

  Media

Signature

• Signature

  Sign