Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Our evaluations, reports and recommendations are made solely to assist management in reducing hazards and the potential of hazards and accidents. Safety and health are the responsibility of your management. These suggestions and recommendations were developed from conditions observed at the time of our visit. They do not include every possible loss potential, violation of code, statute or regulation, or the exception of good practice, and are not a substitute for ongoing safety and risk management programs designed and implemented by your management.The information contained in this report, suggestions and recommendations were developed from conditions observed at the time of our visit.These reports are not meant to imply that every hazard has been identified, or no hazard exists.Catto & Catto LLP does not assume, and have no liability for the control, correction, or modifications of existing conditions and programs
1. Working at Heights
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1.1. Daily inspection sheet filled out ?
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1.2. Guardrails, top, mid , toe ?
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1.3. Elevated work area safe, is there deficiencies ?
2. Equipment/Leaks / Fire Protection
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2.1. Unsafe or damaged equipment? (including missing or damaged guards)
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2.2. Leaking equipment ?
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2.3. Equipment guards in place ?
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2.4. Unlicensed operators?
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2.5. Lack of safe work instructions?
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2.6. Lack of training in safe operation, clean-up and maintenance?
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2.7. Fire Extinguisher(s) inspected monthly ?
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2.8. Fire extinguisher within 25' of generators ?
3. Bracket Scaffolds
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3.1. Competent person supervisor erection scaffold above 4m?
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3.2. Unsafe or incomplete scaffold?
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3.3. Solid footings on scaffolding ?
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3.4. Scaffold guardrails up and sturdy, top, mid, toe ?
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3.5. Toe boards in place? Area below taped off?
4. Excavation
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4.1. Excavation identified properly ?
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4.2. Soil Type ?
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4.3. Vibrations nearby ?
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4.4. Benched and or Sloped properly ?
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4.5. Material kept 2' clear of the excavation ?
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4.6. Larger piles of material kept safe distance away from excavation
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4.7. Water runoff issues near excavation? Cave in risk ?
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4.8. Trackhoe swing radius marked off ?
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4.9. Proper egress on excavations (every 25') ?
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4.10.
5. Fall Arrest Equipment
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5.1. Unsafe or damaged harness or equipment?
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5.2. Incompatible hooks/equipment?
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5.3. Inspected and initialed ?
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5.4. Unsafe or uncertified anchor points?
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5.5. Harnesses and components stored properly ?
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5.6. Lack of or inadequate formal training for operators?
6. Ladders
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6.1. Unsafe or damaged ladders?
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6.2. Unsafe positioning of ladders?
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
7. Hazardous Manual Tasks
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7.1. Lack of identification hazardous manual tasks?
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7.2. Lack of assessment of hazardous manual tasks?
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7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
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7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?
8. Hazardous Chemical use or storage(including fuel and oil)
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8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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8.2. Incompatible chemicals stored near each other?
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8.3. Fire extinguisher in storage area ?
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8.4. Safety Data Sheets not accessible on site?
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8.5. Lack of emergency procedures for injury/spills/fire etc?
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8.6. Excessive quantities stored on site or in vehicles?
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8.7. Insufficient ventilation?
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8.8. Insufficient, or incorrect, PPE?
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8.9. Unsuitable storage containers? (unlabeled or stored in food containers)
9. PPE
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9.1. All workers have necessary PPE ?
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9.2. PPE maintained and clean ?
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9.3. Face shields on all cutoff saws ?
10. Traffic Management
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10.1. Traffic control cones in place ?
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10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)
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10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
11. Work Environment
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12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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12.2. Sufficient lighting?
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12.3. Adequate housekeeping?
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12.4. Adequate hydration for workers available ?
13. Electrical Hazards
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13.1. Unsafe/damaged electrical cords (frayed, cut)
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13.2. GFCI's on all electrical cords ?
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13.3. Cords free of doorways and other pinch points?
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13.4. Cords out of wet areas ?
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13.5. Overloading outlets?
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13.6. Power tool cords free of deficiencies?
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13.7. Electrical equipment near water?
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13.8. Electrical equipment near flammables?
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13.9. Electrical equipment near chemicals that could cause damage?
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13.10. Electrical leads that may be damaged from contact with moving machinery parts?
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13.11. Electrical leads on work surfaces?
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13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
14. Boom/Aerial Lifts
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14.1. Fall Protection used properly ?
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14.2. Electrical on lift free of deficiencies ?
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14.3. Housekeeping on lift sufficient ?
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14.4. Other ?
15. Miscellaneous
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15.1. Laser signs up if used ?
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15.2. Backup alarms on heavy equipment ?
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15.3. Saw blades up to spec ?
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15.4. Dangerous acts observed ?
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15.5. Impalement hazards guarded ?
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15.6. ?
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15.7.
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15.8.
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15.9.
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Disclaimer- The information contained in this report, suggestions and recommendations were developed from conditions observed at the time of our visit. These reports are not meant to imply that every hazard has been identified, or no hazard exists. Catto & Catto LLP does not assume, and have no liability for the control, correction, or modifications of existing conditions and programs.<br><br>
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature
