Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Safety Orientation given to each employees?

  • Safety Guidelines manual given to each supervisor or foreman?

  • Posters (OSHA, EEOC, Minimum Wage, Emergency Numbers, Misc, State and Others) conspicuously dispalyed?

  • First Aid available on site?

  • All accidents investigated by Supervisor?

  • Accidents forms available?

  • Safety Data Sheets (SDS) available and accessible to all employees?

  • Is required PPE (Hard hats, safety glasses, ear plugs) being worn? <br>

  • Are fire extinguishers easily available?

  • Fire escapes and exits clearly marked?

  • Ground fault circuit interruptors (GFCI) in use?

  • Electrical extension cords in good condition?

  • Cords and other temporary wiring protected from damage and arranged so not to create trip hazards?

  • Welding and cutting areas well ventilated?

  • Guards in place on all hand held grinders?

  • Cylinders secured against falling?

  • Rigging equipment inspected prior to use and as necessary during use?

  • Housekeeping well maintained?

  • Work areas kept free of slipping and tripping hazards?

  • Floor and wall openings protected by covers and or guardrails?

  • All tools (Company and Craft) in safe working condition?

  • Guards used on all power tools designed for use on guards?

  • Is trenching and excavation work being done?

  • Is it Shored and or sloped to the proper angle of repose for the class of soil?

  • Goggles and face shields provided and use enforced where they are needed?

  • Safety clips or retainers used with pneumatic impact tools?

  • Are cranes and associated equipment inspected before use?

  • Are crane operators NCCCO certified?

  • Are all riggers and signal persons trained and qualified?

  • Ladders provided where no permanent or temporary stairs are available?

  • Ladders extend at least 3' above landings and are tied off?

  • Scaffold in safe condition with good footing?

  • Scaffold and platforms more than 10' above the ground have guardrails and toe boards?

  • Employees working at elevated locations utilizing fall protection?

  • If respiratory protection is used are employees trained and fit tested?

  • Has all equipment energy sources been locked out before any work on equipment or systems is done?

  • Who has confirmed that lock out has actually taken place?

  • If confined space work is to be done will a Confined Space Entry Procedure be followed? <br>

  • Who is responsible for issuing entry permits?

  • Are all affected workers trained to perform confined space entry and follow the procedure?

  • If working in a roadway has a Work Zone Traffic Plan been developed in accordance with the MUTCD?

  • Has a Traffic Control Supervisor reviewed the plan?

  • Are barrier walls, cones, barrels, and barricades in place and in good condition?

  • If flaggers are used are they trained protected while doing their job?

  • Are all utilities (overhead and underground) identified, marked and de-energized before work is started?

  • Does all equipment on the job site have back up alarms?

  • General Liability exposures and safe guards?

  • Fleet Liability exposures and safe guards?

  • Other information?

  • Recommendations?

  • General comments?

  • Person completing survey.

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