Information
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Document No.
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Audit Title
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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
1. Employee Welfare
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1.1 Portable water readily available for all employees
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1.2 Adequate toilets, washing facilities and maintenance
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1.3 First aid supplies available, accessible and stocked
2. Procedures
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2.1 Startup kit information posted
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2.2 Safety and SDS manuals maintained and available
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2.3 Emergency procedures developed and rehearsed
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2.4 Site safety orientation conducted for all employees, orientation stickers on hard hats
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2.5 3SP's developed and approved
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2.6 Incident investigation performed and documented
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2.7 Weekly toolbox trainings conducted for AMH and subs
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2.8 Daily safety inspections are documented and one per week turned in to AMH
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2.9 JHA's discussed and documented daily
3. Access
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3.1 Adequate no trespassing & construction signs, public access is restricted
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3.2 Temporary lighting in all areas is maintained and adequate
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3.3 Emergency exits identified and labeled
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3.4 Public is protected from open excavations and other hazards
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3.5 ABC fire extinguishers available within 100'; 3000 square feet; refuel ops >25',<75'
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3.6 Walking/Working surfaces are free of trip/slip/fall hazards. (Including Ice, snow, and water)
4. Storage
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4.1 Housekeeping
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4.2 Flammables/chemicals stored in approved, secured areas with spill containment in place
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4.3 Bonding used during flammable liquid transfer
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4.4 Bulk fuel containers stored 20' from building
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4.5 Oxy/fuel cylinders stored upright and secured with valve caps in place
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4.6 Oxy/fuel cylinders are separated when not in use or installed with a fire wall
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4.7 Fire extinguishers no less than 25' where flammable liquids of 5 gallons or more are stored
5. Elevated Work
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5.1 Fall protection enforced at 6'
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5.2 Competent person on site for scaffolding erection, dismantling and inspection
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5.3 Scaffolding set up properly
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5.4 Scaffolding inspected prior to every shift
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5.5 Guard rail system in place (+- 42" with 200# capacity) for top rail and mid rail (150# capacity)<br>
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5.6 Holes and openings protected and/or covered and labeled "hole" or "cover"
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5.7 Non-conductive ladders are used
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5.8 Step ladders are used in full and open position
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5.9 Extension ladders 36" above landing or have grab rail, tied off, 4:1 ratio
6. Tools, Equipment & PPE
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6.1 Guarding intact on all tools and equipment
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6.2 Extension cords are 3 wire type, in good condition, no electrical tape repairs
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6.3 Extension cords are hard or extra-hard rated
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6.4 GFCI in place for all temporary wire not plugged into permanent receptacle outlets
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6.5 100% hard hats
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6.6 100% safety glasses
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6.7 Task-specific PPE is properly utilized
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6.8 Live electrical of 50 volts or more guarded against incidental contact
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6.9 Competent person(s) identified: excavating, scaffolding, confined space, lockout/tag out
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6.10 Excavations are properly sloped, benched or shielding is in place
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6.11 OUPS contacted or to excavations
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6.12 Cranes have documented, daily inspections
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6.13 Crane swing radius is barricaded
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6.14 Qualified signal and rigging person identified
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6.15 Certified crane operator
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6.16 Documented inspections performed on all rigging
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6.17 Tag lines used on all picks
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6.18 Aerial lifts inspected prior to each use (scissor lifts contain annual and frequent inspections)
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6.19 Aerial lifts operated by qualified operators
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6.20 Rebar and other implement hazards are protected
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6.21 Hoist and elevator capacity clearly posted
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6.22 No smoking signs posted and enforced
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6.23 Hot work permits completed prior to all hot work
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6.24 Welding curtains installed for welding and cutting
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6.25 Confined space work has testing and an attendant with established rescue procedures
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6.26 Safety violations notification forms written and issued
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6.27 Corrective actions taken and documented within 72 hours of safety concern notification
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Other Issues
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Signature
Ratings Section - FOR AMH SAFETY TEAM ONLY
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5 - Consistently Exceeds Expectations
4 - Occasionally Exceeds Expectations
3 - Meets Expectations
2 - Occasionally fails to meet Expectations
1 - Consistently fails to meet Expectations -
Emergency procedures developed and rehearsed
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Weekly toolbox safety training conducted for AMH and Subs
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Daily Safety inspections are documented and one per week turned in for AMH and Subs
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General Housekeeping
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Fall Protection enforced at 6 Feet
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100% Hard Hats
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100% Eye Protections
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Corrective actions taken and documented within 72 hours of safety concern notification
