AAAA Leading Indicator Audit (R&M) JP Master 9-26-13

Information

Project Name & Number
Audit Date
Brief Project Description - Include Square Footage
Current Average Daily Manpower Broken Out by R&M Self Perform Employees & Subcontractors
Number of Subcontractors
Robins & Morton Self Performed Work

Administrative Audit

Demonstrated Management Commitment

1. Project Leadership Participates in New Employee Orientation (MIC & other supervisors)
Select from range
2. Project Leadership Coducts/ Participates in Weekly Employee Safety Meeting
Select from range
3. Project Leadership Participates in Incident Investigations
Select from range
4. OSM 130 Safety Inspections Completed/Documented as Required, with folllow-up & Superintendent sign-off
Select from range
5. OSM 130 On Site Safety Conditions Reviewed in Foreman's Meeting with Safety being a part of the Meeting Record
Select from range
6. OSM 090 Employee/Supervisor Disciplinary Notices Documented / Violations Notifications
Select from range
7. Insurance/Owner Audits Corrected and Documented
Select from range
8. Response provided by Project for previous iAuditor Report with Subcontractor responses as required
Select from range
9. Red Monkey Reports/Best Practices Discussed with Staff and Posted
Select from range

Pre-Project & Pre-Task Planning

10. OSM 150 Daily Pre-Task Meetings Conducted with Adequate Content
Select from range
11. MSDS Log Available & Up-to-Date
Select from range
12. Current Robins & Morton Site Specific Safety Policy on Site and Available (Start Up Package)
Select from range
13. Infection Control Documentation/Inspections available and Up-to-Date
Select from range
14. Interim Life Safety (ISLM) Documentation/Inspections available and Up-to-Date
Select from range
15. Asbestos Survey in Robins & Morton possession as required/Abatement Certification Letter
Select from range
16. OSM 140 Crisis Management Plan (CMP) and Emergency Action Plan (EAP) Complete and Up-to-Date
Select from range
17. Daily Inspections Documented (Forklift, Aerial Work Platform, Excavation, Scaffold, Skid Steer, etc...)
Select from range
18. Fall Prevention/Protection System(s) Component Inspections Documented
Select from range
19. Required Safety Submittals readily accessible per recommended Safety Filing System
Select from range

Safety Education & Training

20. OSM 080 Required Orientations Held and Documented with Appropriate and Adequate Content
Select from range
21. OSM 080 Specialty Training Conducted for Robins & Morton Employees with Appropriate and Adequate Content
Select from range
22. OSM 080 Weekly Safety Meeting Conducted and Documented/Paperwork Complete
Select from range

Employee Involvement

23. OM 170.1 Employee Daily Sign-Out
Select from range

Safety Recognition

24. OSM 190 Recognition Program Implementation
Select from range
25. OSM 195 Safety Lunch Completed and Documented
Select from range

Subcontractor Management

26. OSM 060 Subcontractor Safe-Start Meetings Conducted and Documented
Select from range
27. OSM 060 Subcontractor Safety Submittals Received/All Required
Select from range
28. Subcontractor Included in Safety Meetings
Select from range

Incident Investigation

29. OSM 100 and OSM 105 Incident Reports Submitted (lag time) (WC/GL)
Select from range

Other

30.
Select from range
31.
Select from range
32.
Select from range

Field Conditions

1. Access (Elevations 19" or greater, into Building, Floor-to-floor, etc...)
Select from range
Type of Access Observation Identified
- NC
- MNC
- NC
- MNC
- Compliant / Safe
- General Observation
- Discussion / Recommendation
Subcontractor
Location
Observation
Corrective Action Identified / Discussion
Corrective Actions Taken
Corrected?
2. Aerial Work Platforms
Select from range
3. Elevated Deck -- Pearl Weave Fencing in addition to Temporary Guardrails
Select from range
4. Body Position (Awkward Position, Repetitive Motion, Hand Placement, etc...)
Select from range
5. Confined Space
Select from range
6. Concrete (Forming System -- Engineered Design is Followed, Stripping/Shoring, etc...)
Select from range
7. Crane/Hoisting Apparatus (Set-Up, Ground Conditions, Inspection, Qualified Riggers and Signalpersons, etc...)
Select from range
8. Demolition/Renovation (Engineering Survey, Utilities De-energized, Protected)
Select from range
9. Electrical Power (GFCI, Electrical Cords)
Select from range
10. Environmental Issues Addressed (Spill Kits, SWPP, etc...)
Select from range
11. Fall Exposures (Conditions, Passive, Perimeter Protection, Floor Holes, etc...)
Select from range
12. Fall Hazard Control Systems (Active, Restraint, Anchor Points, Arrest, etc...)
Select from range
13. Fire Protection
Select from range
14. Flammable and Combustible Liquid Storage
Select from range
15. Hand and Power Tools (Condition, Used Properly, Right too for the Job)
Select from range
16. Hazard Communication (Container Labeling, SDS adhered to, Training)
Select from range
17. Hazard Warning Signs in Place at Site Entrance/Specific Locations
Select from range
18. Hazardous Energy Sources/ LOTO (Zero Energy State)
Select from range
19. Heat/Cold Exposure Controls (Shade, Cool Zone, etc...)
Select from range
20. Heavy Equipment (Use, Condition, etc...)
Select from range
21. Housekeeping/Jobsite Cleanliness/Stored Material Organization
Select from range
22. Hygiene Facilities (Toilets, Hand Washing, etc...)
Select from range
23. Infection Control Measures (Negative Air Monitors, Inspection, Isolation, etc...)
Select from range
24. Interim Life Safety Measures (ISLM) (Clear Exits, Signage, Alarms, etc...)
Select from range
25. Ladders (Extension, Platform, Step)
Select from range
26. Lighting (Adequate for Conditions)
Select from range
27. Line of Fire (Struck by, Caught Between, Pinch Points, etc...)
Select from range
28. Manual Material Handling (Mechanical Means First, < 50lbs, Awkward Material)
Select from range
29. Masonry (Wall Bracing, etc...)
Select from range
30. Material Handling (other than by crane) -- Rigging, Chainfalls, Come-a-Long
Select from range
31. Personal Protective Equipment Utilization
Select from range
32. Placement of Material to be Worked On (Vice, Stand, Secured, etc...)
Select from range
33. Respiratory Protection
Select from range
34. Scaffolds (Constructed Properly and Maintained/Green, Yellow, Red Tags)
Select from range
35. Security and Public Protection
Select from range
36. Stairway Access (Rails, Pans Filled Completely, Housekeeping)
Select from range
37. Steel Erection (Erection, Decking, Structural Frame)
Select from range
38. Temporary Power (Panels, Wiring, Condition, etc...)
Select from range
39. Trenching and Excavations (Protected Properly, Egress Routes)
Select from range
40. Water (Adequate Supply, Clean/Taped/Dated, Cups, Trash Receptacles)
Select from range
41. Welding and Cutting (Bottles Secured/Stored, Leads, Flash Arrestors, etc...)
Select from range
42. Work Zone/Traffic Control/Escort
Select from range
43. Operator Certifications/Qualifications
Select from range
44.
Select from range
45.
Select from range
46.
Select from range

AAAA Leading Indicator Audit (R&M) JP Master 9-26-13

Go digital today!

Convert your paper checklists into digital forms

Demonstrated Management Commitment

Pre-Project & Pre-Task Planning

Safety Education & Training

Employee Involvement

Safety Recognition

Subcontractor Management

Incident Investigation

Other

Field Conditions

Related checklists

AAAA Leading Indicator Audit (R&M) JP Master 9-26-13

Free AAAA Leading Indicator Audit (R&M) JP Master 9-26-13 Checklist

Go digital today!

Convert your paper checklists into digital forms

Demonstrated Management Commitment

Pre-Project & Pre-Task Planning

Safety Education & Training

Employee Involvement

Safety Recognition

Subcontractor Management

Incident Investigation

Other

Field Conditions

Related checklists