A&P Job Site Safety Evaluation

• Audit Title

• Conducted On

  Date

• Prepared By

• Location
  Address

• Personnel

• Completed On

  Date

Project Photos

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  Media

Administrative Procedures

• Site safety plan complete for AP and each subcontractor?

  Safe

  At Risk

  N/A

• Severity

• Subcontractors site plan reviewed by A&P.

  Safe

  At Risk

  N/A

• Severity

• Site specific orientations for all workers, singed by each worker?

  Safe

  At Risk

  N/A

• Severity

• Pre task planning forms being completed daily by all? (Missing info - signatures)<br>

  Safe

  At Risk

  N/A

• Severity

• A&P and subcontractor supervisors on site at all times?

  Safe

  At Risk

  N/A

• Site permits obtained for appropriate work? (Hot work, dig, confined space, etc)

  Safe

  At Risk

  N/A

• Severity

• Severity

• Training records for all aspects of the site? (Forklift, lasers, powder actuated, confined space, fall, scaffolds, etc)

  Safe

  At Risk

  N/A

• Severity

• Routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• Severity

• Safety bulletin board posted and current? OSHA 300A posted Feb - April?

  Safe

  At Risk

  N/A

• Severity

• MSDS/GHS onsite and easily accessible?

  Safe

  At Risk

  N/A

• Severity

• Weekly toolbox talks for all persons on site?

  Safe

  At Risk

  N/A

• Severity

Electrical

• Cords (Underwater, tripping hazards, ground missing, protected from damage, cords run over)

  Safe

  At Risk

  N/A

• Severity

• GFCI (Present, overloaded)

  Safe

  At Risk

  N/A

• Severity

• Exposure to overhead or underground power lines (Signage, warning lines, proximity permit, etc)

  Safe

  At Risk

  N/A

• Severity

• Electrical Hazards (cover plate, knockout inspections, exposed wiring)

  Safe

  At Risk

  N/A

• Severity

  Off

  On

Emergency Response/Crisis Management

• Emergency response plan in place,communicated and displayed to all?

  Safe

  At Risk

  N/A

• Severity

• Crisis management plan in place and communicated to all? (Crisis Management Kit available on site)

  Safe

  At Risk

  N/A

• Severity

• Rehearsal drills conducted for the emergency plans? (Horn, radio, phone)

  Safe

  At Risk

  N/A

• Severity

• First aid kit available, up to date and record of weekly inspection?

  Safe

  At Risk

  N/A

• Severity

• Trained CPR / First Aid personnel onsite?

  Safe

  At Risk

  N/A

• Severity

Environmental Hazards

• Storm water plan, permit in place? Narrative? (Updated when changes have taken place)

  Safe

  At Risk

  N/A

• Severity

• Storm water containment in place? (BMP)

  Safe

  At Risk

  N/A

• Severity

• Inspections completed and recorded weekly?

  Safe

  At Risk

  N/A

• Severity

• Dust control suppression system? (Permit, training, inspection logs)

  Safe

  At Risk

  N/A

• Severity

Equipment and Tools

• Damaged, modified equipment or tools? (Including missing or damaged guards, tagged if not suitable for service)

  Safe

  At Risk

  N/A

• Severity

• Incorrect equipment or tools for job? (e.g. grinding discs for cutting)

  Safe

  At Risk

  N/A

• Severity

• Powder actuated tools - signage, training, tool left unsupervised, unspent rounds?

  Safe

  At Risk

  N/A

• Severity

• Lasers - signage and training

  Safe

  At Risk

  N/A

• Severity

Excavations and Trenching

• Competent person on site?

  Safe

  At Risk

  N/A

• Severity

• Daily dig permit in place for each piece of equipment?

  Safe

  At Risk

  N/A

• Severity

• Proper sloping, shoring, and benching for the type of soil? (Type C should never be benched)

  Safe

  At Risk

  N/A

• Severity

• Spoils deposits at least 2' from the edge?

  Safe

  At Risk

  N/A

• Severity

• Access ladder or ramp accessible?

  Safe

  At Risk

  N/A

• Severity

• Trenches protected from fall hazards? (Barricades, fall protection equipment at 6', etc)

  Safe

  At Risk

  N/A

• Severity

Fire Safety

• Adequate fire extinguishers place properly? (1 every 3,000 sqf. within every 75' of travel)

  Safe

  At Risk

  N/A

• Severity

• Monthly and annual inspection tags?

  Safe

  At Risk

  N/A

• Severity

• Fire watch and fire suppression for hot work?

  Safe

  At Risk

  N/A

• Severity

Hazardous Materials (Including fuel and oil)

• Adequate storage location? (quantities, no smoking signs)

  Safe

  At Risk

  N/A

• Severity

• Correct labeling of containers?

  Safe

  At Risk

  N/A

• Severity

• Oxygen/Acetylene separated and capped when not in use?

  Safe

  At Risk

  N/A

• Severity

• Correct PPE - gloves and hand wash station for Portland cement?

  Safe

  At Risk

  N/A

• Severity

• Written respirator program including medical exam and fit test?

  Safe

  At Risk

  N/A

• Severity

• Voluntary nuisance mask usage documented?

  Safe

  At Risk

  N/A

• Severity

• Emergency spill containment available?

  Safe

  At Risk

  N/A

• Severity

• Lead or asbestos on site? Handle correctly if present?

  Safe

  At Risk

  N/A

• Severity

Ladders/Stairs

• Damaged or Modified ladders? (Rating and safety stickers)

  Safe

  At Risk

  N/A

• Severity

• Aluminum ladders on site?

  Safe

  At Risk

  N/A

• Severity

• Ladder used correctly? (3' above landing, secured properly, a-frame as extension, standing on top rung)<br>

  Safe

  At Risk

  N/A

• Severity

• Stairs have handrails, stair rails, lighting, pans filled, etc?

  Safe

  At Risk

  N/A

• Severity

Lifting Equipment (Cranes, Forklifts, Man lifts, etc.)

• Maintenance, testing and inspections documented? (Annual, monthly, and daily inspections including manuals)

  Safe

  At Risk

  N/A

• Severity

• Unsafe or damaged equipment? (Back up alarms, lights, horns, etc)

  Safe

  At Risk

  N/A

• Severity

• Safety stickers & operators manual?

  Safe

  At Risk

  N/A

• Severity

• Loads lifted over head or close proximity to overhead power lines? (Warning lines)

  Safe

  At Risk

  N/A

• Severity

• Unsafe, damaged or missing lifting equipment, including ropes, slings, chains, hooks, tag lines?

  Safe

  At Risk

  N/A

• Severity

• Certified and/or trained operators, riggers, spotters and signal persons in place?

  Safe

  At Risk

  N/A

• Severity

• LOTO procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• Severity

• Swing radius of machine properly protected?

  Safe

  At Risk

  N/A

• Severity

• Safe operation of equipment? (Speeding, seat belts, eye contact, tied off in snorkel/reach lift, load rating not exceeded)

  Safe

  At Risk

  N/A

• Severity

Personal Protective Equipment (PPE)

• Adequate PPE being used. (Safety glasses, hard hats, vest/class 2 apparel, hearing <br>Dba 85, etc.)

  Safe

  At Risk

  N/A

• Severity

Scaffolds (including Mobile)

• Competent person for scaffold erection?

  Safe

  At Risk

  N/A

• Severity

• LOTO in place for daily inspections, incomplete, damaged and unused scaffolding

  Safe

  At Risk

  N/A

• Severity

• Properly planked, guard rails, toe boards, access and all components compatible?

  Safe

  At Risk

  N/A

• Severity

• Scaffold properly being used? ( Using correct access points, tools secured, wheels locked, loads not exceeding manufacturers rating, etc)

  Safe

  At Risk

  N/A

• Severity

Work Environment

• Adequate amenities? (Toilets, wash areas, lunch area, etc)

  Safe

  At Risk

  N/A

• Severity

• Adequate lighting / temp lighting?<br>

  Safe

  At Risk

  N/A

• Severity

• House keeping? (neat, walkways clear, safe stacking, no liquid spills, no tripping hazards, etc.)

  Safe

  At Risk

  N/A

• Severity

• Drinking water provided? (Cups & trash)

  Safe

  At Risk

  N/A

• Severity

• Confined space entry requirements in place? (Competent person, entry plan, warning signs, rescue equipment, air monitoring)

  Safe

  At Risk

  N/A

• Severity

• Floor holes protected?

  Safe

  At Risk

  N/A

• Severity

• Traffic management plan in place? (On and Off Site)

  Safe

  At Risk

  N/A

• Severity

• Adequate flagger training?

  Safe

  At Risk

  N/A

• Severity

• Correct TMP controls on site (Barricades, bollards, speed limits, flashing lights, spotters, etc)

  Safe

  At Risk

  N/A

• Severity

Working at Heights

• Protection in place for falls of 6' (WA 4') or greater? (Guardrails toe boards , warning lines, signage, window and door stops, etc.). To include balconies, elevator shafts, windows, etc.

  Safe

  At Risk

  N/A

• Severity

• Impalement Hazards (Rebar, bolts, ext)

  Safe

  At Risk

  N/A

• Severity

Fall Protection Equipment

• Damaged equipment?

  Safe

  At Risk

  N/A

• Severity

• Misused equipment (Harness, Lanyard, Anchor Point)

  Safe

  At Risk

  N/A

• Severity

• Lack of or inadequate training for workers?

  Safe

  At Risk

  N/A

• Severity

Miscellaneous Findings?

• Misc?

  Safe

  At Risk

  N/A

• Severity

Signatures

• Onsite Representative

  Sign

• Safety Representative

  Sign