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
General Site Conditions - Orderliness & Material Storage
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General site EHS Plans?
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Regular disposal of trash?
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Nails Removed or Bent Down - Puncture Hazard?
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Implement hazards?
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Fire Lanes Maintained?
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Traffic Control?
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Dust Protection?
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Sidewalks & Stairways Clear?
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Emergency Phone Available?
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Potable Water Available?<br>
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Emergency Exits?
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Job Hazard Analysis?
Welding, Cutting & Fire Protection
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Hot Work Permit in Place?
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Contractors have their own extinguishers?
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Extinguishers charged and inspected?
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Cylinders upright and secured?
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Unused cylinders capped?
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Welding machines in good condition?
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Hoses and cords out of the way?
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Fuel gas and oxygen separation?
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Welding/Cutting screens in use?
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Check valves and flame arrestors?
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Fire watch?
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Condition of hoses?
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Flammable gases and liquids storage?
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Containers identified?
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Correct containers used?
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One fire extinguisher per 3,000 square feet?
Fall Protection
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Fall arrest equipment?
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Perimeter guard rails?
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Leading edges?
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Hoist areas?
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Holes / Skylights?
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Formwork and reinforcing steel?
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Protection from falling objects?
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Overhand brick laying?
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Roofing?
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Precast concrete erection?
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Stairways and ramps?
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Suitable anchor points?
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Rescue plans?
Scaffolding, Ladders & Stairways
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Guardrails, midrails, toeboards?
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Lift use?
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Platform and plank overlap and condition?
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Plumb and square full bracing?
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Safe access provided?
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Competent person inspection?
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Free of debris, snow, ice, and grease?
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Baseplates and wheels?
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Provided - 19" elevation break?
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Ladders secured to prevent slipping?
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Ladders extend 36" above access point?
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Ladder use?
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Step ladders open fully?
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Metal pans & landings - trip hazard eliminated?
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Stair rails in place?
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Job made ladders?
Trench / Excavation
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Excavation competent person identified?
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Piping & electric lines located and identified prior to digging?
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Hazardous atmosphere tested?
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Excavation protective system - cave in protection?
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Ladder / ramp access (required for 4' deep excavations)?
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Ladders or ramps every 25'?
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Spoil pile (soil) stored 2' from excavation edge?
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Excavation barricaded?
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Adjacent structures protected?
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Adjacent roads and sidewalks supported?
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Equipment at safe distance from edge?
Personal Protective Equipment
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Eye protection?
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Respirators / dust masks?
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Hearing protection?
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Substantial foot ware / work boots?
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Hard hats (head protection)?
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High visibility vests?
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Other?
Electrical Safe Work Practices and Tool Safety
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Ground fault circuit interrupters (GFCI)?
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LOTO?
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Machine guards?
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Electrical boxes covered?
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Light guards and bulbs?
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Tools/extension cords grounded?
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Condition of electrical cords?
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Cords protected from sharp edges / hung with non-conductive ties?
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Cords raised overhead?
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Laser warning signs?
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Other?
Confined Space Entry Procedures
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Air sampling/ventilation?
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Monitoring by contractor?
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Attendant in place?
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Emergency equipment in place?
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Current calibration of monitor?
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Emergency procedures communicated?
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Other?
Cranes and Rigging
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Annual crane inspection?
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Monthly crane inspection?
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Daily crane inspection?
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Crane lift plans?
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Roadway barricaded if necessary?
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Swing radius of crane barricaded?
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Outriggers fully extended?
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Outrigger pads in use?
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Power lines de-energized / clearance?
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Rigging equipment and practices?
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Tag line in use?
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Condition of cable and sling?
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Qualified rigger?
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Trained signal person?
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Other?
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Signature