Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Site Conditions - Orderliness & Material Storage

  • General site EHS Plans?

  • Regular disposal of trash?

  • Nails Removed or Bent Down - Puncture Hazard?

  • Implement hazards?

  • Fire Lanes Maintained?

  • Traffic Control?

  • Dust Protection?

  • Sidewalks & Stairways Clear?

  • Emergency Phone Available?

  • Potable Water Available?<br>

  • Emergency Exits?

  • Job Hazard Analysis?

Welding, Cutting & Fire Protection

  • Hot Work Permit in Place?

  • Contractors have their own extinguishers?

  • Extinguishers charged and inspected?

  • Cylinders upright and secured?

  • Unused cylinders capped?

  • Welding machines in good condition?

  • Hoses and cords out of the way?

  • Fuel gas and oxygen separation?

  • Welding/Cutting screens in use?

  • Check valves and flame arrestors?

  • Fire watch?

  • Condition of hoses?

  • Flammable gases and liquids storage?

  • Containers identified?

  • Correct containers used?

  • One fire extinguisher per 3,000 square feet?

Fall Protection

  • Fall arrest equipment?

  • Perimeter guard rails?

  • Leading edges?

  • Hoist areas?

  • Holes / Skylights?

  • Formwork and reinforcing steel?

  • Protection from falling objects?

  • Overhand brick laying?

  • Roofing?

  • Precast concrete erection?

  • Stairways and ramps?

  • Suitable anchor points?

  • Rescue plans?

Scaffolding, Ladders & Stairways

  • Guardrails, midrails, toeboards?

  • Lift use?

  • Platform and plank overlap and condition?

  • Plumb and square full bracing?

  • Safe access provided?

  • Competent person inspection?

  • Free of debris, snow, ice, and grease?

  • Baseplates and wheels?

  • Provided - 19" elevation break?

  • Ladders secured to prevent slipping?

  • Ladders extend 36" above access point?

  • Ladder use?

  • Step ladders open fully?

  • Metal pans & landings - trip hazard eliminated?

  • Stair rails in place?

  • Job made ladders?

Trench / Excavation

  • Excavation competent person identified?

  • Piping & electric lines located and identified prior to digging?

  • Hazardous atmosphere tested?

  • Excavation protective system - cave in protection?

  • Ladder / ramp access (required for 4' deep excavations)?

  • Ladders or ramps every 25'?

  • Spoil pile (soil) stored 2' from excavation edge?

  • Excavation barricaded?

  • Adjacent structures protected?

  • Adjacent roads and sidewalks supported?

  • Equipment at safe distance from edge?

Personal Protective Equipment

  • Eye protection?

  • Respirators / dust masks?

  • Hearing protection?

  • Substantial foot ware / work boots?

  • Hard hats (head protection)?

  • High visibility vests?

  • Other?

Electrical Safe Work Practices and Tool Safety

  • Ground fault circuit interrupters (GFCI)?

  • LOTO?

  • Machine guards?

  • Electrical boxes covered?

  • Light guards and bulbs?

  • Tools/extension cords grounded?

  • Condition of electrical cords?

  • Cords protected from sharp edges / hung with non-conductive ties?

  • Cords raised overhead?

  • Laser warning signs?

  • Other?

Confined Space Entry Procedures

  • Air sampling/ventilation?

  • Monitoring by contractor?

  • Attendant in place?

  • Emergency equipment in place?

  • Current calibration of monitor?

  • Emergency procedures communicated?

  • Other?

Cranes and Rigging

  • Annual crane inspection?

  • Monthly crane inspection?

  • Daily crane inspection?

  • Crane lift plans?

  • Roadway barricaded if necessary?

  • Swing radius of crane barricaded?

  • Outriggers fully extended?

  • Outrigger pads in use?

  • Power lines de-energized / clearance?

  • Rigging equipment and practices?

  • Tag line in use?

  • Condition of cable and sling?

  • Qualified rigger?

  • Trained signal person?

  • Other?

  • Signature

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