Title Page
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Unit(s) Audited
- VCM
- PVC
- C/A
- Plantwide
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Shift
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Contractors Involved in Assessment
- Bernard Bros
- Gulf Mechanical
- Southern Fire
- Turner Industries
- ISC
- Cajun Industries
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Construction Activities
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Weather
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Date & Time of Inspection
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Prepared By
A. Documentation
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All required S&H manuals available, updated
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Safety meeting and inspection documents
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A1. Permits & JSA's
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Are affected employees knowledgeable of systems in place and all work properly permitted, per Westlake procedures?
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Are work permits being walked down in the field to ensure effective communication? (Joint Job Walk)
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Applicable permits posted/at work location and completely filled out? (excavations, confined space, Safe work, hot work)
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JSA filled out in its' entirety, detailed, and shared with all workers?
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Are employees on JSA working in accordance with JSA and work permits?
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Signatures in place
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B. Aerial Lifts
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Daily Inspection completed?
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Employees using full body harness and lanyard
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Fall protection properly tied-off
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Fall Protection properly inspected?
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Using designated anchor points
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Entrance chain up or gate closed
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Used on level, solid surface
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Lift not overloaded
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C. Powered Industrial Trucks
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Operators trained (MUST upload photo evidence of current training)
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Operator using seatbelt
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Forklifts parked with forks lowered to ground
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Equipment has no signs of leaking of any fluids/daily inspection complete?
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Reverse sounds audible or operator utilizing spotter
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Fire extinguisher present on equipment, as well as inspected and charged
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All safety features of equipment in proper working condition
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D. Compressed Gases
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Cylinders upright, labeled, caps in place and secured?
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Flammables separated 20' for Oxidizers
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Safety cap in place on stored cylinders
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Not stored in wet areas
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Stored away from exit areas
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Hoses and fittings in good condition
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Flashback arrestors in line
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E. Concrete and Masonry
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Employees using dust mask for demolition
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Rebar caps being used
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Any silica exposure is controlled
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F. Confined Space
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Confined spaces posted with warning sign
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Entrants and Attendants identified
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Permit obtained for entry
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Proper egress/access devices in place
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Atmospheric testing continuous and recorded
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Rescue Team identified
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G. Electrical
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GFCI protection being used
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Electrical cords free of damage
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Electrical cords protected from damage
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Ground prong in place
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Energized panels with cover in place or barricaded
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Lock-Out/Tag-Out being utilized
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Are locks and tags on lockbox and do they match work permit(s)?
H. Fall Protection
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Employees using fall protection where fall exists
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Open sides and holes protected
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Fall protection equipment in good condition and inspected
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Substantial Anchor points for fall protection
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Slips/Trips/Falls hazards controlled
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I. Fire Protection
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Portable fire extinguishers available and inspected
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Are fire extinguishers picked up after job is complete?
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Fire extinguisher charged and ready
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Flammable liquids in safety cans
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No smoking near flammable/combustibles
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Spill retention around mobile fuel tanks
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Open flames controlled, monitored
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Trained incipient fire fighter on site
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J. Illumination
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Temporary lights enclosed in protective cages
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Area properly lighted
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Lights protected from damage
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K. Signs
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Can signs be read/not faded?
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Warning signs in place where hazards may exist
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L. Stairways
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Free of obstruction
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Protected with railings if over 19 inches high
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M. Exits
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Are all exits properly marked
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Are exits clear of debris or other objects
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Do exits lead to safe areas
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N. Barricading
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Are tags in place on all 4 side, Company name listed, and dated?
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All hazard areas barricaded to prevent customers etc. from entering
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All fall hazards, open holes etc. barricaded
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O. Carbon Monoxide
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Indoor worksites ventilated
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Fuel powered equipment limited to minimum
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Areas monitored for CO
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P. Housekeeping
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Trash cleaned up daily
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Exposed nails & other sharp objects controlled
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Trash cans empty
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Q. Hand and Power Tools
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Equipment free of damage and inspected
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Protective guards/ handles in place
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Employees using eye/face protection
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PPE used as needed
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Users of Powder operated tools properly licensed (provide photo evidence of license/training)
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R. Hazard Communication
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Hazardous containers labelled
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SDS sheet available
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Eye wash available in work area
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Chemical PPE used as needed
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S. Ladders
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Are ladders properly stored when not in use?
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A-Frame ladders fully opened with locking spreader in place
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A-Frame not used as straight ladder
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Stickers on ladders
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Straight ladders extending 3; over access area
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Straight ladders secured from movement
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All ladders free of damage and inspected
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Metal ladders not used around electric source
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Used on solid, level surface
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Employees not climbing with hands full of equipment
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Rope on extension ladders
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T. Personal Protective Equipment
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All employees have escape respirators on their person
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Respiratory protection used as required
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Hearing protection used in areas over 85dba
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Proper hand/foot protection used as required
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Safety glasses or face shields used at all times when area posted or eye hazards exist
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Hard hats used at all times
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Workers wearing required Hi Vis clothing (if required by site)
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U. Scaffolds
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Erected and dismantled by competent person (provide photo evidence of employer designating their competent person)
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Scaffolding green tagged, signed, and dated (MUST upload photo of tag)
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Walking surfaces in safe working condition
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Guardrails, midrails, toe boards present
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Fall protection provided
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Erected on solid, level surface
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Access method provided
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Casters locked while in use (applies to mobile scaffolds)
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V. First Aid Kits
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First Aid kits inspected?
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First Aid kits available on working floor or easily accessible
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Properly stocked and in good condition
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W. Lasers
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Warning sign posted
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X. Material Handling
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Rigging activities conducted by trained personnel and verified?
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Slings etc. free of damage, properly rated and tagged.
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Lifting equipment has proper capacity
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Hoist hooks provided with throat latch
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Hoisting areas protected against fall hazards
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Is material/equipment stored in such a way to be clear of exits, hallways and in orderly condition, with no tripping hazard
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Tag Lines being used as needed
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Safety devices operational & being used
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Crane swing radius protected
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Y. Asbestos / Lead
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Work crews are aware of location of Asbestos/Lead?
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Suspected areas tested
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Positive test areas identified
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Employees using proper PPE
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Other areas protected from exposure
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Areas posted with proper warning signs
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Proper documentation available
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Areas sealed to prevent outside contamination
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Z. Steel Erection
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Fall protection, steel erection activities
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Beams 2 bolted prior to release
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Columns 4 bolted and secure
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Organized lay down area
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Concrete curing certificate filed
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Hot work permits / fire watch
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Cable bracing
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AA. Trenching and Excavation
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Competent person on site (must have documentation with employer designating their competent person on-site)
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Protection installed if over 5' deep
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Access ladder or equivalent
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Spoils set back 2' or more
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Water free
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Step back slopes
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Completion
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Inspector : (Name & Signature)