Title Page

  • Unit(s) Audited

  • Shift

  • Contractors Involved in Assessment

  • Construction Activities

  • Weather

  • Date & Time of Inspection

  • Prepared By

A. Documentation

  • All required S&H manuals available, updated

  • Hazard Type

  • Contractor

  • Safety meeting and inspection documents

  • Hazard Type

  • Contractor

A1. Permits & JSA's

  • Are affected employees knowledgeable of systems in place and all work properly permitted, per Westlake procedures?

  • Are work permits being walked down in the field to ensure effective communication? (Joint Job Walk)

  • Applicable permits posted/at work location and completely filled out? (excavations, confined space, Safe work, hot work)

  • JSA filled out in its' entirety, detailed, and shared with all workers?

  • Hazard Type

  • Contractor

  • Are employees on JSA working in accordance with JSA and work permits?

  • Signatures in place

  • Hazard Type

  • Contractor

B. Aerial Lifts

  • Daily Inspection completed?

  • Employees using full body harness and lanyard

  • Hazard Type

  • Contractor

  • Fall protection properly tied-off

  • Hazard Type

  • Contractor

  • Fall Protection properly inspected?

  • Using designated anchor points

  • Hazard Type

  • Contractor

  • Entrance chain up or gate closed

  • Hazard Type

  • Contractor

  • Used on level, solid surface

  • Hazard Type

  • Contractor

  • Lift not overloaded

  • Hazard Type

  • Contractor

C. Powered Industrial Trucks

  • Operators trained (MUST upload photo evidence of current training)

  • Hazard Type

  • Contractor

  • Operator using seatbelt

  • Hazard Type

  • Contractor

  • Forklifts parked with forks lowered to ground

  • Hazard Type

  • Contractor

  • Equipment has no signs of leaking of any fluids/daily inspection complete?

  • Hazard Type

  • Contractor

  • Reverse sounds audible or operator utilizing spotter

  • Hazard Type

  • Contractor

  • Fire extinguisher present on equipment, as well as inspected and charged

  • Hazard Type

  • Contractor

  • All safety features of equipment in proper working condition

  • Hazard Type

  • Contractor

D. Compressed Gases

  • Cylinders upright, labeled, caps in place and secured?

  • Hazard Type

  • Contractor

  • Flammables separated 20' for Oxidizers

  • Hazard Type

  • Contractor

  • Safety cap in place on stored cylinders

  • Hazard Type

  • Contractor

  • Not stored in wet areas

  • Hazard Type

  • Contractor

  • Stored away from exit areas

  • Hazard Type

  • Contractor

  • Hoses and fittings in good condition

  • Hazard Type

  • Contractor

  • Flashback arrestors in line

  • Hazard Type

  • Contractor

E. Concrete and Masonry

  • Employees using dust mask for demolition

  • Hazard Type

  • Contractor

  • Rebar caps being used

  • Hazard Type

  • Contractor

  • Any silica exposure is controlled

  • Hazard Type

  • Contractor

F. Confined Space

  • Confined spaces posted with warning sign

  • Hazard Type

  • Contractor

  • Entrants and Attendants identified

  • Hazard Type

  • Contractor

  • Permit obtained for entry

  • Hazard Type

  • Contractor

  • Proper egress/access devices in place

  • Hazard Type

  • Contractor

  • Atmospheric testing continuous and recorded

  • Hazard Type

  • Contractor

  • Rescue Team identified

  • Hazard Type

  • Contractor

G. Electrical

  • GFCI protection being used

  • Hazard Type

  • Contractor

  • Electrical cords free of damage

  • Hazard Type

  • Contractor

  • Electrical cords protected from damage

  • Hazard Type

  • Contractor

  • Ground prong in place

  • Hazard Type

  • Contractor

  • Energized panels with cover in place or barricaded

  • Hazard Type

  • Contractor

  • Lock-Out/Tag-Out being utilized

  • Hazard Type

  • Contractor

  • Are locks and tags on lockbox and do they match work permit(s)?

H. Fall Protection

  • Employees using fall protection where fall exists

  • Hazard Type

  • Contractor

  • Open sides and holes protected

  • Hazard Type

  • Contractor

  • Fall protection equipment in good condition and inspected

  • Hazard Type

  • Contractor

  • Substantial Anchor points for fall protection

  • Hazard Type

  • Contractor

  • Slips/Trips/Falls hazards controlled

  • Hazard Type

  • Contractor

I. Fire Protection

  • Portable fire extinguishers available and inspected

  • Hazard Type

  • Contractor

  • Are fire extinguishers picked up after job is complete?

  • Fire extinguisher charged and ready

  • Hazard Type

  • Contractor

  • Flammable liquids in safety cans

  • Hazard Type

  • Contractor

  • No smoking near flammable/combustibles

  • Hazard Type

  • Contractor

  • Spill retention around mobile fuel tanks

  • Hazard Type

  • Contractor

  • Open flames controlled, monitored

  • Hazard Type

  • Contractor

  • Trained incipient fire fighter on site

  • Hazard Type

  • Contractor

J. Illumination

  • Temporary lights enclosed in protective cages

  • Hazard Type

  • Contractor

  • Area properly lighted

  • Hazard Type

  • Contractor

  • Lights protected from damage

  • Hazard Type

  • Contractor

K. Signs

  • Can signs be read/not faded?

  • Warning signs in place where hazards may exist

  • Hazard Type

  • Contractor

L. Stairways

  • Free of obstruction

  • Hazard Type

  • Contractor

  • Protected with railings if over 19 inches high

  • Hazard Type

  • Contractor

M. Exits

  • Are all exits properly marked

  • Hazard Type

  • Contractor

  • Are exits clear of debris or other objects

  • Hazard Type

  • Contractor

  • Do exits lead to safe areas

  • Hazard Type

  • Contractor

N. Barricading

  • Are tags in place on all 4 side, Company name listed, and dated?

  • All hazard areas barricaded to prevent customers etc. from entering

  • Hazard Type

  • Contractor

  • All fall hazards, open holes etc. barricaded

  • Hazard Type

  • Contractor

O. Carbon Monoxide

  • Indoor worksites ventilated

  • Hazard Type

  • Contractor

  • Fuel powered equipment limited to minimum

  • Hazard Type

  • Contractor

  • Areas monitored for CO

  • Hazard Type

  • Contractor

P. Housekeeping

  • Trash cleaned up daily

  • Hazard Type

  • Contractor

  • Exposed nails & other sharp objects controlled

  • Hazard Type

  • Contractor

  • Trash cans empty

  • Hazard Type

  • Contractor

Q. Hand and Power Tools

  • Equipment free of damage and inspected

  • Hazard Type

  • Contractor

  • Protective guards/ handles in place

  • Hazard Type

  • Contractor

  • Employees using eye/face protection

  • Hazard Type

  • Contractor

  • PPE used as needed

  • Hazard Type

  • Contractor

  • Users of Powder operated tools properly licensed (provide photo evidence of license/training)

  • Hazard Type

  • Contractor

R. Hazard Communication

  • Hazardous containers labelled

  • Hazard Type

  • Contractor

  • SDS sheet available

  • Hazard Type

  • Contractor

  • Eye wash available in work area

  • Hazard Type

  • Contractor

  • Chemical PPE used as needed

  • Hazard Type

  • Contractor

S. Ladders

  • Are ladders properly stored when not in use?

  • A-Frame ladders fully opened with locking spreader in place

  • Hazard Type

  • Contractor

  • A-Frame not used as straight ladder

  • Hazard Type

  • Contractor

  • Stickers on ladders

  • Hazard Type

  • Contractor

  • Straight ladders extending 3; over access area

  • Hazard Type

  • Contractor

  • Straight ladders secured from movement

  • Hazard Type

  • Contractor

  • All ladders free of damage and inspected

  • Hazard Type

  • Contractor

  • Metal ladders not used around electric source

  • Hazard Type

  • Contractor

  • Used on solid, level surface

  • Hazard Type

  • Contractor

  • Employees not climbing with hands full of equipment

  • Hazard Type

  • Contractor

  • Rope on extension ladders

  • Hazard Type

  • Contractor

T. Personal Protective Equipment

  • All employees have escape respirators on their person

  • Respiratory protection used as required

  • Hazard Type

  • Contractor

  • Hearing protection used in areas over 85dba

  • Hazard Type

  • Contractor

  • Proper hand/foot protection used as required

  • Hazard Type

  • Contractor

  • Safety glasses or face shields used at all times when area posted or eye hazards exist

  • Hazard Type

  • Contractor

  • Hard hats used at all times

  • Hazard Type

  • Contractor

  • Workers wearing required Hi Vis clothing (if required by site)

  • Hazard Type

  • Contractor

U. Scaffolds

  • Erected and dismantled by competent person (provide photo evidence of employer designating their competent person)

  • Hazard Type

  • Contractor

  • Scaffolding green tagged, signed, and dated (MUST upload photo of tag)

  • Hazard Type

  • Contractor

  • Walking surfaces in safe working condition

  • Hazard Type

  • Contractor

  • Guardrails, midrails, toe boards present

  • Hazard Type

  • Contractor

  • Fall protection provided

  • Hazard Type

  • Contractor

  • Erected on solid, level surface

  • Hazard Type

  • Contractor

  • Access method provided

  • Hazard Type

  • Contractor

  • Casters locked while in use (applies to mobile scaffolds)

  • Hazard Type

  • Contractor

V. First Aid Kits

  • First Aid kits inspected?

  • First Aid kits available on working floor or easily accessible

  • Hazard Type

  • Contractor

  • Properly stocked and in good condition

  • Hazard Type

  • Contractor

W. Lasers

  • Warning sign posted

  • Hazard Type

  • Contractor

X. Material Handling

  • Rigging activities conducted by trained personnel and verified?

  • Slings etc. free of damage, properly rated and tagged.

  • Hazard Type

  • Contractor

  • Lifting equipment has proper capacity

  • Hazard Type

  • Contractor

  • Hoist hooks provided with throat latch

  • Hazard Type

  • Contractor

  • Hoisting areas protected against fall hazards

  • Hazard Type

  • Contractor

  • Is material/equipment stored in such a way to be clear of exits, hallways and in orderly condition, with no tripping hazard

  • Hazard Type

  • Contractor

  • Tag Lines being used as needed

  • Hazard Type

  • Contractor

  • Safety devices operational & being used

  • Hazard Type

  • Contractor

  • Crane swing radius protected

  • Hazard Type

  • Contractor

Y. Asbestos / Lead

  • Work crews are aware of location of Asbestos/Lead?

  • Suspected areas tested

  • Hazard Type

  • Contractor

  • Positive test areas identified

  • Hazard Type

  • Contractor

  • Employees using proper PPE

  • Hazard Type

  • Contractor

  • Other areas protected from exposure

  • Hazard Type

  • Contractor

  • Areas posted with proper warning signs

  • Hazard Type

  • Contractor

  • Proper documentation available

  • Hazard Type

  • Contractor

  • Areas sealed to prevent outside contamination

  • Hazard Type

  • Contractor

Z. Steel Erection

  • Fall protection, steel erection activities

  • Hazard Type

  • Contractor

  • Beams 2 bolted prior to release

  • Hazard Type

  • Contractor

  • Columns 4 bolted and secure

  • Hazard Type

  • Contractor

  • Organized lay down area

  • Hazard Type

  • Contractor

  • Concrete curing certificate filed

  • Hazard Type

  • Contractor

  • Hot work permits / fire watch

  • Hazard Type

  • Contractor

  • Cable bracing

  • Hazard Type

  • Contractor

AA. Trenching and Excavation

  • Competent person on site (must have documentation with employer designating their competent person on-site)

  • Hazard Type

  • Contractor

  • Protection installed if over 5' deep

  • Hazard Type

  • Contractor

  • Access ladder or equivalent

  • Hazard Type

  • Contractor

  • Spoils set back 2' or more

  • Hazard Type

  • Contractor

  • Water free

  • Hazard Type

  • Contractor

  • Step back slopes

  • Hazard Type

  • Contractor

Completion

  • Inspector : (Name & Signature)

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