AGC Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Audit Start Time

  Date

• All "No" responses must be commented on (who, what, where, etc.). After your audit is completed, give a copy to your Manager. Indicate when each deficiency has been corrected.

PERSONAL PROTECTION

• Are all employees wearing appropriate personal protective equipment as required?

  Yes

  No

  N/A

• Are earplugs being worn correctly (fully inserted)?

  Yes

  No

  N/A

• Are all employees wearing safety glasses with safety shields as required?

  Yes

  No

  N/A

• Are all employees wearing the appropriate safety footwear as required?

  Yes

  No

  N/A

• Are employees voluntarily wearing N95 particulate respirators in the work area?

  Yes

  No

  N/A

• Are there employees that are mandated to wear half face piece respirators in the work area?

  Yes

  No

  N/A

• If "Yes" to #5 and/or #6, are they wearing the respirator properly?

  Yes

  No

  N/A

• Are all employees wearing the appropriate clothing as required for their work area?

  Yes

  No

  N/A

EQUIPMENT

• Are electrical outlets in good repair (not cracked or broken)?

  Yes

  No

  N/A

• Are electrical conduits in good repair (not loose, etc.)?

  Yes

  No

  N/A

• Are electrical cords, extension cords, and air hoses free of cuts, nicks, bare wires, and loose connection?

  Yes

  No

  N/A

• Do extension cords have ground pins?

  Yes

  No

  N/A

• Are hydraulic lines in good repair (no leaks, etc.)?

  Yes

  No

  N/A

• Are machine guards in place as required?

  Yes

  No

  N/A

• Are machine guards held in place with proper fasteners?

  Yes

  No

  N/A

• Do all grinders have guards?

  Yes

  No

  N/A

• Are chains in good repair?

  Yes

  No

  N/A

• Are lifting chains marked to show size, grade, reach, and load?

  Yes

  No

  N/A

• Do lifting hooks have safety latches?

  Yes

  No

  N/A

• Are hooks in good repair? (Note: Hooks should not have any more than 15% in excess of normal throat opening or 10% twist. If so, dispose of them.)

  Yes

  No

  N/A

• Do air hose connectors have appropriate clamps? (Note: water hose clamps are not allowed)

  Yes

  No

  N/A

• Are cutting torch lines in good repair?

  Yes

  No

  N/A

• Are hammer handles in good repair (wood not split, not welded on, etc.)?

  Yes

  No

  N/A

• Are crane slings and hoists marked with load capacities?

  Yes

  No

  N/A

FALL PROTECTION

• Are ladder rungs and all steps intact and in good condition?

  Yes

  No

  N/A

• Are steps clean and free of grease and oil?

  Yes

  No

  N/A

• Are all nuts, bolts, rivets, etc., all tight and in place?

  Yes

  No

  N/A

• Are ladders free of splinters and sharp edges?

  Yes

  No

  N/A

• Are horizontally stored ladders supported on the ends and in the middle?

  Yes

  No

  N/A

• Are all ladder feet parallel to the surface against which the ladder will lean?

  Yes

  No

  N/A

• Do employees avoid leaning to the side while on ladders, keeping the navel between the side rails?

  Yes

  No

  N/A

• Are guardrails and stair rails in place as required?

  Yes

  No

  N/A

• Are there toe kicks in place at the bottom of each guardrail?

  Yes

  No

  N/A

• Are the guardrails a minimum of 42 inches high?

  Yes

  No

  N/A

• Is there a center rail constructed in the guardrails?

  Yes

  No

  N/A

• Are employees wearing fall protection devices correctly? (Note: required on all aerial lifts)

  Yes

  No

  N/A

• Are removable guardrails used and in place when required?

  Yes

  No

  N/A

HOUSEKEEPING

• Workplace is clean and orderly?

  Yes

  No

  N/A

• Floors are clear and aisles, hallways, and exits are unobstructed?

  Yes

  No

  N/A

• Floor surfaces are kept dry and free of slip hazards?

  Yes

  No

  N/A

• Stairways, sidewalks, and ramps are free of defects (e.g. damaged treads, frayed edges)?

  Yes

  No

  N/A

• Illumination is adequate in all common areas and workstations?

  Yes

  No

  N/A

• All containers, including non-hazardous chemicals and waste, are labeled with the full chemical or trade name?

  Yes

  No

  N/A

• Stored materials are secure and limited in height to prevent collapse?

  Yes

  No

  N/A

• 36 inch clearance maintained for electrical panels?

  Yes

  No

  N/A

• Equipment and machines are clean and working properly?

  Yes

  No

  N/A

• Adequate ventilation is provided to machines for preventing buildup of heat or gas emissions?

  Yes

  No

  N/A

• Emergency stop switches on machines are identified and in proper working order?

  Yes

  No

  N/A

FIRE

• Emergency exit signs are visible and lit properly?

  Yes

  No

  N/A

• Fire extinguishers are visible and accessible?

  Yes

  No

  N/A

• 18 inch vertical clearance is maintained below all sprinkler heads?

  Yes

  No

  N/A

• Fire extinguishers are serviced monthly?

  Yes

  No

  N/A

• Corridors and stairways are kept free of obstruction and are not used for storage?

  Yes

  No

  N/A

OTHER

• Did you observe any employee performing their job task in an unsafe manner?

  Yes

  No

  N/A

• Are five-minute safety talks being conducted on a routine basis?

  Yes

  No

  N/A

• Do employees know what Material Safety Data Sheets (MSDS) are? (ask two employees)

  Yes

  No

  N/A

• Do employees know where the MSDS are kept? (ask the same two employees from #3)

  Yes

  No

  N/A

• Other General Comments:

• Take pictures as needed for "Other General Comments:"

  Media

SIGNATURE

• Audit End Time

  Date

• Safety Manager

  Sign