AGCR- Risk Control Job Site Assessment

• Site conducted

  Select

• Audit Title

• Client site

• Conducted on

  Date

• Prepared by John J. Tahlier, MS IRM Senior Loss Control Consultant

• Location
  Address

• Personnel

1.0 - Previous inspection and Documentation

• Overview of the Job Site.

  Media

• Has the last inspection of this job site been reviewed and past recommendations completed?

  Yes

  No

  N/A

• Safety inspections completed twice a week?

  Yes

  No

  N/A

• Are tailgate meetings completed at least once a week?

  Safe

  At Risk

  N/A

• Are JSA's completed for all hazards ?

  Yes

  No

  N/A

• Are storm water and waste water plans in place?

  Yes

  No

  N/A

• Were AGCR best safety practices observed ?

  Yes

  No

  N/A

• Is top management using assessment scores to evaluate superintendents, project managers effectiveness on the job site?

  Yes

  No

  N/A

2.0 - Fire Prevention

• Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• Extinguisher at proper height and properly spaced?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

3.0 - General Lighting

• Good natural lighting?

  Yes

  No

  N/A

• Light fixtures adequate, properly protected and in good condition including temporary lighting?

  Yes

  No

  N/A

• Emergency exit lighting operable?

  Yes

  No

  N/A

4.0 - Building Safety

• Floor surfaces clear and uncluttered?

  Yes

  No

  N/A

• Walkways unobstructed?

  Yes

  No

  N/A

• Stair and risers appropriate and accessible?

  Yes

  No

  N/A

• Are spills removed quickly?

  Yes

  No

  N/A

• Are hand railings in place and in good condition?

  Yes

  No

  N/A

• Staging areas clean and organized?

  Yes

  No

  N/A

5.0 Proper Personal Protective Equipment

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

6.0 Housekeeping

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

7.0 - Job Sites Exposures including Fall Protection k

• Are sites clear of unnecessary debris?

  Yes

  No

  N/A

• Tools kept in proper place?

  Yes

  No

  N/A

• All Sharp edges protected?

  Yes

  No

  N/A

• Proper Personal Protective Equipment being used properly?

  Yes

  No

  N/A

• Are heat illness procedures in place when temperatures are over 75 degrees? (Water and shade)

  Yes

  No

  N/A

• Are floor and wall openings marked and secured?

  Yes

  No

  N/A

• Is fuel properly contained, identified with proper signage ?

  Yes

  No

  N/A

• Are all protrusion properly protected with appropriate protection (rebar caps, etc) ?

  Yes

  No

  N/A

• Are confine spaces properly identified, monitored with appropriate controls in place?

  Yes

  No

  N/A

• Are respiratory's being used when grinding or cutting cement blocks, panels, entering confine spaces, etc.

  Yes

  No

  N/A

• Are riggers and crane operators properly certified?

  Yes

  No

  N/A

• During lifts are tag lines being used properly?

  Yes

  No

  N/A

• Are all lifting slings in good condition?

  Yes

  No

  N/A

• Are handrails installed properly with a top rail, mid rail and kick plate or toe board?

  Yes

  No

  N/A

• Fall protection plan submitted prior to elevated work starting?

  Yes

  No

  N/A

• Are excavations properly barricaded with proper set backs?

  Yes

  No

  N/A

• Are harnesses being used properly ?

  Yes

  No

  N/A

• Proper use of "caution" and "danger" tape ?

  Yes

  No

  N/A

• Are compressed gas cylinders proper secured and stored?

  Yes

  No

  N/A

• Are fall preventive measures in place and used where gaps occur?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

8.0 - Staging Areas

• Garbage or recycling bins located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?s

  Yes

  No

  N/A

9.0 - Proper use of JLG, Skid Loader, scissor lifts and other mobile Equipment.

• Operators trained in the proper operation of the machines?

  Yes

  No

  N/A

• Fire extinguishers located in all equipment?

  Yes

  No

  N/A

• Back up alarms working properly?

  Yes

  No

  N/A

• Seat belts used when operating equipment?

  Yes

  No

  N/A

• Is equipment in good working condition?

  Yes

  No

  N/A

• Are operators within 25' unobstructed to the running equipment?

  Yes

  No

  N/A

10.0 - Trenching and Excavation

• Are spill piles set back at least 2'?

  Yes

  No

  N/A

• Is proper shoring in place?

  Yes

  No

  N/A

• Are all excavations adequately barricaded?

  Yes

  No

  N/A

• Is there adequate access and exits leading into and out of the trench and excavation?

  Yes

  No

  N/A

• Adequate work space?

  Yes

  No

  N/A

11.0 - Electrical Safety

• Portable equipment tested, tagged and color coded?

  Yes

  No

  N/A

• Are all electrical cords in good condition with no frayed or damaged cords?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Are spider boxes being used effectively?

  Yes

  No

  N/A

• Are all hot panels proper labelled and secured?

  Yes

  No

  N/A

• Are extension cords used properly?

  Yes

  No

  N/A

• Are proper lock-out/tag-out LO/TO procedures being followed?

  Yes

  No

  N/A

12.0 - Chemical Safety

• Hazardous Materials safety data sheets complete and available?

  Yes

  No

  N/A

• Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• All containers labelled correctly?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers easily accessed?

  Yes

  No

  N/A

13.0 - Ladders

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• Are ladders the proper type and properly secured?

  Yes

  No

  N/A

• Are ladders properly extended over landing area ? (3'1/2")

  Yes

  No

  N/A

• Are ladders being used on a level surface?

  Yes

  No

  N/A

• Are labels legible?

  Yes

  No

  N/A

• Are ladders used at the proper angle (73 to 77 degree angle)?

  Yes

  No

  N/A

14.0 - Scaffolding

• Are proper planks being used and properly overlapped?

  Yes

  No

  N/A

• Are proper guardrails in place?

  Yes

  No

  N/A

• Are toe boards in place?

  Yes

  No

  N/A

• Is scaffolding tied to the structure or at the proper allowable distance from the structure?

  Yes

  No

  N/A

• Are mobile scaffolds feet locked and guarded appropriately?

  Yes

  No

  N/A

15.0 - First Aid and Job Site signage?

• Are cabinets and contents clean, accessible and orderly?

  Yes

  No

  N/A

• Are superintendents trained in first aid and CPR?

  Yes

  No

  N/A

• Are emergency numbers displayed?

  Yes

  No

  N/A

16.0 - Fleet Vehicles

• Schedule maintenance performed?

  Yes

  No

  N/A

• Lights? (Check operation of brake, indicator and reversing lights, pre and post inspections)?

  Yes

  No

  N/A

• First aid kit and fire extinguisher supplied and adequate?

  Yes

  No

  N/A

17.0 - Additional Recommendations

• Were there additional recommendations that needed to be addressed?

  Yes

  No

  N/A

• Were there additional recommendations that need to be addressed?

  Yes

  No

  N/A

• Were there additional recommendations that need to be addressed?

  Yes

  No

  N/A

• Were there additional recommendations that need to be addressed?

  Yes

  No

  N/A

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• On site representative

  Sign

• Auditor's signature

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