Ahern Safety Assessment (2015 Update 2)

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Cardinal Rules -We will PREPLAN our work and ensure everyone understands required tasks and steps prior to work beginning -We will wear required PPE at all times -We will ensure proper FALL PROTECTION when working at heights greater than 6ft -We will follow appropriate LOCK OUT / TAG OUT procedures -We will follow appropriate ARC FLASH procedures when working near or testing live electrical systems -We will only enter EXCAVATIONS and CONFINED SPACES after we ensure proper planning, testing, communication, equipment, and emergency plans are in place

Ahern Basics

• Jobsite PrePlan onsite

  Yes

  No

  N/A

• Daily Pre-Task Planning complete

  Yes

  No

  N/A

• Stretch and Flex Program utilized

  Yes

  No

  N/A

• Employees on site understand Ahern's Cardinal Rules

  Yes

  No

  N/A

• Emergency Telephone #'s available and location of nearest medical facility identified

  Yes

  No

  N/A

• Employees have discussed this weeks Toolbox Talk and understand the topic

  Yes

  No

  N/A

• Appropriate PPE utilized for the required task(s) (hardhat, safety glasses, work gloves, respirator, fall protections, etc.)

  Yes

  No

  N/A

• Required number of fire ext. properly located and inspected

  Yes

  No

  N/A

• All vehicles & other mobile equipment provided with fire protection

  Yes

  No

  N/A

• Work area, aisles and passageways clean and organized

  Yes

  No

  N/A

• Employees understand Safety Data Sheets (SDS) and Ahern's 3E 1-800 system

  Yes

  No

  N/A

• Ahern vehicle in good condition (housekeeping concerns, damage to vehicle etc.)

  Yes

  No

  N/A

Material Handling

• Proper lifting techniques, team lifting, mechanical advantage utilized

  Yes

  No

  N/A

• Material stored at appropriate height / distance appropriate to work area

  Yes

  No

  N/A

• Forklift and/or crane inspected and in good condition

  Yes

  No

  N/A

• Qualified personnel involved in the rigging process

  Yes

  No

  N/A

• Equipment load capacities being followed

  Yes

  No

  N/A

• Rigging equipment free from defect

  Yes

  No

  N/A

Working at Heights

• Aerial lifts, ladders, scaffold and other equipment properly inspected and utilized

  Yes

  No

  N/A

• Fall protection discussed prior to work (fall protection plan available when applicable)

  Yes

  No

  N/A

• Fall protection being utilized at heights greater than 6ft

  Yes

  No

  N/A

• Personnel below are protected from falling objects

  Yes

  No

  N/A

• Openings and leading edge work 6 ft or greater equipped with proper barricade, guardrail or cover

  Yes

  No

  N/A

Hot Work

• Flammable and explosive materials stored and handled safely

  Yes

  No

  N/A

• Compressed gas cylinders stored and secured upright

  Yes

  No

  N/A

• Empty gas cylinders marked

  Yes

  No

  N/A

• Cylinders capped when not in use

  Yes

  No

  N/A

• Welding screens provided

  Yes

  No

  N/A

• Equipment in good repair, insulators, grounding, welding leads

  Yes

  No

  N/A

• Adequate ventilation or respirator utilized

  Yes

  No

  N/A

Energy Isolation

• Energy source identified and understood by employees working on system

  Yes

  No

  N/A

• Energy source LO/TO by all employees in the area

  Yes

  No

  N/A

• Is this a multiple energy source system (multi LO/TO permit required)

  Yes

  No

  N/A

Electrical

• Assured Grounding Program up to date

  Yes

  No

  N/A

• Electrical equipment in good condition

  Yes

  No

  N/A

• GFCI Utilized

  Yes

  No

  N/A

• Adequate Arc Flash Protection (I.e. Hazard boundary, permit, customer discussion)

  Yes

  No

  N/A

• Arc Flash Equipment and PPE inspected and in good condition

  Yes

  No

  N/A

• Safe work practices implemented (cords out of pathways, kept out of water, etc.)

  Yes

  No

  N/A

Specialty Work

• Confined Space

  Yes

  No

  N/A

• Employees competent in confined space work

  Yes

  No

  N/A

• Air monitor on site and results documented (ensure proper calibration and maintenance)

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

• Energy sources locked out

  Yes

  No

  N/A

• Hazards eliminated and reclassified Non-Permit

  Yes

  No

  N/A

• Precautions taken if deemed Permit Required Confined Space (attendant, tripod, etc.)

  Yes

  No

  N/A

• Trenching/Excavating

  Yes

  No

  N/A

• Employees competent in trenching/excavating

  Yes

  No

  N/A

• Was one-call system contacted

  Yes

  No

  N/A

• Protective system properly implemented

  Yes

  No

  N/A

• Surface encumbrances protected/supported

  Yes

  No

  N/A

• Ladder within 25' of all employees

  Yes

  No

  N/A

• Utilities protected/supported

  Yes

  No

  N/A

• Spoil piles minimum of 2' from edge of excavation

  Yes

  No

  N/A

Health Hazards

• Ahern notified of potential exposure and documentation provided

  Yes

  No

  N/A

• Employees understand the hazards and have adequate training / protection

  Yes

  No

  N/A

• Lead based paint abated or safe work practices implemented prior to entry

  Yes

  No

  N/A

• Asbestos abated or encapsulated prior to entry

  Yes

  No

  N/A

• Precautions taken to control silica dust

  Yes

  No

  N/A

• Potentially harmful atmosphere controlled and monitored

  Yes

  No

  N/A

Subcontractor Safety

• Subcontractors following Ahern's policies and procedures

  Yes

  No

  N/A

Additional Comments / Observations

• Yes

  No

  N/A

• Yes

  No

  N/A

Positive Insight "Safety Excellence"

• Comments

  Yes

  No

  N/A

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