Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Has a JSA been completed by the project leader for this job and have all employees signed it? (Verify by reviewing form and ask members of work crew if they are familiar with the job EHS requirements)

  • Has daily bracing plan checklist been completed?

  • Is mobile equipment being used for work in good condition and operated in a safe manner? (Pre-job inspection checklist has been completed and is available for review? Operator not standing on mid-rail or top rail of an aerial lift, entry gate /chain in place during use?)<br>

  • Do members of the work crew know the difference between red & yellow barricade tape? (Ask members of work crew to explain difference.)

  • Is fall protection used in accordance with EHS requirements? (Verify proper and adequate fall protection, and related approved anchorage points are being used.)

  • Is roof work being performed? If so, is there a designated safety person assigned to perform the role of safety observer and performing that sole function?

  • Is fall protection provided around open pits, floor holes, manholes, and other similar openings? (Physical component such as a guardrail is in place)

  • Are machine/tool guards in place and GFCI's being used on all hand held power tools? (Inspect tools, cords, etc. to determine if in good/safe condition.)

  • Is the appropriate PPE for the job being worn by all crew members? (Refer to pre-job checklist, observe crew members and work being performed.)

  • Did the contractor conduct and document a daily tool box safety meeting with the work crew? (Ask crew members and review any documentation.)

  • Is Lock/Tag/Verify part of this job? If yes, does everyone have their own lock and white danger tag attached to the appropriate energy source? (Verify # of crew members and # of locks. Ask crew members if anyone verified the equipment was de-energized.)

  • Is a group lockbox being used? If yes, are group lockbox procedures being followed? (Do the number of locks with white danger tags match the number of people working on the job? Is there a project lock and is the project lock key controlled and identified on the Lockbox Communication Card?)

  • High Voltage: A pre-job briefing has occurred and is documented and crew members are wearing appropriate PPE for any high voltage work taking place? (Review pre-job checklist, observe crew members PPE, ask about pre-job briefing discussion.)

  • Do the crew members know what to do in case of an emergency? (Crew members should be able to respond with: call 3222, give ambulance stop number, provide information regarding the nature of emergency.)

  • Are supervisors aware of any recent changes in any of their employee's health that could affect their ability to perform work? (New medication, medical conditions, etc?)

  • Is confined space entry taking place? If yes, are all applicable areas of the Confined Space Permit appropriately completed? (Look at all applicable areas of permit.)

  • Is a Hot Work Permit completed for all hot work jobs including welding, cutting, grinding, burning? (Hot Work Permit should be issued and signed by an authorized representative. All elements of the Hot Work Permit are being followed?)

  • Are respirators being worn? If yes, is the proper type of respirator and cartridge being worn? (Refer to pre-job safety & health checklist respirator section to determine if proper type is being worn.)

  • Is a temporary 460 Volt Power Feed present? If yes, has it been properly connected? (Ask contractor personnel who made the connection. Only an Alcoa GE can make the connection. Ask GE to verify that the temporary 460 volt power feed guidelines were followed.)

  • Is job site housekeeping acceptable? (No tools, cords, or trash lying around. Area is clean & organized.)

  • Are completed and current Contractor Safety Cards available from each employee? (Ask crew members for the pink card and verify they are current.)

  • Are chemical containers labeled? (Totes, bottles, etc. labeled with manufacturer or HazCom labels & in good condition.)

  • Hazardous material communication followed in accordance with EHS requirements? (Verify that contractors have, in very close proximity to work site, all MSDS sheets of hazardous materials brought on site. Is any hazardous material present that was not reported by contractor prior to commencement of work?)

  • Are wastes and waste waters generated by the project being appropriately handled? Is waste disposal being performed in accordance with EHS requirements? (On-site & off-site waste disposal is being performed in a legal and ethical manner as discussed prior to performing work.)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.