Alcon Weekly Safety Checklist

• Project Name

• Contractor Name

• Conducted on

  Date

• Prepared by

• Walkthrough Completed By:

Site Safety Inspection

First Aid Facilities

• Are first aid facilities to be inspected in this audit?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Is there easy access to first aid cabinets?

  Yes

  No

  N/A

• Are first aid cabinets and contents clean and orderly?

  Yes

  No

  N/A

• No first aid contents past their expiry date?

  Yes

  No

  N/A

Fire Prevention & Emergency

• Are fire and emergency procedures to be inspected in this audit?

  Yes

  No

  N/A

• Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

• Extinguishers in place and properly serviced?

  Yes

  No

  N/A

• Hot work permit in place for hot work activities and visible at work area?

  Yes

  No

  N/A

Site Security

• Is site security to be inspected in this audit?

  Yes

  No

  N/A

• Are site entry and exit points clearly designated?

  Yes

  No

  N/A

• Is site perimeter fenced off appropriately with required site public signage posted?

  Yes

  No

  N/A

• Are all site orientations completed and saved for anyone working at the job site?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is Personal Protective Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Is head protection worn correctly and where required?

  Yes

  No

  N/A

• Is eye protection worn where required?

  Yes

  No

  N/A

• Are the correct forms of eye protection worn for tasks being completed?

  Yes

  No

  N/A

• Is hearing protection worn in designated areas?

  Yes

  No

  N/A

• Are the correct forms of hand protection worn for manual tasks

  Yes

  No

  N/A

• Is respiratory protection worn where dust, mist or fumes are present?

  Yes

  No

  N/A

• Is footwear in good condition and of correct type?<br>

  Yes

  No

  N/A

• Are high-vis vests or clothing worn at all times outside the office?

  Yes

  No

  N/A

• Are safety harnesses appropriately worn at height?<br>

  Yes

  No

  N/A

Housekeeping

• Is site housekeeping to be inspected in this audit?

  Yes

  No

  N/A

Material Storage / Construction Segregation

• Site storage to be inspected in this audit?

  Yes

  No

  N/A

• Are laydown/storage areas orderly and clearly segregated from work areas?

  Yes

  No

  N/A

• Is the loading / delivery area for materials clean and tidy?

  Yes

  No

  N/A

• Is signage in place at construction entrances to designate work areas?

  Yes

  No

  N/A

• Is dust properly controlled by use of temp walls and/or exhaust fans?

  Yes

  No

  N/A

Waste

• Waste to be inspected in this audit?

  Yes

  No

  N/A

• Are bins/dumpsters located at suitable points around site?

  Yes

  No

  N/A

• Is site generally orderly, with waste materials disposed of correctly?

  Yes

  No

  N/A

• Are bins/dumpsters emptied regularly?

  Yes

  No

  N/A

Slips and Trips

• Trip and fall safety to be inspected in this audit?

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are entry and walkways kept clear?

  Yes

  No

  N/A

• Are walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are stairs and risers kept clear?

  Yes

  No

  N/A

• Are floor surfaces free of liquid spills?

  Yes

  No

  N/A

• Are footpaths in good condition?

  Yes

  No

  N/A

• Are appropriate measures in place to prevent falls? ie. barriers (preferred) or harnesses?

  Yes

  No

  N/A

• Are all floor openings fully barricaded or are protected with a secured cover and labelled?

  Yes

  No

  N/A

Working at height

• Fall Prevention inspected in this audit?

  Yes

  No

  N/A

• Are physical barriers sufficient in height and strength? (top rails, mid rails and toe boards).

  Yes

  No

  N/A

• Are physical barriers or exclusion zones set up below working at height to reduce fall of materials?

  Yes

  No

  N/A

• Are methods of accessing high level suitable and secured to work platform?

  Yes

  No

  N/A

• Are safety harnesses worn properly and only used as a last resort where physical barriers at not practical?

  Yes

  No

  N/A

• Are penetrations guarded or covered with signage (hole below)?

  Yes

  No

  N/A

• Scaffolds to be inspected in this audit?

  Yes

  No

  N/A

• Are scaffolds constructed and erected only by qualified and trained personnel?

  Yes

  No

  N/A

• Have all scaffold plans been submitted and approved?

  Yes

  No

  N/A

• Are scaffolds accessible and clear of unstable objects and trip hazards?

  Yes

  No

  N/A

• Is scaffold adequately secured to building (or appropriately secured with alternative method)?

  Yes

  No

  N/A

• Are guard rails installed on all scaffolds above 10 feet?

  Yes

  No

  N/A

• Are scaffold footings stable, secure and free of unstable propping objects (barrels, boxes, loose brick or concrete blocks etc)?

  Yes

  No

  N/A

• Are scaffold footings and anchorages designed to support the maximum intended load without settling or displacement?

  Yes

  No

  N/A

• Are scaffolds being regularly inspected?

  Yes

  No

  N/A

• Ladders to be inspected in this audit?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are ladders properly secured?

  Yes

  No

  N/A

• Are ladders in good condition and up to date on inspection?

  Yes

  No

  N/A

• If used for electrical work are ladders non conductive? (wood or fibre glass.)

  Yes

  No

  N/A

• Are ladders being used according to instructions?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are ladders not used to access heights when higher order controls should be used?

  Yes

  No

  N/A

Lifting and Slinging

• Is lifting and slinging to be inspected in this audit?

  Yes

  No

  N/A

• Is method of lifting agreed and signed off by competent person?

  Yes

  No

  N/A

• Is system in place for identifying excessive loads, overstretching crane limits, and high winds?

  Yes

  No

  N/A

• Is lifting equipment fit for purpose?

  Yes

  No

  N/A

• Are pathways and work areas below lifting operations closed with adequate segregation?

  Yes

  No

  N/A

• Are operators, slingers, and signalers certified?

  Yes

  No

  N/A

Hand and Power Tools

• Hand and power tools to be inspected in this audit?

  Yes

  No

  N/A

• Are all tool guards in place and operable?

  Yes

  No

  N/A

• Are power cords in good condition?

  Yes

  No

  N/A

• Are all tools double insulated or have a ground plug?

  Yes

  No

  N/A

• Are ground fault circuit interrupters in place at the source of electricity?

  Yes

  No

  N/A

• Are all power tools in good condition?

  Yes

  No

  N/A

• Are defective pieces of equipment and tools red tagged and removed from service?

  Yes

  No

  N/A

• Are tools stored correctly and in the right place when not in use?

  Yes

  No

  N/A

• Are employees using the proper tool for the task they are performing?

  Yes

  No

  N/A

• Are dust collectors and exhausts provided on tools that produce large amounts of dust?

  Yes

  No

  N/A

Electrical Safety

• Electrical safety to be inspected this audit?

  Yes

  No

  N/A

• Are safety switches installed and proper Lock-Out-Tag-Out (LOTO) procedures in place for effective isolation?

  Yes

  No

  N/A

• There are no outlets are overloaded / No double adapters in use?

  Yes

  No

  N/A

• Has portable equipment been tested and tagged?

  Yes

  No

  N/A

• There are no broken plugs, sockets or switches?

  Yes

  No

  N/A

• There are no extension chords across walkways?

  Yes

  No

  N/A

• No frayed or damaged extension chords?

  Yes

  No

  N/A

• Where required are emergency shut-down procedures in place?

  Yes

  No

  N/A

Chemical Safety

• Chemical safety to be inspected this audit?

  Yes

  No

  N/A

• Have risk assessments been completed for hazardous substances?

  Yes

  No

  N/A

• Are Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Are all containers labelled correctly?

  Yes

  No

  N/A

• Are unused substances disposed of?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers available and easily accessible?

  Yes

  No

  N/A

• Are spill kits or other clean up arrangements available?

  Yes

  No

  N/A

Confined Spaces

• Confined spaces safety to be inspected this audit?

  Yes

  No

  N/A

• Do all applicable confined space works have adequate permits granted and documented?

  Yes

  No

  N/A

• Is a confined space emergency plan in place?

  Yes

  No

  N/A

• Are confined spaces being continually monitored?

  Yes

  No

  N/A

• Are all workers undertaking confined space works trained in confined space entry and activities?

  Yes

  No

  N/A

Ground and Civil Works

• Ground and Civil Works to be inspected in this audit?

  Yes

  No

  N/A

• Is excavation assessed and approved with excavation permit?

  Yes

  No

  N/A

• Have all underground utilities been located for excavations greater than 12 inches deep?

  Yes

  No

  N/A

• Is proper shoring and benching in place for open excavations?

  Yes

  No

  N/A

• Are proper barricading and signage in place for open excavations?

  Yes

  No

  N/A

• Is a spotter available for high risk excavations near critical activities?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A