Allied Environmental Services, Inc.

• Audit Title

• Conducted on

  Date

• Prepared by

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Have previous discrepancies been corrected?

  Yes

  No

  N/A

2.0 - Fall Protection

• 2.1 - 100% Fall Protection when 6' or above (Owner requirements may be 4 feet - Follow Owner Requirements)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 2.2 - Perimeter guardrails in place (42", 21") and toeboards

  Yes

  No

  N/A

• 2.3 - Anchor point sufficient for 5000 pound stress if fall occurs

  Safe

  At Risk

  N/A

3.0 - Scaffolds

• 3.1 - Plastic or visqueen must have holes in it for wind and ventilation

  Yes

  No

  N/A

• 3.2 - Scaffold tagged as to condition - Green ok to use Yellow Use Caution - Red - Do Not Use

  Yes

  No

  N/A

• 3.3 - Suspended scaffold - personnel using 100% fall protection

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 3.4 - Mobile scaffold - casters are locked when in use

  Yes

  No

  N/A

• 3.5 - Access ladders being used

  Yes

  No

  N/A

• 3.6 - Passerby protection provided.

  Yes

  No

  N/A

• 3.7 - Baseplates must be nailed down (if using mud-sills)

  Yes

  No

  N/A

• 3.8 - Screw jacks with baseplates or casters (screw jacks not extended over 12 inches)

  Yes

  No

  N/A

• 3.9 - End rails in place at 42 inches and 21 inches with toe boards

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 3.10 - Toe boards in place - at least 4 inches high

  Yes

  No

  N/A

• 3.11 - MId rails in place at 21 inches (cross bracing alone not sufficient)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 3.12 - Top rails in place at 42 inches (cross bracing alone not sufficient)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 3.13 - Tight floors (no more than 1 inch between planks)

  Yes

  No

  N/A

• 3.14 - Daily pre-shift inspection performed by a competent person

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 3.15 - If more than 4:1 - is scaffold tied into structure at 26 feet vertical and 30 feet horizontal

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 3.16 - Mobile scaffold - more than 3:1 - tied to structure or need outriggers

  Yes

  No

  N/A

• 3.17 - Scaffold grade planks (no 2x4, etc)

  Yes

  No

  N/A

• 3.18 - Scaffold planks extend over end supports at least 6 inches - not more than 18 inches

  Yes

  No

  N/A

4.0 - Housekeeping

• 4.1 - Passageways & aisles clean and clear

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 4.2 - Material organized and neatly stacked

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 4.3 - Nails on lumber removed or bent down

  Yes

  No

  N/A

• 4.4 - Dumpsters and trash cans provided

  Yes

  No

  N/A

• 4.5 - Oil, grease, water, ice, etc., removed and floors dry

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 4.6 - Adequate ventilation is provided at all levels

  Yes

  No

  N/A

• 4.7 - No trip hazards

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

5.0 - Electrical

• 5.1 - Temporary Construction Lighting - 1926.56(a)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 5.2 - Electrical panel boxes - must be covered and secure when energized

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 5.3 - GFCI's (Ground Fault Circuit Interupters) in use

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 5.4 - Extension cords OK - no flat cords or frayed/broken insulation

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 5.5 - Power tools with proper grounds (unless double insulated)

  Yes

  No

  N/A

• 5.6 - Temporary wiring tied up or organized to prevent trip hazards

  Yes

  No

  N/A

• 5.7 - Lock Out / Tag Out program in place (when needed)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

6.0 - Personal Protective Equipment

• 6.1 - Wearing hearing protection (when necessary)

  Yes

  No

  N/A

• 6.2 - Wearing full body harness, lanyard and connected to anchor point (when necessary)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 6.3 - Wearing construction boots at all times

  Yes

  No

  N/A

• 6.4 - Wearing safety glasses at all times

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 6.5 - Wearing hard hats at all times

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 6.6 - Wearing gloves (when necessary)

  Yes

  No

  N/A

• 6.7 - Wearing face shields (when necessary)

  Yes

  No

  N/A

• 6.8 - Respiratory protection worn if required for specific hazard

  Yes

  No

  N/A

7.0 Ladders Subpart X - 1926.1050

• 7.1 - Step ladders fully opened when in use

  Yes

  No

  N/A

• 7.2 - Extension and job made ladders properly sloped at 4:1

  Yes

  No

  N/A

• 7.3 - Extension and job made ladders secured at top.

  Yes

  No

  N/A

• 7.4 - No metal ladders

  Yes

  No

  N/A

• 7.5 - Ladders properly stored to prevent falling and damage

  Yes

  No

  N/A

• 7.6 - Extension and job made ladders extend 3' beyond working level

  Yes

  No

  N/A

• 7.7 - Step ladders - workers not standing or working on 2nd to last step and top

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

8.0 Excavations Subpart P - 1926.650

• 8.1 - Competent person performed daily inspection and completed inspection document

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 8.2 - Utilities located and marked

  Yes

  No

  N/A

• 8.3 - 4 feet or more - ladder must be within 25 feet of each worker

  Yes

  No

  N/A

• 8.4 - 4 feet or more - ladder must extend 3 feet above grade

  Yes

  No

  N/A

• 8.5 - 4 feet or more - oxygen must be tested or monitored if using fuel powered equipment

  Yes

  No

  N/A

• 8.6 - 5 feet or more - must slope, shore bench or use trench box

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 8.7 - If sloped or benched - is it correct - (Type A - 3/4:1, Type B - 1:1, Type C - 1 1/2: 1)

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 8.8 - Does protective shoring meet timber and/or aluminum specs

  Yes

  No

  N/A

• 8.9 - If using trench box - are connections secure

  Yes

  No

  N/A

• 8.10 - Adjacent structures - protected and supported (if needed)

  Yes

  No

  N/A

• 8.11 - All materials and spoil dirt stored 2 feet or more from edge

  Yes

  No

  N/A

• 8.12 - If left open overnight or if not working on presently - barricaded properly with solid barricades

  Yes

  No

  N/A

9.0 - Hand and Power Tools Subpart I - 1926.300

• 9.1 - Tool inspection color code current

  Yes

  No

  N/A

• 9.2 - Right tool for the job

  Yes

  No

  N/A

• 9.3 - Prompt repair of defective / broken tools (or taken out of service - red tagged until repaired)

  Yes

  No

  N/A

• 9.4 - Power tools must have proper grounds (unless double insulated)

  Yes

  No

  N/A

• 9.5 - Power tool safe guards in place

  Yes

  No

  N/A

10.0 - Emergency Procedures, First Aid Subpart D - 1926.34, 1926.35, 1926.50 1926.51

• 10.1 - Emergency numbers posted and available to all workers

  Yes

  No

  N/A

• 10.2 - Maps and directions to nearest emergency medical facility available

  Yes

  No

  N/A

• 10.3 - First aid kit stocked and available to workers

  Yes

  No

  N/A

• 10.4 - Emergency eyewash available within 100 feet of work (chemicals, acids, caustics)

  Yes

  No

  N/A

11.0 - Water Jetting

• 11.1 - Equipment staged as per operations/client

  Safe

  At Risk

  N/A

• 11.2 - Hoses properly installed/attached and pressure test inspection tags verified (Within last 3 months)

  Yes

  No

  N/A

• 11.3 - Hydro blasting equipment and hoses grounded to prevent static electricity

  Yes

  No

  N/A

• 11.4 - Pumping equipment equipped with safety relief devices and have been checked

  Yes

  No

  N/A

• 11.5 - Job signs up (No Trespassing, Danger, Construction Site, Do Not Enter)

  Yes

  No

  N/A

• 11.6 - Equipment has hand or foot operated fail safe controls that are manipulated ONLY by the lance operator

  Yes

  No

  N/A

• 11.7 - Is proper PPE for water blasting being worn. - Safety Glasses, Face Shield, Hearing Protection, Hard Hat, Rain Su

  Yes

  No

  N/A

• 11.8 - Operators trained and qualified to operate water jetting equipment

  Yes

  No

  N/A

12.0 - Vacuum Truck and Tank Cleaning

• 12.1 - Equipment inspected prior to use and documented.

  Yes

  No

  N/A

• 12.2 - Equipment grounded and wheels chocked

  Yes

  No

  N/A

• 12.3 - Trained and qualified operators - CDL drivers with current medical clearance

  Yes

  No

  N/A

• 12.4 - Hearing protection, safety glasses, hard hat, respirators, face shield, gloves and other PPE worn as required or needed.

  Yes

  No

  N/A

• 12.5 - Workers understand the hazards of the waste being vacuumed.

  Yes

  No

  N/A

• 12.6 - Continuous monitoring of air quality is being performed.

  Yes

  No

  N/A

13.0 - Mercury Abatement

• 13.1 - Workers trained and qualified to perform mercury remediation. Respiratory clearances by physician on site

  Yes

  No

  N/A

• 13.2 - Personal Protective Equipment and Protective outer clothing worn

  Yes

  No

  N/A

• 13.3 - Waste and contaminated debris collected and isolated to prevent release of mercury vapor

  Yes

  No

  N/A

• 13.4 - Containment installed and maintained

  Yes

  No

  N/A

• 13.5 - Changing area and decontamination area available

  Yes

  No

  N/A

• 13.6 - Workers trained and qualified to perform mercury abatement

  Yes

  No

  N/A

• 13.7 - Air monitoring being conducted to determine levels of mercury vapors during removal

  Yes

  No

  N/A

• 13.8 - Respiratory protection (half face or full face) based upon level of mercury detected and documented.

  Yes

  No

  N/A

14.0 - Fire Protection and Prevention Subpart F 1926.150

• 14.1 - Fire hydrants accessible - no material or equipment blocking

  Yes

  No

  N/A

• 14.2 - Route for emergency vehicles is accessible

  Yes

  No

  N/A

• 14.3 - Fire extinguishers immediately accessible for hot work

  Yes

  No

  N/A

• 14.4 - Emergency Action Plan developed and posted

  Yes

  No

  N/A

• 14.5 - No smoking signs posted and enforced (where needed)

  Yes

  No

  N/A

• 14.6 - Flammables stored away from buildings and structures

  Yes

  No

  N/A

• 14.7 - Containers and fuel tanks clearly identified with warning lables

  Yes

  No

  N/A

• 14.8 - No smoking, burning, etc. around flammables

  Yes

  No

  N/A

• 14.9 - Re-fueling in open areas or hot work permit obtained

  Yes

  No

  N/A

15.0 - Confined Spaces Subpart C 1926.21 and 1910.146

• 15.1 - Permit completed by a competent person prior to entry and after condition change

  Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• 15.2 - Is space identified with signage prior to entry

  Yes

  No

  N/A

• 15.3 - Emergency rescue equipment on hand and in place

  Yes

  No

  N/A

• 15.4 - Protective equipment used

  Yes

  No

  N/A

• 15.5 - Space ventilated prior to and during operations

  Yes

  No

  N/A

• 15.6 - Continuous air monitoring being performed and results documented

  Yes

  No

  N/A

• 15.7 - Confined Space Attendant on site with confined space permit completed.

  Yes

  No

  N/A

• 15.8 - Respiratory protection with appropriate cartridges being worn. Or supplied air as required.

  Yes

  No

  N/A

16.0 - Asbestos Abatement

• 16.1 - Containment erected as needed and secure

  Yes

  No

  N/A

• 16.2 - Decon area and shower available with appropriate water supply and filter

  Yes

  No

  N/A

• 16.3 - Negative pressure being maintained within containment

  Yes

  No

  N/A

• 16.4 - If glove bag removal, water being used to wet ACM within glove bag

  Yes

  No

  N/A

• 16.5 - Area barricaded with signage indicating DANGER - ASBESTOS

  Yes

  No

  N/A

• 16.6 - Workers with current certifications and physicals on site. Workers must have ODH certification card on site

  Yes

  No

  N/A

• 16.7 - Appropriate P100 cartridges being worn with respirators.

  Yes

  No

  N/A

• 16.8 - Personal and area sampling being performed

  Yes

  No

  N/A

• 16.9 - HEPA filters installed through negative pressure units

  Yes

  No

  N/A

• 16.10 - Electrical sources outside of containment with GFCI's being used

  Yes

  No

  N/A

• 16.11 - Appropriate notification to Ohio Department of Health completed

  Yes

  No

  N/A

• 16.12 - Water being used to wet asbestos

  Yes

  No

  N/A

• 16.13 - Asbestos waste properly contained, bagged, labeled and disposed of properly

  Yes

  No

  N/A

17.0 - Mobile Equipment and Vehicles Subpart O -1926.600

• 17.1 - Daily pre-use inspection performed and documented

  Yes

  No

  N/A

• 17.2 - Lights working

  Yes

  No

  N/A

• 17.3 - Brakes working

  Yes

  No

  N/A

• 17.4 - Horn works

  Yes

  No

  N/A

• 17.5 - Back up alarm working and loud enough to warn of backing

  Yes

  No

  N/A

• 17.6 - Equipment appropriately grounded as required

  Yes

  No

  N/A

• 17.7 - Wheels chocked

  Yes

  No

  N/A

• 17.8 - Load limits observed

  Yes

  No

  N/A

• 17.9 - Windshield, windows and mirrors clean with no obstructions

  Yes

  No

  N/A

• 17.10 - No unsafe hauling of people or materials

  Yes

  No

  N/A

18.0 - Lead Abatement

• 18.1 - Workers trained and qualified to perform lead removal

  Yes

  No

  N/A

• 18.2 - Workers wearing respiratory protection with P100 cartriges

  Yes

  No

  N/A

• 18.3 - Area barricaded with DANDER - LEAD tape and signs

  Yes

  No

  N/A

• 18.4 - Medical surveillance if workers are exposed to the lead Action Level for 30 or more days per year

  Yes

  No

  N/A

• 18.5 - Personal sampling being performed

  Yes

  No

  N/A

19.0 - Hazard Communication Subpart Z - 1910.1200

• 19.1 - Written HAZCOM program available on worksite

  Yes

  No

  N/A

• 19.2 - Hazardous Materials Inventory current on jobsite

  Yes

  No

  N/A

• 19.3 - MSDS or SDS (Material Safety Data Sheets / Safety Data Sheets) on jobsite

  Yes

  No

  N/A

• 19.4 - All containers clearly marked with contents and are labeled as to hazards

  Yes

  No

  N/A

Miscellaneous Items

• Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

• Yes

  Serious Risk

  Moderate Risk

  Low Risk

  N/A

General Comments

Follow-up Actions

• Follow-Up and Assignment

• Follow-up to be Completed By:

  Date

• Follow-Up and Assignment

• Follow-Up to Completed By:

  Date

• Follow-Up and Assignment

• Follow-up to be Completed By:

  Date

• Follow-Up and Assignment

• Follow-up to be Completed By:

  Date

• Follow-Up and Assignment

• Follow-up to be Completed By:

  Date

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• On site representative

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• Auditor

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