American Paving Co. Weekly Safety Audit

• Document No.

• Job Name / Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Programs / Information

• Safety Policy & Standard Operating Procedure Manual Onsite & Updated

  Yes

  No

  N/A

• Mandatory Postings Available (All-In One, OSHA 300, Emergency Contacts, Clinic Map, Permits)

  Yes

  No

  N/A

• All Material Safety Data Sheets Available On Site

  Yes

  No

  N/A

• Ca Hazardous Chemical / Ca Prop 65 Chemical Inventory Posted

  Yes

  No

  N/A

• Chemical Containers Properly Labeled & Stored

  Yes

  No

  N/A

• Hand Wash Stations & Port-A-Potties Serviced

  Yes

  No

  N/A

• New Hire Orientation & Mentor Policy Followed

  Yes

  No

  N/A

• Weekly Toolbox Safety Trainings Held

  Yes

  No

  N/A

• Topic Covered:

• Daily Foreman Safety Huddles Held & Reviewed

  Yes

  No

  N/A

Personal Protective Equipment

• Hard Hats

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Appropriate Hand Protection

  Yes

  No

  N/A

• Respirators Or Dust Masks

  Yes

  No

  N/A

• High Visibility Garment (ANSI Class II Or III)

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

Fall Protection (Zero Tolerance Item)

• All Personnel Protected From Fall Height Greater Than 6'

  Yes

  No

  N/A

• Full Body Harness And Fall Restraint Attached (Aerial Work Platforms)

  Yes

  No

  N/A

• Perimeter Guard Railing In Use (Top Rail 42"-45" Mid Rail 1/2 Distance)

  Yes

  No

  N/A

• Floor Openings Barricaded or Covered, Marked & Secured

  Yes

  No

  N/A

Housekeeping

• No Excessive Debris Onsite

  Yes

  No

  N/A

• Lay-down Areas Organized, Piling & Stacking Secured

  Yes

  No

  N/A

• Nails Bent Or Removed

  Yes

  No

  N/A

• Adequate Supply Of Trash Receptacles

  Yes

  No

  N/A

• All Rebar And Similar Protrusions Capped Or Troughed

  Yes

  No

  N/A

Fire Protection

• Fire Extinguishers Certified Annually (Tag Current)

  Yes

  No

  N/A

• Fire Extinguishers Inspected Monthly And Tags Signed

  Yes

  No

  N/A

• Fire Extinguisher Nearby During Refueling, Welding, Cutting, Grinding

  Yes

  No

  N/A

• Fuel Dispensed From An Approved Self Closing Metal Container

  Yes

  No

  N/A

Ladders (Zero Tolerance Item)

• Ladders Inspected And In Good Condition

  Yes

  No

  N/A

• Employees Trained On Safe Ladder Use

  Yes

  No

  N/A

• Ladders In Use Are Properly Secured

  Yes

  No

  N/A

• Extension Ladders Extend 36" Above Landing

  Yes

  No

  N/A

• Employees Not Working From Top Cap or 1st Step Below

  Yes

  No

  N/A

• Ladders Not In Use Are Properly Stored

  Yes

  No

  N/A

Electrical

• Grounded / GFCI Protected

  Yes

  No

  N/A

• Cords, Plugs & Receptacles In Good Condition & Protected

  Yes

  No

  N/A

Hand Tools

• Whip Checks In Use On Pressurized Lines

  Yes

  No

  N/A

• Proper Tool In Use For Task, Proper PPE In Use

  Yes

  No

  N/A

• Defective Tools Tagged / Removed From Site

  Yes

  No

  N/A

• Safety Guards And Devices Installed (Zero Tolerance Item)

  Yes

  No

  N/A

Equipment

• Operator Trained, Authorized And Or Certified (Certification Proof Readily Available)

  Yes

  No

  N/A

• Pre-Inspection Check List Completed

  Yes

  No

  N/A

• Maintenance Inspection Current (Annual & 90 Day)

  Yes

  No

  N/A

• Required Manuals, Load Charts, With Equipment

  Yes

  No

  N/A

• Seatbelt In Use

  Yes

  No

  N/A

• Backup Alarm Functioning

  Yes

  No

  N/A

• Operating At Safe Speeds

  Yes

  No

  N/A

• Wheels Chocked On Mobile Equipment

  Yes

  No

  N/A

Confined Space (Zero Tolerance Item)

• Employees Trained (Supervisor, Attendant, Entrant)

  Yes

  No

  N/A

• Permit For Entry Completed & Posted

  Yes

  No

  N/A

• Continuous Air Monitoring Provided

  Yes

  No

  N/A

• Adequate Ventilation Provided (Blower/Fan)

  Yes

  No

  N/A

• Retrieval System In Place

  Yes

  No

  N/A

Power Lines

• Designated Spotter In Use

  Yes

  No

  N/A

• Adequate Safe Distance Maintained From Power Line (Min 10' Up To 50KV)

  Yes

  No

  N/A

Scaffolds (Zero Tolerance Item)

• Competent Person Designated And Identified

  Yes

  No

  N/A

• Scaffolding Tied Into Building (Ht>3xBase)

  Yes

  No

  N/A

• Planks Extend Over End Supports (Min 6" Max 18")

  Yes

  No

  N/A

• Platform Fully Planked At Least 20" Wide, No Gaps Greater Than 1", Secured

  Yes

  No

  N/A

• Scaffolding Set Plum w/ Foundation Bearing Plates

  Yes

  No

  N/A

• Top Rails (42"-45"), Mid Rails, Toe Boards

  Yes

  No

  N/A

• Adequate Access (Ladder), Inspected Daily & Tagged For Use

  Yes

  No

  N/A

Trenching And Excavation (Zero Tolerance Item)

• Competent Person Designated And Identified

  Yes

  No

  N/A

• Annual Permit Posted And Local Cal OSHA Office Notified (Over 5' In Depth)

  Yes

  No

  N/A

• Documented Daily Trench/Excavation Inspection Performed

  Yes

  No

  N/A

• Proper Protective System In Place (Over 5' In Depth)

  Yes

  No

  N/A

• Safe Access / Egress Provided (Ladders With In 25' Or Ramp <30 Deg.)

  Yes

  No

  N/A

First Aid

• Trained Personnel Available

  Yes

  No

  N/A

• Kits/Supplies Available & Maintained

  Yes

  No

  N/A

Site/Public Protection

• Fencing In Use & And In Good Condition

  Yes

  No

  N/A

• Lighting In Use

  Yes

  No

  N/A

• Barricades In Use

  Yes

  No

  N/A

• Hazard Warning Signs In Use

  Yes

  No

  N/A

Subcontractors

• Compliance With Company Safety Policies

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Trenching / Excavation

  Yes

  No

  N/A

• Weekly Toolbox Safety Training Held

  Yes

  No

  N/A

• All PPE Requirements Being Met

  Yes

  No

  N/A

Heat Illness Prevention (Zero Tolerance Item)

• Employees / Supervision Trained

  Yes

  No

  N/A

• New Employees Not Acclimated To Heat Under Additional Supervision

  Yes

  No

  N/A

• Cool Clean Drinking Water Supplied

  Yes

  No

  N/A

• Disposable Cups Provided w/ Trash Receptacle Nearby

  Yes

  No

  N/A

• Shade & Comfortable Seating Provided For Preventative Recovery Breaks

  Yes

  No

  N/A

• High Heat Provisions In Place (95 Deg. & Above)

  Yes

  No

  N/A

• Corrective Actions Taken / Summary

• Project Supervision

  Sign

• Safety Specialist

  Sign