Title Page
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Audit Title
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Location
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Client
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Conducted on
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Prepared by
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AMS Site Supervision
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Completed on
AMS Safety Program Administration
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OSHA Postings
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Emergency numbers / contacts posted
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Weekly Toolbox Talks
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First Aid Kits onsite
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Emergency Action Plan posted
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Task Hazard Analysis completed for each task / crew
Housekeeping
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Work area clean and orderly
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Adequate lighting
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Cords and leads properly routed
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Work area clear of slips, trips and fall hazards
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Stairways / walkways clear
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Trash picked up
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Break area / trailer orderly
Working at Heights
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Fall risk of 6 feet or more? (Including voids, pits and trenches).
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Proper leading edge protection
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Guard rails in place where required
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Wall or roof openings covered or barricaded
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Floor openings covered or barricaded
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Fall protection used when needed
Equipment
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Unsafe or damaged equipment / tool? (Including missing or damaged guards).
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Incorrect equipment / tool for job? (E.g. Grinding discs for cutting)
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Unsafe or incompatible attachments used with equipment
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Untrained or non-certified operators
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Lack of safe work instructions?
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Lack of training in safe operation, cleanup and maintenance?
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Breaks, lights, alarms and signals operative
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Daily inspections of fork trucks, AWP, lulls, ECT
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Seat belt worn, lulls, fork truck, etc.
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Harness and lanyards used in AWP
Hot Work, Welding, Cutting
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Hot work permits in order
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Flash back arrestors installed on torch
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Fire extinguisher on site - inspected
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Fire watch monitoring the area
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Weld screens in use
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Unused cylinders capped
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Cylinders, hoses, gauges free from damage
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Spark containment utilized
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Proper PPE in use
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Compressed gas cylinders properly stored
Scaffolding
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Has scaffolding been erected correctly under the supervision of a competent person?
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Do rolling scaffolds have locking wheels and are locked when used?
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All scaffolds plumb and level
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Are scaffolds fully planked?
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Are toeboards and guard rails in place on scaffolding?
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Is scaffolding erected on a firm and substantial surface?
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Adequate sills and base plates
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Safe access, proper ladder or steps
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Inspection tag on scaffold
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Safe Work Load (SWL) exceeded? (Tools, stored materials, number of persons).
Cranes
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Proper set up including distance to overhead power lines (20 ft)
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Proper cribbing in place
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Ground conditions verified (sewers, valts)
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Lift plan required
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Lift plan followed
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Swing radius protected / barricated
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Operator licensed, crane inspection in cab
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Signal person qualified
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Lift area barricaded
Lifting Equipment
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Loads lifted over persons, close proximity to obstacles incl. 20ft from overhead power lines
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Rigging properly inspected
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Hoist, chain fall, come-a-long have current certification
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Lack of SWL information displayed
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Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks
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Riggers certified and qualified
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SWL of any lifting equipment exceeded
Fall Arrest Equipment
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Unsafe or damaged harness / lanyard or other fall protection equipment
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Proper lanyards used
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Incompatible hooks / equipment
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Unlabeled or does not meet standards
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Unsafe or uncertified anchor points
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Lack of inspection protocol for equipment
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Lack of or inadequate formal training of employees
Ladders
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Unsafe or damaged ladders
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Unsafe positioning of ladders
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Extension ladders set up with 4:1 ratio
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Side rails extend 36 inches above landing
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Step ladders fully open when in use
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Ladder properly secured
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Ladder suitable for job? (E.g. Metal ladder used for electrical work / incorrect ladder for job).
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Damaged ladders removed from jobsite
Excavation
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Competent person on site
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Underground utilities marked
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Water pumped out if present
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Excavation daily checklist completed
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Adequate benching, shoring, sloping and or proper trench box
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Access and egress means provided (not to exceed 25 feet)
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Spoil set back at least 2 feet
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Excavation grater than 4 feet if so is a confined space permit completed
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Excavation properly protected
Confined Space
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Proper permits filled out
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Permit posted at entry
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Entrants and attendant properly trained
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Supervisor authorized entry
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Competent person evaluated permit and non-permit spaces
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Air monitor on site (properly calibrated, properly used)
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Atmosphere test results documented
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Energy source locked out
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Adequate ventilation
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Rescue plan in place
Hazardous Manual Tasks
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Inadequate risk controls? (Examples: no job rotation, lighter loads, trolleys, lifting equipment, etc.)
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Lack of identification hazardous manual tasks
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Lack of assessment of hazardous manual tasks
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Lack of training in risk controls and safe lifting / team lifting techniques
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Unsafe storage location (e.g. flammable near ignition sources, spills could enter storm water drains,etc)
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Incompatable chemicals stored near each other
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Safety Data Sheets not accessible on site
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Lack of emergency procedures for injury / spills/ fire / etc
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Insufficient or incorrect PPE
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Insufficient ventilation
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Excessive quantities stored on site or in vehicles
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Unsuitable storage containers (unlabeled)
Traffic Management
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Lack of, or inadequate, Traffic Management Plan (TMP) in place
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Lack of training in TMP for all persons on site (contractors and visitors)
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Inadequate controls for TMP (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
Personal Protective Equipment (PPE)
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ANSI approved safety toe leather boots
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Hard hats worn
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Gloves being worn and adequate for the work activity
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Face shields being used with safety glasses when required
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Welding hoods being worn in conjunction with safety glasses
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Eye protection being worn and adequate for the work activity
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Hearing protection
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Respirators and masks utilized when needed (welding, silica, chemicals)
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High visible clothing in use when needed
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Personal monitors required / worn properly (CO-O2-H2S)
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Lack of system to issue, inspect, replace and monitor PPE
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Lack of training in safe use, clean up and inspection of PPE
Work Environment
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Lack of / or inadequate amenities (toilets, wash area, lunch rooms, etc.)
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Insufficient lighting
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Inadequate housekeeping
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Lack of / or inadequate noise / vibration control
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Work area barricaded as needed (proper signage)
Electrical Hazards
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Unsafe electrical cords (damaged, missing ground prong inspected)
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Contact with underground assets
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Contact with overhead electrical lines
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Overloading outlets
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Cords placed on ground or on metal structures
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Electrical equipment near water
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Electrical equipment near flammables
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Electrical equipment near chemicals that could cause damage
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Electrical cords / leads that may be damaged from contact with moving machinery parts
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Lack of Lockout / Tagout (LOTO) procedures for electrical equipment
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GFCI protection utilized
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Electrical panels labeled and covered
Environmental Hazards
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Hazardous waste properly disposed of
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Lack of / or inadequate Environmental Management Plan (EMP)
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Lack of / or inadequate dust suppression system
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Lack of / or inadequate system to prevent contaminants entering storm water drains
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Lack of water reuse system
Administrative Procedures
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Lack of / or inadequate Site Safety Plan
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Failure to obtain permits (SWP, Hot Works, Confined Space, Excavation, etc.)
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Lack of / or inadequate induction for workers, contractors, visitors
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Lack of / or inadequate supervisory arrangements
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Lack of / or inadequate training, licenses, skills, experience
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Lack of / or inadequate incident notification procedures
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Lack of / or inadequate routine inspections, monitoring, audits
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Lack of / or inadequate consultative arrangements
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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Onsite Representative
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Auditor
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GC, CM, Site Rep
