AMS Mechanical Systems, Inc. Supervisor Safety Audit

• Jobsite

• Location
  Address

• Conducted on

  Date

• Prepared by

• Completed on

  Date

AMS Safety Program Administration

• Weekly Toolbox Talks

  Yes

  No

  N/A

• First Aid Kits onsite

  Yes

  No

  N/A

• Task Hazard Analysis completed for each task / crew

  Yes

  No

  N/A

Housekeeping

• Work area clean and orderly

  Safe

  At Risk

  N/A

• Adequate lighting

  Safe

  At Risk

  N/A

• Cords and leads properly routed

  Safe

  At Risk

  N/A

• Work area clear of slips, trips and fall hazards

  Safe

  At Risk

  N/A

• Stairways / walkways clear

  Safe

  At Risk

  N/A

• Trash picked up

  Safe

  At Risk

  N/A

• Break area / trailer orderly

  Safe

  At Risk

  N/A

Working at Heights

• Fall risk of 6 feet or more? (Including voids, pits and trenches).

  Safe

  At Risk

  N/A

• Guard rails in place where required

  Safe

  At Risk

  N/A

• Wall or roof openings covered or barricaded

  Safe

  At Risk

  N/A

• Floor openings covered or barricaded

  Safe

  At Risk

  N/A

• Fall protection used when needed

  Safe

  At Risk

  N/A

Equipment

• Unsafe or damaged equipment / tool? (Including missing or damaged guards).

  Safe

  At Risk

  N/A

• Daily inspections of fork trucks, AWP, lulls, ECT

  Yes

  No

  N/A

• Harness and lanyards used in AWP

  Yes

  No

  N/A

Hot Work, Welding, Cutting

• Hot work permits in order

  Yes

  No

  N/A

• Flash back arrestors installed on torch

  Yes

  No

  N/A

• Fire extinguisher on site - inspected

  Yes

  No

  N/A

• Fire watch monitoring the area

  Yes

  No

  N/A

• Weld screens in use

  Yes

  No

  N/A

• Compressed gas cylinders properly stored

  Yes

  No

  N/A

Scaffolding

• Has scaffolding been erected correctly under the supervision of a competent person?

  Safe

  At Risk

  N/A

Cranes

• Proper set up including distance to overhead power lines (20 ft)

  Safe

  At Risk

  N/A

• Ground conditions verified (sewers, valts)

  Safe

  At Risk

  N/A

• Lift plan required

  Safe

  At Risk

  N/A

• Swing radius protected / barricated

  Safe

  At Risk

  N/A

Lifting Equipment

• Rigging properly inspected

  Safe

  At Risk

  N/A

• Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks

  Safe

  At Risk

  N/A

• Riggers certified and qualified

  Yes

  No

  N/A

Fall Arrest Equipment

• Proper lanyards used

  Safe

  At Risk

  N/A

• Unsafe or uncertified anchor points

  Safe

  At Risk

  N/A

Ladders

• Extension ladders set up with 4:1 ratio

  Safe

  At Risk

  N/A

• Side rails extend 36 inches above landing

  Safe

  At Risk

  N/A

• Step ladders fully open when in use

  Safe

  At Risk

  N/A

• Ladder suitable for job? (E.g. Metal ladder used for electrical work / incorrect ladder for job).

  Safe

  At Risk

  N/A

Excavation

• Competent person on site

  Yes

  No

  N/A

• Underground utilities marked

  Yes

  No

  N/A

• Adequate benching, shoring, sloping and or proper trench box

  Safe

  At Risk

  N/A

• Access and egress means provided (not to exceed 25 feet)

  Safe

  At Risk

  N/A

Confined Space

• Proper permits filled out

  Yes

  No

  N/A

• Permit posted at entry

  Yes

  No

  N/A

• Energy source locked out

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• ANSI approved safety toe leather boots

  Yes

  No

  N/A

• Hard hats worn

  Yes

  No

  N/A

• Gloves being worn and adequate for the work activity

  Safe

  At Risk

  N/A

• Face shields being used with safety glasses when required

  Safe

  At Risk

  N/A

• Welding hoods being worn in conjunction with safety glasses

  Yes

  No

  N/A

• Eye protection being worn and adequate for the work activity

  Yes

  No

  N/A

• Hearing protection

  Safe

  At Risk

  N/A

• Respirators and masks utilized when needed (welding, silica, chemicals)

  Yes

  No

  N/A

• High visible clothing in use when needed

  Yes

  No

  N/A

• Personal monitors required / worn properly (CO-O2-H2S)

  Yes

  No

  N/A

Work Environment

• Lack of / or inadequate amenities (toilets, wash area, lunch rooms, etc.)

  Safe

  At Risk

  N/A

• Insufficient lighting

  Safe

  At Risk

  N/A

• Inadequate housekeeping

  Safe

  At Risk

  N/A

Electrical Hazards

• Unsafe electrical cords (damaged, missing ground prong inspected)

  Safe

  At Risk

  N/A

• Overloading outlets

  Safe

  At Risk

  N/A

• Lack of Lockout / Tagout (LOTO) procedures for electrical equipment

  Safe

  At Risk

  N/A

• GFCI protection utilized

  Safe

  At Risk

  N/A

• Electrical panels labeled and covered

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken
  

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• Onsite Representative

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• Auditor

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• GC, CM, Site Rep

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