Title Page
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Audit Title
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Conducted on
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Client:
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Location
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Superintendent:
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A&B Job #:
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Work Being Done at Time of Inspection:
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Inspected By:
General Site Conditions & Housekeeping
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Roads & Parking areas have proper signs, speed limits posted.
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Applicable warning signage, barricades/flagging in place/appropriate for location/work being done
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Muster area identified/known to all on site
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All access/egress and passageways to work areas are clear
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Emergency Response Plan completed and available
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Toolbox & Hazard Assessment completed, signed by all and available for review
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Correct/adequate first-aid equipment available for location/work performed
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Safety Manual, procedures & MSDS' available on-site
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All hoses, cables and cords are organized and do not obstruct access/egress and high traffic areas or pose as a trip hazard
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Burning hoses are coiled at the end of each shift
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Unused cables/hoses/extension cords are coiled and stored out of the way
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All waste containers are labeled with the waste description
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Oil, Grease or other liquid spills are cleaned up immediately
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All debris, waste and scrap materials etc. have been removed from the work area
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Clean up is performed on a regular basis or as required
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Fire fighting equipment is unobstructed & appropriate for location/work
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Work materials and equipment must be stored neatly and in a safe manner
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Equipment backup alarms working
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Diesel engines equipped with positive air shutoff (vehicles & equipment)
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Comments:
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Barricades & Signage
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Barricades installed so as to prevent workers from risk of falling into an opening, excavation or hole
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No gaps between the barricades exposing workers to a fall
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Barricading is set back at least two feet where a risk of falling may occur
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If ribbon is used, is it set back at least 2 meters or 6.5 feet from the edge
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Area adequately flagged (not too large of an area and not too small of an area)
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Area is flagged so that workers could not inadvertently enter the area without knowing it may be restricted (must be at every single access point to the area)
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Is appropriate signage in place to warn of possible dangers
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Is appropriate traffic control signage in place at any road crossings
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Once job is complete all of the flagging has been removed and disposed of
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Comments:
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Combustible/Flammable Materials
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WHMIS label is legible
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Grounded or bonded for liquid transfer
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ABC Fire Extinguisher in close proximity
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Stored in approved cabinet or in a well ventilated area
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Stored away from heat or spark sources
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Container is in good condition
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Containers have a proper lid/cover on them
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Comments:
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Compressed Gas Cylinders
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Stored properly (upright, capped, secured properly)
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If stored in an enclosed space, space is properly ventilated
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Stored away from heat sources, corrosive chemicals, grease and oil
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Stored away from electrical sources where they can become part of the circuit
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Full and empty cylinders are separated and marked
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Comments:
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Compressed Air
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Whip checks installed at all compressed air hose connections
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Air hose connections properly connected
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Compressed air for cleaning is set at less than 30 psi
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Depressurized when not in use
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Hearing protection worn around air compressor
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Comments:
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Lifting Devices & Rigging
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Log book filled out each shift
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Hook has a safety latch on it
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Hoisting line is in a vertical position over the center of gravity of the load
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Personnel and rigger clear of the load being lifted
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Tag line is used where required
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Slings in good condition
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Load properly rigged and balanced
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Comments:
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Electrical
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Overhead power lines identified, guarding in place and safe limits of approach maintained
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Are plug prongs in good condition - not loose, bent, missing
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Is cable in good condition - no cuts/flattening/etc.
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Cables elevated out of water
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Cables strung out on the outer edge of access/egress areas or hung overhead
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Cable connections are compatible (do not connect a 3 prong plug to a 2 prong plug)
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Cable voltage capacity is equal (i.e. do not connect 120 volt cable to 240 volt cable)
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Comments:
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Excavations
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Barricades or flagging are installed at least 2 feet from the edge
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Excavation has been de-watered
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Workers protected from cave-ins, sliding, or rolling materials
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Shoring installed or sloping anywhere from 30 to 45 degrees depending on the soil stability
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Spoil pile is at least 1 meter from the edge of the excavation
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Spoil pile is sloped at an angle not more than 45 degrees from the horizontal
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A means of egress (i.e. ladder, stairs) must be within 8 meters (25 feet) from the worker
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Comments:
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Fall Protection
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Site Specific Fall Protection Plan is completed
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Rescue Plan in place for the work being performed
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Anchor point able to withstand 5000 lbs. for Fall Arrest
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Anchor point able to withstand 800 lbs. for Travel Restraint
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Anchor point is installed and used as per manufacturer's specifications
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Control Zone established
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Swing Fall Hazard <22 degrees
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Vertical Lifeline/rope grab used properly
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Horizontal Lifeline is Engineered and Inspected by a qualified person prior to use
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Safety Strap is used and/or installed as per Manufacturer's Instructions
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Fall Protection System Inspected before it is used each work shift
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Lanyard is equipped with a shock absorber
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All fall protection equipment and components are CSA Approved
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Toolbox talk was conducted with workers assigned to work in elevated areas
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Comments:
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Fire Prevention
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Employees smoking only in designated outdoor areas
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Flammable liquid dispensing systems grounded and bonded
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Approved safety cans available for storage of flammable liquids
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Fully charged ABC Fire Extinguisher in close proximity and inspected monthly
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Are flammables and combustibles properly stored / labeled as per regulatory requirements
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Hot Work permit requirements fulfilled
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Fire Watch is in the immediate area
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Fire Lanes are clear access/egress
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Comments:
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Hand & Power Tools
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Defective hand and power tools tagged and taken out of service
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Eye & face protection available and used when operating power tools
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Guards and safety devices in place on power tools
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Electrical cords and connections in good condition
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Power tools inspected before each use
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Correct tools being used for the job
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Comments:
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Ladders
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The bottom of the ladder is on a firm level surface
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The upper part of the ladder rests on a surface that is able to support the load
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The angle of the ladder is at a 4:1 ratio
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The upper part of the ladder extends at least 3 feet above its point of contact
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The bottom of the ladder is secured to prevent it from kicking out
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The top of the ladder is secured to prevent it from being able to move in any
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The ladders does not have any loose, broken or missing rungs, split side rails, painted wood or other defects
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Straight or extension ladders are held at the bottom by a helper until they are securely tied at the top
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A hand line is used to raise or lower tools
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A Non-conductive ladder is used when working on or near electrical equipment
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The ladder is not placed in front of windows or doors that open towards it
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The ladder is not placed over items that may cause impalement or other serious injury
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The ladder is not close to an edge or surface that could result in a fall beyond the base of the ladder
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Comments:
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Personal Protective Equipment
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Safety Headwear (Hard Hats) CSA approved
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Fire Retardant Clothing / Coveralls CSA approved
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Safety Eyewear CSA approved
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Safety Footwear CSA approved & is appropriate for task with minimum 6" boot
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Gloves are appropriate for task
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Comments:
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Scaffolding
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Scaffold tag is the correct color
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Scaffold tag has been filled out correctly
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Scaffold has been inspected within the past 21 days, if not a Red Tag is installed
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No loose or stored equipment/tools/materials on the scaffold
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Toe boards installed
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Ladder is properly secured
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Backing on Ladders over 10 feet in height
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No openings on the scaffold deck
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Area flagged/illuminated if in a vehicle thoroughfare
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Comments:
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Additional Comments
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Additional Comments:
Action Items & Action Required
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Action Items & Action Required:
Signatures
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Supervisor:
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Site Safety:
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Inspector: