Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • GENERAL

TRAINING & PLANNING

  • Copy of current OSHA standards, ACK Safety manual on site

  • Have all new hires completed the new hire orientation?

  • Weekly tool box meeting held for ACK Employees and subs?

  • Copy of ACK job specific Safety plan on site and up to date?

  • Emergency evacuation plan in place?

  • THA's completed and adequate for tasks being performed?

MEDICAL & FIRST AID

  • Onsite ACK employee(s) trained in first aid/CPR on site?

  • Are first aid supplies adequate?

POSTING & RECORDKEEPING

  • OSHA 300 form being completed/posted?

  • Safety and health poster posted?

  • Emergency telephone numbers posted?

  • Medical clinic posted?

HAZARD COMMUNICATION/MSDS

  • Copy of written program (ACK & Sub's)

  • List of hazardous materials on site (ACK & Sub's)

  • MSDS current for all contractors on site

  • Labels on containers

STRUCTURE ENTRANCE

  • Overhead protection at entrances where overhead work on-going?

  • Signs Posted PPE Required beyond this point

PUBLIC PROTECTION

  • Public protection adequate including warning signs?

  • All Gates and Openings Secured IE Doors/Slide Gates to keep public out

HOUSEKEEPING & SANITATION

  • Housekeeping: aisles clean, scrap removed, no protruding nails.

  • Select from range

  • Adequate supply of water or water jugs, cups and trash containers?

  • Adequate toilet facilities and clean?

PERSONAL PROTECTIVE & LIFE SAVING EQUIPMENT

  • Head,eye, face, and hand protection worn?

  • Respiratory protection worn when needed/required?

  • Written program:<br>medical evaluations completed?<br>Documentation of fit test and training for respirators?

  • Safety harnesses, lifelines and lanyard worn when needed/required?

FIRE PROTECTION & PREVENTION

  • Fire extinguishers/stand pipe installed<br>clear access?<br>Fire extinguishers identified, charged and inspected monthly?

  • Flammable & combustible liquids in approved containers only?

  • "No smoking" posted and enforced where needed?

  • Fuel tanks protected and min 20 ft from bldgs w/ 20B fire exiting w/in 50 ft?

ELECTRICAL

  • Guarding of live parts by cabinets or other enclosures?

  • Warning signs posted (Danger high voltage)?

  • GFCI receptacle used including when using permanent power?

  • GFCI's tested w/ test documented?

  • Temporary lighting adequate and bulbs protected?

  • Breaker boxes and switches properly labeled?

  • Lockout/Tagout being used?

  • Extension cords?

TOOLS

  • Proper tool being used for job?

  • All tools inspected at least daily?

  • Damaged tools repaired or replaced promptly?

  • Are tools being used properly?

  • Guards in place?

  • Pneumatic tools/air hoses have proper safeguards, secured connections?<br>

  • Powder Actuated Tools:<br>Operators trained/spot check cards?<br>Tools and charges protected from unauthorized use?

STAIRWAYS AND LADDERS

  • Stairway/ladder/ramp used where 19 inch break in elev.

  • Stairways clean and free of trip hazards w/ adequate lighting?

  • Handrails in stairways and guardrails at landing?

  • Metal pan stairs poured, filled or barricaded from use?

  • Ladders properly secured to prevent slipping, sliding or falling?

  • Do straight ladders extend 36" above top of landing?

  • Offset protection at top ladder entrance?

  • Stepladders fully open when in use; no standing on top two steps?

  • Metal ladders not used

  • Trestle ladders not used?

  • Proper maintenance and storage of ladders?

SCAFFOLDING

  • Is scaffold equipment in good working order?

  • Inspected by competent person daily before use?

  • Erected on solid, level footing?

  • Guardrails on open sided and end more than 6 ft above the ground?

  • 2x4 top rail, mid-rail & toe board?

  • Tightly planked platform for full width and secured in place?

  • Is the scaffold plump and square, with cross-bracing?

  • Access ladder provided?

  • Maximum height = four (4) times minimum base diminsion?

  • Suspended scaffold

  • Hooks, clamps, outriggers properly anchored and tiebacks installed?

  • Counterweights attached to outriggers with weights marked?

  • Tiebacks have rigging thimble with loop, secured with min. 3 fist grip clamps?

  • Independent lifeline for each worker on platform, rope protected abrasion?

  • Safety dept. notified if welding is to take place on suspended scaffold?

FALL PROTECTION

  • Floor opening covered/guardrails in place?

  • Open-sided floors/wall opening have guardrails & toe boards?

  • Roof edge adequately guarded?

  • Leading edge protection & signage utilized where required?

  • 100% fall tie off for all heights above 6 ft with proper anchor points?

  • All horizontal lifeline systems engineered?

AERIAL MANLIFTS/SCISSORS LIFTS

  • All personnel tied off?

  • Safety chains in place on scissors lifts?

  • Employee training verified?

  • Glazing kits used when setting glass?

HOISTS AND CRANES

  • Slings and chains , hooks and eyes in good condition and tagged/marked?

  • Equipment firmly supported?

  • Outriggers used if needed and proper cribbing in place?

  • Power lines inactive, removed or at a safe distance?

  • Hoist operator trained? Check for card?

  • Signalmen where needed & hand/verbal signals understood? Hand signal poster?

  • Are inspection and maintenance logs maintained/current (this includes hoists)?

  • Crane annual certification on file? This includes ACK and sub equipment?

  • Load charts posted in cab? Proper loading for capacity at lifting radius?

  • Fire extinguisher installed (cranes and hoists)?

HEAVY EQUIPMENT

  • Regular inspection and maintenance logs complete?

  • Lights, brakes, horn, back up alarm operative?

  • Haul roads well maintained and laid out properly?

  • Seat belts being used?

  • Fire extinguisher installed?

HANDLING & STORAGE OF MATERIALS

  • Materials properly stored or stacked?

  • Stacks on firm footings not too high?

  • Are loads lifted correctly? Proper number of men or equipment used?

  • Material secured if high winds approaching?

  • Use trash chute for debris drop over 20 feet?

  • Adequate scraping arounds stored stacked material?

EXCAVATION AND SHORING

  • Competent person(s) designated?

  • Underground utilities located/private service used if neccessary?

  • Is Dig Alert Permit Posted?

  • Are adjacent structures including roads/sidewalks properly shored/supported?

  • Is excavation properly sloped, shored or trench box used?

  • Tabulated data for trench box on site?

  • Means of egress within 25 feet?

  • Spoils back min. Of 2 feet?

  • Material i.e... Pipe, not stored at trench edge?

  • Is equipment a safe distance from edge of excavation?

  • Fall protection/barricading adequate?

  • Daily documented inspections or if condition change?

WELDING AND CUTTING/OTHER HOT WORK

  • Screens and shields used where necessary?

  • Goggles, gloves, proper clothing worn?

  • Electrical equipment grounded?

  • Welding leads and gases hoses protected and in good condition?

  • Fire extinguishers or proper type nearby?

  • Inspection of fire hazards?

  • Gas cylinders secured and upright. Fuel cylinders at least 20 ft from oxygen?

  • Are cylinder caps in use?

  • Fire watch used where needed/required?

STEEL ERECTION

  • Letter of commencement provided of steel erector?

  • Erection floor solidly planked or decked or safety net within 25 feet?

  • Safety railing (1/2 wire rope) at perimeter?

  • Cable guardrails has no more than 3inches deflection and flagged every 6ft.

  • Floor and other opening covered and barricaded?

  • Ladders, stairs, or other access provided?

  • Other trades protected from overhead hazards or schedule arrangements made?

  • Tag lines used?

CONCRETE AND MASONRY CONSTRUCTION

  • If red letter of commencement provided to steel erector including mortar in masonry?

  • Vertically protruding rebar capped?

  • Forms properly installed and braced?

  • Adequate shoring, plumbed and cross braced?

  • Route planned for concrete trucks? Plumping equipment properly supported?

  • Controls in place to limit silica exposure - water, vacuum tools, etc...

  • Limited access zone around masonry walls?

  • Masonry walls over 8ft adequately braced?

  • No dry cutting of black/concrete w/o adequate eng controls?

  • Safety hoisting equipment/material?

  • Hand washing station for hexavalent chromium from portland cement?

CONFINED SPACES

  • Have potential confined space been identified?

  • Had safety Dep. been notified of potential confined spaces?

  • Permit required? Completed?

  • Atmosphere tested?

  • Workers properly trained?

  • Ventilation needed?

  • Retrieval devices required?

COMMENTS & ADDITIONAL ITEMS

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  • Signatures

  • SAFETY MANGER

  • SUPERINTENDENT

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.