ATLANTIC SAFETY AUDIT 2019

• THIS SITE HAS BEEN RATED:

  Select A B C D

  • A
  • B
  • C
  • D

• Job Name if not listed

• Job Number

• Conducted on

  Date

• Safety Person Conducting Audit

• Location
  Address

• Personnel Participating

ADMINISTRATIVE

• How many co-workers on site?

• Have this project reported any incident this Week?

  No

  Yes

  N/A

• Have the First Aid Logs / First Report of Injury been sent to Safety department?

  Yes

  No

  N/A

• Date and time the First Aid Log / First Report of Injury will be send to Safety Department

  Date

• Have been Occucare contacted?

  Yes

  No

  N/A

• Name the Dr. you talked to.

SUPERVISION INVOLVEMENT

• Conduct a Job site safety survey?

  Yes

  No

  N/A

• Attend or conduct a tool box talk safety meeting?

  Yes

  No

  N/A

MTA's

• Are MTA's conducted and documented for each crew?

  Yes

  No

  N/A

• Does it contain an adequate description of the work being performed?

  Yes

  No

  N/A

• Is there a history of completed MTA's for each crew? (check last 7 days)

  Yes

  No

  N/A

• Does the project team properly store & track MTA documents?

  Yes

  No

  N/A

• Are Safety hazards thoroughly addressed along with controls the hazards on the form?

  Yes

  No

  N/A

TOOLBOX TALKS

• Are toolbox meetings being conducted and documented?

  Yes

  No

  N/A

• Is a toolbox talk completed every week?

  Yes

  No

  N/A

• Is the topic applicable to our work?

  Yes

  No

  N/A

FIRST AID / INJURY CARE / HEALTH

• Are CPR & First Aid certified coworkers on the project?

  Yes

  No

  N/A

• Is a well stocked First Aid kit available?

  Yes

  No

  N/A

• Is there adequate eye wash immediately available at working areas

  Yes

  No

  N/A

• Is drinking water readily available?

  Yes

  No

  N/A

• Are water kegs cleaned regularly and labeled?

  Yes

  No

  N/A

• Are drinking cups provided and properly disposed of?

  Yes

  No

  N/A

• Are toilets clean & properly stocked with paper?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE) & WORK WEAR

• Are all coworkers wearing hardhats, and eye protection?

  Yes

  No

  N/A

• Are co-workers wearing face-shield or special eye protection (burning goggles) where required?

  Yes

  No

  N/A

• Are co-workers wearing high visibility work wear and / or vest where they are required?

  Yes

  No

  N/A

• Are coworkers wearing proper work clothing and work boots?

  Yes

  No

  N/A

• Are coworkers wearing hearing protection where they are required?

  Yes

  No

  N/A

• Are co-workers wearing appropriate gloves for the task?

  Yes

  No

  N/A

• Did coworkers inspect their PPE prior to the start of their shift?

  Yes

  No

  N/A

PERSONAL FALL ARREST SYSTEM (FALL PROTECTION)

• Have the coworkers exposed to an immediate fall hazard?

  Yes

  No

  N/A

• Date and Time of Abatement

  Date

• Picture of Abatement

  Media

• Are there any open edge left unprotected?

  Yes

  No

  N/A

• Date and Time of Abatement

  Date

• Picture of Abatement

  Media

• Are all holes (2" & larger) securely covered & marked?

  Yes

  No

  N/A

• Date and Time of Abatement

  Date

• Picture of Abatement

  Media

• Are warning signs posted at leading edge barriers? (Available from Safety)

  Yes

  No

  N/A

• Date and Time of Abatement

  Date

• Picture of Abatement

  Media

• Are proper tie-off points used?

  Yes

  No

  N/A

• How you corrected?

• Correction Pictures

  Media

• Are coworkers exposed to swing fall hazard?

  Yes

  No

  N/A

• How you corrected?

• Correction Pictures

  Media

• Are all components of Personal Fall Arrest System (harness, SRLs, anchorage) in good condition?

  Yes

  No

  N/A

• Do you replaced the damaged equipment?

  Yes

  No

  N/A

• When it will be replaced?

  Date

• Picture of replaced equipment

  Media

• Are dual SRL (twin turbo, Diablo) properly connected to harnesses (if used)?

  Yes

  No

  N/A

• Picture of Corrected issue

  Media

• Are coworkers trained for the fall protection system in use?

  Yes

  No

  N/A

• STOP!! CALL JOSE AND SET UP A TRAINING DATE

• Date of training

  Date

• Are damage / defective fall protection components tagged and removed from service?

  Yes

  No

  N/A

• TAG AND REMOVE IT FROM SERVICE INMEDIATELY

• Picture of the damage equipment tagged

  Media

RIGGING & SIGNALING - Supplement C

• Are only Atlantic coworkers or NCCO Trained coworker allowed to rig loads & signal cranes?

  Yes

  No

  N/A

• Are riggers / Signal persons properly identified (hard hat stripes and / or vest?

  Yes

  No

  N/A

• Are whistles used to alert others when hoisting / landing loads ?

  Yes

  No

  N/A

• Are tag lines properly attached & used to control loads?

  Yes

  No

  N/A

• Are coworkers keeping their hands free of rigging & loads while hoisting?

  Yes

  No

  N/A

• Is rigging inspected before use?

  Yes

  No

  N/A

• Is there a current documented annual inspection for each chain sling on site?

  Yes

  No

  N/A

• Are chain slings tagged & in proper condition?

  Yes

  No

  N/A

• Are nylon slings tagged & in proper condition?

  Yes

  No

  N/A

• Are wire rope slings tagged & in proper condition?

  Yes

  No

  N/A

• Are damaged / defective rigging components removed from service?

  Yes

  No

  N/A

• Are proper rigging procedures in use for all observed lifts?

  Yes

  No

  N/A

• Does each crane have a dedicated radio channel?

  Yes

  No

  N/A

• Are cranes located a safe distance from power lines?

  SAFE

  Low Severity $5K-7K

  Medium Severity $7K-70K

  High Severity $ 70K-120K

  NA

• Are weather conditions adequate for hoisting?

  Yes

  No

  N/A

• Is safe access provided for the tower crane operator?

  SAFE

  Low Severity $5K-7K

  Medium Severity $7K-70K

  High Severity $ 70K-120K

  NA

HOUSEKEEPING (PREVENTING SLIP, TRIP & FALLS)

• Is there adequate lightning in all walkways & work areas?

  SAFE

  Low Severity $5K-7K

  Medium Severity $7K-70K

  High Severity $ 70K-120K

  NA

• Is task lighting adequate?

  Yes

  No

  N/A

• Are all aisle -ways and emergency routes clear of materials and debris?

  SAFE

  Low Severity $5K-7K

  Medium Severity $7K-70K

  High Severity $ 70K-120K

  NA

• Are material storage areas orderly & navigable?

  Yes

  No

  N/A

• Are there receptacles for lunch trash?

  Yes

  No

  N/A

• Is all exposed rebar caped to protected coworkers from injury?

  Yes

  No

  N/A

• Are all littler pieces of rebar picked up after cut it?

  Yes

  No

  N/A

• SCORING
  A = Compliant or 95 - -100%
  B = Positive effort or 85 - 94 %
  C = Average effort or 75 - 84%
  D = Serious or 0 - 74%

• This audit reflects the condition of the job-site at the time of inspection and limited by the portion of the site that was inspected.

• Superintendent's Name

  Sign

• Personnel Present

  Sign

• Safety Officer

  Sign

• "COMMITTED TO CREATING A HEALTHY LIFE, FREE OF INJURY, FOR ALL CO- WORKERS"

• "TOMORROW IS YOUR REWARD FOR WORKING SAFELY TODAY"