Baker Electric Safety Audit-2015

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Are PPE requirements sufficient

  Yes

  No

  N/A

• Is PPE supplied adequate for the task?

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

Tools

• Are employees trained and certified in Cadweld?<br>

  Yes

  No

  N/A

• Are powder actuated tools being used?<br>are employees trained and certified for the tool being used

  Yes

  No

  N/A

• Have all instruments and test equipment been calibrated

  Safe

  At Risk

  N/A

• Comments

  Yes

  No

  N/A

Hazard Communication

• Are all MSDS/Hazcom for all on-site chemicals available

  Yes

  No

  N/A

• Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)

  Safe

  At Risk

  N/A

• Comments

  Yes

  No

  N/A

Walking/Working Surfaces and Fall Protection

• Is there a fall protection competent person

  Yes

  No

  N/A

• Do employees engaging in use of fall protection have awareness training?

  Safe

  At Risk

  N/A

• Comments

  Yes

  No

  N/A

Emergency Response/Fire Protection

• Is there an employee on-site trained in First aid/CPR

  Yes

  No

  N/A

• Fire extinguishers inspected monthly and unblocked?

  Safe

  At Risk

  N/A

• Eyewash

  Safe

  At Risk

  N/A

• First Aid kit

  Safe

  At Risk

  N/A

• Comments

  Yes

  No

  N/A

Trenching and Excavation

• Trenching and excavation

  Yes

  No

  N/A

Scaffolding

• Scaffolding

  Yes

  No

  N/A

Mobile Equipment

• Mobile Equipment

  Yes

  No

  N/A

Electrical Hazards/Arc Flash

• Are all electrical cords in good condition?

  Safe

  At Risk

  N/A

• Are Temporary power Boxes being used?<br>Are they being inspected on a monthly bases?<br>Is the GFCI inspection form available?

  Safe

  At Risk

  N/A

• High voltage signs in place and visible?

  Safe

  At Risk

  N/A

• Debris/Tools stored on top of electrical cabinets?

  Safe

  At Risk

  N/A

• Electrical cabinets closed and in good repair?<br> -Do the cabinets close securely?<br> -Knock-outs all in place?<br> -Large dents in the housing/door?

  Safe

  At Risk

  N/A

• Electrical cabinets not blocked?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Clear access/pathway to electrical cabinets?

  Safe

  At Risk

  N/A

• Arc flash signage in place?<br> -Indicates arc flash category?

  Safe

  At Risk

  N/A

• Proper arc flash PPE available and in use?

  Safe

  At Risk

  N/A

Hazardous Energy Control (Lockout/Tagout)

• Employees expected to conduct lockout trained and equipped properly?<br> -Employees understand their role and requirements?<br> -Employees have locks available if needed?

  Safe

  At Risk

  N/A

• Employees locked out during a change over and/or other tasks that require lockout?<br> -All employees who are working on the equipment have their own lock affixed to the proper energy source(s)?<br> -Lockout was verified, stored energy was dissipated and equipment will not operate?

  Safe

  At Risk

  N/A

• Energy control procedures exist for all equipment in the area and employees know where to find them?

  Safe

  At Risk

  N/A

• Lockout exceptions have been adequately evaluated and determined safe?<br> -Do regular tool/machine adjustments introduce hazards with unacceptable risk?<br> -Other exceptions?

  Safe

  At Risk

  N/A

Crane/Hoist Safety

• Cranes or hoist

  Yes

  No

  N/A

General Safety and Housekeeping

• Trash, debris, and equipment not left laying around?

  Safe

  At Risk

  N/A

• General tripping hazards due to housekeeping, equipment layout, and/or workstation design?

  Safe

  At Risk

  N/A

Site conditions

• Sanitary facilities

  Yes

  No

  N/A

• Hand wash stations

  Yes

  No

  N/A

• Is lighting adequate and in safe operating condition

  Yes

  No

  N/A

Documentation

• Safety program available?

  Yes

  No

  N/A

• OSHA 300 log?

  Yes

  No

  N/A

• Medical clinic maps available?

  Yes

  No

  N/A

• Emergency numbers posted/known

  Yes

  No

  N/A

• Cal/OSHA postings/permits

  Yes

  No

  N/A

• Weekly safety meetings

  Yes

  No

  N/A

• Jobsite inspections

  Yes

  No

  N/A

Vehicle Inspection

• Vehicle Number

• Registration

  Yes

  No

  N/A

• Insurance

  Yes

  No

  N/A

• Windshield

  Safe

  At Risk

  N/A

• Tires

  Safe

  At Risk

  N/A

• Interior Condition

  Good

  Poor

• Exterior Condition

  Good

  Poor

Signature and Finalization

• I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.

  Sign

• Select date

  Date

• General Comments

• Overall Safety Score