Information

  • Document No.

  • Audit Title

  • Contractor Conducting Inspection

  • Conducted on

  • Prepared by

  • Location

Pre-Work

  • Adequate exclusion zones established with signage for public protection?<br>

  • All required training completed for work to be performed including site orientation?

  • MSDS Sheets obtained and available?

  • Pre Task Plan communicated, understood and signed by each crew member?

  • All required permits obtained?

Personal Protective Equipment

  • Dust masks

  • Welding hood

  • High visibility vests

  • Hearing protection

  • Safety glasses/side shields

  • Gloves

  • Work Boots

  • Hard hat bills foward

Fall Prevention

  • Material and debris secured from falling off parameter edge

  • Tools tethered off

  • Workers properly tied off

  • CAZ areas established with signs

  • Netting for exterior work in place

  • 100% Fall Protection for work above 6'

  • Floor opening protected and marked

  • Exclusion zones established below for exterior work

  • Parameter protection with max deflection of 3" maintained at 42" 21" with toe board and netting in place

Ladders and Scaffolding

  • Scaffold inspected and properly tagged

  • Components not damaged or modified and level

  • Sections properly pinned

  • Wheels locked on rolling scaffolds

  • Toe boards in place

  • Handrails in place

  • Extension ladders extend 36" above and secured

  • Platform ladders in use

  • Platform ladders in open position on level surface

Housekeeping

  • Materials stacked orderly and minimum of 10' from edge

  • Access/Egress to stairs, hoist, and through corridor maintained

  • Trash and debris removed from work area

  • Cords and hoses off floor

  • No trip hazards present

  • Area looks orderly

Hoisting and Rigging Equipment

  • Crane inspections complete

  • No overhead lifting

  • Lift signal used

  • Qualified rigger used

  • Rigging inspected and tagged

  • Tag line used

  • Swing radius barricaded

  • Safety latch on hook checked

  • Lift zone designated

Mobile Equipment and Aerial Lifts

  • Seatbelts used

  • Workers trained and certified

  • Equipment inspected

  • Backup alarms working

  • 10' separation from equipment

  • Exclusion zones established

  • Spotters used when needed

  • Workers tied off to anchor point

Excavations

  • Competent person named

  • Proper protective system

  • Excavation checked daily

  • Proper access/egress

  • Spoil pile 2' away from edge

  • Workers trained

Fencing and Barricades

  • Fencing closed, secured, and guarded

  • All sides of work area barricaded

  • Barricade properly placed and not creating hazard to public

Electrical

  • Electrical panels secured and LOTO systems used

  • All cords inspected and current color on cords

  • GFCI's used

  • Contractor Conducting Inspection

  • Inspected Contractor

  • Other

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