Information

  • General Contractor

  • Document No.

  • Site

  • Conducted on

  • Prepared by

  • Foreman

  • Location
  • Date and time

Previous Audit

  • Has the last audit been reviewed

  • There are no outstanding conditions

General Site Conditions

  • Site is clean and organized

  • Materials are properly stored and secured

  • Entry and walkways clear

  • Stairs and risers clean

  • Interior spaces adequately lit

  • Handrails in place

  • Fall prevention methods in place and used where railings are missing

Emergency Plan

  • First aid officer on crew

  • First aid kit available

  • Is it stocked

  • Fire extinguishers present

  • Evacuation plan

  • Employees know it

  • SDS sheets on site

  • Water provided when hot

Personnel

  • Pre Task Plan board filled out and is up to date

  • JHA reviewed with all employees

  • JHA Quiz conducted with (Type Employee Name)

  • Quiz Question 1: What 5 steps do you follow if an accident/incident occurs? - (1.Ensure safety, 2.Assess injury / attend to injured, 3.Call for help if needed, 4.Notify supervisor & customer, 5.Document the incident)

  • Quiz Question 2: What is the requirement for fall protection anchorage? - (5,000 lbs.)

  • Quiz Question 3: What are the requirements of an effective guard rail? - (Top rail at 42" + or - 3" with a 200lb capacity, mid rail with a 150lb capacity, toe board with a 50lb capacity)

  • Quiz Question 4: What PPE is required when using a grinder? - (Safety glasses, face shield, gloves)

  • Quiz Question 5: When should Aerial equipment be grounded? (MEWPS & Swings) - (28mph winds)

  • All employees site oriented

  • All employees wearing boots, hard hat, safety glasses, high visibility

  • Appropriate gloves being worn

  • Harnesses worn for work over 6'

  • Face shields worn for grinding and cutting

  • Earplugs and dust masks avaliable

Tools

  • All tools in good condition

  • Guards in place on saws and grinders

  • Dust collection systems are in place on all silica dust producing tools.

  • Blades are sharp to avoid binding

  • Cords in good condition, effectively grounded or double insulated

  • GFCI's used at outlet

  • All tools exposed to drop hazards are tethered

Ladders

  • Ladders are heavy duty and fiberglass

  • In good condition

  • Being used properly

  • Set on firm level ground

  • Extension ladders extend 3' above upper landing surface

  • Are tied off

Supported Scaffolding

  • Erected by a qualified person

  • Is it level

  • Toe boards, ladder, guardrails in place

  • Properly tagged

Suspended Scaffolding

  • Users are trained

  • CD5, Engineer stamped drawings, pre & post inspections are onsite and available for inspection

  • Daily inspection log book complete

  • Counter weight is secured

  • Tie backs and lifelines secured to structure or engineered anchorage point

  • Emergency decent function operational

  • Wire mesh is intact and free of debris

Fall Protection Systems

  • Retractables, lifelines and rope grabs are in good condition with out defects

  • Are secured to structure or engineered anchorage point

  • Lifeline is tied with bowline knot or termination bar.

  • Guardrails or warning lines are in place at all leading edges

Heavy Equipment

  • All operators have been trained

  • Scheduled maintenance has been done by supplier

  • Tires are in good condition

  • Area surrounding equipment has been cordoned off to prevent unauthorized personnel

  • Back up alarm and warning lights are functional

  • Signal men are wearing high-viz clothing

  • Spill clean up kit avaliable

  • Power line clearance has been checked

  • Cribbing is used when ground is soft or uneven

  • Fuel is stored in OSHA approved cans

  • A hold harmless is in place for any and all usage of BAMCO equipment by other trades?

Subcontractors

  • All subcontractor employees are equipped with boots, hard hat, safety glasses, gloves, high visibility

  • All subcontractor employees are using fall protection methods for all works over 6'

  • Subcontractors have all required safety documents. JHA, PTP, SDS

  • All subcontractor equipment is in proper working order/ condition

  • All subcontractor tools are in proper working order / condition. (Guards, cords, etc.)

  • All subcontractors have foregone all required trainings for the operations being conducted. (Swing, Scaffolding, MEWPs etc.)

Cranes

  • Crane has been inspected and paperwork is on site

  • Swing radius protected

  • Rigging equipment inspected

  • Rigging Equipment is in good condition and being used properly

  • Radios for signaling available

  • Tag lines used

  • Auditor

  • Foreman

  • Completion Time

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.