Information
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General Contractor
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Document No.
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Site
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Conducted on
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Prepared by
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Foreman
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Location
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Date and time
Previous Audit
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Has the last audit been reviewed
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There are no outstanding conditions
General Site Conditions
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Site is clean and organized
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Materials are properly stored and secured
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Entry and walkways clear
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Stairs and risers clean
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Interior spaces adequately lit
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Handrails in place
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Fall prevention methods in place and used where railings are missing
Emergency Plan
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First aid officer on crew
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First aid kit available
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Is it stocked
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Fire extinguishers present
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Evacuation plan
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Employees know it
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SDS sheets on site
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Water provided when hot
Personnel
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Pre Task Plan board filled out and is up to date
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JHA reviewed with all employees
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JHA Quiz conducted with (Type Employee Name)
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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)
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Quiz Question 2: What is the requirement for fall protection anchorage? - (5,000 lbs.)
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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)
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Quiz Question 4: What PPE is required when using a grinder? - (Safety glasses, face shield, gloves)
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Quiz Question 5: When should Aerial equipment be grounded? (MEWPS & Swings) - (28mph winds)
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All employees site oriented
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All employees wearing boots, hard hat, safety glasses, high visibility
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Appropriate gloves being worn
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Harnesses worn for work over 6'
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Face shields worn for grinding and cutting
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Earplugs and dust masks avaliable
Tools
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All tools in good condition
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Guards in place on saws and grinders
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Dust collection systems are in place on all silica dust producing tools.
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Blades are sharp to avoid binding
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Cords in good condition, effectively grounded or double insulated
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GFCI's used at outlet
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All tools exposed to drop hazards are tethered
Ladders
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Ladders are heavy duty and fiberglass
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In good condition
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Being used properly
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Set on firm level ground
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Extension ladders extend 3' above upper landing surface
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Are tied off
Supported Scaffolding
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Erected by a qualified person
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Is it level
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Toe boards, ladder, guardrails in place
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Properly tagged
Suspended Scaffolding
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Users are trained
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CD5, Engineer stamped drawings, pre & post inspections are onsite and available for inspection
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Daily inspection log book complete
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Counter weight is secured
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Tie backs and lifelines secured to structure or engineered anchorage point
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Emergency decent function operational
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Wire mesh is intact and free of debris
Fall Protection Systems
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Retractables, lifelines and rope grabs are in good condition with out defects
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Are secured to structure or engineered anchorage point
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Lifeline is tied with bowline knot or termination bar.
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Guardrails or warning lines are in place at all leading edges
Heavy Equipment
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All operators have been trained
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Scheduled maintenance has been done by supplier
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Tires are in good condition
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Area surrounding equipment has been cordoned off to prevent unauthorized personnel
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Back up alarm and warning lights are functional
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Signal men are wearing high-viz clothing
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Spill clean up kit avaliable
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Power line clearance has been checked
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Cribbing is used when ground is soft or uneven
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Fuel is stored in OSHA approved cans
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A hold harmless is in place for any and all usage of BAMCO equipment by other trades?
Subcontractors
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All subcontractor employees are equipped with boots, hard hat, safety glasses, gloves, high visibility
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All subcontractor employees are using fall protection methods for all works over 6'
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Subcontractors have all required safety documents. JHA, PTP, SDS
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All subcontractor equipment is in proper working order/ condition
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All subcontractor tools are in proper working order / condition. (Guards, cords, etc.)
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All subcontractors have foregone all required trainings for the operations being conducted. (Swing, Scaffolding, MEWPs etc.)
Cranes
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Crane has been inspected and paperwork is on site
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Swing radius protected
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Rigging equipment inspected
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Rigging Equipment is in good condition and being used properly
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Radios for signaling available
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Tag lines used
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Auditor
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Foreman
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Completion Time