Barton Malow Safety Audit

• Document No.

• Audit Title

• Client / Site

• Type of Work Being Performed

• Approximate Number of Employees on Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment

• Standard PPE (hard hat, safety glasses, vest, boots, gloves)

  Yes

  No

• Job specific PPE required

  Yes

  No

• Job Specific PPE

  Compliant

  Non Compliant

• Hearing Protection

  Safe

  At Risk

• Foot Protection

  Safe

  At Risk

• Respirator required

  Yes

  No

• Has employee been fit tested for a respirator

  Yes

  No

  Not Reviewed

• Have fit test records been reviewed

  Yes

  No

• Proper clothing

  Safe

  At Risk

Hand and power tools

• Tool condition

  Safe

  At Risk

  Not Observed

  Not Reviewed

• Proper guards and handles

  Compliant

  Non Compliant

• Unsafe or incompatible attachments used

  Yes

  No

• GFCIs are in place on all temporary power supplies

  Compliant

  Non Compliant

• Extension cords are in good condition

  Yes

  No

• Use of proper tool for the task being performed

  Yes

  No

• Are pneumatic tools being used

  Yes

  No

• Air line condition

  Safe

  At Risk

• Check valves in place

  Safe

  At Risk

• Air line secured

  Yes

  No

• Layout of cords, hoses, lines, cables

  Safe

  At Risk

• Are powder-actuated tools being used

  Yes

  No

  Not Observed

• Are users wearing required PPE

  Yes

  No

• Is tool being used properly and in a safe manner

  Yes

  No

• Does operator have "Operator's Card"

  Yes

  No

LOTO

• Is LOTO currently in use

  Yes

  No

• Has notification of LOTO usage been given to all parties affected

  Yes

  No

• Source identified and LOTO

  Yes

  No

• Is there a backup energy source

  Yes

  No

• Has backup energy source been LOTO

  Yes

  No

• Individual locks and tags in use

  Yes

  No

• Energy source has been fully isolated

  Yes

  No

• Individuals using LOTO are trained on proper LOTO procedures

  Yes

  No

• Training records

  Reviewed

  Not Reviewed

Aerial Lifts

• Are aerial lifts on site

  Yes

  No

• Are they currently in use

  Yes

  No

• Is employee wearing proper fall protection and tied off

  Yes

  No

• Training records

  Reviewed

  Not Reviewed

• Is work area barricaded to prevent unwanted access

  Yes

  No

• Ground clear of obstructions

  Yes

  No

• Over head hazards removed or accounted for

  Yes

  No

  N/A

• Pre shift inspection completed

  Yes

  No

• Equipment manual is with the equipment

  Yes

  No

• Weight limitations are posted

  Yes

  No

• Fire extinguisher on equipment

  Yes

  No

• Is fire extinguisher inspection up to date

  Yes

  No

• Stability

  Safe

  At Risk

• Are there wind concerns

  Yes

  No

• Are wind limitations known and being observed

  Yes

  No

Fall Protection

• Is personal fall protection currently in use

  Yes

  No

• Is employee tied off to an approved anchor point

  Yes

  No

• Is the correct type of lanyard being used

  Yes

  No

• Is employee properly tied off to prevent contact with ground if a fall was to occur

  Yes

  No

• Is harness properly worn and fitted

  Yes

  No

• Was harness inspected prior to use

  Yes

  No

• Have individuals been trained on personal fall protection systems and proper implementation

  Yes

  No

• Training records

  Reviewed

  Not Reviewed

• Is fall protection currently in use

  Yes

  No

• Covers/Nets

  Yes

  No

• Edge/Side

  Yes

  No

• Falling Objects

  Yes

  No

• Impalement concerns

  Yes

  No

• Openings/Holes

  Yes

  No

• Pits

  Yes

  No

• Railings/Stairs

  Yes

  No

• Roof work

  Yes

  No

• Trenches

  Yes

  No

Confined Space

• Are employees currently working in confined spaces

  Yes

  No

• Has atmosphere been tested for oxygen content

  Yes

  No

• Are results within permissible limits

  Yes

  No

• If answer is No, then space shall be classified as permit required confined space

• Have mitigation measures been implemented

  Yes

  No

• Has atmosphere been tested for flammable gases

  Yes

  No

• Are results within permissible limits

  Yes

  No

• If answer is No, then space shall be classified as permit required confined space

• Have mitigation measures been implemented

  Yes

  No

• Has atmosphere been tested for potential toxic air contaminants

  Yes

  No

• Are results within permissible limits

  Yes

  No

• If answer is No, then space shall be classified as permit required confined space

• Have mitigation measures been implemented

  Yes

  No

• Has atmosphere been tested for flammable vapors

  Yes

  No

• Are results within permissible limits

  Yes

  No

• If answer is No, then space shall be classified as permit required confined space

• Have mitigation measures been implemented

  Yes

  No

• Always keep in mind if a confined space has the POTENTIAL to develop a hazardous atmosphere

• Does the confined space have a material that has the potential to engulf the entrant

  Yes

  No

• If answer is Yes, then space shall be classified as permit required confine space

• Have precautionary measures been taken

  Yes

  No

  Not Applicable

• Does the confined space have an internal configuration such that an entrant could be trapped or asphyxiated

  Yes

  No

• If answer is Yes, then space shall be classified as permit required confine space

• Have precautionary measures been taken

  Yes

  No

  Not Applicable

• Does the confined space contain any other recognized serious safety or health hazard

  Yes

  No

• If answer is Yes, then space shall be classified as permit required confine space

• If answer is Yes please note hazard

• Hazard

• Have precautionary measures been taken

  Yes

  No

  Not Applicable

• Is confined space a permit required confined space

  Yes

  No

• Has permit been completed

  Yes

  No

• Is permit displayed and available for review

  Yes

  No

• Does permit list authorized entrants, attendant and entry supervisor

  Yes

  No

• Is there a retrieval system in place and is entrant wearing full body harness

  Yes

  No

• Is there an emergency response plan in place

  Yes

  No

• Is attendant qualified to perform CPR

  Yes

  No

  Not Applicable

• Training records reviewed

  Reviewed

  Not Reviewed

• Is fall protection required due to a fall exposure

  Yes

  No

• Is fall protection in place

  Yes

  No

• General fall protection

• Personal fall protection

Excavation / Trenching

• Are there any open excavations or trenches

  Yes

  No

• Excavation

• Trench

• Are there employees in the excavation / trench

  Yes

  No

• Was excavation inspected prior to employees entering excavation / trench

  Yes

  No

• Is spoil pile at least 2' away from the edge of the excavation

  Yes

  No

• Has soil type been determined

  Yes

  No

• What soil classification has been determined

  Select Solid Rock (90°) Fractured Rock (1/4:1, 75°) Stiff Clay (1/2:1, 63°) Firm Clay (2/3:1, 56°) Granular Soil Dry (1:1, 45°) Granular Soil Wet (1.5:1, 34°) Saturated Granular Soil (2:1, 26°) Running Soil (3:1, 18°)

  • Solid Rock (90°)
  • Fractured Rock (1/4:1, 75°)
  • Stiff Clay (1/2:1, 63°)
  • Firm Clay (2/3:1, 56°)
  • Granular Soil Dry (1:1, 45°)
  • Granular Soil Wet (1.5:1, 34°)
  • Saturated Granular Soil (2:1, 26°)
  • Running Soil (3:1, 18°)

• Is there standing or running water in the excavation/trench

  Yes

  No

• Have dewatering measures been implemented

  Yes

  No

• What type of protection is being used

  Select benching sloping trench box hydraulic shoring sheet piling shoring other

  • benching
  • sloping
  • trench box
  • hydraulic shoring
  • sheet piling
  • shoring
  • other

• Other:

• Have utilities been identified and located

  Yes

  No

• Is there proper ingress/egress

  Yes

  No

• Ladder within 25' of lateral travel

• Earth ramp of no more than 45° inclination

• Other

• Other:

• Are barricades in place to protect from construction traffic / vehicles and to control personnel access

  Yes

  No

  Not Applicable

• Is there vehicular traffic traveling adjacent to the excavation / trench

  Yes

  No

• Is there the possibility of exhaust fumes accumulating at the bottom of the excavation / trench

  Yes

  No

• Has atmosphere been tested to ensure proper levels of oxygen and hazardous fumes

  Safe

  At Risk

• Are there any confined spaces within the excavation / trench

  Yes

  No

  Not Observed

• SEE CONFINED SPACE SECTION

• Is there any requirement for fall protection

  Yes

  No

• General fall protection

• Personal fall protection

• Have fall protection requirements been implemented

  Yes

  No

Hot work / Fire prevention

• Is there hot work taking place

  Yes

  No

  Not Observed

• Welding

• Cutting

• Grinding

• Other

• Other:

• At a minimum one 2A-10BC portable fire extinguisher is immediately available at the work area where the hot work is taking place

  Yes

  No

• Fire extinguisher has been inspected and is in good condition

  Yes

  No

• Combustible and flammable materials within 35' have been removed or covered with fire-resistant material

  Yes

  No

• Stored fuel is at least 50' from hot work location

  Yes

  No

• When hot work is complete a fire watch will be assigned for at least 30 min.

  Yes

  No

Lifting, digging and motorized equipment

• Is lifting equipment on site

  Yes

  No

• Crane

• Is equipment currently in use

  Yes

  No

• Has daily inspection been completed

  Yes

  No

• Is operator certified

  Yes

  No

• Certification reviewed

  Reviewed

  Not Reviewed

• Is lift plan required for load being lifted

  Yes

  No

• Has lift plan been completed, approved and available for review

  Yes

  No

• Is ground guide required

  Yes

  No

• Is ground guide in use

  Yes

  No

• Signal man/women has been identified

  Yes

  No

• Communication method has been stablished and is acceptable

  Yes

  No

• Hand signals

• Radio communication

• Other

• Other:

• Rotating super-structure is barricaded to prevent access within area of rotation

  Yes

  No

  Not Observed

• Swing radius is barricaded off to prevent access by unauthorized personnel

  Yes

  No

  Not Observed

• Load chart is in equipment and available for review

  Yes

  No

  Not Reviewed

• Has annual inspection been completed and inspection decal visible

  Yes

  No

• Rigging inspection has been completed

  Yes

  No

  Not Observed

• Is there a fire extinguisher on the equipment

  Yes

  No

• Is there a fire extinguisher on the equipment

  Yes

  No

• Forklift (any type)

• Is equipment currently in use

  Yes

  No

• Has daily inspection been completed

  Yes

  No

• Is operator certified

  Yes

  No

• Certification reviewed

  Reviewed

  Not Reviewed

• Is lift plan required for load being lifted

  Yes

  No

• Has lift plan been completed, approved and available for review

  Yes

  No

• Is ground guide required

  Yes

  No

• Is ground guide in use

  Yes

  No

• Has annual inspection been completed and inspection decal visible

  Yes

  No

  Not Applicable

• Load chart is in equipment and available for review

  Yes

  No

  Not Reviewed

• Rigging inspection has been completed

  Yes

  No

  Not Applicable

• Is there a fire extinguisher on the equipment

  Yes

  No

• Fire extinguisher has been inspected and is in good condition

  Yes

  No

• Personnel lift

• Is equipment currently in use

  Yes

  No

• Are employees wearing required personal fall protection

  Yes

  No

• Has fall zone been cordoned off

  Yes

  No

• Ground guide is in use

  Yes

  No

• Has daily inspection been completed

  Yes

  No

• Is operator certified

  Yes

  No

• Certification reviewed

  Reviewed

  Not Reviewed

• Has annual inspection been completed and inspection decal visible

  Yes

  No

  Not Applicable

• Load limit decals are visible and readable

  Yes

  No

• Is there a fire extinguisher on the equipment

  Yes

  No

• Fire extinguisher has been inspected and is in good condition

  Yes

  No

Electrical

• Is electrical power being used

  Yes

  No

  Not Observed

• Has power source been identified

  Yes

  No

• Permanent source

• Temporary source

• Power on/off procedure been communicated

  Yes

  No

• Are power cords in use

  Yes

  No

  Not Observed

• Have power cords been inspected and in good condition

  Yes

  No

• Are they of the correct gauge and type

  Yes

  No

• Are cords and outlets being manages as to prevent griping hazards and unsafe conditions

  Yes

  No

• Are there hidden electrical lines

  Yes

  No

• Has the location and potential hazard been communicated to personnel in the area

  Yes

  No

• Are there restricted areas

  Yes

  No

• Have these areas been identified and communicated to personnel

  Yes

  No

• Has signage been posted to prevent unwanted access

  Yes

  No

Scaffolds

• Is scaffolding on site

  Yes

  No

• Is scaffolding currently in use

  Yes

  No

• Is daily inspection sheet complete and available for review

  Yes

  No

• Was daily inspection sheet reviewed

  Reviewed

  Not Reviewed

• Railings / guardrails on scaffolding are in place and in good condition

  Safe

  At Risk

• Cross members / supports are in place and in good condition

  Safe

  At Risk

• Stability of scaffolding

  Safe

  At Risk

• Climbing rungs

  Safe

  At Risk

• Wheels are locked and secured

  Yes

  No

• Scaffolding is secured (top and bottom)

  Yes

  No

• General condition of equipment

  Safe

  At Risk

Ladders

• Are ladders on site

  Yes

  No

• Are they currently in use

  Yes

  No

• Pre use inspection

  Yes

  No

• Is ladder secured

  Yes

  No

• Ladder is set up at 4:1 angle

  Yes

  No

• Top of ladder extends 3' above landing

  Yes

  No

  Not Applicable

• Is fall protection required

  Yes

  No

• SEE FALL PROTECTION SECTION