Barton Malow Safety Audit

• Owner / Project Site

• Select date

  Date
• Location
  Address

• Approximate Number of Employees on Site

• Electricians

• Select from range

• Carpenters

• Select from range

• Riggers

• Select from range

• Laborers

• Select from range

• Operators

• Select from range

• Prepared by

• Audit team members

• Audit team signatures

  Sign

Personal Protective Equipment

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

  Yes

  No

• Job specific PPE required

  Yes

  No

• Is Job Specific PPE being utilized

  Yes

  No

• 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

  Reviewed

  Not Reviewed

• Proper clothing

  Safe

  At Risk

General Site Conditions

• Drinking water available

  Yes

  No

• Are washing facilities present (if required due to contaminants on site)

  Yes

  No

  Not Applicable

• Are locations clearly identified

  Yes

  No

• Are toilets available on site

  Yes

  No

• Has an emergency action plan or preparedness plan been implemented and communicated to the site personnel

  Yes

  No

• Is plan available for review

  Yes

  No

  Not Reviewed

• Clinic and/or hospital are identified

  Yes

  No

• First Aid / CPR trained personnel on site

  Yes

  No

  Not Required

• First responder equipment on site

  Yes

  No

• First Aid kits

• AED

• Artificial illumination required

  Yes

  No

  Not Observed

• Construction site - 10 footcandles

  Compliant

  Non Compliant

  Not Observed

• Walkways - 5 footcandles

  Compliant

  Non Compliant

  Not Observed

• Housekeeping

  Safe

  At Risk

Storage/Staging area

• Material staging/storage areas are organized

  Yes

  No

  Not Observed

• Storage areas, aisles and passageways free of material/debris

  Yes

  No

• Material stacked, racked, blocked, interlocked/secured to prevent from moving

  Yes

  No

  Not Applicable

• Material stored 6' back of a hoistway

  Yes

  No

  Not Applicable

• Material stored 6' back from inside floor openings

  Yes

  No

  Not Applicable

• Material stored 10' back from any wall opening

  Yes

  No

  Not Applicable

• Material stored at least 15' away from power lines up to 50kV

  Yes

  No

  Not Applicable

• IF POWER LINES ARE OVER 50kV REFER TO ELECTRICAL STANDARD

• Is bagged material stored/staged on site

  Yes

  No

• On pallet no more than 36"

  Yes

  No

  Not Applicable

• Secured to prevent from moving

  Yes

  No

  Not Applicable

• Stacked not more than 2 pallets high

  Yes

  No

  Not Applicable

• Stacked by stepping back the layers by crosskeying at least every 10 bags

  Yes

  No

  Not Applicable

• Is brick or tile stored/staged on site

  Yes

  No

• If stored as banded cube, cube cannot be more than 2 cubes high

  Yes

  No

  Not Applicable

• Loose

• Tapered back 2" in every foot of height above 4'

  Yes

  No

  Not Applicable

• Does not exceed 6' in height

  Yes

  No

  Not Applicable

• Cross keyed at each 2' level

  Yes

  No

  Not Applicable

• Pallet

• Does not exceed 30" high

  Yes

  No

  Not Applicable

• Secured to prevent from moving

  Yes

  No

  Not Applicable

• Stacked no more than 2 pallets high

  Yes

  No

  Not Applicable

• Is block stored/staged on site

  Yes

  No

• If stored as banded cube, cube cannot be more than 2 cubes high

  Yes

  No

  Not Applicable

• Loose

• Stack does not exceed 6' high

  Yes

  No

  Not Applicable

• Cross keyed at each 3' level

  Yes

  No

  Not Applicable

• Pallet

• Does not exceed 46" high

  Yes

  No

  Not Applicable

• Cross keyed every course or secured to pallet

  Yes

  No

  Not Applicable

• Stacked not more than 2 pallets high

  Yes

  No

  Not Applicable

• Is lumber stored/staged on site

  Yes

  No

• Stacked on solid, level supported skills

  Yes

  No

  Not Applicable

• Manually stacked lumber doesn't exceed 6'

  Yes

  No

  Not Applicable

• Mechanically stacked lumber doesn't exceed 10'

  Yes

  No

  Not Applicable

• Nails have been removed or bent

  Yes

  No

  Not Applicable

• Are cylinders containing gases stored on site

  Yes

  No

• Oxygen and fuel gas are separated by 20'

  Yes

  No

  Not Applicable

• Oxygen and fuel gas are separated by 5', 30 minute fire resistant wall

  Yes

  No

• Caps are installed when gauges are removed

  Yes

  No

• Cylinders are stored in a well ventilated area

  Yes

  No

• Cylinders are stored a minimum of 50' from an occupied building?

  Yes

  No

• Cylinders are stored in an upright position

  Yes

  No

  N/A

• Cylinders are secured to prevent from falling

  Yes

  No

• Cylinder provided with a shut off valve (fixed hand wheel) key, handle or nonadjustable wrench

  Yes

  No

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

  Yes

  No

  Not Applicable

• Extension cords are in good condition

  Yes

  No

  Not Applicable

• 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

  Yes

  No

• 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

Lock Out Tag Out (LOTO)

• Is LOTO currently in use

  Yes

  No

  Not Applicable

• 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

• Was non compliance corrected?

  Yes

  No

• Is harness properly worn and fitted

  Yes

  No

• Was harness inspected prior to use

  Yes

  No

  Not Reviewed

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

  Yes

  No

  Not Reviewed

• 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

  Safe

  At Risk

• 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

  Yes

  No

  Not Applicable

• 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

• Is additional PPE being used

  Yes

  No

• Eye protection

• Face protection

• Welding gloves

• Body protection

• Flash protection (if required)

• Is arc welding being performed

  Yes

  No

• Welding cable insulation is cut or bare

  Yes

  No

• REMOVE DAMAGED CABLE AND REPLACE WITH CABLE THAT IS FREE OF CUTS AND HAS NO EXPOSED INNER CABLES

• Welding cables are completely insulated

  Yes

  No

• Electrodes are removed from the electrode holders

  Yes

  No

• Spliced welding cable is not within 10' of the arc welding machine

  Yes

  No

  Not Applicable

• Cutting

• Is additional PPE being used

  Yes

  No

• Eye protection

• Face protection

• Welding gloves

• Body protection

• Flash protection

• Are oxygen and other gases being used for cutting

  Yes

  No

• Hose in good working order

  Yes

  No

• Backflow preventers installed on fuel gas

  Yes

  No

• Backflow preventer installed on oxygen hoses

  Yes

  No

• Are arc cutting electrodes being used

  Yes

  No

• Electrodes removed from electrode holders

  Yes

  No

• Cutting cables are completely insulated

  Yes

  No

• Grinding

• Is additional PPE being used

  Yes

  No

• Face protection

• Body protection

• Flash protection

• Other

• Other:

• ENSURE THAT ALL REQUIRED ADDITIONAL PPE IS BEING USED

• Is hot work taking place in a confined space

  Yes

  No

  Not Observed

• REFER TO CONFINED SPACE SECTION

• Is hot work permit required

  Yes

  No

• Is hot work permit complete and available for review

  Yes

  No

• 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 welding operations

  Yes

  No

  Not Applicable

• Is fire watch required after hot work is completed?

  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

• Communication method has been stablished and is acceptable

  Yes

  No

• Hand signals

• Signal person has been identified

  Yes

  No

• Is signal person qualified

  Yes

  No

• Qualification paperwork reviewed

  Reviewed

  Not Reviewed

• 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

• Signaling sign is posted and visible

  Yes

  No

  Not Reviewed

• Has annual inspection been completed and inspection decal visible

  Yes

  No

• Is there a fire extinguisher on the equipment

  Yes

  No

• Fire extinguisher has been inspected and is in good condition

  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

• Is digging/earth moving equipment on site

  Yes

  No

• Is equipment currently in use

  Yes

  No

• Have underground and overhead utilities been identified and marked

  Yes

  No

• Are power lines in the work area

  Yes

  No

• Clearance required:
  -up to 50kV - 10 feet
  -over 50kV to 200kV - 15 feet
  -over 200kV to 350kV - 20 feet
  OVER 350kV SEE MIOSHA STANDARD PART 10

• Is proper clearance been maintained from power lines

  Yes

  No

  Not Applicable

  Not Observed

• Have all obstructions been removed from the job site or at a minimum identified and barricaded to protect from impact

  Yes

  No

  Not Applicable

• Has equipment daily inspection been completed

  Yes

  No

  Not Reviewed

• Did check points pass inspection

  Yes

  No

• Is there a fire extinguisher on the equipment

  Yes

  No

• Fire extinguisher has been inspected and is in good condition

  Yes

  No

Lifting devices

• Are lifting devices in use

  Yes

  No

  Not Observed

• Hooks

• Free of twist, kink or bend

  Compliant

  Non Compliant

  Not Reviewed

• Slings

• Wire rope

• Wire rope has no more than 6 randomly distributed broken wires in 1 lay or 3 broken wires in 1 strand in 1 lay

  Compliant

  Non Compliant

  Not Reviewed

• Wire rope has no kinking, crushing, bird-caging or any other damage

  Compliant

  Non Compliant

  Not Reviewed

• Wire rope has no heat damage

  Compliant

  Non Compliant

  Not Reviewed

• Standing ropes have no more than 2 broken wires in 1 lay beyond the end connection

  Compliant

  Non Compliant

  Not Reviewed

• Standing ropes have no more than 1 broken wire at the end connection

  Compliant

  Non Compliant

  Not Reviewed

• No knots are present in the wire rope

  Compliant

  Non Compliant

  Not Reviewed

• Chains

• Permanent tag showing the size, grade, rated capacity and manufacturer's name

  Compliant

  Non Compliant

  Not Reviewed

• Free of worn out, kinked or bend links

  Compliant

  Non Compliant

  Not Reviewed

• Spreader beams

• Shackles

• Free of twist, kink or bend

  Compliant

  Non Compliant

  Not Reviewed

• Other

• Other:

• Rigging inspection has been completed prior to use

  Yes

  No

  Not Observed

• All damaged rigging has been removed or destroyed to prevent further usage

  Yes

  No

  Not Applicable

• All rigging has permanently affixed, legible identification markings stating size and rated capacity?

  Yes

  No

Temporary Electrical Power

• Is temporary electrical power being used on site

  Yes

  No

  Not Observed

• Are all 120v, 15-20amp receptacles equipped with a GFCI

  Yes

  No

• Are portable generators on site

  Yes

  No

• Are the portable generators currently being used

  Yes

  No

• Portable generator is located in a dry area

  Yes

  No

• Portable generator is not blocking travel lanes or creating additional tripping hazards

  Yes

  No

• Fumes from the portable generator do not have the potential to settle in nearby open excavations or other locations that would contribute to the accumulation of exhaust fumes

  Compliant

  Non Compliant

• Is there a fire extinguisher available at location of usage

  Yes

  No

• Has fire extinguisher been inspected

  Yes

  No