Baxter Construction Co. LLC

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Safety

• Postings (State, Federal, EEOC, Drug, Work Comp)

  Yes

  No

  N/A

• Safety Posting (SDS, Emergency Contacts, PSP, Work Rules)

  Yes

  No

  N/A

• OSHA 300 Log (February Thru April)

  Yes

  No

  N/A

• First Aid Kit/Eye Wash Station?

  Yes

  No

  N/A

Housekeeping

• Trailer Clean?

  Yes

  No

  N/A

• Trash, Scrap, & Debris Picked Up?

  Yes

  No

  N/A

• Tools, Materials, & Rigging Stored and Organized?

  Yes

  No

  N/A

• Cords and Leads Routed Properly?

  Yes

  No

  N/A

• Stairs, Halls, and Roadways Clear?

  Yes

  No

  N/A

• General Site Condition?

Personal Protective Equipment (PPE)

• All Wearing Proper Eye, Face, & Head Protection?

  Yes

  No

  N/A

• All Wearing Proper Hand & Foot Protection?

  Yes

  No

  N/A

• All Wearing Proper Protective Clothing?

  Yes

  No

  N/A

• Respirator Protection Used Properly as Necessary?

  Yes

  No

  N/A

Fall Protection Equipment

• Personal Fall Protection Systems Used Properly & in Good Condition?

  Yes

  No

  N/A

• Guardrails in Good Condition & at Proper Heights?

  Yes

  No

  N/A

• Holes & Leading Edges Protected?

  Yes

  No

  N/A

Fire Protection and Prevention

• Fire Extinguishers Accessible and Current?

  Yes

  No

  N/A

• Proper Storage of Flammable & Combustible Materials?

  Yes

  No

  N/A

• Proper Signage & Labeling?

  Yes

  No

  N/A

Excavations and Trenches

• Proper PPE / Daily Inspections?

  Yes

  No

  N/A

• Competent Persons at Hole?

  Yes

  No

  N/A

• Trenches Barricaded & Taped Off?

  Yes

  No

  N/A

Cranes

• Approved Operator Training? (CCO)

  Yes

  No

  N/A

• Daily, Monthly, & Annual Crane Inspections Performed?

  Yes

  No

  N/A

• Set Up Correctly? (Power Lines, Cribbing, Within Load Charts)

  Yes

  No

  N/A

• Proper Barricades Up?

  Yes

  No

  N/A

Material Handling

• Rigging Performed by Qualified Rigger?

  Yes

  No

  N/A

• Tag lines Used?

  Yes

  No

  N/A

• All Operators Properly Trained for Equipment Being Used?

  Yes

  No

  N/A

Access Equipment

• Ladders Correct Ladder Used for Job?

  Yes

  No

  N/A

• Extension Ladders 3ft Beyond Platform?

  Yes

  No

  N/A

• Scaffolding Inspected Daily by Competent Person?

  Yes

  No

  N/A

• Decked With Handrails?

  Yes

  No

  N/A

• Tied Off in Aerial Lifts?

  Yes

  No

  N/A

• Stairs/Walkways Properly Protected & Unobstructed?

  Yes

  No

  N/A

Electricity

• GFCI's Used and in Proper Working Condition?

  Yes

  No

  N/A

• Power Tools and Electrical Cords in Proper Working Condition?

  Yes

  No

  N/A

• Temporary Lighting Hung Correctly? By Eyelets & With Non-Conductive Material. (Jet-line or Zip Ties)

  Yes

  No

  N/A

• Temporary Lighting Fixtures Have Lightbulbs & Guarding?

  Yes

  No

  N/A

• Superintendent, Project Manager, or PSO Signature

  Sign

• Safety Manager

  Sign