Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Superintendent: <br> <br><br>
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Date and Time:
HOUSEKEEPING
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Material properly stacked and all trash disposed of:
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Site clean, free of debris and trip hazards:
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Date of corrective action:
FUELS AND COMPRESSED GAS CYLINDERS:
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Fuels in approved containers for flammable liquids and properly labeled:
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Cylinders up right, and secured with caps in place:
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Temporary fuel tanks protected with proper signage and fire protection:
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Date of corrective action:
FIRE PROTECTION:
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Verify fire extinguishers has been inspected (Monthly):
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Adequate fire extinguishers:
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Verified fire extinguishers fully charged:
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Proper signage (e.g. Flammable, no smoking etc.):
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Date of corrective action:
TOOLS:
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Power tools properly guarded:
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All cords in proper operating condition:
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Safety glasses and hearing protection utilized when required:
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Date of corrective action:
ELECTRICAL:
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Proper light level in all areas with no broken or burnt out bulbs:
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Proper guarding on temporary lighting:
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GFCI'S appropriately placed and tested; electrical panels protected:
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Date of corrective action:
SCAFFOLDS:
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Scaffolding set on adequate base, level bearing and plumb:
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Required bracing installed:
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Scaffolds fully planked and in good condition
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Guard rails and toe boards in place:
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Mobile scaffolds locked (Minimum of 3 casters to be locked when in use) or rollers blocked
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Area of access/egress protected:
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Guardrail system in place on lifts:
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Date of corrective action:
LADDERS/STAIRWAYS
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All ladders OSHA approved and in good condition:
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Ladders secured, properly extended and stable and used away from fall hazards:
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Temporary stairs pans filled:
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Barricade and signage on stairways under construction:
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Handrail systems in place:
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Date of Corrective Action:
FLOOR/ WALL OPENINGS:
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Floor openings guarded with a guard rail system or solid cover appropriately marked:
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Window and door openings properly protected for fall hazards:
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Date of Corrective Action:
FALL PROTECTION:
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Wire rope cabling installed on perimeter having no more than 2" deflection
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Wire rope perimeter protection system flagged at no more than 6 feet intervals:
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Wood guard rails installed with upright supports every 8 feet:
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Top rails of system at 42",mid-rails at 21":
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Personal fall arrest systems used properly as required:
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Site specific fall protection plans for appropriate trades secured as needed:
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Date of Corrective Action:
EXCAVATIONS:
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Area of trench protected and barricaded:
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Sloped or shored as required:
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Spoil piles back at least 2 feet from area:
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Ladder access within 25 feet of working areas:
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Date of Corrective Action:
Miscellaneous:
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Any and all exposed rebar capped:
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Crane/steel erection paperwork secured as needed:
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Verified equipment horn and back-up alarms on heavy equipment:
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Proper PPE in use by all personnel:
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Signs used to control public liability hazards:
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First aid supplies available:
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CO monitor used as needed:
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Date of Corrective Action:
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This form is intended solely for use as a preliminary safety inspection list. The list is not all inclusive and does not relieve the project superintendent from other safety directives such as OSHA, the Department of Labor and others.
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Project Superintendent Signature:
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Safety Director Signature: