BBSI Construction Assessment

• Client Company

• Facility or Work site location
  Address

• Conducted on

  Date

• Client Site Supervisor

• Client Safety Champion

• BBSI Risk Management Consultant (RMC)

  Luke Lightner

  Adam Kickish

  John Tanner

• Contact at: (303) 519-4898 or john.tanner@bbsi.com

• Contact at: (719) 232-1674

• Contact at: (720) 818-6711

Work Environment

• Permanent power switches, junction boxes, and electrical systems are

  Select Properly marked and labeled Provided 24" access in all directions Clear of flammable material buildup or debris Covers are secure and free of damage N/A No controls in place

  • Properly marked and labeled
  • Provided 24" access in all directions
  • Clear of flammable material buildup or debris
  • Covers are secure and free of damage
  • N/A
  • No controls in place

• Fuel Station on site

  Yes

  No

Fuleing Station

• Fuel station(s)

  Select Fueling station is located away from active work areas and flammable materials Electric pumps are securely mounted, grounded, and free of damage Fueling guidelines visibly posted No smoking visibly posted All portable containers are metal with self closing lid Static ground wire in place Storage tanks are secure and equipped with spill control (berms or double walled tanks)

  • Fueling station is located away from active work areas and flammable materials
  • Electric pumps are securely mounted, grounded, and free of damage
  • Fueling guidelines visibly posted
  • No smoking visibly posted
  • All portable containers are metal with self closing lid
  • Static ground wire in place
  • Storage tanks are secure and equipped with spill control (berms or double walled tanks)

• Materials and equipment are organized and stored in secure location

  Safe

  At Risk

  N/A

• Holes and openings are covered and marked

  Safe

  At Risk

  N/A

• Floors are free of liquids and/or have tread installed to prevent slips

  Safe

  At Risk

  N/A

• Walkways and working surfaces are a minimum of 36" wide, well marked, and free of hazards

  Safe

  At Risk

  N/A

• Work areas are properly ventilated

  Safe

  At Risk

  N/A

• Work areas are properly illuminated

  Safe

  At Risk

  N/A

Work Execution

• Housekeeping in operational work areas is properly maintained

• Explain:

• Required PPE

  Select Hard hat Safety vest Steel toed boots Safety glasses Gloves Other: None

  • Hard hat
  • Safety vest
  • Steel toed boots
  • Safety glasses
  • Gloves
  • Other:
  • None

• Specify additional PPE requirements

• Are there any hazards that should be required? If yes describe.

• PPE available and in use

  Safe

  At Risk

  N/A

• Hazardous clothing, jewelry, or accessories are removed, covered, or controlled

  Safe

  At Risk

  N/A

• General operational hazards

  Select Aerial lifts Use of motor vehicles Confined space Crane operations Electrical hazards Ergonomic/ repetitive motion Fall protection Fork lift/industrial truck Hand and and power tools Hearing and noise expossure Ladder use Lockout/Tag-out Scaffold use Spill Respiratory exposures Rigging and material handling Trenching and excavations Welding/cutting/hotwork Wood work LPG or compressed gas storage and use Stationary equipment use and maintenance Hygiene exposure hazards Extreme temperatures - heat Extreme temperatures - cold Other:

  • Aerial lifts
  • Use of motor vehicles
  • Confined space
  • Crane operations
  • Electrical hazards
  • Ergonomic/ repetitive motion
  • Fall protection
  • Fork lift/industrial truck
  • Hand and and power tools
  • Hearing and noise expossure
  • Ladder use
  • Lockout/Tag-out
  • Scaffold use
  • Spill
  • Respiratory exposures
  • Rigging and material handling
  • Trenching and excavations
  • Welding/cutting/hotwork
  • Wood work
  • LPG or compressed gas storage and use
  • Stationary equipment use and maintenance
  • Hygiene exposure hazards
  • Extreme temperatures - heat
  • Extreme temperatures - cold
  • Other:

Stationary Equipment

• Stationary equipment is securely anchored

  Safe

  At Risk

  N/A

• LOTO procedures in place for maintenance and servicing

  Safe

  At Risk

  N/A

• All electrical components and power cords are well maintained and free damage

  Safe

  At Risk

  N/A

• Emergency shutoff controls in place and operable

  Safe

  At Risk

  N/A

• Active areas of operation are clear of obstructions and properly demarcated

  Safe

  At Risk

  N/A

• Equipment is free of user modifications

  Safe

  At Risk

  N/A

• All shields and guards are in place

  Safe

  At Risk

  N/A

• Material discharge (product or waste) is directed to designated area

  Safe

  At Risk

  N/A

Hand and Power tools

• Tools are used as intended

  Safe

  At Risk

  N/A

• Hand tools are free of damage (handle splinters, mushroom tops, chipped blades, etc.)

  Safe

  At Risk

  N/A

• All guards and handles are in place

  Safe

  At Risk

  N/A

• Tools are clean and maintained

  Safe

  At Risk

  N/A

• Consumables/blades are changed regularly

  Safe

  At Risk

  N/A

• Defective tools are taken out of service and marked to prevent accidental use

  Safe

  At Risk

  N/A

• Power cords are well maintained and free of end user modifications

  Safe

  At Risk

  N/A

• Tools are free of end user modifications

  Safe

  At Risk

  N/A

• Power tools are turned off and unplugged when changing parts, cleaning, or conducting maintenance)

  Safe

  At Risk

  N/A

• All power tools are equipped with auto-shut-off switch

  Safe

  At Risk

  N/A

Electrical Hazards

• Temporary power panels are functional and free of damage

  Safe

  At Risk

  N/A

• Temporary wiring does not pass through holes or windows; doors blocked open when in use

  Safe

  At Risk

  N/A

• Electrical wiring is kept free of cutting hazards such as sharp metal and glass

  Safe

  At Risk

  N/A

• Power cords and wiring are supported and protected from pooling water

  Safe

  At Risk

  N/A

• Only construction grade extension cords with ground in tact are used

  Safe

  At Risk

  N/A

• All temporary wiring is well maintained and free of splices and electrical tape

  Safe

  At Risk

  N/A

• LOTO Properly administered when working on/near hazardous equipment

  Safe

  At Risk

  N/A

• Temporary wiring is hung or supported to prevent damage, trip, and striking hazards

  Safe

  At Risk

  N/A

• All electrical systems are fully grounded with GFCI in place

  Safe

  At Risk

  N/A

• LOTO program and training records available to supervisor

  Safe

  At Risk

  N/A

• Equipment is used within capacity and as designed

  Safe

  At Risk

  N/A

Aerial lifts

• Equipment users manual available

  Safe

  At Risk

  N/A

• Equipment maintenance records available

  Safe

  At Risk

  N/A

• Daily inspection records available

  Safe

  At Risk

  N/A

• Training records available for users and passengers

  Safe

  At Risk

  N/A

• Emergency controls in place and operational

  Safe

  At Risk

  N/A

• Only used on stable surfaces

  Safe

  At Risk

  N/A

• Scissor lifts are only used on stable and level surfaces

  Safe

  At Risk

  N/A

• Lift is loaded only with employees and working materials; not used to transport equipment or materials.

  Safe

  At Risk

  N/A

• When working within 15 feet of electric/power lines they are deenergized and/or shielded

  Safe

  At Risk

  N/A

• Lift is fully retracted and lowered prior to travel or movement

  Safe

  At Risk

  N/A

• No use of portable ladders or climbing guard rails to extend reach

  Safe

  At Risk

  N/A

Crane operations

• All operators are trained and certified specific to the equipment in use

  Safe

  At Risk

  N/A

• Equipment is only operated by designated operator

  Safe

  At Risk

  N/A

• Fire extinguisher in cab

  Safe

  At Risk

  N/A

• Load charts are available and operations are in compliance

  Safe

  At Risk

  N/A

• Only use tagged rigging and connection equipment

  Safe

  At Risk

  N/A

• Ground condition has been assessed and controls in place to ensure equipment is fully supported

  Safe

  At Risk

  N/A

• When working within 15 feet of electric/power lines or charged equipment they are deenergized, LOTO, and/or shielded

  Safe

  At Risk

  N/A

• Work zone including intended swing radius are marked with cones and/or danger tape

  Safe

  At Risk

  N/A

• Signal person/flagger in place when load is out of operators eye site or being transported on site

  Safe

  At Risk

  N/A

• Equipment inspection documentation available

  Safe

  At Risk

  N/A

• Defective equipment including all rigging and supports are taken off site and replaced as needed

  Safe

  At Risk

  N/A

Fall Protection

• Systems in use

  Select Personal Fall Arrest (PFA) Guard rails Horizontal lifeline Safety net Flagging and Safety Monitor

  • Personal Fall Arrest (PFA)
  • Guard rails
  • Horizontal lifeline
  • Safety net
  • Flagging and Safety Monitor

Personal Fall Arrest Systems (PFA)

• Training records available for all users

  Compliant

  Needs assessment

  Out of compliance

  N/A

• All PFA systems are well maintained and tags are legible

  Compliant

  Needs assessment

  Out of compliance

  N/A

• All anchors support a minimum of 5,000 lb.

  Compliant

  Needs assessment

  Out of compliance

  N/A

• PFA systems are equipped with shock absorption

  Compliant

  Needs assessment

  Out of compliance

  N/A

• Employees maintain body position or change anchor point to prevent swing radius greater than 15 degrees

  Compliant

  Needs assessment

  Out of compliance

  N/A

• PFA inspected daily and all defective equipment is taken out of service

  Compliant

  Needs assessment

  Out of compliance

  N/A

• D rings, hooks, and cables are only used as intended; belt D-rings are not used for connection

  Compliant

  Needs assessment

  Out of compliance

  N/A

• Anchors are prefabricated or verified by an engineer

  Compliant

  Needs assessment

  Out of compliance

  N/A

Guard Rails

• Guard rails are 38-42 inches high with mid rail in center position

  Compliant

  Needs assessment

  Out of compliance

  N/A

• Mid-rail is centered between surface and guardrail

  Select Job rotation Restricted area sign in Modified Schedule Assigned task safety monitor Special Training None

  • Job rotation
  • Restricted area sign in
  • Modified Schedule
  • Assigned task safety monitor
  • Special Training
  • None

• Toe boards in place to prevent falling object

  Compliant

  Needs assessment

  Out of compliance

  N/A

• Guard rails support 200 lb. load in downward or outward direction

  Compliant

  Needs assessment

  Out of compliance

  N/A

• Guardrail materials are free of cutting/poking hazards

  Select Job rotation Restricted area sign in Modified Schedule Assigned task safety monitor Special Training None

  • Job rotation
  • Restricted area sign in
  • Modified Schedule
  • Assigned task safety monitor
  • Special Training
  • None

• Are all areas of access fully restricted by flagging?

  Safe

  At Risk

  N/A

• Is the Safety Monitor trained and competent to perform the task?

  Safe

  At Risk

  N/A

• Are all employees trained on procedure?

  Safe

  At Risk

  N/A

• Is there a 1:2 ratio of Safety Monitors to exposed employees?

  Safe

  At Risk

  N/A

• Is the Safety Monitor notified anytime a person is exposed to fall hazard?

  Safe

  At Risk

  N/A

• Is the Safety Monitor restricted from other duties?

  Safe

  At Risk

  N/A

• Does the Safety Monitor maintain continuos observation when an employee is exposed to the hazard.

  Safe

  At Risk

  N/A

• Horizontal lifelines are prefabricated or engineerd and are used in compliance with manufacturer specifications

  Safe

  At Risk

  N/A

Fork lifts and Industrial Trucks

• Training records available for users and passengers

  Safe

  At Risk

  N/A

• Equipment maintenance records available

  Safe

  At Risk

  N/A

• Daily inspection records available

  Safe

  At Risk

  N/A

• Equipment users manual available

  Safe

  At Risk

  N/A

• Load charts are available and operations are in compliance

  Safe

  At Risk

  N/A

• Only used on solid and level surfaces

  Safe

  At Risk

  N/A

• Emergency controls in place and operational

  Safe

  At Risk

  N/A

• Lifting forks are free of welds and other end user modifications

  Safe

  At Risk

  N/A

• Loads are lowered prior to travel

  Safe

  At Risk

  N/A

• When working within 15 feet of electric/power lines they are deenergized and/or shielded

  Safe

  At Risk

  N/A

• Equipment is used as designed; never used as scaffold or to transport employees

  Safe

  At Risk

  N/A

• Defective equipment is marked, taken out of service, and ignition key is removed/disabled

  Safe

  At Risk

  N/A

Ladder Safety

• Ladders stickers are in place and legible

  Safe

  At Risk

  N/A

• Ladders are free of damage and are inspected prior to each use

  Safe

  At Risk

  N/A

• Working surface is stable and free of tripping hazards

  Safe

  At Risk

  N/A

• All treads are free of debris, oil, and other slip hazards

  Safe

  At Risk

  N/A

• Top and first rung of step ladders are used for hands and tool storage only; not a standing surface

  Safe

  At Risk

  N/A

• Ladders are only used as designed (e.g. do not use A frame as a lean-to ladder)

  Safe

  At Risk

  N/A

• Ladders are not used to store tools when not in use

  Safe

  At Risk

  N/A

• When used to access upper level, ladders are secured and extend 36" beyond upper surface

  Safe

  At Risk

  N/A

• Extension ladder footing is secure

  Safe

  At Risk

  N/A

• When used in/near doorways doors are locked or propped open

  Safe

  At Risk

  N/A

• Defective equipment is marked and taken out of service

  Safe

  At Risk

  N/A

Scaffold Use

• Training records available for CP and all users

  Safe

  At Risk

  N/A

• Systems scaffolds only use compatible parts from the same manufacturer

  Safe

  At Risk

  N/A

• Scaffold is erected and disassembled under the direction of designated competent person

  Safe

  At Risk

  N/A

• Scaffold is inspected daily and after any event that may compromise the integrity of the scaffold

  Safe

  At Risk

  N/A

• All scaffold is prefabricated or has been verified by an engineer

  Safe

  At Risk

  N/A

• Wheel locks are engaged when in use

  Safe

  At Risk

  N/A

• Employees dismount scaffold prior to moving

  Safe

  At Risk

  N/A

• Working surface is stable and level

  Safe

  At Risk

  N/A

• Propper fall protection in place when working at heights greater than 10 ft.

  Safe

  At Risk

  N/A

• Scaffold is free of slip/trip hazards including water, ice, debris, etc.

  Safe

  At Risk

  N/A

• Daily inspection documentation is avaiable

  Safe

  At Risk

  N/A

• Scaffold is equipped with Green tags when free of hazards, yellow tags where special controls are required, and red tagged for 'no access'

  Safe

  At Risk

  N/A

• Toe boards are in place to prevent falling objects

  Safe

  At Risk

  N/A

• Access to areas beneath active work zones is restricted with proper signage

  Safe

  At Risk

  N/A

• Scaffold components may only be used as fall protection anchorage if designed for this purpose

  Safe

  At Risk

  N/A

Company Motor Vehicle Use

• Driver Safety Program elements in place

  Select Fleet safety rules and best practices Defensive driving policy Driver training program 'Ride along' observations Accident reporting procedures Behavior and conduct violations documented Drug and alcohol policy Inclimate weather policy No applicable safety policies

  • Fleet safety rules and best practices
  • Defensive driving policy
  • Driver training program
  • 'Ride along' observations
  • Accident reporting procedures
  • Behavior and conduct violations documented
  • Drug and alcohol policy
  • Inclimate weather policy
  • No applicable safety policies

• Vehicle safety features

  Select Seat belts Airbags Exterior cameras Interior cameras Speed regulator Backup alarm Equipment hoist Loading ramp or lift Radio No vehicle safety features

  • Seat belts
  • Airbags
  • Exterior cameras
  • Interior cameras
  • Speed regulator
  • Backup alarm
  • Equipment hoist
  • Loading ramp or lift
  • Radio
  • No vehicle safety features

• Only authorized driver may operate company vehicles

  Safe

  At Risk

  N/A

• Only company vehicles are used to transport equipment, materials, and employees between worksites and facilities.

  Safe

  At Risk

  N/A

• Vehicle inspections conducted and documented

  Safe

  At Risk

  N/A

• Vehicles are maintained and records are available

  Safe

  At Risk

  N/A

• All vehicles and drivers are screened and insured

  Safe

  At Risk

  N/A

• All mirrors and glass are clean and free of cracks

  Safe

  At Risk

  N/A

• Vehicles are equipped with roadside emergency kit

  Safe

  At Risk

  N/A

Hotwork

• Plasma or mixed gas welding/cutting is conducted by qualified employees

  Safe

  At Risk

  N/A

• Mixed gases are secured to a bottle cart or fixed in an upright position

  Safe

  At Risk

  N/A

• Acetylene and Oxygen are separated by blast shield or positioned at least 20 feet from one another.

  Safe

  At Risk

  N/A

• FIre watch is present for duration of work and remains for 30 minutes after active hot work

  Safe

  At Risk

  N/A

• Surfaces have been assessed for hazardous coatings or material (e.g. lead, stainless steel, etc.)

  Safe

  At Risk

  N/A

• Affected employees wear face shield with minimum shade level of 7

  Safe

  At Risk

  N/A

• All hoses, tips, bottles, torches, etc. are inspected prior to each use

  Safe

  At Risk

  N/A

• Plasma electrodes are inspected and changed regularly

  Safe

  At Risk

  N/A

• Electrical supply is grounded and positioned away from flammable materials

  Safe

  At Risk

  N/A

Health and Hygiene Exposure

• Hazard assessment for surfacing materials to be cut by torch, grinder, electric sander, or otherwise create a respiratory hazard?

  Safe

  At Risk

  N/A

• Does ventilation ensure continuous air exchange?

  Safe

  At Risk

  N/A

• Appropriate monitoring in place for identified hazards (gas monitor, personal pump, dosimeter etc.)

  Safe

  At Risk

  N/A

• Monitoring records are posted and available to supervisors.

  Safe

  At Risk

  N/A

• Known hazards such as organic material waste is removed and disposed of prior to operations

  Safe

  At Risk

  N/A

• Pre-Inspection/Permit completed

  Safe

  At Risk

  N/A

• Trench protected from cave-in.

  Safe

  At Risk

  N/A

• Access/Egress available

  Safe

  At Risk

  N/A

• Hazardous conditions present

  Safe

  At Risk

  N/A

• Trench guarded from fall hazards

  Safe

  At Risk

  N/A

• Spoil piles are located 2+ feet from trench

  Safe

  At Risk

  N/A

Operational health and hygiene

• Restrooms requirements

  Select Clean and well maintained Equipped with running water Includes sinks or wash station Plumbing is functional 1 restroom per 10 employees Toilet paper, paper towels, and soap are available None

  • Clean and well maintained
  • Equipped with running water
  • Includes sinks or wash station
  • Plumbing is functional
  • 1 restroom per 10 employees
  • Toilet paper, paper towels, and soap are available
  • None

• First aid and AED

  Select Clearly marked Easily accessible Contents are clean and organized Free of expired product Fully stocked Eye wash station is clean and fully charged AED includes directions No first aid equipment available

  • Clearly marked
  • Easily accessible
  • Contents are clean and organized
  • Free of expired product
  • Fully stocked
  • Eye wash station is clean and fully charged
  • AED includes directions
  • No first aid equipment available

• Designated location for employees to eat/drink and store personal items outside of the work area

  Safe

  At Risk

  N/A

• All personal drinking containers inside the work area are fully resealable

  Safe

  At Risk

  N/A

• Waste is properly handled, segregated, and disposed of

  Safe

  At Risk

  N/A

Administration

• Posting and records

  Select OSHA/DOL postings up to date and visibly posted Emergency contact information visibly posted Emergency Response and evacuation plan clearly posted Required lincense(s)/permit(s) available Employee training and monitoring records available No administrative postings observed

  • OSHA/DOL postings up to date and visibly posted
  • Emergency contact information visibly posted
  • Emergency Response and evacuation plan clearly posted
  • Required lincense(s)/permit(s) available
  • Employee training and monitoring records available
  • No administrative postings observed

• Entrance and exits to and from work area

  Select Clearly marked Clear of debris and trip hazards At least 36" in width At least 2 routes of egress Unsafe entry/ exit

  • Clearly marked
  • Clear of debris and trip hazards
  • At least 36" in width
  • At least 2 routes of egress
  • Unsafe entry/ exit

• Fire extinguishers

  Select Fully charged Free of damage Tagged with recent inspections Available within 25 feet of any active work area Selected based on hazard type (ABC, etc.) No fire extinguishers available

  • Fully charged
  • Free of damage
  • Tagged with recent inspections
  • Available within 25 feet of any active work area
  • Selected based on hazard type (ABC, etc.)
  • No fire extinguishers available

• GHS elements

  Select SDS available Storage containers properly marked Training records available SOP and special PPE requirements for hazardous chemicals used Proper disposal No HazCom requirements in place

  • SDS available
  • Storage containers properly marked
  • Training records available
  • SOP and special PPE requirements for hazardous chemicals used
  • Proper disposal
  • No HazCom requirements in place

• Spill response plan and spill kit stocked and available

  Safe

  At Risk

  N/A

• Clearly defined work plan and task assignments

  Safe

  At Risk

  N/A

• Access to work areas is restricted to authorized individuals

  Safe

  At Risk

  N/A

• Signage is in place as needed (e.g. overhead work, PPE required, construction area, etc.)

  Safe

  At Risk

  N/A

• Defective equipment is taken out of service, marked, and stored away from working equipment

  Safe

  At Risk

  N/A

Observations

• What is the most LIKELY hazard on this site?

• What is the most SEVERE hazard on this site?

• Span of management minimum 1:5

  Yes

  No

  N/A

• Do budget and schedule demands create an incentive for unsafe behaviors

  Yes

  No

  N/A

• Explanation:

• Employees are maintaining proper housekeeping while working?

  Yes

  No

  N/A

• materials and waste are properly handled, packaged, and removed from work area when not in use

  Yes

  No

  N/A

• PPE defects or misuse (wrong selection, wrong size, defective item in use, etc.)

  Yes

  No

• Please explain:

• Did any workers engage in any unsafe acts?

  Yes

  No

• Please explain:

• Were there any unsafe working conditions?

  Yes

  No

• Please explain:

Employee involvement

• Name(s) of employee(s) interviewed

Interview items

• Does employee know and understand tasks, hazards, and controls of their work?

  Yes

  No

• Does employee understand incident reporting procedures

  Yes

  No

• Does employee know where to get documents such as SDS, Safety Materials, etc.

  Yes

  No

• What is the most effective safety feature at this job?

• What do you think would make this an even safer working environment?

• Pre-work safety briefing conducted

  Yes

  No

• Does worker's description of safety meeting match log sumary

  Yes

  No

• Job Hazard Assessment in place

  Yes

  No

  N/A

• JHA complete and verified by all employees on site

  Yes

  No

• Does JHA include all present tasks and hazards with appropriate controls?

  Yes

  No

• Are all controls listed in JHA being implemented?

  Yes

  No

Incident management

• Supervisor understands incident response and reporting procedures

  Safe

  At Risk

  N/A

• Incident response forms available to supervisor (initial report, witness statement form, designated provider letter)

  Safe

  At Risk

  N/A

• Any recordable injuries in past 12 months

  Yes

  No

  N/A

• Supervisor report of injury form been filled out for all incidents?

  Yes

  No

• Witness statements collected?

  Yes

  No

• Has the designated provider letter been signed by any person sent to the clinic for treatment?

  Yes

  No

• Has injured employee returned to work?

  Yes

  No

• Why?

Confirmation

• Auditor - By signing I attest that to the best of my knowledge the information contained in this inspection report is current and correct, and I have reviewed this material with the site supervisor. I have/will fulfill my responsibility to work with the site supervisor and ensure prescribed actions are implemented within the assigned time frame.

  Sign

• Supervisor/Safety Champion - I understand the information contained in this inspection report, and I have reviewed this material with the inspector. I also confirm that I have/will fulfill my responsibility to implement the prescribed actions.

  Sign