BCS (Backcountry Consultant Services)

• Audit Title

• Client

• Jobsite Name

• Location
  Address

• Select date

  Date

• Superintendent

• Safety Representative

• Audit Conducted By

Forklifts

• Daily Inspections Completed

  Yes

  No

  N/A

• Operator Certification

  Yes

  No

  N/A

• Company name clearly visible

  Yes

  No

  N/A

• Equipment ID clearly visible

  Yes

  No

  N/A

• Operators sounding horn @ intersections

  Yes

  No

  N/A

• Operators slowing speed with sounding horn @ blind corners

  Yes

  No

  N/A

• Operators seatbelt fastened when functions are in use

  Yes

  No

  N/A

• Operators traveling in reverse if load is obstructing view

  Yes

  No

  N/A

• Are spotters being utilized in congested areas

  Yes

  No

  N/A

• Operators setting parking break before exiting forklift

  Yes

  No

  N/A

• Is operator overloading forklift

  Yes

  No

  N/A

• Is operator using forklift for it’s intended purpose

  Yes

  No

  N/A

• If not on a pallet, is load secured to prevent shifting on the forks

  Yes

  No

  N/A

Mobile Elevated Lifting Platforms

• Employee trained/certified on type being operated

  Yes

  No

  N/A

• Employees utilizing 100% fall protection @ all times

  Yes

  No

  N/A

• Spotter or barricades being utilized

  Yes

  No

  N/A

• Pre shift inspection completed

  Yes

  No

  N/A

• Safety gate or chain latched in the rear while in operation

  Yes

  No

  N/A

• Working platform free of debris

  Yes

  No

  N/A

• Company name clearly visible

  Yes

  No

  N/A

• Equipment identification number clearly visible

  Yes

  No

  N/A

Barricades

• Setup, Maintained & Removed (end of work)

  Yes

  No

  N/A

• Signage In Place

  Yes

  No

  N/A

• Roadways, Sidewalks, & Stairs Protected

  Yes

  No

  N/A

• Traffic Controls in Place

  Yes

  No

  N/A

• Floor & Wall Openings

  Yes

  No

  N/A

• Unattended Trenches & Excavations

  Yes

  No

  N/A

• Special Hazards Work Protected

  Yes

  No

  N/A

Concrete and Masonry

• Impalement Hazards Protected

  Yes

  No

  N/A

• Limited Access Zones Established

  Yes

  No

  N/A

• Forms Installed & Braced Properly

  Yes

  No

  N/A

• Adequate Shoring: Plumbed, Braced, & Inspected

  Yes

  No

  N/A

• Form Materials Stored Neatly

  Yes

  No

  N/A

• Protection From Silica Dust

  Yes

  No

  N/A

• Concrete PPE In Use

  Yes

  No

  N/A

• Concrete Wash-Out Area Available & Constructed Properly

  Yes

  No

  N/A

Electrical & Utilities

• Energized Parts Protected

  Yes

  No

  N/A

• GFCI Protection Utilized at Power Source

  Yes

  No

  N/A

• LO/TO Procedures Utilized

  Yes

  No

  N/A

• Insulation and Prongs Intact

  Yes

  No

  N/A

• Extension Cords Out of Walkways / Suspended by Non-Conductive Material

  Yes

  No

  N/A

• Temporary Lighting Guarded & All Bulbs in Place

  Yes

  No

  N/A

• Temporary Lighting Suspended by Mounting Point on Cage with Non-Conductive Material

  Yes

  No

  N/A

• Adequate Lighting Provided

  Yes

  No

  N/A

• Underground Utilities Marked

  Yes

  No

  N/A

Fall Protection

• Fall Protection Plan in Place

  Yes

  No

  N/A

• 100% PFAS Utilized

  Yes

  No

  N/A

• PFAS in Good Working Condition

  Yes

  No

  N/A

• Sufficient Anchorage Points

  Yes

  No

  N/A

• Fall Protection Methods in Accordance to OSHA Standards

  Yes

  No

  N/A

• Leading Edges Protected

  Yes

  No

  N/A

• Guardrails Constructed Properly

  Yes

  No

  N/A

• Perimeter Cable Installed in Compliance & Flagged Every 6'

  Yes

  No

  N/A

• Warning Lines Properly Installed

  Yes

  No

  N/A

• Ironworkers with Subpart R Provisions

  Yes

  No

  N/A

• Being inspected prior to use

  Yes

  No

  N/A

Gas Cylinders

• Cylinders Upright, Secured & Caps On

  Yes

  No

  N/A

• Oxygen & Flammables Properly Stored

  Yes

  No

  N/A

• Guages Removed & Caps On When Not in Use

  Yes

  No

  N/A

• Storage area identified with product signage

  Yes

  No

  N/A

Hand & Power Tools

• Proper Tool for the Job

  Yes

  No

  N/A

• Tools in Good Operating Condition

  Yes

  No

  N/A

• Mechanical Guards in Place

  Yes

  No

  N/A

• Tools Inspected Prior to Use

  Yes

  No

  N/A

• Manufacturer's Recommended PPE In Use

  Yes

  No

  N/A

• Cords in Good Condition

  Yes

  No

  N/A

• Tools Properly Stored

  Yes

  No

  N/A

• High pressure air compressors hose couplings pined or wired

  Yes

  No

  N/A

Site Housekeeping & Sanitation

• Floors & Walk paths FREE of Slip, Trip, Fall Fall Hazard

  Yes

  No

  N/A

• Trash placed in containers

  Yes

  No

  N/A

• Trash containers being emptied before overflowing

  Yes

  No

  N/A

• Aisle, Stairs and Passageways Clear

  Yes

  No

  N/A

• 1 Toilet Per 10 Employees. Sanitation Station Available.

  Yes

  No

  N/A

• Cords, Leads, Hoses rolled back at the end of shift

  Yes

  No

  N/A

Material Storage

• 10' From Exterior & 6' From Interior Leading Edges

  Yes

  No

  N/A

• Material Stacked to Prevent Sliding, Falling, or Collapse

  Yes

  No

  N/A

• Nails Pulled from Lumber

  Yes

  No

  N/A

• Materials No Closer than 3' of Live Electrical Equipment

  Yes

  No

  N/A

• Materials secured to prevent flying debris

  Yes

  No

  N/A

• Material lay down areas defined

  Yes

  No

  N/A

• Material lay down areas neat & orderly

  Yes

  No

  N/A

Fuel Storage

• Approved Containers and Potable Tanks Used & Labeled Properly

  Yes

  No

  N/A

• Not Closer than 20' to a Building

  Yes

  No

  N/A

• No More than 25 Gallons Stored Inside or Stored in an Approved Cabinet

  Yes

  No

  N/A

• Fire Extinguisher Not Less than 20-B, Locaded within 25-75'

  Yes

  No

  N/A

• Double Containment for Tanks > 50 Gallons

  Yes

  No

  N/A

• Protected by Dikes or Barricades from Vehicular Collision/Damage

  Yes

  No

  N/A

• Proper Labels and Signage in Place

  Yes

  No

  N/A

Personal Protective Equipment

• Hard Hats - Being worn by crew members

  Yes

  No

  N/A

• Safety Glasses - Being worn by crew members

  Yes

  No

  N/A

• Faceshield - Task Specific

  Yes

  No

  N/A

• Work Boots Worn

  Yes

  No

  N/A

• Gloves Worn - Different Types Available Per Task

  Yes

  No

  N/A

• Hearing Protection Available/Utilized

  Yes

  No

  N/A

• High Visibility Safety Vest or class 2 hiv-vis long sleeve

  Yes

  No

  N/A

• Respirators or Dust Masks Utilized

  Yes

  No

  N/A

• Clean Room built to industry standards

  Yes

  No

  N/A

• Tyvek suits being utilized during demo

  Yes

  No

  N/A

• Contaminated Tyvek suites being properly disposed off

  Yes

  No

  N/A

• Inspection Reviewed With

• Audit Completion

  Date