Beckett Electrical Services

• Audit Title

• Document No.

• Client / Site / Job #

• Conducted on

  Date

• Prepared by

• Location
  Address

• Foreman or Job Runner / Reporting Supervisor:

• GC Superintendent / Name / Phone / Email

• Select date

  Date

Basic General Duty Clause

• Current OSHA Form 300 Log? 1904.41(a)(1)(2)(3)

  Yes

  No

  N/A

• Is there an appropriate way for all employees to report work-related injury and illness, and is it being used? 1904.5(a) & 104.35(b)(1) & (i)

  Yes

  No

  N/A

• Is there an onsite safety supervisor who is readily available and who is properly certified and competent for the type of work being performed? 1926.32(f)

  Yes

  No

  N/A

Pre-Task Plans

• Is there a proper Job Safety Analysis (JSA) or Pre-Task Plan (PTP) filed out for the activity that is currently being worked on at the site? 1926.21(b)(2)

  Yes

  No

  N/A

• Is it filled out in detail?

  Safe

  At Risk

  N/A

• Is PTP provided by GC or Beckett Electrical?

  GC Provided PTP

  Beckett Provided PTP

• Has the foreman or lead person signed off on the Pre-task plan?

  Safe

  At Risk

  N/A

• Select date

  Date

House Keeping

• How is cord management?

  Safe

  At Risk

  N/A

• Is Trash and Debris being cleaned up?

  Yes

  No

  N/A

• Are Exits and Stairways kept clear?

  Safe

  At Risk

  N/A

• Is wire or jet line creating tripping hazards?

  Safe

  At Risk

  N/A

• Is material storage neat?

  Safe

  At Risk

  N/A

• Are there any rolling hazards?

  Safe

  At Risk

  N/A

• Are floor swept clean?

  Yes

  No

  N/A

Signs Barricades Means of Access and Egress into the building / job site

• Is there a traffic control plan for the site? 1926.200(f), (g)

  Yes

  No

  N/A

• Is site properly fenced and or barricaded to isolate the site from public?

  Yes

  No

  N/A

• Does site have proper ingress and egress for workers and emergency personnel? 1926.34(a)(b)(c)

  Safe

  At Risk

  N/A

• Are they obstructed or blocked?

  Safe

  At Risk

  N/A

• Have emergency evacuation locations been identified?

  Safe

  At Risk

  N/A

Hand and Power Tools

• Do all power tools on site have the proper cords and in good conditions? 1926.300(a)

  Yes

  No

  N/A

• Do all tools manufactured with a safety guard have that guard on the tool and in serviceable condition? 1926.300(b)(2)

  Yes

  No

  N/A

• Is the right tool for the right job being used? 1926.301(a)

  Safe

  At Risk

  N/A

• Is the tool being used properly?

  Safe

  At Risk

  N/A

• Is the operator of the tool training in the use of that tool?

  Safe

  At Risk

  N/A

Powder / Gas Actuated Tools

• Is the employee trained and have a training card on their person?

  Safe

  At Risk

  N/A

• Is the employee using a face sheild?

  Safe

  At Risk

  N/A

• Are the used shots being disposed in water?

  Safe

  At Risk

  N/A

• Are any shots used or unused on the ground?

  Safe

  At Risk

  N/A

• Water container for shots labeled for "used shots"?

  Yes

  No

  N/A

HAZMAT / Material Storage

• Are materials and tools on-site neatly stored and organized for ease of use, and safe movement about the jobsite and with avoidance of trip hazards? 1926.250(a),(b)

  Safe

  At Risk

  N/A

• Are all hazardous / flammable substances properly labeled and in correct containers? 1910.1200(b)(5)(v

  Safe

  At Risk

  N/A

• Is there a fire extinguisher within 25'?

  Safe

  At Risk

  N/A

• Is there a readily available copy of the Safety Data Sheets provided for the site? 1910.1200, (a),(b)

  Yes

  No

  N/A

• Are personnel onsite trained properly on the usage and handling of the hazmat materials onsite? 1926.21(a), (b)

  Safe

  At Risk

  N/A

First Aid Kits / Beckett Postings

• Is there a first aid kit on site on the floor where work is being done?

  Safe

  At Risk

  N/A

• Are there any expired items in the kit?

  Safe

  At Risk

  N/A

• Are the OSHA posters and the Beckett Job Book posted so that employees can see them?

  Safe

  At Risk

  N/A

Equipment:

• Is Equipment being used on site?

  Yes

  No

  N/A

• List Equipment being used on site:

  Select Scissor Lift Sky Trak ForkLift Boom Lift Trenching Machine Other N/A

  • Scissor Lift
  • Sky Trak
  • ForkLift
  • Boom Lift
  • Trenching Machine
  • Other
  • N/A

• Is operator trained for the use of this equipment?

  Yes

  No

  N/A

• Is the operator check list filled out?

  Yes

  No

  N/A

• Is operator using seat belt?

  Yes

  No

  N/A

• Is the travel path safe and speed limit safe for the equipment being used?

  Yes

  No

  N/A

• Are there any distractions while operating equipment? ( Cell phones, music, etc)

  Yes

  No

  N/A

Excavations

• Are there excavations on site under our control?

  Safe

  At Risk

  N/A

• Are excavations inspected daily by a competent person? 1926.651 (k)(1),(2)

  Yes

  No

  N/A

• Are there protective systems in place within the excavation that protect the workers and those working in or near the excavation? 1926.651(i)(1),(2)

  Yes

  No

  N/A

• Is the excavation kept free of standing water? 1926.651(h)(2),(3)

  Yes

  No

  N/A

• Is the excavation site safe to work in and around with a means of egress (at minimum a properly secured ladder every 25 ft)? 1926.651( C )

  Yes

  No

  N/A

Ladders

• Are Ladders being used on site?

  Yes

  No

  N/A

• Are the ladders used the correct size and type for the task?

  Yes

  No

  N/A

• Have the ladders been inspected and maintained daily prior to use?

  Safe

  At Risk

  N/A

• Are the ladders being used properly?

  Safe

  At Risk

  N/A

• Are required ladder stickers, labels, and warnings visible and in good readable condition?

  Yes

  No

  N/A

• Have employees using ladder been instructed on proper ladder use and inspection?

  Yes

  No

  N/A

• Are ladders being used for the purpose they were designed and intended?

  Yes

  No

  N/A

• Are tools being stored on top of the ladder?

  Safe

  At Risk

  N/A

• Have all non-serviceable ladders been marked out of use and scheduled for return to the shop?

  Yes

  No

  N/A

• Is the set up of the ladder on a stable surface and clear of debris underneath?

  Safe

  At Risk

  N/A

• For Straight (extension ladders) Are they tied off at the top or secured from below in a manner that will keep it from slipping, falling?

  Safe

  At Risk

  N/A

• For Straight (extension ladders) Is the ladder being setup in a 4:1 ratio for use?

  Yes

  No

  N/A

Fall Protection

• Is there a need for Fall Protection on the site?

  Safe

  At Risk

  N/A

• What type of fall protection is being used? (Drop down- multi answer)

  Select 1. Guardrail system 2. Personal fall arrest system 3. Safety net system 4. Warning line system 5. Safety monitoring system 6. Positioning device system 7. Controlled access zone (CAZ) 8. Hole Covers 9. Protection from falling objects

  • 1. Guardrail system
  • 2. Personal fall arrest system
  • 3. Safety net system
  • 4. Warning line system
  • 5. Safety monitoring system
  • 6. Positioning device system
  • 7. Controlled access zone (CAZ)
  • 8. Hole Covers
  • 9. Protection from falling objects

• Are all fall arrest systems on-site properly fitted, serviceable, and properly inspected? 1926 Subpart M App C

  Yes

  No

  N/A

• Has the fall protection been inspected?

  Safe

  At Risk

  N/A

• Are connection point for the (PFAS) rated to withstand required amounts of force? 1926.502(b)-(e )

  Yes

  No

  N/A

• Are all personnel using a PFAS have 100% tie off while in use, with proper length of lanyard as defined in the Fall Safety Plan? 1926.502(d)(15) . appendix G to Subpart R

  Yes

  No

  N/A

• Have all personnel using a PFAS had proper training in Basic fall protection? 1926.503(a) (1)

  Yes

  No

  N/A

• Are floor holes covered and clearly marked?

  Safe

  At Risk

  N/A

Electrical

• Do on site extension cords have an inline GFCI that has been tested daily prior to use? 1926.405(a)(2)(ii)(G)

  Yes

  No

  N/A

• Are on site extension cords the proper size and type and have they been checked for cuts and abrasions daily prior to use? 1926.405(a)(2)(ii)(I)

  Yes

  No

  N/A

• Are all cord caps, end plugs of the correct type and size needed for the cord they are being used with? 1926.405(a)(2)

  Yes

  No

  N/A

• Are all circuits being worked on been placed in and verified as an electrical work safe condition?

  Yes

  No

  N/A

• Are all the active energy sources identified?

  Yes

  No

  N/A

• Are circuits isolated? (joints disconnected, air gap at breaker)

  Yes

  No

  N/A

• Is LOTO being used currently onsite?

  Yes

  No

  N/A

• Has the employee been trained to perform LOTO?

  Safe

  At Risk

  N/A

• Is the correct LOTO equipment/devices being used?

  Safe

  At Risk

  N/A

• Are there enough devices to lock out all circuits needed?

  Yes

  No

  N/A

• Has the LOTO log been filed out with the proper information noted and in a location for easy retrieval?

  Yes

  No

  N/A

• Have all exposed personnel been trained in NFPA 70E?

  Yes

  No

  N/A

• Is the correct level of PPE / ARC flash equipment being used for the task at hand?

  Yes

  No

  N/A

Fire Protection

• Is the building fire sprinkler system active?

  Yes

  No

  N/A

• Is there a fire extinguisher present in the job site area?

  Safe

  At Risk

  N/A

• Is the fire extinguisher in working order?

  Safe

  At Risk

  N/A

• Is the location of the Sprinkler water shut off valve known and posted?

  Yes

  No

  N/A

• Has the annual inspection and or service been performed and documented?

  Safe

  At Risk

  N/A

Temp Power

• Is Temp power provided?

  Yes

  No

  N/A

• Is there any cord damage? ( If so have the cord taken out of service)

  Safe

  At Risk

  N/A

• Are All circuits GFCI protected?

  Yes

  No

  N/A

• Do all receptacles have covers?

  Yes

  No

  N/A

• Is lighting on its own GFCI circuit?

  Yes

  No

  N/A

Lighting

• Is lighting provided?

  Yes

  No

  N/A

• Are lights hung/suspended correctly?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• All bulbs working and have cages?

  Yes

  No

  N/A

PPE

• Are all onsite personnel wearing appropriate protective eye wear?<br>Z87+ rated safety glasses 1926.28

  Safe

  At Risk

  N/A

• Are all onsite personnel wearing an appropriate hard hat? <br>( E-Rated & Company provided) 1926.100(a),(b) 1926.20(f)1

  Yes

  No

  N/A

• Are all onsite personnel wearing appropriate protective gloves? 1926.28

  Safe

  At Risk

  N/A

• Are all onsite personnel wearing appropriate protective foot wear? 1926.96 , 1926.95(d)(2), 1926.28

  Yes

  No

  N/A

• Are all onsite personnel wearing an appropriate hearing protection? 1926.28, 1926.101

  Yes

  No

  N/A

• Are all onsite personnel wearing appropriate ANZI/MUCTD reflective Vest or Shirts? 1926.28

  Safe

  At Risk

  N/A

Drinking Water

• Is water readily available to all employees?

  Yes

  No

  N/A

• Are drinking cups available at the cooler?"

  Yes

  No

  N/A

• Is there a receptacle available for used cups?

  Yes

  No

  N/A

Impediments/Hold Ups/ Difficulties/ Delays

• Are there issues keeping the job from continuing?

  Yes

  No

  N/A

• enter issues here:

Comments:

• Supervisor's Signature Acknowledgment of Audit Findings

  Sign