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
Scaffold Safety
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Are power lines at least the minimum distance away from scaffolding? (3' for LV, 10' for HV)
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Is the scaffold suitable for the loads and materials that will be placed this day as well as for the weather conditions and the employees using it?
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Is the scaffold secured to a building or structure as required? (every 26' vertically, 30' horizontally).
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Is the scaffold plumb, square and level?
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Are footings sound, rigid and capable of supporting load?
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Are the legs, posts, frames and uprights on base plates and mud sills?
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Is the load of the scaffold within its maximum load capacity? (25#'s per SF).
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Are workers aware of the maximum load capacity of scaffold?
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Are any bends, cracks, holes, rust, broken welds, or non-compatible parts visible on metal components?
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Is safe access available? (ladder frames, attachable ladders).
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Is the lumber (planks) used for scaffold -"Scaffold Grade"?
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Are wooden planks free from cracks, splits larger than 1/4" and long end splits that exceed 12" long?
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Are planks that are 10' or shorter at least 6-12" over the center line of the support and no more than 18" over the end?
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Are all working platforms fully planked with a minimum of 3 planks?
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Is the working platform 14" (or more) away from the wall or 18" or less if workers are plastering?
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Are guardrails and mid rails in place?
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Are toe boards installed on platforms in travel areas?
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Are braces, tie-ins and guying in use at each end and at appropriate intervals both vertically and horizontally to prevent tipping?
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Are tie backs loose or single wires?
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Are A-frames and planks set up properly?
Tools & Equipment
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Are proper tools being used for the job?
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Are tools being maintained in safe, good working condition?
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Are mechanical guards in place on mixers, pumps, compressors, etc?
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Are electrical cords the proper size, grounded and in good working condition?
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Are ladders the correct type, size and in good working condition?
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Are ladders being used correctly?
Personal Protective Equipment
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Is ANSI Z87 approved safety glasses being worn by all workers?
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Is respiratory protection being used and in good working condition? (mixer operator or any affected EE)?
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Is hearing protection available and being used as needed?
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Are hard hats in good condition and being worn by all workers?
Housekeeping and Site Conditions
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Is immediate work area clear from debris and obstructions?
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Are trash containers available and being used?
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Are trenches/excavations protected and at a minimum safe distance from work area and or scaffolding?
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Is rebar exposed without proper protection?
Heat Illness/General Items
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Temperature at time of audit?
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Are EE's trained and aware of heat illness and procedures?
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Is there an adequate supply of cool potable water provided and replenished as needed?
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Are disposable cups and water jugs on site and being used?
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Is shade provided on site?
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Is there a certified 1st aid/CPR trained person on site?
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Are all required documents and safety items onsite?<br>(IIPP, HIPP, COSP, 1st aid kit, fire extinguisher)?
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Foreman
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Person conducting audit