Information
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Document No.
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Company
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Site
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Conducted on
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Conducted by
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Location
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Personnel
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Notice: This audit form should be considered a "living document" and is not all inclusive of those conditions which may be found on site; the template for this form will be updated as needed.
Items marked as N/A are either Not Applicable or Not Observed.
Items/equipment noted in this audit as "Safe" only refer to those items/equipment observed, and not to every item/equipment of similar design or type on the site during the audit. These items/equipment noted as "Safe" appear to the Auditor to be in good working condition and do not imply that any exhaustive testing or inspection was performed by the Auditor in making this determination.
General Safety & Health
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OSHA/State Posters in place
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OSHA Log # 300 posted in field office
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Safety Bulletins, Poster, Accident Prevention Info Posted
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Properly supplied First Aid Kit located in field office
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Emergency Procedures and numbers posted at phone
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Fire Protection and Emergency Action Plan in place (Exits ID, guards/safe meeting areas & accountability procedures).
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Office trailer / storage trailers have proper stairs, handrails and platform (Door swing >20” from stairs).
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Hazard Communication/MSDS (located on-site)<br>
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Is the hazards material inventory list current
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Employees ( and subcontractors) instructed in availability
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Employee training documented
General Site and Housekeeping
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Traffic patterns in place and controlled with proper M&PT
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Barricades, fences and gates in place around site and are well marked and lighted <br>
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Illumination (adequate lighting of work area)
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Air Quality/Ventilation (dust, mists, vapors, fume)
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Sanitary Facilities (adequate facilities/clean)<br>
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Drinking water provided
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Material neatly piled
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Passageways and aisle kept clear
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Scrap well controlled, nail removed, wire disposed of properly
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Large amount of combustibles in or near building
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Site picked up and waste disposed of at regular intervals
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Floors in good condition , oils and grease removed
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Fire Hazards (housekeeping)
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Extinguishers (proper type, available, charged)<br>
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Storage of Flam. /comb. (Proper containers)<br>
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No Smoking, Flammable, No Open Flame, etc. warning signs posted where required
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Containers marked and labeled
Personal Protective Equipment (PPE)
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Hard Hats - Mandatory<br>
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Safety Glasses with Side Shields - Mandatory
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Additional Eye and Face Protection as required by task.
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Gloves (proper type, worn as required)
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Proper Attire (shirts, shoes)
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Hearing Protection (proper type worn as required)
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Respirators (proper type & maintenance, worn as required, Recordkeeping UTD)
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Personal Fall Arrest System (PFAS) provided.
Tools and Equipment
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Tools
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Hand/Power Tools (inspect condition, proper use)
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Prompt reporting of defective tools
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Defective tools turned in and tagged as unsafe
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Power actuated tools used only by qualified operators
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Personal protective equipment used during tool use
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Scaffolds
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Scaffolding Inspected by Competent Person
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Only trained and authorized workers on the scaffold.
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Scaffolding in proper working condition
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Scaffolding has proper access
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Electrical Equipment
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Construction areas are illuminated properly
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Ground fault ( GFCI) receptacles at all temporary power locations
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“ Danger, High Voltage” signs are posted at electrical rooms and other locations where needed
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Cords and wiring inspected daily for condition and wear. <br>
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Panel boards, Boxes, outlets, and switches properly closed (covers, live parts, missing knockouts, etc.)<br>
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Grounding of portable electrical generators over 5 KW
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Temporary lights are equipped with guards to prevent accidental contact with bulbs, not supported by current carrying cord.
Concrete and Masonry
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Concrete
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Power trowel machines provided with positive on/off switches.
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Protruding rebar is capped or covered to prevent puncture, laceration, and tripping hazards
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Adequate shoring and reshoring for support.
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Masonry
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Masonry walls adequately braced to prevent overturning
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Limited access zones equal the height of the wall plus 4'
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Fall Protection -FP Systems, Ladders, Stairways, Holes
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Fall Protection Systems
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Fall protection provided for potential falls over 6 feet above the working surface.
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For guard rail systems are top rails, midrails and toe boards installed <br>
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Rails 42” high plus or minus 3“, rails able to with stand 200 LBS force in any direction.
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Gates or offsets required at ladder ways.
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PFAS in Use
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If personal fall arrest protection is worn are proper harnesses provided ( no body belts)
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PFAS inspected before each use
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Locking snaps hooks used
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Personal fall protection anchor points and lines can with stand 5,000 lbs per person
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Horizontal lifelines designed with 2:1 safety factor
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Max. free fall distance of 6ft. w/ max deceleration distance of 3.5 ft.
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Maximum arresting force of 1,800 lbs with a harness
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Positioning devices have free fall of 2’ or less
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Safety Nets
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If safety nets are used are they less than 30 feet below working surface
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Nets extend 8’ to 13’ depending upon work height
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Sufficient clearance below nets to avoid contact.
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Debris removed from nets
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Ladders, Stairs and Walkways
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Side rails extend 36” above landing or grab rails have been provided.
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Tops of ladders tied to prevent displacement.
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All manufactured and extension ladders are equipped with ladder shoes and the ladder is on a substantial base.
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Ladders are inspected and properly maintained
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No metal ladders used around electrical exposures
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Ladders properly used with a 4:1 pitch
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All stairways equipped with handrails and guardrails
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All walkways over 6‘ in height provided with proper guard rails
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Steps and floorboards in good condition
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Floor, Wall and Roof Openings
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All roof and floor openings are protected with effective covers or provided with standard railings and toeboards.
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All floor covers are properly marked (hole) and secured down
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Hole Covers withstand twice their intended load
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Guardrails on all open sided floors, floor holes, roofs, runways
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Roofing Warning Line / Safety Monitor System on Low Slope Roofs
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If warning line system is used is it not less than 6’ from the edge and flagged every 6 feet.
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10' back if mechanical equipment is used
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15' back for all other work
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Controlled access zones in place
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Safety monitoring system has designated competent monitor with no other duties and used on roofs less than 50’.
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Steps clear of excess dirt, oil, ice, snow, mud, trash, etc.<br>
Cranes and Heavy Equipment
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Cranes and Rigging
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Heavy Equipment and Vehicles
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Qualified Operators
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Warning Signals, Back Up Alarms, Horn Operable
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ROPS Installed, seat belts used
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Safe Operation (Not overloaded, stunt driving, riding the bucket, or riders)
Comments
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All items noted above as "At Risk" are to be corrected as soon as possible. Items corrected when identified will be marked "At Risk" and noted "Corrected."
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Please ensure that these issues are corrected within 24 hours of notification – items which involve the most serious hazards (Falls, Struck-bys, Electrocutions, and Caught-in/Between) that could result in serious injury or death must be corrected before work can continue in those areas.
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The contents of this audit were reviewed with the Site Superintendent/Foreman before leaving the site.
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A copy of this audit was provided to the Site Superintendent/Foreman via email
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A copy of this audit was provided to the Project Manager via email
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