Build to Suit Safety Audit

• Build to Suit Safety Report for BettPlex

• BettPlex

• Conducted on

  Date

• Prepared by

• Bettendorf,Ia
  Address

• Personnel

POSTINGS

• OSHA

  Yes

  No

  N/A

• Emergency Numbers

  Yes

  No

  N/A

FIRST AID KIT

• Available

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Eye Protection

  Yes

  No

  N/A

• Face Protection

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• Footwear

  Yes

  No

  N/A

• High Visibility Clothing

  Yes

  No

  N/A

HOUSEKEEPING / SANITATION

• Stairs, Exits, Walkways Kept Clear

  Yes

  No

  N/A

• Trip Hazards Protected

  Yes

  No

  N/A

• Waste Containers Provided and Used / Rubbish Removed

  Yes

  No

  N/A

• Material Properly Stacked and Orderly

  Yes

  No

  N/A

• Nails Bent or Removed

  Yes

  No

  N/A

• Spills Cleaned

  Yes

  No

  N/A

• Sanitary Facilities Available and Clean

  Yes

  No

  N/A

• Adequate Eating and Drinking Areas

  Yes

  No

  N/A

• Materials on Floor/Roof Secure From Wind

  Yes

  No

  N/A

• Puncture/Impalement Hazards Protected

  Yes

  No

  N/A

• Additional Housekeeping Concerns

  Yes

  No

  N/A

FALL PROTECTION

• Guardrails on Open Sided Floors/Edges

  Yes

  No

  N/A

• Top Rail B/T 39 & 45 Inches and Capable of Supporting 200lbs.

  Yes

  No

  N/A

• Toe Boards Where Needed

  Yes

  No

  N/A

• Mid Rails in Place

  Yes

  No

  N/A

• Cable Guardrails Flagged Every 6'

  Yes

  No

  N/A

• Roof Perimeter Protected or Warning Line Used

  Yes

  No

  N/A

• Holes Covered, Marked and Secured (Capable of Supporting 2x intended Load)

  Yes

  No

  N/A

• Employees Using Fall Protection Where Required

  Yes

  No

  N/A

• Sufficient Anchorage Points (5000lbs.)

  Yes

  No

  N/A

• Plan Written For Leading Edge Situations

  Yes

  No

  N/A

• Employees Working on Forms Protected

  Yes

  No

  N/A

• Tied Off in Aerial Lifts

  Yes

  No

  N/A

• Struck-By Hazards Eliminated

  Yes

  No

  N/A

• Additional Fall Protection Concerns

  Yes

  No

  N/A

LADDERS / STAIRS

• Ladders 3' Above Landing, Secured, and Set at 4 to 1 Ratio

  Yes

  No

  N/A

• Ladders in Good Condition

  Yes

  No

  N/A

• Area Around Top and Bottom of Ladder Kept Clear

  Yes

  No

  N/A

• Corral Around Access Ladders

  Yes

  No

  N/A

• Platform or Top Step of Stepladders Not Used

  Yes

  No

  N/A

• Metal Ladders Not Used for Electrical Work

  Yes

  No

  N/A

• Stepladders in Open Position Only

  Yes

  No

  N/A

• Handrails on Stairs with 4 Risers or More

  Yes

  No

  N/A

• Pan-Stairs Filled or Closed

  Yes

  No

  N/A

• Stairs Kept Clear

  Yes

  No

  N/A

• Additional Stair/Ladder Concerns

  Yes

  No

  N/A

SCAFFOLDING

• Guardrails Installed at 6'

  Yes

  No

  N/A

• Toe boards Where Needed

  Yes

  No

  N/A

• Working Platform Fully Decked

  Yes

  No

  N/A

• Access Ladders Provided

  Yes

  No

  N/A

• Scaffolds Properly Secured

  Yes

  No

  N/A

• Sufficient X-Bracing

  Yes

  No

  N/A

• Scaffolds on Solid Footing (No Cinderblocks)

  Yes

  No

  N/A

• Mud sills Used Where Necessary

  Yes

  No

  N/A

• Scaffolds Not Overloaded 4 Times the Maximum Load

  Yes

  No

  N/A

• Planking overlapped 12" or Secured

  Yes

  No

  N/A

• Planks Extend Over End Supports 6" to 12" or Secured

  Yes

  No

  N/A

• Diagonal Bracing on Rolling Scaffold

  Yes

  No

  N/A

• Fall Protection on Suspended Scaffold and Aerial Lifts

  Yes

  No

  N/A

• Chains Secured / Gates Closed on Scissor Lifts

  Yes

  No

  N/A

• Baker Scaffold has Outriggers at 8'

  Yes

  No

  N/A

• Plumb and Secure

  Yes

  No

  N/A

• No Overhead Electrical Exposure

  Yes

  No

  N/A

• No Riding Rolling Scaffold

  Yes

  No

  N/A

• Planking Free from Debris, Snow and Ice

  Yes

  No

  N/A

• Additional Scaffold Concerns

  Yes

  No

  N/A

ELECTRICAL

• GFCI's Used on All Outlets

  Yes

  No

  N/A

• Temp Panels Covered<br>No Empty Breaker Spaces

  Yes

  No

  N/A

• Access to Breaker Boxes Kept Clear

  Yes

  No

  N/A

• Lights Sufficient for Proper Illumination

  Yes

  No

  N/A

• Cords in Good Condition / Grounded / Away From Sharp Edges, Heat, Oil / Not Strained

  Yes

  No

  N/A

• Only SJ, SJO, SJT, SJTO, S, SO, or STO Hard Cords Used

  Yes

  No

  N/A

• ROMEX Protected From Physical Damage

  Yes

  No

  N/A

• Overhead Power Lines Accounted For:<br>De-Energized, Guarded, or Insulated

  Yes

  No

  N/A

• Electrical Equipment Secured and Fastened

  Yes

  No

  N/A

• Temp Lighting:<br>No Open Socket, Missing Cages and Properly Elevated

  Yes

  No

  N/A

• Additional Electrical Concerns

  Yes

  No

  N/A

EXCAVATION & TRENCHING

• Protective System in Place

  Yes

  No

  N/A

• Excavation Properly Sloped

  Yes

  No

  N/A

• Daily Inspection Made and Documented

  Yes

  No

  N/A

• Inspections After Rain Storms or Excavation Changes

  Yes

  No

  N/A

• Excavations Deeper than 20' Engineered

  Yes

  No

  N/A

• Spoils 2' from Edge

  Yes

  No

  N/A

• Access / Egress Provided if > 4'

  Yes

  No

  N/A

• Access / Egress Within 25' of All Workers

  Yes

  No

  N/A

• Able to Walk Upright on Ramps

  Yes

  No

  N/A

• Confined Space Hazard

  Yes

  No

  N/A

• Excavation Barricaded if Necessary

  Yes

  No

  N/A

• Equipment Away from Edge

  Yes

  No

  N/A

• Adjacent Structures Shored

  Yes

  No

  N/A

• Additional Excavation Concerns

  Yes

  No

  N/A

HAZARD COMMUNICATION

• MSDS On-Site & Up To Date

  Yes

  No

  N/A

• Written Program On-Site

  Yes

  No

  N/A

• Container Labeling:<br>Hudson Sprayers, Drums, Bottles, Etc....

  Yes

  No

  N/A

• Container Labeling Poster<br>Tags Available

  Yes

  No

  N/A

• Additional Hazard Communication Concerns

  Yes

  No

  N/A

FIRE PREVENTION

• Fire Extinguishers Provided and Tested

  Yes

  No

  N/A

• Fire ExtinguishersEvery 3,000 sq. ft.<br>Within 100' of All workers

  Yes

  No

  N/A

• Hot Work Permits Required and Used

  Yes

  No

  N/A

• Fire Watch Provided (Stays for 30 Min)

  Yes

  No

  N/A

• Flammable Liquids Properly Stored

  Yes

  No

  N/A

• Yes

  No

  N/A

• Fuels in Metal, Properly Labeled Containers

  Yes

  No

  N/A

• Smoking Controls In-Place

  Yes

  No

  N/A

• LPG Containers Properly Stored

  Yes

  No

  N/A

• LPG Safety Relief Valve In-place

  Yes

  No

  N/A

• Fire Hydrant Kept Clear

  Yes

  No

  N/A

• Soiled or Combustible Rags in Appropriate Container

  Yes

  No

  N/A

• Additional Fire Concerns

  Yes

  No

  N/A

MASONRY

• LAZ Established (Unsupported Height Plus 4')

  Yes

  No

  N/A

• Block Walls > 8' Braced

  Yes

  No

  N/A

• Water Used When Cutting Brick, Block and Concrete

  Yes

  No

  N/A

• Respiratory Protection Used

  Yes

  No

  N/A

• Rebar Capped

  Yes

  No

  N/A

• Proper PPE Used to Prevent Concrete Burns

  Yes

  No

  N/A

• Additional Masonry Concerns

  Yes

  No

  N/A

CRANES

• Swing Radius Protected (360 Degrees)

  Yes

  No

  N/A

• Power Lines Identified and Marked if Necessary

  Yes

  No

  N/A

• Inspection of Cables, Slings, Chains, Hooks, & Eyes

  Yes

  No

  N/A

• Inspection Logs Maintained

  Yes

  No

  N/A

• Load Capacity Chart on Machine

  Yes

  No

  N/A

• Signal Persons Trained

  Yes

  No

  N/A

• Riggers Qualified

  Yes

  No

  N/A

• Additional Crane Concerns

  Yes

  No

  N/A

TOOLS

• Guards In-Place

  Yes

  No

  N/A

• Employees Trained on Powder Actuated Tools

  Yes

  No

  N/A

• Loaded Tools not Left Unattended

  Yes

  No

  N/A

• Radial Arm & table Saws Have Disconnect Switches

  Yes

  No

  N/A

• Belt Driven Equipment Has Fully Enclosed Guards

  Yes

  No

  N/A

• Air Hoses Secure

  Yes

  No

  N/A

• Tools Disconnected When Not in Use: Changing Bits & Blades

  Yes

  No

  N/A

• Damaged Tools Repaired or Replaced

  Yes

  No

  N/A

• Tools in Good Working Condition

  Yes

  No

  N/A

• Proper Tool Used &Grounded

  Yes

  No

  N/A

• Additional Tool Concerns

  Yes

  No

  N/A

COMPRESSED GAS, WELDING & CUTTING

• Cylinders Stored Upright, With Caps & Secured

  Yes

  No

  N/A

• Different Gases Stored 20+' Apart or Separated by Fire Wall

  Yes

  No

  N/A

• Gas Regulators Working Properly

  Yes

  No

  N/A

• Damaged Welding Cables, Regulators, or Gauges Removed

  Yes

  No

  N/A

• Valve Protection Caps In-Place When Not in Use & When Transporting

  Yes

  No

  N/A

• Additional Compressed Gas Concerns

  Yes

  No

  N/A

PUBLIC PROTECTION

• Construction Fence

  Yes

  No

  N/A

• Roadway / Sidewalk Protection

  Yes

  No

  N/A

• Adequate Warning Signs & Markers

  Yes

  No

  N/A

• Proper Access / Traffic Control

  Yes

  No

  N/A

• Additional Public Protection Concerns

  Yes

  No

  N/A

VEHICULAR EQUIPMENT

• All Vehicles Inspected Before Each Shift:<br>Brakes, Alarms, Tires, Horn, Seatbelt, Lights, Windshield Wipers, Defroster

  Yes

  No

  N/A

• Brakes and Reverse Alarm Functional

  Yes

  No

  N/A

• Load Capacities, Operating Speeds, Hazard Warnings Posted

  Yes

  No

  N/A

• Parking Brake Set and Loads Down When not in Use

  Yes

  No

  N/A

• Equipment Not Left Unattended When Parking on Slopes

  Yes

  No

  N/A

• Fire Extinguisher in Place and Fully Charged

  Yes

  No

  N/A

• Additional Vehicle Concerns

  Yes

  No

  N/A

• Do Heat Stress Conditions Exist:<br>High Temp/Humidity, Direct Sun, Limited Air, Poor Physical Condition

  Yes

  No

  N/A

• Drinking Water Available

  Yes

  No

  N/A

• Additional Rest Provided

  Yes

  No

  N/A

• Engineering Survey for All Demolition

  Yes

  No

  N/A

• Protection of Adjacent Structures

  Yes

  No

  N/A

• Public Protection (Sidewalk, Roads)

  Yes

  No

  N/A

• Clear Area for Chutes and Trucks

  Yes

  No

  N/A

• Chutes - Bumpers Used When Using Wheelbarrows and Carts

  Yes

  No

  N/A

• Chutes - Gates Used at Discharge End

  Yes

  No

  N/A

• Chutes - Angle Greater than 45 Degrees Must be Fully Enclosed

  Yes

  No

  N/A

• Additional Demolition Concerns

  Yes

  No

  N/A

OTHER

• Safety Equipment Needed On-Site

  Yes

  No

  N/A

• Miscellaneous Pictures

  Yes

  No

  N/A