Information
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Conducted on
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Prepared by
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Location
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Company Contact
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Company Contact Phone
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Company Contact Email
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Owner/ GC/ Sub-tier/ Other
First Aid/CPR & Record Keeping
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3. All Supervisors’ First Aid/CPR cards checked at start of all new projects
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3.1 Certification information for employees are tracked and on file
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3.2 OSHA 300
Substance Abuse
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5. A written Drug & Alcohol Policy, reflecting current company policies
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5.1 Drug Testing (optional) For example: Pre-employment, post-accident, for-cause, random, DOT
Safety Management Items/ Jobsite
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8.0 Accident prevention program on site
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8.1 Job Hazard Analysis
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8.2 Confined Space Permit
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8.3 Fall Protection Work Plan
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8.4 Complete inspection forms: Assured Grounding/GFCI Program
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8.5 Weekly Jobsite Inspection Forms
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8.6 Weekly Toolbox Meeting Minutes
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8.7 Site Specific Safety Plan
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8.8 Cranes documentation:
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8.8.a Crane Operator Certification and hours
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8.8.b Crane Certification with proof of load testing
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8.8.c Certifier Certification
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8.8.d Rigger Qualification (by Type)
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8.8.e Signal Person Qualification
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8.9 WAC Standards for construction located on worksite
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8.10 Safety Bulletin Board with required posting
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8.11 Emergency phone numbers posted
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8.12 OSHA 300A (Posted February through April)
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8.13 First Aid/CPR training certification cards (Superintendents, Foremen)
Employee Facilities/ Jobsite
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9.0 Toilet
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9.1 Wash area with temperate water/ Sanitizer
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9.2 Dry shack - lunch room
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9.3 Above listed facilities clean and sanitary
Jobsite Protective Equipment/ Jobsite
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10.0 First aid kit suitable for crew size (office, dry shack, tool van)
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10.1 Fire protection (extinguisher date and type correct for situation)
Housekeeping/ Jobsite
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11.0 Work Areas clean and orderly
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11.1 Deck free of: protruding nails, holes, loose boards
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11.2 Aisles and walkways clear of obstructions
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11.3 Guardrails in place where required
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11.4 Trash chute for over 20’ heights
Required Personal Protectice Equipment/ Jobsite
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12.0 Head Protection - hard hats
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12.1 Hearing protection - ear plugs<br>Sound Level Meter: _____dB reading <br>
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12.2 Leg protection - chain saw chaps
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12.3 Foot protection - work boots
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12.4 Eye and face protection - safety glasses
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12.5 Respiratory protection - mask dependent on exposure
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12.6 Fall protection - safety harness, lanyards
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12.7 Reflective Clothing- vest, 360 degrees
General Jobsite Safety Items/ Jobsite
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13.0 Office trailer step railings
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13.1 Only approved ladders in use (and secured)
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13.2 Machine guards in place (saws, grinding wheels, etc.)
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13.3 All power equipment is properly grounded
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13.4 Extension cords and power equipment checked for shorts
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13.8 Proper access/egress for excavations more than 4 feet deep
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13.5 Compressed gas cylinders in secured storage area
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13.6 Fuel gas stored at a minimum of 20 feet from compressed gas cylinders
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13.7 Flash back protectors for oxygen-acetylene torches in place/use
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13.9 Gas and diesel fuel stored in approved and properly marked safety cans
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13.10 Proper barricades around pinch point exposure area (revolving cranes)
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13.11 Proper Scaffold erection and usage
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13.12 Back-up alarms on appropriate motorized equipment
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13.13 Provisions for public safety
Site Visit Summary
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Summary of findings from audit team. (Site appearance, safety culture demonstrated by site personnel, thoughts for improvement, any follow ups needed by contractors onsite, or perception survey experience.)