C2 Joint Venture - Site Safety and Health Audit

• Document No.

• Project Name

• Auditor

• Location
  Address

• Conducted on

  Date

• Contractors

Administrative Job Site Requirements

• Active construction area clearly demarcated and safety access signage posted?

  Safe

  At Risk

  N/A

• Emergency contact information, egress routes and evacuation muster points posted?

  Safe

  At Risk

  N/A

• Area urgent and emergency healthcare facilities posted?

  Safe

  At Risk

  N/A

• Daily SPA accurately reflects work, means/ methods, and precautions?

  Yes

  No

  N/A

• Daily SPA reviewed and signed by Superintendent or representative?

  Yes

  No

  N/A

• Daily SPA readily accessible in the field?

  Yes

  No

  N/A

• Daily SPA completed and signed by contractor Competent Person and contractors performing the work?

  Yes

  No

  N/A

• Daily SPAs are closed and end of day affirmation signed?

  Yes

  No

  N/A

• Safe

  At Risk

  N/A

• JSAs readily accessible in the field?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are all JSAs reviewed and approved by EHS?

  Yes

  No

  N/A

• Name of JSA(s) audited? Audit 1 JSA per active contractor.

• Does the JSA adequately capture the scope of work?

  Safe

  At Risk

  N/A

• Are JSAs signed by the contractors working on the job?

  Yes

  No

  N/A

• Name of JSA reviewed? Review 1 JSA per active contractor.

• Are JSA's signed by and approved by EHS?

  Yes

  No

  N/A

• Are JSA's signed by the contractors working on the job?

  Yes

  No

  N/A

• Does the JSA adequately capture the scope of work?

  Safe

  At Risk

  N/A

• Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• If applicable, are required personnel OSHA 10/30 Hour trained for Foreman/Supervisors?

  Yes

  No

  N/A

• Are construction signs posted?

  Yes

  No

  Needs Improvement

COVID-19 Mitigation

• COVID-19 Management Plan for project/ site approved and current?

  Yes

  No

  N/A

• Client COVID-19 screening process implemented for contractors?

  Yes

  No

  N/A

• C2 Daily Pandemic Self-Assessment completed by all contractors and visitors?

  Yes

  No

  N/A

• COVID-19 signage posted clearly?

  Yes

  No

  N/A

• Sanitation facilities and hand washing facilities available and stocked?

  Yes

  No

  N/A

• Routine (3-4 times daily) touchpoint sanitization being conducted?

  Yes

  No

  N/A

• All workers and visitors wearing fabric or surgical mask face-covering? Bandanas and neck gaiters prohibited.

  Yes

  No

  N/A

• All workers maintaining 6' distance at all times?

  Yes

  No

  N/A

• Does workers have a COVID-19 Pre-Task Safety Planning in place for activities which are infeasible to complete while maintaining 6' of distancing at all times?

  Yes

  No

  N/A

• Break and lunch accommodations made to maintain 6' distance?

  Yes

  No

  N/A

• Tools not being shared or being sanitized between users?

  Yes

  No

  N/A

Housekeeping

• Are materials stored properly?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is trash being centered piled and collected routinely throughout work day?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Has construction dumpster been designated and located for the project?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is the dumpster appropriately sized and properly managed for pick ups?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are the walking and working surfaces clear, clean, trip hazards eliminated?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

PPE

• Are hard hats, safety glasses, cut resistant gloves, vests (as required), and steel or composite toe footwear being worn by craft and management?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is the work being performed exceeding 85db? Is proper hearing protection in place?

  Yes

  No

  N/A

• Is there PPE available for visitors?

  Yes

  No

  N/A

• Is there any additional PPE being worn? Has it been identified in the JSA?

  Yes

  No

  N/A

• Are all respiratory users qualified or have signed the "voluntary use" sign off sheet on job site?

  Yes

  No

  N/A

Fall Protection

• Is work being preformed greater than 6ft?

  Yes

  No

  N/A

• Has the Working at Heights Permit been completed?

  Yes

  No

  N/A

• Are flag lines, weighted base and rail, and other relevant fall restraint systems properly utilized?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Has the proper PFAS been identified and inspected for the work?

  Yes

  No

  N/A

• Are anchor points engineered?

  Yes

  No

  N/A

Fire Safety and Emergency.

• Are there a proper fire extinguishers available with in 50 feet of work ?

  Yes

  No

  N/A

• Are the sprinkler heads & fire protection systems unobstructed ( sprinkler heads clear by 18'' or greater)?

  Yes

  No

  N/A

• Is the Fire Extinguisher Inspection current?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is there a trained fire watch on duty during Hot Work?

  Yes

  No

  N/A

• Are flammable and combustible materials stored properly? ( SDS at point of use )

  Safe

  At Risk

  N/A

• Are stairwells clear of combustible or flammable materials?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is there a First Aid Kit and eye wash station on job site?

  Yes

  No

  N/A

General Safety

• Are there any outstanding safety violations that have been identified during the audit?

  Safe

  At Risk

  N/A

• Are there any outstanding safety successes that have been identified during the audit?

  Yes

  No

  N/A

• All containers labeled? ( HAZCOM )

  Yes

  No

  N/A

• Is temporary lighting provided as needed? <br>(29 CFR 1926.56(a) table D-3)

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is equipment guarding in place as per manufacturers instructions?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are tools and equipment inspected and in good condition prior to use?

  Yes

  No

  N/A

• Is there a spill kit on the job site?<br>

  Yes

  No

  N/A

Ladders/ Stairs/ Scaffolds.

• Are Stairs provided where there is a change in elevation >19'' ( EU >0.5m), and secured?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are Stairs greater than 4 risers all equipped with a hand rail?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is scaffolding in use, built by a qualified competent erector, built correctly, secured, tagged correctly and inspected daily? ( check mudsills or locked wheels)

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Does the scaffolding have safe access and egress for workers?

  Yes

  No

  N/A

• Are Holes/penetrations protected with secured covers labeled "HOLE" or barricaded?

  Yes

  No

  N/A

• Is the scaffolding protected for use by unauthorized persons, is there a swing gate which can be locked when no one is working?

  Safe

  At Risk

  N/A

• Are ladders being used safely? No one working above the 2 rung? Tied off when required? Etc...

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are Ladders in good condition? Labels, rings, feet...

  Safe

  At Risk

  N/A

• Are Ladders being stored correctly?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are Ladders in being used as intended?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are Extension Ladders being used safely with proper pitch, ladder secured and a 36 inch overhang?

  Safe

  At Risk

  N/A

• Are platforms protected by handrail, midrail and toe board?

  Yes

  No

  N/A

Welding/ Cutting / Brazing

• Has the hot work permit been reviewed and completed?

  Yes

  No

  N/A

• Have all combustibles been removed 35ft or covered? ( flammables removed)

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is torch cutting being performed with proper PPE and area prepped?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are compressed gas cylinders secured and capped when not in use?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are Torches, hoses, gauges / regulators in good conditions and equipped with flash back preventers?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

Crane Lifting / Rigging.

• Has the lift plan and permit been completed and reviewed with all affected personnel?

  Yes

  No

  N/A

• Are there trained signal men in "line of sight" of operator or other means of communication with operator?

• Has the qualified rigger inspected all lifting equipment prior to use?

• Has the crane been properly barricaded?

• Have all the areas within the swing radius been notified, with proper signage , barricaded with danger tape and evacuated?

• Are tag lines being used to control the load?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Has the crane inspections been completed and documented?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

Excavation/ Confined Space.

• Verify One Call ticket.

  Safe

  At Risk

  N/A

• Utility mark out is clear and being refreshed by the excavation contractor?

  Safe

  At Risk

  N/A

• Is the excavation lay out in White?

  Safe

  At Risk

  N/A

• Has the excavation permit been reviewed and completed?

  Yes

  No

  N/A

• Has utility location taken place? 8 feet outside the permiter of the excavation?<br>Verify report

  Yes

  No

  N/A

• Are the trenches/ excavations sloped properly or shored and barricaded?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is trench/ excavation greater than 4ft?

  Yes

  No

  N/A

• Is body harness being worn?

• Are there proper egress in place, ladders no more than 25ft apart?

• Is this a HAZWOPER site and if yes is training verified?

  Yes

  No

  N/A

• Has a weather event occurred since initial evaluation from a competent person?

  Safe

  At Risk

  N/A

• Is confined space permit required and has the been permit been reviewed and completed?

  Yes

  No

  N/A

• Has the confined space attendant properly maintained the access log?

  Yes

  No

  N/A

• On site rescue team?

  Yes

  No

  N/A

• Are the Confined space personnel properly trained?

  Yes

  No

  N/A

• Verify Confined Space training?

  Yes

  No

  N/A

• Atmospheric testing at 3 levels? <br>Example: Top Middle Bottom

  Yes

  No

  N/A

Motorized Equipment. ( [PIT's, lifts)

• Is there motorized Equipment being use?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Has the proper inspection been performed and documented?

  Yes

  No

  N/A

• Do the operators have the proper training for the equipment being used?

  Yes

  No

  N/A

• Are seat belts used by all operators?

  Yes

  No

  N/A

• Do the motorized vehicles have proper back up alarm?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is the chain or gate closed on Scissor Lift?

  Yes

  No

  N/A

• Are flaggers in place where needed?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is Scissor Lift being used safely? Feet on surface not using mid rail or toe board to stand on not leaning outside lift?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• For boom Lift is PPE correct?

  Yes

  No

  N/A

• Is the rollover protection in place and maintained?

  Yes

  No

  N/A

• Has field modification been made without manufacturers written approval?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

Electrical Safety.

• Is there a energized electrical permit in place?

  Yes

  No

  N/A

• Has the energized permit been reviewed and completed?

  Yes

  No

  N/A

• Are all electrical tools and cords free of chemicals, flammables and water?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are extension/power cords creating a trip hazard?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are cords in good condition, no cuts or repairs w/ tape?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is the Proper Lockout/Tagout in place where needed?

  Safe

  At Risk

  N/A

• Is there a 3ft clear distance around electrical panel?

  Yes

  No

  N/A

• Are GFCI's being used and closest to the power source?

  Safe

  At Risk

  N/A

• Are the required permits completed and posted?

  Yes

  No

  N/A

Environmental

• Have all proper barricades been put in place to minimize cross contamination?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are the Concrete truck washout procedures being followed?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is the waste handling and disposal of hazardous waste being executed properly?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is secondary containment in place where needed?

  Yes

  No

  N/A

• Is Threading Machine catch box in place?

  Yes

  No

  N/A

• Are Storm sewers protected?

  Safe

  At Risk

  N/A

• Are chemicals at the job site being stored safely and are they labeled correctly?

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Is there proper ventilation in place for stored chemicals?

  Safe

  At Risk

  N/A

• Are the SDS provided at job site? ( point of use )

  Compliant

  Compliant With Immediate Correction

  Non Compliant

  Good Practice To Recognize

• Are personnel trained in the chemicals they are handling?

  Yes

  No

  N/A

Corrective actions and supplemental comments.

stakeholders

• PM or CM

  Sign

• Auditor.

  Sign