Carroll Daniel Audit Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Scope of work being performed on the job during the audit?

• Audit performance level?

  Select Excellent Acceptable Unacceptable

  • Excellent
  • Acceptable
  • Unacceptable

CDCC Non- Negotiable

• All Non-Negotiable items met?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Job Personnel Count

  1-10

  11-20

  21+

• OSHA 300 forms complete and posted from February 1 - April 30?<br>

  Yes

  No

  N/A

  Corrected during Audit

• Orientation being performed and logs on file?

  Yes

  No

  N/A

  Corrected during Audit

• OSHA and DOL posters posted?

  Yes

  No

  N/A

  Corrected during Audit

• Emergency phone numbers posted?

  Yes

  No

  N/A

  Corrected during Audit

• Tool box safety talks log up to date?

  Yes

  No

  N/A

  Corrected during Audit

• Subcontractor Safety Manuals on site.

  Yes

  No

  N/A

  Corrected during Audit

• SDS filed?

  Yes

  No

  N/A

  Corrected during Audit

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

  Corrected during Audit

• Visitor vest and hard hats available?

  Yes

  No

  N/A

  Corrected during Audit

HOUSEKEEPING

• Work areas neat?

  Yes

  No

  N/A

  Corrected during Audit

• Projecting nails or screws bent over or removed?

  Yes

  No

  N/A

  Corrected during Audit

• Waste containers provided and used?

  Yes

  No

  N/A

  Corrected during Audit

• Passageways and walkways clear?

  Yes

  No

  N/A

  Corrected during Audit

• Restroom Facilities adequate?

  Yes

  No

  N/A

  Corrected during Audit

FIRE PREVENTION

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

  Corrected during Audit

• Phone no. of Fire Department posted?

  Yes

  No

  N/A

  Corrected during Audit

• Large quantity Flammables protected with proper extinguisher?

  Yes

  No

  N/A

  Corrected during Audit

• Extinguishers tagged and in date?

  Yes

  No

  N/A

  Corrected during Audit

ELECTRICAL

• Extension wires with bare wires or missing ground prongs taken out of service?

  Yes

  No

  N/A

  Corrected during Audit

• Ground fault interrupters being used?

  Yes

  No

  N/A

  Corrected during Audit

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

  Corrected during Audit

• Temporary Lights are up to code?

  Yes

  No

  N/A

  Corrected during Audit

• Electrical Control Rooms Secured

  Yes

  No

  N/A

  Corrected during Audit

• Lockout/Tagout devices available and being used?

  Yes

  No

  N/A

  Corrected during Audit

• Temporary Lights installed correctly? Maintain 8' from the floor where possible.

  Yes

  No

  N/A

  Corrected during Audit

• Electrical Dangers Posted?

  Yes

  No

  N/A

  Corrected during Audit

HAND, POWER & POWDER ACTUATED TOOLS

• Hand tools cord in proper shape?

  Yes

  No

  N/A

  Corrected during Audit

• Hand tools inspected regularly?

  Yes

  No

  N/A

  Corrected during Audit

• Guards in place on machines?

  Yes

  No

  N/A

  Corrected during Audit

• Proper PPE used when operating tools?

  Yes

  No

  N/A

  Corrected during Audit

• Correct tool being used for job at hand?

  Yes

  No

  N/A

  Corrected during Audit

• Operators of powder actuated tools licensed?

  Yes

  No

  N/A

  Corrected during Audit

Steel Work

• Personnel Tied off as needed at 6' per our Non- Negotiable state.

  Yes

  No

  N/A

  Corrected during Audit

• Designated Decking Zone clearly identified? no more than 90' x 90' in perimeter and flagged appropriately.

  Yes

  No

  N/A

  Corrected during Audit

• Perimeter protection in place as needed? or Fall arrest systems in place.

  Yes

  No

  N/A

  Corrected during Audit

Roofing

• Fire extinguishers in place near Kettle & on roof when utilizing torches.

  Yes

  No

  N/A

  Corrected during Audit

• Materials stored away from roofs edge?

  Yes

  No

  N/A

  Corrected during Audit

• Kettle Watch in place?

  Yes

  No

  N/A

  Corrected during Audit

• Warning line in place and following proper OSHA guidelines?

  Yes

  No

  N/A

  Corrected during Audit

• Roofers tied off outside of warning line system?

  Yes

  No

  N/A

  Corrected during Audit

• Proper access barricades in place around entrance and egress above grade level?

  Yes

  No

  N/A

  Corrected during Audit

FALL PROTECTION

• Safety rails and cables secured properly? Shackles are applied appropriately? Flagged every 6' with high visibility tape?

  Yes

  No

  N/A

  Corrected during Audit

• Safety harnesses worn properly? and ties to a proper anchorage point?

  Yes

  No

  N/A

  Corrected during Audit

• Employees exposed to fall hazards tied off 100%?

  Yes

  No

  N/A

  Corrected during Audit

• Employees below protected from falling objects?

  Yes

  No

  N/A

  Corrected during Audit

LADDERS & STAIRS

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

  Corrected during Audit

• Ladders are secure to prevent slipping, sliding or falling?

  Yes

  No

  N/A

  Corrected during Audit

• Ladders with split or missing rungs taken out of service? Ladders have all load and warning sticker per OSHA regulations?

  Yes

  No

  N/A

  Corrected during Audit

• Stepladders used in fully open position?

  Yes

  No

  N/A

  Corrected during Audit

• Ladders being used properly?

  Yes

  No

  N/A

  Corrected during Audit

• Stairway has handrail and guardrails?

  Yes

  No

  N/A

  Corrected during Audit

• Ladder or stairs used when a break in elevation of 19" or more or barricade put in place?

  Yes

  No

  N/A

  Corrected during Audit

SCAFFOLDING

• All scaffolding inspected daily? Tags or Competent person sign off in place?

  Yes

  No

  N/A

  Corrected during Audit

• Erected on sound rigid footing and all scaffolding has base plates? Sound level ground and soil has proper compaction?

  Yes

  No

  N/A

  Corrected during Audit

• Tied to structure as required above 20' with proper tensile strength?

  Yes

  No

  N/A

  Corrected during Audit

• Guardrails, intermediate rails, toe boards and screens in place?

  Yes

  No

  N/A

  Corrected during Audit

• Planking is sound and sturdy? So that the space between adjacent units and the space between the platform and the uprights is no more than 1 inch (2.5 cm) wide, except where the employer can demonstrate that a wider space is necessary (for example, to fit around uprights when side brackets are used to extend the width of the platform).

  Yes

  No

  N/A

  Corrected during Audit

• Mobile scaffold has proper locking casters? Proper 4:1 base ratio and outriggers in place?

  Yes

  No

  N/A

  Corrected during Audit

• Cross braces are complete?

  Yes

  No

  N/A

  Corrected during Audit

• Proper access provided? Ladder fixed to the structure?

  Yes

  No

  N/A

  Corrected during Audit

• Employees below protected from falling objects?

  Yes

  No

  N/A

  Corrected during Audit

FLOOR & WALL OPENINGS

• Column Diamond covered or protected?

  Yes

  No

  N/A

  Corrected during Audit

• All floor openings planked over or barricaded?

  Yes

  No

  N/A

  Corrected during Audit

• Perimeter protection in place?

  Yes

  No

  N/A

  Corrected during Audit

• Deck planks secure?

  Yes

  No

  N/A

  Corrected during Audit

• Materials stored away from edge? 2' or greater.

  Yes

  No

  N/A

  Corrected during Audit

TRENCHES, EXCAVATION & SHORING

• Competent person identified and present?

  Yes

  No

  N/A

  Corrected during Audit

• Excavations are shored and sloped back? Soil type identified? trench boxes in place for trenches over 5' to 19' ? Engineered controls in place?

  Yes

  No

  N/A

  Corrected during Audit

• Materials are stored at least 2' away from trench?

  Yes

  No

  N/A

  Corrected during Audit

• Ladders provided every 25' in trench?

  Yes

  No

  N/A

  Corrected during Audit

• Equipment is at a safe distance from edge of trench or excavation?

  Yes

  No

  N/A

  Corrected during Audit

• Proper utilities are labeled and identified?

  Yes

  No

  N/A

  Corrected during Audit

• Trenches are flagged/protected with guardrails as needed?

  Yes

  No

  N/A

  Corrected during Audit

MATERIAL HANDLING

• Materials properly stored or stacked?

  Yes

  No

  N/A

  Corrected during Audit

• Employees using proper lifting techniques?

  Yes

  No

  N/A

  Corrected during Audit

• Tag lines used to guide loads?

  Yes

  No

  N/A

  Corrected during Audit

• Proper number of workers for each operation?

  Yes

  No

  N/A

  Corrected during Audit

WELDING AND BURNING

• Gas cylinders stored upright?

  Yes

  No

  N/A

  Corrected during Audit

• Proper separating distances between fuels & oxygen or fire wall at 5 1/2' in place?

  Yes

  No

  N/A

  Corrected during Audit

• Goggles or shields used?

  Yes

  No

  N/A

  Corrected during Audit

• Fire extinguishers readily available?

  Yes

  No

  N/A

  Corrected during Audit

• Hoses in good condition?

  Yes

  No

  N/A

  Corrected during Audit

Mechanical Lifts

• Aerial Operators trained and certified?

  Yes

  No

  N/A

  Corrected during Audit

• Controls Clearly marked?

  Yes

  No

  N/A

  Corrected during Audit

• Lift platform door/chain closed?

  Yes

  No

  N/A

  Corrected during Audit

• Fall protection used as required by our CDCC non-negotiable?

  Yes

  No

  N/A

  Corrected during Audit

• Reverse alarms in proper working condition?

  Yes

  No

  N/A

  Corrected during Audit

• Is equipment in good condition?

  Yes

  No

  N/A

  Corrected during Audit

CRANES

• Outriggers extended and swing radius barricade in place?

  Yes

  No

  N/A

  Corrected during Audit

• We have a copy of the annual inspection as well as a 30-60 inspection?

  Yes

  No

  N/A

  Corrected during Audit

• Riggers Certifications are on file?

  Yes

  No

  N/A

  Corrected during Audit

• Crane operator logs up to date?

  Yes

  No

  N/A

  Corrected during Audit

• Employees kept from under suspended loads?

  Yes

  No

  N/A

  Corrected during Audit

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

  Corrected during Audit

CONCRETE CONSTRUCTION

• Rebar Caps in place to prevent impalement?

  Yes

  No

  N/A

  Corrected during Audit

• Employees are protected from cement dust?

  Yes

  No

  N/A

  Corrected during Audit

• Exposed skin covered?

  Yes

  No

  N/A

  Corrected during Audit

• Washout station used and maintained?

  Yes

  No

  N/A

  Corrected during Audit

• Proper Silica protocols in place and Engineered Controls used?

  Yes

  No

  N/A

  Corrected during Audit

• Silica Safety manual updated and on site?

  Yes

  No

  N/A

  Corrected during Audit

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats being worn?

  Yes

  No

  N/A

  Corrected during Audit

• Safety glasses being worn?

  Yes

  No

  N/A

  Corrected during Audit

• Hearing protection being worn when required?

  Yes

  No

  N/A

  Corrected during Audit

• Respirators used when required? Proper respirator documentation available?

  Yes

  No

  N/A

  Corrected during Audit

• Gloves are worn when needed?

  Yes

  No

  N/A

  Corrected during Audit

• Traffic vests or high visibility clothing material being worn?

  Yes

  No

  N/A

  Corrected during Audit

Site Appearance

• Site entrance and signage up to CDCC standards?

  Yes

  No

  N/A

  Corrected during Audit

Hazard Communication

• Proper PPE being utilized?

  Yes

  No

  N/A

  Corrected during Audit

• All chemicals stored in approved containers and proper location with containment used when needed?

  Yes

  No

  N/A

  Corrected during Audit

• Employees trained on hazards with materials they are using?

  Yes

  No

  N/A

  Corrected during Audit

• Safety Representative

  Sign