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?

  Excellent

  acceptable

  needs improvement

  needs attention

CDCC Non- Negotiable

• All Non-Negotiable items being enforced?

  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? Is the 300 form removed after April 30th?<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

• Are weekly tool box safety talks being conducted and documented?

  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, glasses and hard hats available?

  Yes

  No

  N/A

  Corrected during Audit

HOUSEKEEPING

• Work areas being cleaned daily?

  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

• Area provided for employees to wash their hands?

  Yes

  No

  N/A

  Corrected during Audit

Accident / Incident Reporting - first aid

• Has the safety department been notified of any accidents or incident?

  Yes

  No

  N/A

• Has an accident/incident been completed and submitted within 24 hours?

  Yes

  No

  N/A

• Is the first aid log current on the first aid kit?

  Yes

  No

  N/A

• Is there at least 1 employee on site who is current on training in first aid/CPR?

  Yes

  No

  N/A

• Are emergency phone numbers posted onsite?

  Yes

  No

  N/A
FIRE PREVENTION

• Adequate fire extinguishers, checked and accessible? (1 for every 3,000 sqft. and not to exceed 100' of travel)

  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

• Annual inspection current?

  Yes

  No

  N/A

  Corrected during Audit

Confined Spaces

• Has air monitoring been conducted to classify the space?

  Yes

  No

  N/A

• Training records available for employees required to enter a confined space?

  Yes

  No

  N/A

• Safety department notified for permit required confined spaces?

  Yes

  No

  N/A

ELECTRICAL

• GFCI's being used on all temp power?

  Yes

  No

  N/A

  Corrected during Audit

• Extension cords missing ground pin or damaged being removed from service?

  Yes

  No

  N/A

  Corrected during Audit

• Temporary Lights supported every 10’ with lamps properly protected?

  Yes

  No

  N/A

  Corrected during Audit

• Junction boxes covered with proper strain relief?

  Yes

  No

  N/A

  Corrected during Audit

• Electrical rooms or panels secured to prevent unauthorized entry?

  Yes

  No

  N/A

  Corrected during Audit

• Lockout/Tagout devices available and being used?

  Yes

  No

  N/A

  Corrected during Audit

• NFPA 70E being followed for energized work?

  Yes

  No

  N/A

  Corrected during Audit

• Safety department being notified of required energized work?

  Yes

  No

  N/A

  Corrected during Audit

• Electrical dangers posted on panels and electrical rooms ?

  Yes

  No

  N/A

  Corrected during Audit

HAND, POWER & POWDER ACTUATED TOOLS

• Hand tools inspected regularly?

  Yes

  No

  N/A

  Corrected during Audit

• Guards in place on machines and tools?

  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 Erection

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

  Yes

  No

  N/A

  Corrected during Audit

• Letter of commencement provided prior to steel erection?

  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

• Guard rails or 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 attached to a proper anchorage point?

  Yes

  No

  N/A

  Corrected during Audit

• Anchor points adequate and installed correctly?

  Yes

  No

  N/A

  Corrected during Audit

• Employees exposed to fall hazards tied off 100% above 6'?

  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 with more than 4 risers have handrail at 36” guardrails at landings?

  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 and maintained?

  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 or sloped properly?

  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

• Bricks tapered back when stacked over 7’?

  Yes

  No

  N/A

  Corrected during Audit

• Blocks tapered back when stacked over 6’?

  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

WELDING AND BURNING

• Gas cylinders stored upright?

  Yes

  No

  N/A

  Corrected during Audit

• Flash arrestors being used at torch gauges?

  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

• Operators manual and safety manual in the lift?

  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 monthly inspection?

  Yes

  No

  N/A

  Corrected during Audit

• Copy of crane operators certification on file?

  Yes

  No

  N/A

  Corrected during Audit

• Riggers Certifications are on file?

  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 silica?

  Yes

  No

  N/A

  Corrected during Audit

• Washout station used and maintained?

  Yes

  No

  N/A

  Corrected during Audit

• Table 1 being followed or Engineered Controls used for documented air sampling?

  Yes

  No

  N/A

  Corrected during Audit

• Silica Exposure control plan on site for each affected sub?

  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 protection 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

• If job site fencing is used, is windscreen being used?

  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