Information

  • Audit Title

  • Conducted on

  • Prepared by

Pre Shift Start up

  • Has a IWP been developed for the work at hand?

  • IWP available for work being preformed?

  • Pre-task been completed prior to work activities?

  • Has IWP been reviewed recently?

General Requirements

  • Do employees know the location of the SDS sheets

  • Are all containers labeled properly?

  • Is first aid equipment available and stocked on site?

  • Is there adequate sanitation available?

  • Is potable water supplied and available?

Excavations

  • Has a dig permit been filled out prior to the start of work and signed by a Mortenson team member?

  • Is the competent person on site while excavation work is being performed?

  • Are excavations inspected daily?

  • Are spoil piles back at least 2' from the edge of the excavation?

  • Is there adequate access/ egress to the trench?

  • Are protective systems in place? (Trench boxes,shoring or sloping)

  • Is there a fall protection system in place on the trench box?

  • Are open excavations barricaded?

  • Have all utilities been located?

Confined Space

  • Has space been identified as permit required?

  • Has confined space training been provided and up to date?

  • Rescue plan in place and adequate?

  • Has a confined space permit been filled out and posted at space?

  • Is an air monitor being used?

  • Monitor calibration current?

  • Retrieval equipment set up correctly and in use?

  • Is ventilation being used?

  • Is the attendant identifiable?

  • Barricades and signage in place?

Housekeeping

  • Is general neatness of working areas acceptable?

  • Housekeeping expectations being observed?

  • Are access and egress clear of debri, snow, and ice?

  • Are trash containers provided and used?

  • Is temporary storage of materials neat and organized?<br>

Fire Prevention

  • Has a Hot Work Permit been filled out for the day and signed by a Mortenson team member?

  • Have all flammables/combustibles been removed 35' from the area?

  • Is a 10# fire extinguisher present?

  • Are fire extinguishers inspections current?

  • Is fire watch needed?

  • Is welding arc flash shielded?

  • Are "NO SMOKING" signs posted where needed?

  • Are temporary heaters located at a safe distance from combustibles?

  • Is ventilation for temp heaters adequate?

  • Are gas cylinders chained upright with valve caps securely fastened?

FALL PROTECTION

  • Has employee been trained by their company?

  • Has IWP been written for activity?

  • Has harness been inspected?

  • Are proper tie off points being used and able to withstand 5,000 lbs?

  • Is fall restraint system being worn and used properly?

Equipment

  • Inspections done daily?

  • Are written logs completed daily?

  • Are only trained and qualified employees allowed to operate equipment?

  • Are rated load capacities on equipment clearly marked and not exceeded?

  • Are seat belts being worn by operators?

  • Back-up alarms functional?

Cranes

  • Has there been a pre-pick meeting?

  • Qualified rigger and signal employees being used?

  • Warning being used when picking and flying material?

  • Cranes being inspected, is there documentation?

  • Rigging being inspected dailey?

  • Pick areas have controlled access?

PPE

  • Hard hat being worn?

  • High visibility type 2 vests being worn?

  • Are proper gloves being worn?

  • Safety glasses being worn?

  • Are leather hard sole boots being worn?

  • Is face shield and safety glasses being worn when overhead work is being preformed?

  • Are face shields being used when chipping or grinding operations are being preformed?

  • Are workers using ear protection when needed?

  • Are workers using respirators when needed?

  • If respirators are being worn have workers been trained and fit tested?

Storm Water

  • Current site plan with BMPs shown?

  • BMPs in place/maintenance being preformed?

  • Are swattles being used and properly maintained?

  • Are rock socks maintained and in proper locations?

  • Is water run off from site getting in to city storm drains?

  • Are tracking pads maintained?

  • Is soil erosion being addressed?

  • Are city streets clean from debris from the site?

Traffic Control

  • Traffic pattern for haul roads in place?

  • Traffic control/ road closure plan in place?

  • Flaggers being used are in place and are CDOT certified?

  • Traffic control devices set up per plan and checked daily

Concrete Work

  • All vertical steel has caps on it?

  • Correct PPE being worn (gloves,rubber boots)?

  • Face shield being used while saw cutting?

  • Are all cuts being made with water ?

  • If not are respirators being worn?

  • Are clear pathways being maintained during stripping operations?

Masonry

  • Are cuts being made with water saws?

  • Are protruding rebars properly covered?

  • Is scaffold being overloaded?

  • Is housekeeping being performed dailey?

  • Is a CAZ being maintained area masons work area?

Ladders

  • Is the proper ladder being used for the task?

  • Has ladder been inspected and in good condition?

  • Are extension ladders secured top and bottom?

  • Are ladders fully opened when in use?

  • Are extension ladders extended 3' above intended landing?

  • Is 3 points of contact being use on all ladder use?

  • Is area around ladder kept clear?

  • Is pitch of ladder equal to a 4-1 ratio?

Electrical

  • Are cords free from nicks, gouges and cuts?

  • Are cords properly grounded?

  • Are cords being hung up and kept out of walkways?

  • Is a LOTO program in place?

  • Are GFCI and/or assured grounding conductor programs being used?

  • Bulb guards in place?

  • Adequate lighting in work areas and stairwells?

Scaffolds

  • Is scaffold being inspected daily and have stop/go tag?

  • Is erection and dismantling properly supervised by a competent person?

  • Is scaffold components free of physical damage?

  • Is scaffold plumb, level and square?

  • Is scaffold erected on a firm and substantial surface(concrete,base plate or mud sill)?

  • Are scaffolds which are 4 times higher than the width tied-off?

  • Is platform free of trash and debri?

  • Is planking scaffold grade?

  • Is planking on good condition and fully installed?

  • Is planking overlap at least 6"but no greater than 12"?

  • Planking centered over support members?

  • Is there adequate access?

  • Is planking secured from movement?

  • Is guardrail and toe boards installed?

  • Is a CAZ around scaffold area to protect workers from falling material?

Mobile scaffold

  • Are mobile scaffolds equipped with locking wheels?

  • Are wheels locked when in use?

  • Guardrail in place at 4'?

  • Has scaffold been inspected and have stop/go tag?

  • At 2 frame high are outriggers used?

Tools

  • Is the proper tool being used for the task?

  • Have tools been inspected?

  • Are tools properly stored?

  • Are all safety features on tools in place?

Barricades

  • Is handrail in place around floor openings and stairwells?

  • Is perimeter fall protection installed when above 6'?

  • Are hole coves install on floor openings?

  • Are hole covers properly marked?

  • Hole covers able to withstand 2 times intended load?

  • CAZ areas have danger tape and permit erected and maintained?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.