Audit

HAZCOM (1910.1200)

MSDS available on site?

Hazardous work permit completed and signed?

Have critical tasks been identified on permit?

Project specific JHA available?

Is JHA being followed?

Daily Safety meeting held & attended by crew?

PERSONAL PROTECTIVE EQUIPMENT (1910.132)

PPE identified on permit or JHA matches what is being used?

PPE appropriate for task?

PPE being properly worn by crew ?

Respiratory Protection being utilized ?

AIR MONITORING

Does this task require air monitoring?

Appropriate air monitoring being conducted?

Air monitoring instruments properly calibrated?

Readings properly documented?

Action Levels being adhered to ?

Is continuos CO monitoring required?

EMERGENCY PREPAREDNESS

Appropriate size first-aid kits on site, available and stocked?

Minimum of two First-aid/CPR trained personnel on site? (where appropriate)

Safety shower, or hose and eye wash in immediate vicinity when working with acids or caustics?

Emergency numbers obtained, posted and means to contact emergency services posted?

Location of nearest hospital documented and known by crew?

ELECTRICAL SAFETY

Does this task require electrical safety?

Is an operable Ground Fault Circuit Interrupter (GFCI) used on all equipment? (Where appropriate)yes

Is equipment appropriate for the location (e.g. U/L listed Class 1 Division 1 for flammable locations?yes

Are equipment leads and extension cords in good repair? Yes

LOCKOUT / TAGOUT (1910.147)

Does this task require lock out/tag out?

Is a LO/TO Permit completed and available?

Have all types of energy been de-energized?

Do all affected employees have locks applied?

Are all other LO/TO Procedures being followed?

FALL PROTECTION (GREATER THAN 6 FEET)

Is fall protection required for this task?

Are anchor points of sufficient strength (i.e.. 5000 capacity)

Are harnesses and appropriate lanyards being worn?

If no harness/lifelines are utilized, has a warning line been placed at least 6 feet from the edge?

MISCELLANEOUS SAFETY ITEMS

Have appropriate smoking and eating areas been designated?

Is the work zone properly barricaded or secured?

Are appropriate work zones (hot deacon support) established and sufficient?

Is the system of communication utilized by the crew sufficient?

Is the lighting utilized on the site sufficient to safely illuminate the work zone?

GENERAL SITE CONDITIONS OR COMMENTS

Site Conditions? Ok

Attach picture of site if applicable.

Comments?

Action Items

Site description?

REVIEWED H&S MANAGER:
SUPERVISOR / FOREMAN
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.