CMI - CONSTRUCTION SITE SAFETY AUDIT

• Customer

• Project Name

• Project Number

• Foreman

• CMI Observer

• Date

  Date

• Prepared by

• Address
  Address

PPE

• Hard Hats in Use?

  YES

  NO

  N/A

  DK

• Eye Protection in Use?

  YES

  NO

  N/A

  DK

• Gloves in Use?

  YES

  NO

  N/A

  DK

• Boots Are Appropriate?

  YES

  NO

  N/A

  DK

• Hearing Protection in Use?

  YES

  NO

  N/A

  DK

• Dust Mask in Use?

  YES

  NO

  N/A

  DK

• Worker Trained in Dust Mask Use?

  YES

  NO

  N/A

  DK

• Competent Person Onsite?

  YES

  NO

  N/A

  DK

Ladders

• Appropriate Size?

  YES

  NO

  N/A

  DK

• In Good Working Condition?

  YES

  NO

  N/A

  DK

• Fully Open with Spreader Locked?

  YES

  NO

  N/A

  DK

• Firm Foundation?

  YES

  NO

  N/A

  DK

• Proper Climbing Procedure?

  YES

  NO

  N/A

  DK

• Three Point Contact?

  YES

  NO

  N/A

  DK

• Worker Below Top Two Steps?

  YES

  NO

  N/A

  DK

• Extension More than 3ft Above Upper Support?

  YES

  NO

  N/A

  DK

Aerial Lift

• Inspection Report Complete?

  YES

  NO

  N/A

  DK

• User Certified?

  YES

  NO

  N/A

  DK

• Level, Stable Surface?

  YES

  NO

  N/A

  DK

• Slide Guards on All Sides?

  YES

  NO

  N/A

  DK

Fall Protection

• In Use Above 6ft?

  YES

  NO

  N/A

  DK

• Harness Worn Correctly and Anchored Properly?

  YES

  NO

  N/A

  DK

• Guardrails at Openings 6ft Above Lower Level?

  YES

  NO

  N/A

  DK

• Guardrails of Appropriate Construction?

  YES

  NO

  N/A

  DK

Accident Prevention

• Signs, Caution Tape, Tags Present?

  YES

  NO

  N/A

  DK

• Tripping Hazzards? (Cords, Debris, Holes)

  YES

  NO

  N/A

  DK

• Ice & Standing Water are Removed?

  YES

  NO

  N/A

  DK

Confined Space

• Permitted Confined Space?

  YES

  NO

  N/A

  DK

• Proper Access and Egress?

  YES

  NO

  N/A

  DK

• Continued Air Monitoring?

  YES

  NO

  N/A

  DK

• Rescue Equipment Onsite?

  YES

  NO

  N/A

  DK

• Safety Harness & Lifeline?

  YES

  NO

  N/A

  DK

• Second Person to Call for Rescue?

  YES

  NO

  N/A

  DK

• Proper Communication Channel Set Up?

  YES

  NO

  N/A

  DK

• Proper Training & Certification?

  YES

  NO

  N/A

  DK

Emergency Action Plan

• Instructions for Storm & Active Shooter?

  YES

  NO

  N/A

  DK

• Exits Clearly Marked?

  YES

  NO

  N/A

  DK

• Common Muster Point Established?

  YES

  NO

  N/A

  DK

• Exits Paths Clear of Material & Debris?

  YES

  NO

  N/A

  DK

• Emergency Contact Info Available to All Workers?

  YES

  NO

  N/A

  DK

• Competent Person Onsite at All Times?

  YES

  NO

  N/A

  DK

Machine & Electrical Hazards

• Heavy Machinery in Use?

  YES

  NO

  N/A

  DK

• Workers Trained in Power Tool/Pin Gun Use?

  YES

  NO

  N/A

  DK

• GFCI in Use with Power Tools?

  YES

  NO

  N/A

  DK

• Appropriate PPE in Use?

  YES

  NO

  N/A

  DK

• Clear of Loose Clothing?

  YES

  NO

  N/A

  DK

• Electrical Equipment De-energized, Locked Out?

  YES

  NO

  N/A

  DK

• Overhead/Underground Hazards Identified?

  YES

  NO

  N/A

  DK

• Ladders/Scaffolding more than 10ft from Power Lines?

  YES

  NO

  N/A

  DK

Weather, Temperature Hazards

• Temperature Hazards Present?

  YES

  NO

  N/A

  DK

• Weather Hazards Present?

  YES

  NO

  N/A

  DK

• Trained in Recognizing Temperature Related Illness?

  YES

  NO

  N/A

  DK

• Workers Have Water/Warm Liquids Available?

  YES

  NO

  N/A

  DK

Hazardous Materials

• Silica Present?

  YES

  NO

  N/A

  DK

• Lead, Asbestos, Cadmium Present?

  YES

  NO

  N/A

  DK

• Workers Have Proper Training?

  YES

  NO

  N/A

  DK

Fire Safety/First Aid

• Fire Extinguishers Available & Accessible?

  YES

  NO

  N/A

  DK

• Fire Extinguishers Inspected Monthly?

  YES

  NO

  N/A

  DK

• First Aid Kits Stocked & Accessible?

  YES

  NO

  N/A

  DK

• AED Defibillator Available?

  YES

  NO

  N/A

  DK

Cell Phones & Distractions

• Cell Phones Appropriately Used While on Job?

  YES

  NO

  N/A

  DK

• No Headphones/Music Being Used?

  YES

  NO

  N/A

  DK

Required Actions & Concerns

• Additional Training Required?

  YES

  NO

  N/A

  DK

• Changes Required?

  YES

  NO

  N/A

  DK

• Discussed Changes with Workers Onsite?

  YES

  NO

  N/A

  DK

• Discussed Changes with Foreman or GC?

  YES

  NO

  N/A

  DK

Completion and Sign-Off

• Inspector (Name and Signature)

  Sign