Coastal Mechanical Safety Managers Compliance Audit

• Coastal Mechanical Safety Compliance Audit

• Job Site Name

• General Contractor

• Job Site/Work Order Number

• Prepared by

• Location
  Address

• Conducted on

  Date

• Number of Employees on Site

• Trades on Site

GENERAL CONDITIONS

• Red Book, Green Book and SDS on site and current?

  YES

  NO

  N/A

• Posters correctly posted for all employees to see?

  YES

  NO

  N/A

• Compressed gas cylinders on site?

  YES

  NO

  N/A

• Are Cylinders stored properly?

  Yes

  No

  N/A

• Cylinders in a secure and approved storage cage?

• Secured to prevent from tipping over?

• Separated by either fireproof barrier or at least 20 feet?

• Fire Extinguisher in immediate area?

• Additional information

• First Aid Kits on site and adequately stocked based on the crew size?

  YES

  NO

  N/A

• Additional information

• PTP's and/or JSA/JHA's Completed?

  YES

  NO

  N/A

• Completed prior to work starting

• Signed off prior to work starting

• Site Safety Inspections completed daily?

Personal Protective Equipment (PPE)

• Sufficient PPE supplies for the site?

  YES

  NO

  N/A

• Correct PPE being used for the appropriate task?

  YES

  NO

  N/A

• Hard Hat

• ANSI approved safety glasses

• Serviceable and worn properly

• Reflective vest or high visibility shirt

• Gloves being worn while handling tools or equipment

• Face Shield

• Dust mask/respirator

• Ear plugs/hearing protection

• Additional information

Water supplies

• Adequate water supplies based on crew size on site?

  YES

  NO

  N/A

• Water container cleaned and sterilized daily

• Seal taped off with the date and initials written in marker

• Adequate disposable cups

• Trash receptacle nearby for waste cups

• Additional information

Ladders

• Ladder inspections completed and ladders signed off daily?

  YES

  NO

  N/A

• Inspection tag dated and initialed

• Proper ladder safety rules being followed?

  YES

  NO

  N/A

• Correct ladder for the job

• Ladder used in the configuration it was designed for

• Additional information

Fall Protection

• Proper fall protection safety rules being followed?

  YES

  NO

  N/A

• Fall protection equipment in good condition?

  YES

  NO

  N/A

• Harness inspected monthly

• No excessive wear or corrosion

• Retractable lifelines free from damage and operate correctly

• All snap rings operate freely

• Lanyards inspected and are not frayed or show signs of excessive wear

• Lifelines are secured correctly

• Anchor point is capable of supporting 5000 lbs

Critical Tasks

• Critical Tasks taking place on site?

  Yes

  No

Excavations

• Excavations on site?

  Yes

  No

• Excavation daily check completed?

  Yes

  No

  N/A

• Less than 4 feet

• Greater than four feet

• Properly Sloped

• Barricaded properly

• Trench ladder within 25 feet of workers

• Trench box (if used) in proper placement

• Additional information

Crane Lift

• Is there a Crane lift on site?

  Yes

  No

• Critical Lift?

  Yes

  No

• Crane Lift packet complete?

  Yes

  No

  N/A

• Lift Plan

• Operator CCO card

• Signalman/Rigger certification card

• Annual inspection for crane to be used

• Daily inspection of the crane

• Letter for verification the operator and signal/rigger are qualified

• Letter for drug screen

• Manuals and charts in the crane

• Anti two blocking device present and operable

• All slings and rigging certified and in good condition

• Slings and rigging inspected

• Additional information

• Add media

  Media

Confined space

• Is there Confined Space work on the site?

  Yes

  No

• Workers trained in the specific confined space

• Non-permit required

• Permit required

• 4 gas meter present

• Adequate ventilation for fresh air

• permit posted

• Rescue plan

• Appropriate signage

• Additional information

• Add media

  Media

Demolition

• Is there any demolition work on site?

  Yes

  No

Hot Work

Meetings

• Is there hot work present on site?

  Yes

  No

• Hot work taking place in an occupied structure

• Area cleared of flammable/combustible materials

• Fire blankets required or used

• Hot work permit present

• Fire extinguisher in the immediate area

• Trained and dedicated fire watch person present

• Hot work equipment in good condition

• Additional information

• Meeting with CMS Site supervision?

  Yes

  No

• Meeting with the General Contractor site supervision?

  Yes

  No

• Meeting with Subcontractor supervision?

  Yes

  No

Injury information

• Reported injuries?

  Yes

  No

• Near misses onsite?

  Yes

  No

• Safety violations/write-ups?

  Yes

  No

• Additional information

• Safety training conducted?

  Yes

  No

• Sign in sheet of training completed

General Remarks or Comments

• Overall site in compliance with OSHA regulations and CMS Safety policy?

  Yes

  No

  N/A

• General remarks and comments

• Pictures of good practices.

  Media

• Pictures of issues or areas requiring additional attention.

  Media