Coastal Mechanical Safety Managers Compliance Audit

• Site conducted

  Select

• 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

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

  Yes

  No

  N/A

• PTP's and/or JSA/JHA's Completed?

  Yes

  No

  N/A

• Completed prior to work starting

  Yes

  No

  N/A

• Signed off prior to work starting

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Sufficient PPE supplies for the site?

  Yes

  No

  N/A

• Adequate COVID-19 PPE Supplies?

  Yes

  No

  N/A

• Face Coverings?

• Hand Sanitizer?

• Disinfectant Wipes?

• Correct PPE being used for the appropriate task?

  Yes

  No

  N/A

• Hard Hat

  Compliant

  Non-Compliant

  N/A

• ANSI approved safety glasses

  Compliant

  Non-Compliant

  N/A

• Serviceable and worn properly

• Reflective vest or high visibility shirt

  Compliant

  Non-Compliant

  N/A

• Gloves being worn while handling tools or equipment

  Compliant

  Non-Compliant

  N/A

• Face Shield

  Compliant

  Non-Compliant

  N/A

• Dust mask/respirator Face Covering

  Compliant

  Non-Compliant

  N/A

• Ear plugs/hearing protection if required

• Additional information

Water supplies

• Adequate water supplies based on crew size on site?

  Yes

  No

  N/A

• Individual water coolers with bottle water

• 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

Hand and Power Tools

• Corded power tools have ground prong if not Double Insulated? 1926.302(a)(1)

  Yes

  No

  N/A

• Drills for concrete have vacuum attachment and working properly?

  Yes

  No

  N/A

• Manufacturer guards in place and not modified? 1926.300(b)(1)

  Yes

  No

  N/A

• Corded Tools and cords not ran through or in standing water?

  Yes

  No

  N/A

• Electrical cords in good condition and free from cuts and exposed wires?

  Yes

  No

  N/A

• Tools used for their intended purpose?

  Yes

  No

  N/A

• Tools when not in use are staged properly? (Not hanging by cords)

  Yes

  No

  N/A

• Electrical extension cords are at least 12-GA?

  Yes

  No

  N/A

• Extension cords routed not to cause a tripping hazard?

  Yes

  No

  N/A

Housekeeping and Material Storage

• Material out of common walkways? 1926.250(a)(3)

  Yes

  No

  N/A

• Material away from ledges and stairways? 1926.250(b)(1)

  Yes

  No

  N/A

• Debris cleaned regularly and removed to a central location?

  Yes

  No

  N/A

• Walkways and travel areas clear and free from tripping hazards? 1926.250(d)

  Yes

  No

  N/A

• Floor penetrations greater than 2" diameter securely covered? 1926.501(b)(4)(ii)

  Yes

  No

  N/A

• Overall work area clear of excessive debris and trash?

  Yes

  No

  N/A

Ladders

• Are ladders being used on site?

  Yes

  No

• Ladder inspections completed and ladders signed off daily?

  Yes

  No

  N/A

• Inspection tag dated and initialed 1926.1053(b)(15)

  Yes

  No

  N/A

• Proper ladder safety rules being followed?

  YES

  NO

• Correct ladder for the job? 1926.1053(b)(4)

  Yes

  No

  N/A

• Ladder being used in the configuration it was designed? 1926.1053(b)(4)

  Yes

  No

  N/A

• Ladder placed on stable surface? 1926.1053(b)(6)

  Yes

  No

  N/A

• Area around the ladder clear of debris? 1926.1053(b)(9)

  Yes

  No

  N/A

• Extension ladder being used?

  Yes

  No

• Ladder secured at top and bottom to prevent displacement? 1926.1053(b)(6)

  YES

  NO

• Top extends 3' above the landing? 1926.1053(b)(1)

  YES

  NO

• Proper 4:1 ratio maintained? 1926.1053(b)(5)(i)

  YES

  NO

• Additional information

Fall Protection 1926.500

• Are there areas being worked where fall protection is required

  Yes

  No

• Proper fall protection rules being followed?

  Yes

  No

  N/A

• Adequate anchor point capable of supporting 5,000 LBS?

  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

Critical Tasks

• Critical Tasks taking place on site?

  Yes

  No

Excavations

• Excavations on site?

  Yes

  No

• Excavation daily check completed?

  YES

  NO

• Less than 4 feet

• Greater than four feet

• Properly Sloped

  Compliant

  Non-Compliant

  N/A

• Barricaded properly

  Compliant

  Non-Compliant

  N/A

• Trench ladder within 25 feet of workers

  Compliant

  Non-Compliant

  N/A

• 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

• 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

Welding Safety/Compressed Gas Cylinders 1926.350

• Are compressed gas cylinders on site?

  Yes

  No

• Oxygen separated from Fuel gas or combustible materials by at least 20' or fire barrier 5' high with 1/2hr rating? 1926.350(a)(10)

  Yes

  No

  N/A

• Valve protection cap in place if not being used? 1926.350(a)(1)

  Yes

  No

  N/A

• Cylinders secured from tipping over? 1926.350(a)(7)

  Yes

  No

  N/A

• Located in storage cage?

  Yes

  No

  N/A

• Fire extinguisher within 25'?

  Yes

  No

  N/A

• Proper shade for protective eye wear?

  Yes

  No

  N/A

• Insulated gloves being used for hot work operations?

  Yes

  No

  N/A

• 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

Meetings

• 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

• Signature of person conducting audit.

  Sign

• Signature of site supervisor/PM

  Sign