1. Job Information

  • 1.1. Phone number for the nearest medical center posted?

  • 1.2. Weekly safety meetings up to date?

  • 1.3. Is JHA being done and reviewed with crew?

  • 1.4. Work areas properly signed and barricaded?

  • 1.5. Is each employee instructed in the recognition and avoidance of unsafe conditions?

  • 1.6. Are first aid supplies readily accessible?

  • 1.7. Is facility for treatment of injured employees located within 15 minutes of the jobsite? If not, is there an employee trained in first aid?

  • 1.8. Are telephone numbers, physicians, hospitals posted?

  • 1.9. Are potable drinking and toilet facilities available at the jobsite?

  • 1.10. Is there protection for blood borne pathogens?

2. Housekeeping

  • 2.1. General neatness of work area?

  • 2.2. Projecting nails removed or bent over?

  • 2.3. Waste containers provided and used?

  • 2.4. Passageways and walkways clear?

3. Fire prevention

  • 3.1. Adequate fire extinguishers, checked and accessible?

  • 3.2. Phone number of fire department posted?

  • 3.3. "No smoking" posted and enforced near flammables?

4. Electrical

  • 4.1. Extension cords or attachment cords with bare wires, missing ground prongs or damaged are taken out of service?

  • 4.2. Ground fault circuit interrupters being used?

  • 4.3. Terminal boxes equipped with required boxes?

  • 4.4. Are flexible cords and cables protected from damage?

  • 4.5. Are unused openings in cabinet boxes and fittings closed?

  • 4.6. Are all cabinets, panels and switches located in wet locations enclosed in weather proof enclosures?

5. Hand, power and powder actuated tools

  • 5.1. Hand tools inspected regularly?

  • 5.2. Guards in place on machine, such as saws?

  • 5.3. Right tool being used for the job at hand?

  • 5.4. Operators of powder actuated tools are licensed?

6. Fall protection

  • 6.1. Safety rails and cables are secured properly?

  • 6.2. Employees exposed to fall hazards are tied off?

  • 6.3. Employees below are protected from falling objects?

  • 6.4. Employees using body belts for positioning devices only?

  • 6.6. Are employees working 4' above a lower level protected by guard rails, safety nets, personal fall arrest system?

7. Ladders

  • 7.1. Ladders extend at least 36" above the landing?

  • 7.2. Ladders are secured to prevent slipping, sliding, or falling?

  • 7.3. Ladders with split or missing rungs are taken out of service?

  • 7.4. Step ladders are used in fully open position?

  • 7.5. No step at top two rungs of step ladder?

8. Scaffolding

  • 8.1. Is all scaffolding inspected daily?

  • 8.2. Erected in sound rigid footing?

  • 8.3. Tied to structure as required?

  • 8.4. Guard rails, intermediate rails, toe boards and screens in place?

  • 8.5. Planking is sound and sturdy?

  • 8.6. Proper access provided?

  • 8.7. Employees below are protected from falling objects?

9. Floor and wall openings

  • 9.1. All floor or deck openings are planked over or barricaded?

  • 9.2. Perimeter protection is in place?

  • 9.3. Deck planks are secured?

  • 9.4. Materials are stored away from edge?

10. Trenching, Excavation and shoring

  • 10.1. Competent person on hand inspecting daily?

  • 10.2. Excavations over 5'in depth are shored or sloped back?

  • 10.3. Materials are stored at least 2' away from trench?

  • 10.4. Equipment is a safe distance way from edge of trench or excavation?

  • 10.5. Ladders provided every 25' in trench more than 4' deep?

  • 10.6. Have underground utility installations been located?

  • 10.7. Are employees exposed to vehicular traffic wearing warning vests of reflectorized or highly visible material

11. Material Handling

  • 11.1. Materials are properly stored or stacked?

  • 11.2. Employees are proper lifting methods?

  • 11.3. Taglines are used to guide loads?

  • 11.4. Proper number of workers for each operation?

12. Welding and Burning

  • 12.1. Gas cylinders stored upright and secured?

  • 12.2. proper separating distance between fuels and oxygen? min 20?

  • 12.3. Burning/Welding goggles or shields are used?

  • 12.4. Fire extinguishers are nearby?

  • 12.5. Hoses and regulators are in good conditions?

13. Cranes

  • 13.1. Outriggers are extended and swing radius barricaded?

  • 13.2. Operator is familiar with load charts?

  • 13.3. Crane operator logs are up to date?

  • 13.4. Employees kept from under suspended loads?

  • 13.5. Chains and slings inspected and tagged as required?

  • 13.6. Hand signal charts are on crane?

14. Concrete construction

  • 14.1. Employees are protected from cement dust?

  • 14.2. Exposed skin covered?

  • 14.3. Runways are adequate?

  • 14.4. Walls over 8' are supported?

  • 14.5. Are all protruding reinforcing rods covered?

  • 14.6. Is lock-out/tag-out procedure in use on any machinery where inadvertent operation could cause injury?

15. Personal protective equipment (PPE)

  • 15.1. Hardhats are being worn?

  • 15.2. Safety glasses are being worn?

  • 15.3. Respirators are used when required?

  • 15.4. Hearing protection worn when required?

  • 15.5. Traffic vests being worn?

16. Vehicles

  • 16.1. Do vehicles, earth moving or compacting equipment with an obstructed view to the rear have a back up alarm or used with an observer?

  • 16.2. Do vehicles and earth moving equipment have seat belts and are they used?

  • 16.3. Are flag men wearing reflectorized garments and using flags, sign paddles or lights?

17 Stairs

  • 17.1. Are flights of stairs with 4 or more raisers equipped with standard stair railings or handrails?

18. Miscellaneous

  • 18.1. Is a written Hazard Communication Program on site including MSDS, Material list, Container labeling, employee training?

  • 18.2. Is exposure to lead or lead base paint, such as paint removal controlled?

  • 18.3. Is exposure to silica, such as sand blasting, using sand or cutting brick or cinder-block controlled?

  • 18.4. Is exposure to asbestos controlled?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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