Construction Hazard Identification and Risk Assessment

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Fall Protection

• 1.1. Fall protection in place for workers working above 6 feet?

  Yes

  No

  N/A

• 1.2. Workers tied off working above 6 feet?

  Yes

  No

  N/A

• 1.3. Leading edge protection in place? (Guard rails, handrails)

  Yes

  No

  N/A

• 1.4. Unsafe or incomplete edge protection?

  Safe

  At Risk

  N/A

• 1.5. Floor holes and openings covered and labeled "Hole"?

  Yes

  No

  N/A

• 1.6. Guard rails in place and in good shape?

  Yes

  No

  N/A

• 1.7. Impalement caps in place?

  Yes

  No

  N/A

2. Equipment and Tools

• 2.1. Unsafe or damaged equipment tagged "Out of Service"?

  Yes

  No

  N/A

• 2.2. Correct equipment or tool for job?

  Yes

  No

  N/A

• 2.3. Unsafe or incompatible attachments used with equipment?

  Safe

  At Risk

  N/A

• 2.4. Lack of safe work instructions?

  Safe

  At Risk

  N/A

• 2.5. Lack of training in safe operation, clean-up and maintenance?

  Safe

  At Risk

  N/A

• 2.6. Inspection complete?

  Yes

  No

  N/A

3. Scaffolds

• 3.1. Unsafe or incomplete scaffold tagged "Out of Service"?

  Safe

  At Risk

  N/A

• 3.2. Inspection complete and scaffold tagged?

  Yes

  No

  N/A

• 3.3 Competent person present during scaffold erecting and dismantle?

  Yes

  No

  N/A

• 3.4. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

  Safe

  At Risk

  N/A

• 3.5. All pins in place and locked?

  Yes

  No

  N/A

• 3.6. Wheels locked while worker is on scaffold?

  Yes

  No

  N/A

• 3.7. Outriggers in place, if needed?

  Yes

  No

  N/A

• 3.8. Is Toe-Board installed at working heights of 10 feet or more?

  Yes

  No

  N/A

4. Forklift, Lull, Power Industrial Truck, Skid Steer, Bobcat, Back Hoe, Dirt Loader, Boom/Aerial Lift

• 4.1. Unsafe or damaged equipment tagged "Out of Service"?

  Safe

  At Risk

  N/A

• 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Safe

  At Risk

  N/A

• 4.3. Lack of maintenance?

  Safe

  At Risk

  N/A

• 4.4. Daily inspection complete?

  Yes

  No

  N/A

• 4.5. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  Safe

  At Risk

  N/A

• 4.6. Lifting equipment unlabelled or missing tags?

  Safe

  At Risk

  N/A

• 4.7. Licensed operators?

  Yes

  No

  N/A

• 4.8. Operator wearing seatbelt?

  Yes

  No

  N/A

• 4.9. Fire Extinguisher on equipment?

  Yes

  No

  N/A

5. Personal Fall Arrest System (Full Body Harness w/ lanyard)

• 5.1. Unsafe or damaged harness or equipment tagged "Out of Service"?

  Safe

  At Risk

  N/A

• 5.2. Incompatible hooks/equipment?

  Safe

  At Risk

  N/A

• 5.3. Unlabelled or does not meet ANSI standards?

  Safe

  At Risk

  N/A

• 5.4. Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• 5.5. Inspection of equipment complete?

  Yes

  No

  N/A

• 5.6. Lack of or inadequate formal training for operators?

  Yes

  No

  N/A

6. Ladders

• 6.1. Unsafe or damaged ladders tagged "Out of Service"?

  Yes

  No

  N/A

• 6.2. All warning labels and/or stickers in place?

  Safe

  At Risk

  N/A

• 6.3. Ladder properly secured at top and bottom?

  Yes

  No

  N/A

• 6.4. Ladder suitable for job?

  Yes

  No

  N/A

• 6.5. Ladder being used to manufacture spec?

  Yes

  No

  N/A

• 6.6. Ladder extended 3 feet above the landing?

  Yes

  No

  N/A

7. Handling hazardous materials

• 7.1. Lack of hazardous identification signage?

  Safe

  At Risk

  N/A

• 7.2. Lack of assessment of hazardous material?

  Safe

  At Risk

  N/A

• 7.3. Lack of training in handling hazardous materials?

  Safe

  At Risk

  N/A

8. Hazardous Chemicals (including fuel and oil)

• 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Safe

  At Risk

  N/A

• 8.2. Incompatible chemicals stored near each other?

  Safe

  At Risk

  N/A

• 8.3. Adequate spill containment equipment?

  Yes

  No

  N/A

• 8.4. Safety Data Sheets (SDS) accessible on site?

  Yes

  No

  N/A

• 8.5. Lack of emergency procedures for injury/spills/fire etc?

  Safe

  At Risk

  N/A

• 8.6. Excessive quantities stored on site or in vehicles?

  Safe

  At Risk

  N/A

• 8.7. Insufficient ventilation?

  Safe

  At Risk

  N/A

• 8.8. Insufficient, or incorrect, PPE?

  Safe

  At Risk

  N/A

• 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

  Safe

  At Risk

  N/A

9. Emergency Response

• 9.1. Emergency plan for site understood by all workers?

  Yes

  No

  N/A

• 9.2. Emergency procedures displayed at site?

  Yes

  No

  N/A

• 9.3. Lack of training and rehearsal of emergency plans?

  Safe

  At Risk

  N/A

• 9.4. AED on site?

  Yes

  No

  N/A

• 9.5. First Aid kit on site and accessible?

  Yes

  No

  N/A

• 9.6. Unsuitable or inadequate communication equipment?

  Safe

  At Risk

  N/A

10. Traffic Management

• 10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  Yes

  No

  N/A

• 10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  Yes

  No

  N/A

• 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Yes

  No

  N/A

11. Personal Protective Equipment (PPE)

• 11.1. Z87 rated Safety glasses being worn?

  Yes

  No

  N/A

• 11.2. Hard hat being worn and worn properly?

  Yes

  No

  N/A

• 11.3. Reflective vest or high visibility shirt being worn?

  Yes

  No

  N/A

• 11.4. Gloves being worn while working?

  Yes

  No

  N/A

• 11.5. Cut Resistant gloves being worn while handling sharp edges?

  Yes

  No

  N/A

• 11.6. Does worker have on Steel-toe boots?

  Yes

  No

  N/A

• 11.7. Is worker using Face Shield while cutting, chipping, grinding, welding, brazing, etc?

  Yes

  No

  N/A

• 11.8. Hearing protection being worn when needed?

  Yes

  No

  N/A

12. Work Environment

• 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 12.2. Sufficient lighting?

  Yes

  No

  N/A

• 12.3. Adequate housekeeping?

  Yes

  No

  N/A

• 12.4. Lack of, or inadequate noise/ vibration control?

  Safe

  At Risk

  N/A

• 12.5. Proper Ventilation?

  Yes

  No

  N/A

• 12.6. Heat Stress?

  Safe

  At Risk

  N/A

• 12.7. Cold Stress?

  Safe

  At Risk

  N/A

• 12.8. Congested work area?

  Safe

  At Risk

  N/A

• 12.9. Drinking Water provided for workers?

  Yes

  No

  N/A

13. Electrical Hazards

• 13.1. Unsafe electrical leads tagged "Out of Service"?

  Safe

  At Risk

  N/A

• 13.2. GFCI protection in place?

  Yes

  No

  N/A

• 13.3. Contact with underground electrical lines?

  Safe

  At Risk

  N/A

• 13.4. Contact with overhead electrical lines?

  Safe

  At Risk

  N/A

• 13.5. Leads placed on ground protected from sharpe edges?

  Yes

  No

  N/A

• 13.7. Electrical equipment near water?

  Safe

  At Risk

  N/A

• 13.8. Electrical equipment near flammables?

  Safe

  At Risk

  N/A

• 13.9. Electrical equipment near chemicals that could cause damage?

  Yes

  No

  N/A

• 13.10. Electrical leads on work surfaces?

  Safe

  At Risk

  N/A

• 13.11. Electrical leads that may be damaged from contact with moving machinery parts?

  Safe

  At Risk

  N/A

• 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Safe

  At Risk

  N/A

14. Environmental Hazards

• 14.1. Lack of/or inadequate Environmental Management plan (EMP)?

  Safe

  At Risk

  N/A

• 14.2. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  Safe

  At Risk

  N/A

• 14.3. Bad Weather?

  Safe

  At Risk

  N/A

• 14.4. Lack of/or inadequate, dust suppression system?

  Safe

  At Risk

  N/A

• 14.5. Silt fence installed and maintained?

  Yes

  No

  N/A

• 14.6. Unstable ground?

  Safe

  At Risk

  N/A

15. Confined Space

• 15.1. Has work area been evaluated?

  Yes

  No

  N/A

• 15.2. Does the working space meet all 3 criteria to make it a confined space?

  Yes

  No

  N/A

• 15.3. Does this confined space meet the requirements for a permit required confined space?

  Yes

  No

  N/A

16. Fire Protection/Fire Prevention

• 16.1. Fire Extinguisher within 100 feet of foot travel?

  Yes

  No

  N/A

• 16.2. Sprinkler system up and active?

  Yes

  No

  N/A

• 16.3. Smoke detectors covered while spraying, sweeping, dusting, painting?

  Yes

  No

  N/A

• 16.4. Pull stations live and active?

  Yes

  No

  N/A

• 16.5. Flammable liquids stored in proper fuel containers?

  Yes

  No

  N/A

• 16.6. Fire Extinguisher within 25 feet of fuel storage containers?

  Yes

  No

  N/A

• 16.7. "No Smoking" signs posted next to flammables?

  Yes

  No

  N/A

• 16.8. Fire Extinguisher present while "Hot Work" is being preformed?

  Yes

  No

  N/A

17. Excavation and Trenching

• 17.1. Soil type?

  Type A

  Type B

  Type C

  Solid Rock

• 17.2. Is Excavation deeper than 4 feet?

  Yes

  No

• 17.3. Air Quality checked at 4 feet deep and recorded?

  Yes

  No

  N/A

• 17.4. Proper Ladder access and egress within 25 feet?

  Yes

  No

  N/A

• 17.5. Excavation or Trench properly benched/sloped?

  Yes

  No

  N/A

• 17.6 Competent person present during excavation or trenching?

  Yes

  No

  N/A

• 17.7 Soil pile 2 feet from edge of excavation?

  Yes

  No

  N/A

18. Cranes

• 18.1. Crane on site?

  Yes

  No

  N/A

• 18.2. Crane operator certified? If yes, need copy of training for records.

  Yes

  No

  N/A

• 18.3. Medical evaluation been done? If yes, need copy of report for records.

  Yes

  No

  N/A

• 18.4. Inspection completed and documented? If yes, need copy for records.

  Yes

  No

  N/A

• 18.5. Certified Signal Man on site? If yes, need copy of training for records.

  Yes

  No

  N/A

• 18.6. Certified Rigger on site for lift? If yes, need copy of training for records.

  Yes

  No

  N/A

• 18.7. Tag line(s) being used during lift?

  Yes

  No

  N/A

• 18.8. Barricades in place around Crane?

  Yes

  No

  N/A

• 18.9. Is area beneath load clear?

  Yes

  No

  N/A

• 18.10 Crane minimum distance from overhead power lines?

  Yes

  No

  N/A

19. Rigging Equipment

• 19.1. Synthetic Webbing Sling Inspections complete?

  Yes

  No

  N/A

• 19.2. Wire Rope Sling Inspections done?

  Yes

  No

  N/A

• 19.3. Slings have load capacity tags?

  Yes

  No

  N/A

• 19.4. Hooks and shackles inspections complete?

  Yes

  No

  N/A

• 19.5. Chain fall/Chain Hoist inspection complete?

  Yes

  No

  N/A

• 19.6. Unsafe or damaged equipment tagged "Out of Service"?

  Yes

  No

  N/A

20. Housekeeping

• 20.1. Work area clean?

  Yes

  No

  N/A

• 20.2. Trash tossed away in the proper receptacle?

  Yes

  No

  N/A

• 20.3. Floors swept?

  Yes

  No

  N/A

• 20.4 Material stacked up and organized?

  Yes

  No

  N/A

21. Evacuation and Take Shelter Plan

• 21.1. Do all workers know the alarm sequence?

  Yes

  No

  N/A

• 21.2. Do all workers know where the nearest rally point is?

  Yes

  No

  N/A

• 21.3. Is there proper access to and egress from the building and/or job?

  Yes

  No

  N/A

22. Respiratory Protection

• 22.1. Can hazard be avoided or engineered out to avoid the use of a Respirator?

  Yes

  No

  N/A

• 22.2. Is worker wearing a NIOSH approved Respirator?

  Yes

  No

  N/A

• 22.3. Did worker volunteer to wear Respirator?

  Yes

  No

  N/A

• 22.4. Has worker been fit tested on the Respirator they are using?

  Yes

  No

  N/A

• 22.5. Has worker been through medical evaluation? If yes, turn in documents to Safety Department.

  Yes

  No

  N/A

23. JSTA’s (Job Safety Task Analysis)

• 23.1. Completed daily before the start of work?

  Yes

  No

  N/A

• 23.2. Filled out correctly?

  Yes

  No

  N/A

• 23.3. All crew members involved in task have signed JSTA?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

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• On site representative

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• Safety Manager's signature

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