Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. General Safety and Health
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1.1. Policy Manual/SDS ?<br>
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1.2. PTSP/JHA Documented?
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1.3 Stretch and Flex Completed Daily?
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1.4 Weekly Safety Meetings?
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1.5 1st Aid Kit/ Trained Personnel in CPR/ 1st Aid?
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1.6 OSHA/Clinic/Comp/Posters?
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1.7 Water & Cups with Trash Receptacle in Place?
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1.8 Housekeeping?
2. Personal Protective Equipment
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2.1. Hard Hats Worn?
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2.2. Eye/Face Protection as Required?
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2.3. Gloves/Hearing protection Provided?
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2.4. Proper Footwear? ( Hard toed shoe or boot, metatarsal guards, etc.)
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2.5. Clothing?
3. Electrical/Hand Tools
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3.1. Extension Cords/ GFCI?
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3.2. Power Tools/ Guards/ PAT's?
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3.3. Powder Actuated Tools?
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3.4. LOTO Procedures in place and Trained Personnel?
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3.5 Meters/Testers?
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3.6 Work Area Lighting Sufficient?
4. Fall Protection
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4.1. Guardrails?
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4.2. Body Harness?
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4.3. Anchor Points?
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4.4. Holes Marked and Covered?
5. Harness and Equipment
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5.1. Unsafe or damaged harness or equipment?
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5.2. Incompatible hooks/equipment?
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5.3. Unsafe or uncertified anchor points?
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5.4. Lack of inspection protocol for equipment?
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5.5. Lack of or inadequate formal training for operators?
6. Ladders
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6.1. Unsafe or damaged ladders?
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6.2. Unsafe positioning of ladders?
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
7. Equipment/Machines
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7.1. Duct Jacks Inspected?
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7.2 Roust-a-Bouts Inspected?
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7.3. Pipe Stands Inspected?
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7.4. Other Equipment/Machines Inspected and Maintained?
8. Chemical Labeling and Storage
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8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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8.2. Incompatible chemicals stored near each other?
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8.3. Inadequate spill containment equipment?
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8.4. Safety Data Sheets not accessible on site?
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8.5. Lack of emergency procedures for injury/spills/fire etc?
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8.6. Excessive quantities stored on site or in vehicles?
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8.7. Insufficient ventilation?
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8.8. Insufficient, or incorrect, PPE?
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8.9. Unsuitable/ Unlabeled Containers.
9. Welding/Cutting
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9.1. Fire Extinguisher? (inspected and up to date)
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9.2 Compressed Gas Cylinders stored properly?
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9.3. Cables/ Hoses/ Gauges Inspected?
10. Confined Space
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10.1. Permit/Non-Permit Space?
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10.2. Space Evaluated and Air Quality Tested?<br>
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10.3. Rescue Equipment / Trained Personnel? (Non-Entry Rescue)
11. Excavation/Trenching
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11.1. Ladders in place for Entry and Egress?
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11.2. Benching/ Shoring in Place?
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11.3. Competent Person on Site?
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11.4 Soil Tested and Classified?
12. Crane/Documentation?
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12.1. Crane Paper Work in Place?
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12.2. Competent Person on Site?
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12.3. Qualified Rigger/Signaler?
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12.4. Rigging Equipment Inspected?
Sign Off
Corrective Actions
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Enter any corrective actions that will be undertaken
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Auditor's signature
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On site representative
