Information
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Project Name
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Customer / GC
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Conducted on
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Prepared by
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Location
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Personnel
1. Fall Protection (OSHA Sub Part "M")
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1.1. All employees trained in fall protection?
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1.2. Lack of leading edge protection?
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1.3. Unsafe or incomplete edge protection?
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1.4. All Body harness, lanyard and SRL been inspected?
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1.5 Are all anchor points rated at least 5,000 pounds?
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1.6 Are all body harnesses fitted properly?
2. Ladders (OSHA Subpart "X")
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2.1. All employees trained in ladder safety?
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2.2. Any unsafe or damaged ladders on the project?
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2.3. Any unsafe positioning of a ladder?
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2.4. Extension ladder tied off at top of ladder?
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2.5. Is there 3' of the extension ladder extended above the next elevation?
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2.6. Ladder being used on level ground?
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2.7. Are all labels on ladders?
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2.8. All ladders been inspected?
3. PPE ( OSHA Subpart "E")
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3.1. All employees wearing hard hats, safety glasses, vests and gloves?
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3.2. Hearing protection being worn when needed?
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3.3. Are there face shields, goggles on site and being worn when performing overhead work?
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3.4. Any PPE needed to be ordered?
4. Confined Space (OSHA Subpart "AA")
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4.1. All employees trained in confined space awareness?
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4.2. Has a confined space permit been completed?
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4.3. Is there a trained confined space competent person on site?
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4.4. Is there an air quality monitor on site?
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4.5. Is there a tri pod, wench, body harness and blower on site per confined space?
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4.6. Is there an emergency rescue person at each confined space?
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4.7. Is there an E.A.P. developed and understood by all personnel?
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4.8. Has there been a JHA developed for the work explaining the risks?
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4.9. Are there any known hazards in the confined space?
5. Hazard Communication (Subpart "Z")
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5.1. All employees been trained in Haz-com?
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5.2. Is there a MSDS binder on site?
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5.3. Do employees know what haz-com means and where the haz-com manual is?
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5.4. If we have chemicals on site is there a spill kit on site?
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5.5. Right PPE on site to deal with a chemical spill (chemical gloves, goggles)?
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5.6. Any unsafe storage of chemicals?
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5.7 Are all chemicals in labeled containers?
6. Excavations (OSHA Subpart "P")
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6.1. Has all employees been trained in excavation awareness?
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6.2. Has all existing utilities been located?
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6.3. Does heavy equipment have working back up alarms?
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6.4. Is there a trench ladder every 50'? On
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6.5. Is there an excavation permit completed?
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6.6. Any excavations over 4' deep?
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6.7. Is the sloping correct?
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6.8 Are the spoils at least 2' away from the excavation?
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6.9. Is there a possibility of carbon monoxide build up in the excavation?
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6.10. Will shoring be required in the excavation?
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6.11. Is there heavy equipment near excavation that may cause the walls to collapse?
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6.12. Is there a trained competent person on site?
7. Housekeeping (OSHA Subpart "C")
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7.1. General appearance of project (all trades)
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7.2. Are passageways and walkways clear of trash and debris?
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7.3. Any protruding nails in scrap lumber laying around?
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7.4. Are the FSG conex's clean and orderly?
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7.5. Is all FSG stored materials neatly stacked and orderly?
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7.6. Is all of FSG's trash picked up off of the floor and site?
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7.7. Are all FSG materials at a minimum of 15' from all leading edges?
8. Signs and barricades (OSHA Subpart "G")
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8.1. Holes 2" and larger in floors covered and Marked?
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8.2. All leading edge guard rails up and secure?
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8.3. Correct use of caution or danger signs / tape in place?
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8.4. Hazard warning signage posted as needed?
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8.5. Traffic cones or barricades in place if needed?
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8.6. All hazard signage in place? Temp panels, lasers in use, etc?
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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 storage containers? (unlabeled or stored in food containers)
9. Electrical Safety (OSHA Subpart "K")
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9.1. GFCI and Lighting logs being completed?
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9.2. Temporary power and lighting installed per code?
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9.3. Temporary power cables red tagged every 10'?
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9.4. Temporary panels/disconnects have locks and warning signage on?
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9.5. Temp lighting hung properly and cages on?
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9.6. Temp lighting sleeved from panel to ceiling?
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9.7. Temporary power transformer grounded properly?
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9.8. All joints in j-boxes have tape on them?
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9.9. All lamps have cages on them and burning?
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9.10. Any open voltage on job?
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9.11. LOTO being used when maintaining system?
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9.12. All cables hung with non conductive material? (Jet line)
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9.13. Extension cords have ground prongs?
Sign Off
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On site representative
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Auditor's signature
