Information
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
Housekeeping and Sanitation
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Rubbish containers
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Toilets (1per 20 employees) Hand wash station
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Adequate supply of water and cups/rubbish containers
Personal Protective Equipment
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Eye protection, ear protection, vests hardhats
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Harnesses, lanyards and foot protection
Power tools and cords
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Tools in good working condition
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Damaged extension cords and plugs
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Welding leads in good repair/stinger insulated
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Lock/Out, Tag/Out practice in use
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Chaps worn when using chainsaw
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Whip checks on high pressure hoses
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GFCI protection in place
Ladders
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In good condition/Tied off as necessary
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No work on the top three steps
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Secured and three feet above landing
Heavy Equipment ( Daily Inspection)
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Fire extinguishers, brakes, horn, backup alarm
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Mirrors, windows, signals/Log books filled out
Control Traffic
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Flag person wearing proper PPE
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Slow/Stop paddles
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Signs, cones, lights and barricades
Excavations
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Shoring and/or shields
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Slope or benched
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Spoils two feet from edge of excavation
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Access in excavations 4+' deep and every 25' laterally
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Employee/Public protection
Pile Driving/Steel Erection
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100% tied off
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Daily, quarterly, crane logs filled out and cents in cab
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Maintenance logs filled out and current
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Inspect rigging/chokers, slings, bridles, hooks
Crane/Hoisting (Daily Inspection)
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Current certification in cab
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Maintenance log filled out and current
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Rigging and load charts in cab
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Fire extinguisher in cab/Inspection current
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First-kit in good supply
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Proper warning signs on crane
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No operation within limits of High Voltage Lines
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Tag lines used on all picks
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Swing radius protection
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Boom angle indicator operational
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Anti- two block devices operational
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Rigging inspection
Rebar Protection
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Job built
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Caps
Confined Space
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Tested before entry and as needed thereafter
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Positive air flow
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PPE
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Rescue plan
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Permits
Scaffolds and Aerial Lifts
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Level, guard rails base plates and fully planked
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Tie off as required
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No working or standing on guardrail
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Toe boards as needed
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Overhead protection
Flammable Gases and Liquids
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Oxygen/acetylene bottles separated by 20'
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Capped and secured
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All gases/liquids ID and stored properly
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Fire extinguishers within 25'-75' of storage
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Flashback arrestors in use
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#5 shade lens for cutting torch operations
Safety Supplies and Gear
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Emergency stretcher and rigging
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Emergency blanket
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First- aid kits in good supply
Paperwork
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Injury and Illness Prevention Plan
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MSDS available / JHA files
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Evacuation Plan
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Site Specific Safety Plan
Containment
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Permits/secured
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Regular pick-up
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Fire extinguishers within 25'-75'
Unsafe Pracices
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Individual
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Company
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Location
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature