Construction Site - Texas Materials Safety Audit

• Site conducted

  Select

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LSR 1. Risk Assessment

• Risk Assessment Audit Questions:

• Is a Risk Assessment being completed?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is there evidence of T-5s or other forms of safety meetings being conducted and documentation made available?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are first aid kits stocked with no expired products?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are first aid kits easily accessible?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is a trained first aider available on site?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

LSR 9. Use of Personal Protective Equipment (PPE)

• PPE Audit Questions:

• Are hard hats being used?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are high visibility safety vests or shirts being worn?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are safety glasses or goggles being used?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are safety toe boots being worn?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is hearing protection available and used when required?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are proper gloves available and worn when required?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are loose clothing, adornments, and hair suitably controlled/confined to prevent entanglement with any machinery and device?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are all PPE being worn in good condition?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are dust masks made readily available?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Does the supervisor/foreperson have extra PPE?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Fire Protection/ Prevention

• Fire Safety Audit Questions:

• Are fire extinguishers strategically located?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are all of the fire extinguishers visible and accessible?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are monthly fire extinguisher inspections being logged? <br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are flammable liquids stored in approved safety cans and containers?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are asphalt paver screed free of trash?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Traffic Control

• Traffic Control Audit Questions

• Are Traffic Control Inspections being conducted daily and documented?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is the Traffic Control Plan properly implemented?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are employees being unnecessarily exposed to traffic?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is all equipment parked so it does not present a hazard to through traffic or job traffic?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is equipment and materials stored outside the clear zone?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is the Internal Traffic Control Plan in place?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is a copy of the most current TMUTCD and starter project specific traffic control standards immediately available for review?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Flagger Safety

• Flagger Audit Questions:

• Is flagger(s) present?

  Yes

  No

  N/A

• *How many flaggers are being utilized?

• Does the flagger(s) have proof of completing flagger training?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are flagger(s) wearing appropriate attire?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Do flagger(s) have correct equipment?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are flagger(s) using proper techniques?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are flagger(s) positioned correctly?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Backer Spotter Safety

• Backer Spotter Audit Questions:

• Is a backer spotter(s) present?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are backer spotter(s) wearing spotter hard hat (orange hard hat with spotter printed on it)?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are backer spotter(s) equipped with an emergency whistle?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

LSR 2. Equipment Safety

• Mobile Equipment Audit Questions:

• Are daily pre-use equipment inspections being done?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is there a 3-Points of Contact decal in place on steps of all equipment?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Do employees understand and comply with the mobile phone policy?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Do all pieces of mobile equipment have slow moving vehicle signs, strobe light, and reflective tape?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Does the finish roller have the safety siren/intrusion alarm?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is breakdown roller clear. Zone (15 to 20 in.) in effect?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are there no employees riding equipment, unless an approved seat is available?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• * Is equipment being serviced on-site or at a shop?

  On-site

  At Shop

• Is equipment that is being serviced or repaired have proper lockout/tagout and blocking procedures?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Single Equipment Audit: (At a minimum, add one piece of equipment to the audit.)

Equipment

• Equipment Number:

• Is the equipment operator qualified?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is the Operator Manual present?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is good housekeeping practices being used in cab of equipment?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are seat and seat belts in good condition?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are mirrors adjusted properly and in good condition?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Does the back-up alarm work properly?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are access steps and railing in good working condition?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are parking brakes capable of holding mobile equipment with typical load on max grade?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Company Vehicles

• Single Company Vehicle Audit: (At a minimum, add one company vehicle to this audit)

Company Vehicle

• Company Vehicle Number:

• Is the vehicle kept clean?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are tires in good condition and have good tread depth?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are mirrors in good working condition?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Does the driver have current proof of insurance and vehicle registration?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are seat belts in good condition?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Hand and Portable Power Tools

• Hand and Portable Power Tools Audit Questions:

• Are all hand and portable power tools in good operating condition, equipped with ground wires and have no defects in wiring?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Do all portable equipment have necessary guarding devices?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are trigger locks absent on hand-held tools?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

LSR 6. Working at Heights

• Working at Heights Audit Questions:

• Is fall protection in good working condition?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• *Are employees/subcontractors working above 6 feet?<br>

  Yes

  No

• Are employees/subcontractors equipped with adequate fall protection?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• If an employee is working from heights, is the area below barricaded-off half the distance from where they are working from?<br>

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

LSR 7. Lifting Operations

• Lifting Operations Audit Questions:

• Do all lifting implements such as straps, cables and chains have their load limit identified, as applicable?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are lifting hoists inspected prior to each use with proper load limits posted?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are employees only lifting objects less than 50 pounds on their own?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are all hooks equipped with safety latches in good working condition?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

LSR 8. Underground and Overhead Utility Dangers

• Overhead & underground Utilities:

• Are all overhead power lines identified and marked with "Overhead Power Lines" signs?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is required precautionary measures being taken for work being conducted within 10 ft. of transmission lines rated greater or equal to 600V.?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Has the call center (811) been notified?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is potholing or best practices used to identify existing utilities?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Trench & Excavation

• Trench & Excavation Audit Questions:

• Are excavations or trenches deeper than 5 feet on the job site properly sloped, benched or shored?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Have underground utilities been located?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is there a means of exiting any trench 4 feet or more within 25 lateral feet of any employee?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is the pile kept at least 2 feet from the edge of any excavation?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Has a competent person performed an inspection of excavation?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Housekeeping

• Housekeeping Audit Questions:

• Is portable restrooms provided on-site if needed and maintained?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is the site practicing good housekeeping throughout the site?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are employees provided with adequate portable water?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is the job site kept free of excess debris, lumber with protruding nails and other scraps that may present a hazard?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

Environmental

• Environmental Audit Questions:

• Is required sediment control in place and maintained as required by the job plans and standard practices?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Is no diesel being used on project, instead biodegradable products are utilized?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are spill response materials present and readily available?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Are appropriate housekeeping practices in place to ensure environmental performance?

  Not Compliant

  In Progress

  Compliant

  Best Practice

  Not Applicable

• Other unsafe behaviors or conditions observed on site:

Unsafe Condition

• Description of observed:

• Pictures to aid in observation:

  Media

• Overall how do you rate the overall safety of the site, 10 being fully compliant? ( Please add comments to better aid site manager/ staff)

• Check the box to approve that the above audit was done by a Safety Representative?

• Safety Representative Signature:

  Sign

• Title:

• Have the Site Manager or Site Representative check the box, agreeing that they received a briefing after the completion of the audit.

• Site Manager/Site Representative Signature:

  Sign

• Title: