Information
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Document No.
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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
Procedures / Operations
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asbestos-lead -chemical hazards removed<br>
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Confined space testing, emergency action plan & rescue plan<br>
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Stored energy isolated / disconnected / locked / tagged
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Daily task plan completed, understood & signed off by crew
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Open holes in floor - ground<br>
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Proper permits in place posted / required MSHA documents / MSDS on site
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Respiratory protection requirements
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Shields - containment safety
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Signs - barricades - safety tags
Body positioning
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Climbing
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Eyes on task
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Hot surface
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Lifting / pulling / pushing / carrying
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Line of fire / struck by / against
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Overhead fall hazards
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Pinch points / caught against
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Posture for work activity
Emergency action plan
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Assembly area locations, egress routes & site phone number known
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Safety shower /eye wash locations known
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Understands to report job related injuries / illness / near misses immediately? And to whom?
Housekeeping
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Tripping hazards
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Guards / barricades / safety
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Nails / splinters hazard
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Passageway kept clear
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Safety / warning signs posted
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Walking / tripping / slipping hazards
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Spill containment
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Dust control
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Trash receptacles and lids available
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Job box storage / organization
Personal protection equipment
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Eye / face / head
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Fall protection
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Foot protection / steel toe protection
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Hand protection
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Hearing protection
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Respiratory protection
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Fire resistant clothing
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Nomex
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High visibility vest / clothing
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Rubber gloves (electrically rated) / insulating equipment in compliance
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Other
Tools and equipment
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Clean / stored properly
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Guards and handles on tools
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Portable ladder
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Pressurized hoses pinned / secured
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Proper tools for task / properly used
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Refueling equipment grounded or bonded
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Bending / threader / other / equipment electrical cords
Excavation / trenching
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Shoring / sloping / benching / access are in compliance
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Excavation checklist completed
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Checklist for combined space utilized
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Cal OSHA notified (if applicable)
Isolation
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Electrical lock out & tag out
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Locks and tags in place
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Energized work permit in place
Mobile equipment
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Checklist / inspected
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Fire extinguisher
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Leaks , spills containment
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Certified to operate equipment
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Require safety pins / decals
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Rigging tagged / inspected
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Safety equipment working
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Seat belts present / used
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Spotter required / used
Fire protection
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Fire extinguisher / fire hose
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Fire watch present / trained
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Flammables / combustibles stored properly
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Housekeeping
Electrical
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GFCI in use @ electrical outlet / color coded
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Exposed electrical parts, J box covers missing, exposed wires, unsafe equipment or installation
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Cords in walkway, cords & cord caps
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Unused openings exposed in electrical panels
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> 10' from high voltage wires (overhead)
Job site facilities
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First aid kits available and stocked
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Emergency telephone list / site specific safety plan / emergency action plan
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Federal / state regulations posted
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Hand washing facilities
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Cal OSHA annual permits
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Adequate water and shade available as required
