Control Air Enterprise LLC Site Audit

• Job Number and Project Name

• General Contractor

• Conducted on

  Date

• Prepared by

• Location
  Address

• Foreman

Activities and Weather Conditions

• Select site weather conditions at time of this inspection (select all that apply)

  Select Clear Sky Cloudy Raining Windy Hazy Snow / Hail OTHER

  • Clear Sky
  • Cloudy
  • Raining
  • Windy
  • Hazy
  • Snow / Hail
  • OTHER

• Describe weather conditions on site today

• Maximum Foretasted temperature today?

• Current activities being undertaken on site (select all that apply)

  Select Sheet Metal Installation Pipe Installation Plumbing Installation Insulation Install No Personnel on Site Crane Operations Helicopter Operations

  • Sheet Metal Installation
  • Pipe Installation
  • Plumbing Installation
  • Insulation Install
  • No Personnel on Site
  • Crane Operations
  • Helicopter Operations

• Describe activities being undertaken on site

General Safety and Health Sub C

• Do you wish to check Emergency procedures this inspection?

  Yes

  No

  N/A

• CPR/First Aid provider and first aid kits available?

  Safe

  At Risk

  N/A

• Egress routes clearly marked?

  Safe

  At Risk

  N/A

• Site Emergency Action Plan posted?

  Safe

  At Risk

  N/A

• General Housekeeping, Walkways, Storage (neat, tidy, dust free)

  Safe

  At Risk

  N/A

• Impalement hazards guarded?

  Safe

  At Risk

  N/A

• Lighting: Access , Egress, Task are adequate?

  Safe

  At Risk

  N/A

Occupational Health and Environmental Controls Sub D

• Do you wish to examine Occupational Health and Environmental Controls on this inspection?

  Yes

  No

  N/A

• SDS present or readily available?

  Safe

  At Risk

  N/A

• Containers primary and secondary properly labeled?

  Safe

  At Risk

  N/A

• Hazardous Materials properly stored?

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE) Sub E

• Do you wish to examine PPE on this safety inspection?

  Yes

  No

  N/A

• Hard Hats worn by crew and in good condition?

  Safe

  At Risk

  N/A

• Safety Glasses Z.87 Compliant including prescription glasses

  Safe

  At Risk

  N/A

• Face Shield / Goggles , worn by crew and in safe condition?

  Safe

  At Risk

  N/A

• Respiratory Protection used and safe condition?

  Safe

  At Risk

  N/A

• Hearing Protection (available, worn by crew)

  Safe

  At Risk

  N/A

• Gloves (worn, appropriate for task, in good condition)

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

Fire Protection Sub F

• Do you wish to examine fire protection on this safety inspection?

  Yes

  No

  N/A

• Fire Extinguishers present for general site use?

  Safe

  At Risk

  N/A

• Fire Extinguishers inspected?

  Safe

  At Risk

  N/A

Tools Hand and Powered Sub I

• Do you wish to examine tools and equipment on this inspection?

  Yes

  No

  N/A

• General condition of tools

  Safe

  At Risk

  N/A

• Guards and Handles installed as required by the manufacture?

  Safe

  At Risk

  N/A

• Right tools are being used for tasks?

  Safe

  At Risk

  N/A

• Cords good condition grounded or double insulated?<br>

  Safe

  At Risk

  N/A

• Powder Actuated Tools and loads Secure?

  Safe

  At Risk

  N/A

Welding and Cutting Subpart J

• Do you wish to examine welding/cutting operations on this inspection?

  Yes

  No

  N/A

• Current/valid Hot-work Permit?

  Safe

  At Risk

  N/A

• All combustibles moved 25 feet from hot-work area or fire blankets used?

  Safe

  At Risk

  N/A

• Fire Extinguisher inspected and ready for use?

  Safe

  At Risk

  N/A

• If required is a Fire Watch stationed in appropriate locations with fire extinguisher?<br>

  Safe

  At Risk

  N/A

• Gauges, hoses leads, flashback arrestors installed in good condition, cylinders properly stored?

  Safe

  At Risk

  N/A

• Arc Flash screens set-up and effective?

  Safe

  At Risk

  N/A

• Adequate ventilation or smoke eaters present and in use?

  Safe

  At Risk

  N/A

Electrical Safety Sub K

• Do you wish to examine electrical safety on this inspection?

  Yes

  No

  N/A

• Ground fault circuit interrupters in use or an Assured grounding program effective?

  Safe

  At Risk

  N/A

• Extension Cords in good condition,no trip hazards, no pinch points/sharp edges?

  Safe

  At Risk

  N/A

Ariel Lifts Sub L

• Do you wish to examine Ariel Lifts on this inspection?

  Yes

  No

  N/A

• Pre-operation inspection completed and documented?

  Safe

  At Risk

  N/A

• Worker trained and in possession of a valid operators card?

  Safe

  At Risk

  N/A

• Scissor lift operated in a safe manner. Chains, gates, locking pins in-place, not running over cords?

  Safe

  At Risk

  N/A

Scaffolds Sub L

• Do you wish to examine scaffolding on this inspection?

  Yes

  No

  N/A

• Inspection date current?

  Safe

  At Risk

  N/A

• Rails, Planks, Bracing in-place and good working order?

  Safe

  At Risk

  N/A

• Personnel trained in Scaffold User Awareness?

  Safe

  At Risk

  N/A

Fall Protection Sub M

• Do you wish to examine guards and railings on this inspection?

  Yes

  No

  N/A

• Guard rails installed anywhere a 6ft or greater exposure exists with mid rails and toe boards or netting cleated to the floor?

  Safe

  At Risk

  N/A

• Floor/wall openings covered/guarded?

  Safe

  At Risk

  N/A

• Entrances to work area guarded by canopy or other overhead means of protection?

  Safe

  At Risk

  N/A

Personal Fall Protection Equipment Sub M

• Do you wish to examine fall protection equipment on this sinspection?

  Yes

  No

  N/A

• Personnel trained in the proper use, selection and inspection of fall protection equipment?

  Safe

  At Risk

  N/A

• Fall protection equipment inspected before use and documented monthly?

  Safe

  At Risk

  N/A

• Personal fall protection system appropriate for the task?

  Safe

  At Risk

  N/A

Fork Lift Sub O

• Do you wish to examine Fork Lifts on this inspection?

  Yes

  No

  N/A

• Pre-operation inspection completed and documented?

  Safe

  At Risk

  N/A

• Operator in possession of a valid certification card?

  Safe

  At Risk

  N/A

• Fork lift being operated in a safe manner?

  Safe

  At Risk

  N/A

Excavations Sub P

• Do you wish to examine Trenching and Excavation on this inspection?

  Yes

  No

  N/A

• Personnel trained to work in trenches/excavations?

  Safe

  At Risk

  N/A

• Access/Egress ladders within 25ft of personnel and extend 3ft above ground level?

  Safe

  At Risk

  N/A

• Shoring/Shielding/Sloping/Spoil piles safe?

  Safe

  At Risk

  N/A

• Barricades/Railings are in place as required?

  Safe

  At Risk

  N/A

Stairways and Ladders Sub X

• Do you wish to examine ladders on this inspection?

  Yes

  No

  N/A

• Stairs adequate space for access and egress and adequate lighting?

  Safe

  At Risk

  N/A

• Hand rails installed landings/pans filled in?

  Safe

  At Risk

  N/A

• Ladders Inspected and safe practices followed?

  Safe

  At Risk

  N/A

• Ladders not being used by unauthorized personnel?

  Safe

  At Risk

  N/A

• Ladders Locked up as required?

  Safe

  At Risk

  N/A

Toxic and Hazardous and Toxic Substances Sub Z

• Do you wish to examine hazardous and Toxic substances this inspection

  Yes

  No

  N/A

• Vacuums and hand tools equipped with a HEPA filter and mechanical filter cleaning device?

  Safe

  At Risk

  N/A

• Dry sweep compound being used?

  Safe

  At Risk

  N/A

• Other trades complying with the silica standard requirements?

  Safe

  At Risk

  N/A

• Personnel trained in silica safety?

  Safe

  At Risk

  N/A

Confined Space Sub AA

• Do you wish to inspect confined spaces on this inspection?

  Yes

  No

  N/A

• Permit completed and signed by all trained personnel?<br>

  Safe

  At Risk

  N/A

• Ventilation and Air monitoring in progress?

  Safe

  At Risk

  N/A

• Rescue retrieval system setup and rescue plan implemented?

  Safe

  At Risk

  N/A

• Lock-out/Tag-out in-place?

  Safe

  At Risk

  N/A

Cranes Sub CC

• Do you wish to check cranes on this inspection?

  Yes

  No

  N/A

• Crane plan reviewed, Inspections and ground conditions verified?

  Safe

  At Risk

  N/A

• Crane structure swing radius barricaded?

  Safe

  At Risk

  N/A

• Lifting path cleared of personnel, inside and outside?

  Safe

  At Risk

  N/A

• Communications (verbal: operator and signal person agreed on) radios tested?

  Safe

  At Risk

  N/A

• Rigging Gear Inspected?

  Safe

  At Risk

  N/A

• Crane Safety brief and AHA review conducted with all involved with a signed roster?

  Safe

  At Risk

  N/A

Heat Injury Illness Prevention Ca Title 8 3395

• Do you wish to check Heat Injury Illness Prevention procedures on this inspection?

  Yes

  No

  N/A

• All employees trained in Heat Illness Prevention ?

  Safe

  At Risk

  N/A

• High Heat Procedure Daily Documented for any day expected to reach or exceed 95deg?

  Safe

  At Risk

  N/A

• Adequate drinking water available or a written replenishment schedule?

  Safe

  At Risk

  N/A

• Shade present and adequate for the number of employees?

  Safe

  At Risk

  N/A

Hydronic or Pneumatic Pressure Testing

• Do you wish to check Hydro or Pneumatic Pressure Testing procedures on this inspection?

  Yes

  No

  N/A

• All employees trained in Pressure Testing for the media used ?

  Safe

  At Risk

  N/A

• Pressure gauges adequate for the pressure tested?

  Safe

  At Risk

  N/A

• Signs, danger/warning, posted to warn individuals of the pressure test?

  Safe

  At Risk

  N/A

• PPE appropriate for test method used?

  Safe

  At Risk

  N/A

• Pressure bleed valve off directed away from personnel and equipment?

  Safe

  At Risk

  N/A

Documentation

• Do you wish to examine safety documentation on this inspection?

  Yes

  No

  N/A

• Activity Hazard Analysis present, reviewed and signed by each crew member?

  Safe

  At Risk

  N/A

• Pretask Plan completed and sufficient for the task?

  Safe

  At Risk

  N/A

• Weekly Tool box talk completed?

  Safe

  At Risk

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign

• Select date

  Date

Safety recognition

• Safety recognition for site or individual?

• Add any additional relevant photos

  Media