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Cook Children's Medical Center - Fort Worth
Cook Children's Medical Center - Fort Worth
Nick Powell

Cook Children's Medical Center - Fort Worth

TDIndustries / SkiHi

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Free Cook Children's Medical Center - Fort Worth Checklist

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Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared By

  • Location

  • Personnel

1. General Safety and Health

  • Policy Manual/SDS On Site?

  • PTSP/JHA Documented?

  • Plumbing Crews?

  • Sheetmetal Crews?

  • Piping Crews?

  • Stretch and Flex Completed Daily?

  • Weekly Safety Meetings/Toolbox Talks Conducted?

  • 1st Aid Kit - Trainer Personnel CPR/1st Aid?

  • OSHA/Clinic/Comp Posters

  • Water & Cups with Trash Receptacle in Place?

  • Water Jug Dated Correctly?

  • Housekeeping?

  • Stairways and Walkways Clear?

  • Is Trash and Pallets Picked Up?

  • Is Area Free of Slips, Trips and Falls?

2. Personal Protective Equipment

  • Hard Hats Worn?

  • Eye/Face Protection Worn?

  • Are Face Shields Being Used Where Required?

  • Gloves and Hearing Protection worn?

  • Right Gloves Used for the Job?

  • Proper Footwear?

  • Clothing? (Long Sleeves, Safety Vest, etc.)

3. Electrical / Hand Tools

  • Work Are Lighting Sufficient?

  • Extension Cords/GFCI?

  • Are Cords Hanging Out Of Way and Not In Water?

  • LOTO Procedures in place and Trained Personnel?

  • Power Tools / Guards / Handles?

  • Powder Actuated Tools?

4. Fall Protection and Barricades

  • Handrails and Guardrails in Place?

  • Leading Edges Guarded?

  • Holes Marked and Covered?

  • Personal Fall Arrest System in Place of Needed?

  • Unsafe or Uncertified Anchor Points?

  • Incompatible Hooks/Equipment?

  • Unsafe or Damaged Harness or Equipment?

  • Lack of or Inadequate Formal Training for Operators?

  • Lack of Inspection Protocol?

5. Ladders

  • Unsafe or Damaged Ladders?

  • Unsafe Positioning of Ladders?

  • Ladder Not Properly Secured?

  • Ladder Unsuitable for Job?

  • Annual Inspection Current?

  • Side Rails Extend 36" Above Landing?

6. Equipment/Machines

  • Duct Jacks Inspected?

  • Roust-a-Bouts Inspected?

  • Other Equipment/Machines Inspected and Maintained?

7. Hazardous Chemical and Storage

  • Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • Incompatible chemicals stored near each other?

  • Inadequate spill containment equipment?

  • Safety Data Sheets not accessible on site?

  • Lack of emergency procedures for injury/spills/fire etc?

  • Excessive quantities stored on site or in vehicles?

  • Insufficient ventilation?

  • Insufficient, or incorrect, PPE?

  • Unsuitable storage containers? (unlabeled or stored in food containers)

8. Emergency Response

  • Lack of, or no emergency plans for site?

  • Emergency procedures not displayed at site?

  • Lack of training and rehearsal of emergency plans?

  • Lack of, or inadequate first aid kits aid equipment for site?

  • Insufficient access to formally trained First Aiders for all shifts?

  • Unsuitable or inadequate communication equipment?

9. Welding/Cutting

  • Are Hot Work Permits In Order?

  • Are Fire Extinguishers Immediately Available? ( Inspected and Up to Date )

  • Is There a Fire Watch Monitoring the Area?

  • Compressed Gas Cylinders Stored Properly and Protected from Damage?

  • Cables/Hoses/Gauges Inspected?

  • Are Welding Hoods Being Used in Conjunction With Safety Glasses?

10. Confined Space

  • Permit/Non-Permit Space?

  • Space Evaluated and Air Tested?

  • Rescue Equipment/Trained Personnel? (Non-Entry Rescue)

11. Excavation/Trenching

  • Ladders in Place for Entry and Egress?

  • Benching/Shoring in Place?

  • Competent Person on Site?

  • Soil Tested and Classified?

  • Is Excavation Protected by Barricade Tape or other Sufficient Exposure?

  • Is Spoil Set Back at Least 2 feet?

12. Crane/Documentation

  • Crane Paperwork in Place?

  • Competent Person on Site?

  • Qualified Rigger/Signal Person?

  • Rigging Equipment Inspected?

13. Traffic Management

  • Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  • Lack of training in TMP for all persons on site?<br>(contractors and visitors)

  • Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

14. Administrative Procedures

  • Lack of/or inadequate Site Safety Plan?

  • Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • Lack of, or inadequate, induction for workers, contractors, visitors?

  • Lack or, or inadequate, supervisory arrangements?

  • Lack of/or inadequate training, licenses, skills, experience?

  • Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • Lack of, or inadequate system to review SWMS as needed?

  • Lack of/or inadequate incident notification procedures?

  • Lack of, or inadequate, routine inspections, monitoring, audits?

  • Lack of/or inadequate consultative arrangements?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

Cook Children's Medical Center - Fort Worth
Nick Powell

Cook Children's Medical Center - Fort Worth

TDIndustries / SkiHi

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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