Information
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Audit Title
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Document No.
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Project Name
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Project Number
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Conducted on
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Prepared by
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Location
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Select date
Job Site Information
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Job Specific Emergency Numbers Posted?
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Safety Meeting/Toolbox Talk Completed?
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First Aid Kit properly stocked and available?
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Permit's and JSA's
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Hot Work Permit?
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Safe Work Permit?
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Confined Space Permit?
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Is a JSA completed for each task?
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Excavation Assessment been completed?
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HOUSEKEEPING
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Work areas neat?
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Projecting nails or screws bent over or removed?
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Passageways and walkways clear?
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Passageways easily accessible?
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Cords and leads off the floor?
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Are Sanitary Facilities Adequate and Clean?
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FIRE PREVENTION
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Adequate fire extinguishers located throughout job site?
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Fire Extinguishers inspected as required and accessible?
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Job specific phone no. of Fire Department posted?
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Fuels properly stored?
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Only approved containers for flammables and combustible liquids used?
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ELECTRICAL
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Extension wires with bare wires or missing ground prongs taken out of service?
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Ground fault interrupters being used?
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Are there any exposed live electrical parts?
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Are portable generators properly grounded and in good working order?
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Are proper LOTO procedures being applied?
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HAND & POWER TOOLS
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Hand tools inspected regularly and free of damage?
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Guards in place on machines and tools?
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Correct tool being used for job at hand?
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Power tools properly grounded?
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Are damaged tools taken out of Service?
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Have Employees been instructed on the proper use of the equipment?
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Are electric pumps in good working order and properly sealed?
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Have all tools been properly inspected?
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Have extension cords been inspected?
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FALL PROTECTION
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Safety rails and cables secured properly?
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Safety harnesses worn properly and inspected before use?
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Employees exposed to fall hazards tied off?
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Employees below protected from falling objects?
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All holes in walking/ working surfaces are covered or barricaded, and properly marked?
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Materials stored away from edge?
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If guardrail systems are used is the Top rail 42", and Mid rail 21"?
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Are Re bar and Anchor Bolts Protected?
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Are Excavated Areas protected from Pedestrians?
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Are barricades being utilized? If so have they been properly installed and in good working condition?
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LADDERS
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Ladders extended at least 36" above landing?
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Ladders are secure to prevent slipping, sliding or falling?
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Are ladders missing rungs or damaged? If so, are they marked and taken out of service?
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Stepladders used in fully open position?
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Are Ladders in good condition and Inspected?
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SCAFFOLDING
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Is there any scaffolding on the jobsite?
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All scaffolding inspected daily and tags updated?
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Erected on sound rigid footing?
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Tied to structure as required?
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Guardrails, mid-rails, toe boards and screens in place and installed as required?
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Proper access provided?
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Scaffold Platform is fully planked?
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Employees below protected from falling objects?
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TRENCHES, EXCAVATION & SHORING
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Are there any excavations on the Jobsite?
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Has Overhead and Underground Hazards been assessed and Protected or eliminated?
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Competent person identified and present?
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Are excavations 5' or greater in depth are shored, benched or sloped back?
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SOLID OR ROCK TYPE MAXIMUM ALLOWABLE SLOPES (H:V) (<20FT)
STABLE ROCK.............................. VERTICAL (90)
TYPE A.......................................... 3/4:1 (53)
TYPE B.......................................... 1:1 (45)
TYPE C.......................................... 1 1/2 : 1 (34) -
Materials are stored at least 2' away from trench?
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Ladders provided within 25' of personnel in trench?
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Equipment is at a safe distance from edge of trench or excavation?
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Underground utilities marked?
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Any hazardous atmospheres identified and monitored?
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Is excavation assessment complete and onsite?
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Has Excavation been Inspected and documented?
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Are shoring and trench boxes being utilized?
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Have the trench boxes been inspected?
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Is the tabulated data onsite?
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Confined Space
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Is there a Confined Space?
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Is this a Permit Required Space?
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Is Continuous Air monitoring being utilized?
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Is there a means of communication between hole watch and entrants?
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Is there a hole watch?
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Has emergency crew been Identified?
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Is the Confined Space properly barricaded?
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Is proper PPE being used for the task?
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Is there safe access and egress?
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Have you notified or communicated entry with General Contractor?
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Are you using all necessary PRCS equipment (tripod, winch, harness, etc..)
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Have you performed pre-entry inspection and checklist?
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Have you filled out entry-permit and held JSA for job task?
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Are you entering the space under alternate entry procedures?
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Are all known hazards eliminated or controlled?
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MATERIAL HANDLING
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Materials properly stored or stacked?
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Employees using proper lifting techniques?
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Tag lines used to guide loads?
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Chemical containers properly labeled?
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Burning, Welding, Grinding, Chipping, and Cutting
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Are there any welding or cutting activities on the jobsite?
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Gas cylinders are secured stored upright?
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Proper separating distances between fuels & oxygen? (20'min)
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Goggles or face shields used?
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Fire extinguishers readily available?
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Hoses in good condition?
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Are Chop Saws or Floor Saws being used?
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Are wet methods being used?
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Are Face Shields being utilized?
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Are dust masks available and being utilized when grinding, chipping, or cutting?
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CRANES and CONSTRUCTION EQUIPMENT
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Are there any cranes on the jobsite?
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Outriggers on solid ground and load radius including load barricaded?
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Are Overhead Power Lines Inactive or Protected?
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Are cranes keeping safe distance from Power line?<br>50kV - 10'<br>50kV to 200kV - 15'<br>200kV to 350kV - 20'<br>350kV to 500kV - 25'<br>500kV to 750kV - 35'<br>750kV to 1,000kV - 45'
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Signal men being utilized?
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Daily visual inspection Completed?
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Crane has documentation of valid annual inspection?
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Employees kept from under suspended loads?
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Chains and slings inspected and tagged as required?
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Employees handling loads trained in rigging and signaling?
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Daily pre-operational inspections performed and documented?
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Vehicles are equipped with back-up alarms that are working properly?
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Seat belts worn?
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All Lights are Functional?
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Are Spotters being utilized?
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AERIAL LIFTS
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Are there any aerial lifts on the jobsite?
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Daily pre-operational inspections performed and documented?
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Fall arrest systems used on boom or articulating lifts?
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Operators trained?
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PERSONAL PROTECTIVE EQUIPMENT
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Is proper hand protection being utilized by ALL employees?
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Hard hats being worn?
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Are FR clothing being worn?
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Are H2S monitors being worn?
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Are 4/5 gas meters being utilized?
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Are face shields available when needed?
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Safety glasses being utilized by ALL employees?
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Respirators used when required? Proper respirator documentation available?
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Hearing protection being worn by ALL employees?
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Traffic vests or high visibility clothing material being worn?
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HAZCOM/SDS
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Is applicable SDS and hazard communication policy present?
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Are all containers containing chemicals properly labeled and readable?
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Are employees informed about where to find the SDS books?
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Are proper PPE being used when working around chemicals? Refer to the SDS for proper PPE.
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Are workers aware of the proper procedures to follow if exposed to a hazardous chemical?
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AUDIT CONCLUSIONS
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SIGNATURE
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Site Lead
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Auditor's Signature