COVID-19 Compliance Audit LCP Protocol

• Conducted on

  Date

• Prepared by

• Project/Location
  Address

• Safety Compliance Officer

• COVID-19 Jobsite Rules posted at entrance?

  Yes

  No

  N/A

• Is there a pre-job travel restriction posted?

  Yes

  No

  N/A

• Is there a Site Specific COVID-19 Health & Safety Plan on site?

  Yes

  No

  N/A

• Does the H&SP contain a remediation plan that addresses any non-compliance?

  Good

  Fair

  Poor

  N/A

• H&S Plan ensure all non-English speaking workers understand the documents?

  Yes

  No

  N/A

• Emergency protocols in place in the event of an exposure or suspected exposure?

  Yes

  No

  N/A

• Is the site occupied by others not performing construction work?

  Yes

  No

  N/A

• Is there evidence of a register of workers and visitors providing health declaration?

  Yes

  No

  N/A

• Is there evidence of a daily attendance log of workers and visitors with contact detail entering and leaving the site?

  Yes

  No

  N/A

• Is temperature monitoring required for this site?

  Yes

  No

  N/A

• Daily briefing being performed?

  Yes

  No

  N/A

• Has the SCO solicited feedback on improving safety and sanitation?

  Yes

  No

  N/A

On Site Activities

• Is there evidence of sanitation facilities available including hand washing stations or provision of additional sanitizer/disinfectant?

  Yes

  No

  N/A

• Is there evidence of frequent cleaning and sanitation/decontamination being coordinated?

  Yes

  No

  N/A

• Is shared equipment being cleaned and sanitized/decontaminated after each use?

  Yes

  No

  N/A

• Adequate number of trash bins?

  Yes

  No

  N/A

• Drinking water provided in single-serve containers?

  Yes

  No

  N/A

• Any evidence of sharing of any food or beverages?

  Yes

  No

  N/A

• Are workers/visitors/delivery practicing the social distancing protocol of 6 feet?

  Yes

  No

  N/A

• Is staggering of trades being implemented?

  Yes

  No

  N/A

• Any "choke points" or "high-risk areas" under strict control?

  Yes

  No

  N/A

• Are workers wearing the required PPE correctly?

  Yes

  No

  N/A

• Has additional PPE being required since last site audit?

  Yes

  No

  N/A

• Has the SCO reported non-compliance to supervisor(s) and designated County Official?

  Yes

  No

  N/A

• Was a remediation plan required during audit for any non-compliance?

  Yes

  No

  N/A

• Any confirmed cases of COVID-19 been reported in the past 7 days?

  Yes

  No

  N/A

• Add signature

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