CST Weekly / Monthly Safety Inspection Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project Manager on site

• undefined

Subcontractors

• Are there subcontractors working for KC on this site?

  Yes

  No

  N/A

• Are subcontractors following KC Turner safety rules?

  Yes

  No

  N/A

1.0 - Housekeeping

• 1.1 - Is the Jobsite clean in general?

  Good

  Fair

  Poor

  N/A

• 1.2 - Are specific KC work areas clean and in order?

  Good

  Fair

  Poor

  N/A

• 1.3 - Are break areas clean?

  Good

  Fair

  Poor

  N/A

• 1.4 - Are dust control measures utilized (ie sweeping compound, hepa) ?

  Good

  Fair

  Poor

  N/A

• 1.5 - Are trash containers or dumpsters available ?

  Yes

  No

  N/A

• 1.6 - Are cords and other equipment out of walkways?

  Yes

  No

  N/A

• 1.7 - Are walking/working surfaces clean and maintained?

  Good

  Fair

  Poor

  N/A

2.0 - Job site orientation

• 2.1 - Are new employees on site given orientation by KC supervisor?

  Yes

  No

  N/A

3.0 - Material / Tool Storage

• 3.1 - Are materials and tools stored neat and orderly?

  Good

  Fair

  Poor

  N/A

• 3.2 - Are materials stored on bakers scaffolds or off the ground

  Good

  Fair

  Poor

  N/A

• 3.3 - Are materials stored out of the path of travel?

  Good

  Fair

  Poor

  N/A

• 3.4 - Are tools stored in secured gang boxes?

  Good

  Fair

  Poor

  N/A

• 3.5 - Are battery operated tools stored with triggers in the locked position when not in use?

  Good

  Fair

  Poor

  N/A

4.0 - Job Posting Kit

• 4.1 - Is the KC job posting board on the job and accessible ?

  Yes

  No

  N/A

undefined

• Yes

  No

  N/A

• 4.2 - Is the first aid kit stocked and current?

  Yes

  No

  N/A

• 4.4 - Is emergency location information posted?

  Yes

  No

  N/A

• 4.5 - Is the KC Haz-com program and MSDS / SDS booklet displayed and up to date?

  Yes

  No

  N/A

• 4.6 - Is KC safety program posted?

  Yes

  No

  N/A

5.0 - Fall Protection

• 5.1 - Are fall hazards present on this job?

  Yes

  No

  N/A

• 5.2 - Are employees exposed to falls trained in fall protection?

  Yes

  No

  N/A

• 5.3 - Is fall protection equipment available and inspected?

  Yes

  No

  N/A

6.0 - Ladders

• 6.1 - Are ladders inspected before use on this job?

  Yes

  No

  N/A

• 6.2 - Are the proper sized ladders for tasks available?

  Yes

  No

  N/A

• 6.3 - Are ladder capacities being followed?

  Yes

  No

  N/A

• 6.4 - Is the belt buckle rule being followed?

  Yes

  No

  N/A

• 6.5 - Are ladders placed on firm and level surfaces?

  Yes

  No

  N/A

• 6.6 - Is working on ladders being done while facing the ladder?

  Yes

  No

  N/A

• 6.7 - Are ladders being used only by KC employees?

  Yes

  No

  N/A

7.0 - Lifts and Booms (AWP'S)

• 7.1 - Are operators authorized to use the equipment?

  Yes

  No

  N/A

• 7.2 - Is proper fall protection equipment in place and used?

  Yes

  No

  N/A

• 7.3 - Are Aerial Work Platforms free of unwanted debris?

  Yes

  No

  N/A

8.0 - Scaffolding

• 8.1 - Are scaffolds being used and being inspected?

  Yes

  No

  N/A

• 8.2 - Are employees trained in scaffold use?

  Yes

  No

  N/A

• 8.3 - Are guard rails, mid rails, and toe boards in place?

  Yes

  No

  N/A

• 8.4 - Is safe access provided to scaffold?

  Yes

  No

  N/A

• 8.5 - Are platforms free of debris and tripping hazards?

  Yes

  No

  N/A

9.0 - Electrical

• 9.3 - Are energized panels covered with approved covers?

  Yes

  No

  N/A

• 9.4 - Are energized panels labeled with voltage rating ?

  Yes

  No

  N/A

• 9.5 - Are electrical closets closed and locked?

  Yes

  No

  N/A

• 9.6 - Are all extension cords in good condition?

  Yes

  No

  N/A

• 9.8 - Is there an arc-flash kit on site?

  Yes

  No

  N/A

10.0 - LOTO

• 10.1 - Is LOTO program in use?

  Yes

  No

  N/A

• 10.2 - Are locks and tags being used properly identifying user of lock?

  Yes

  No

  N/A

11.0 - Lighting/Temps

• 11.1 - Are areas sufficiently lit?

  Yes

  No

  N/A

• 11.2 - Are temp lights properly hung?

  Yes

  No

  N/A

• 11.3 - Are temp light covers in place?

  Yes

  No

  N/A

• 11.4 - Is cordage supported by non-conductive means?

  Yes

  No

  N/A

• 11.5 - Are all splices properly enclosed in junction boxes?

  Yes

  No

  N/A

12.0 - Live Work

• 12.1 - Is live work being conducted?

  Yes

  No

  N/A

• 12.2 - Are employees qualified to perform work?

  Yes

  No

  N/A

• 12.3 - Are limited live kits present?

  Yes

  No

  N/A

• 12.4 - Were gloves tested within last 6 months?

  Yes

  No

  N/A

13.0 - Excavation

• 13.1 - Are any trenches to be dug 4' or deeper?

  Yes

  No

  N/A

• 13.2 - Is there a competent person on site?

  Yes

  No

  N/A

• 13.3 - Is air monitoring being conducted in trenches 4' or deeper?

  Yes

  No

  N/A

• 13.4 - Are there ladders accessible within 25' of workers?

  Yes

  No

  N/A

• 13.5 - Are any trenches to be dug 5' or deeper?

  Yes

  No

  N/A

• 13.6 - Are proper shoring means in place?

  Yes

  No

  N/A

14.0 - Confined Space?

• 14.1 - Is confined space work being conducted?

  Yes

  No

  N/A

• 14.2 - Is a competent person present?

  Yes

  No

  N/A

• 14.3 - Have employees been trained?

  Yes

  No

  N/A

• 14.4 - Is confined space kit present and calibrated?

  Yes

  No

  N/A

15.0 - Fire Protection

• 15.1 - Are fire extinguishers present?

  Yes

  No

  N/A

• 15.2 - Are flammable liquids stored in proper containers?

  Yes

  No

  N/A

16.0 - Cranes/Rigging

• 16.1 - Is operators certification current?

  Yes

  No

  N/A

• 16.2 - Loads/Radius indicators as required?

  Yes

  No

  N/A

• 16.3 - Are all safeties on or being used?

  Yes

  No

  N/A

• 16.4 - Are wire rope, slings, and chains safe to use?

  Yes

  No

  N/A

• 16.5 - Are all shackles safe to use?

  Yes

  No

  N/A

• 16.6 - Is rigger/signalman qualified?

  Yes

  No

  N/A

• 16.7 - Are outriggers/supports being used properly?

  Yes

  No

  N/A

• 16.8 - Are tag lines being used properly?

  Yes

  No

  N/A

• 16.9 - Was a daily inspection completed before work was started?

  Yes

  No

  N/A

• 16.10 - Is counterweight swing radius barricaded?

  Yes

  No

  N/A

• 16.11 - Is all work being done at a safe distance (minimum 10') from power lines?

  Yes

  No

  N/A

• 16.12 - Is area below load clear of all unnecessary personnel?

  Yes

  No

  N/A

17.0 - PPE

• 17.1 - Is all necessary PPE available to employees?

  Yes

  No

  N/A

• 17.2 - Are all employees using required Hard Hat.

  Yes

  No

  N/A

• 17.3 - Are all employees using required Safety Glasses?

  Yes

  No

  N/A

• 17.4 - Are all employees using required Gloves?

  Yes

  No

  N/A

• 17.5 - Are all employees wearing proper clothing as required?

  Yes

  No

  N/A

• 17.6 - Are all employees using face shields when required?

  Yes

  No

  N/A

• 17.7 - Are all employees using hearing protection when required?

  Yes

  No

  N/A

• 17.8 - Are all employees using respiratory protection when required?

  Yes

  No

  N/A

• 17.9 - Are all employees using proper fall protection when required?

  Yes

  No

  N/A

18.0 - Entrance/Exit

• 18.1 - Are entrances or exits clear for use?

  Yes

  No

  N/A

• 18.2 - Are there 2 means of entrance/exit to/from job site?

  Yes

  No

  N/A

19.0 - Hand tools/Power tools/Powder Actuated tools

• 19.1 - Are employees using the proper tools for the job?

  Yes

  No

  N/A

• 19.2 - Are employees using tools with all guards in place?

  Yes

  No

  N/A

• 19.3 - Are all power cords being used in good condition?

  Yes

  No

  N/A

• 19.4 - Are all power cords being used plugged in to GFCI receptacles?

  Yes

  No

  N/A

• 19.5 - Are both hands being used when required for power tools?

  Yes

  No

  N/A

• 19.6 - Is vice being used to secure material being cut?

  Yes

  No

  N/A

• 19.7 - Is employee using Powder Actuated tools certified?

  Yes

  No

  N/A

• 19.8 - Are used cartridges being disposed of properly?

  Yes

  No

  N/A

• 19.9 - Is proper PPE being used?

  Yes

  No

  N/A

• 19.10 - Are tools being properly inspected, cleaned, maintained, and stored?

  Yes

  No

  N/A

20.0 - Sanitation

• 20.1 - Are toilets available to employees?

  Yes

  No

  N/A

• 20.2 - Are hand wash facilities available?

  Yes

  No

  N/A

• 20.3 - Is potable water available?

  Yes

  No

  N/A

• 20.4 - Are eye wash stations available?

  Yes

  No

  N/A

21.0 - Safety Meetings

• 21.1 - Are safety meetings being conducted 2 times a week?

  Yes

  No

  N/A

22.0 - Work Hazard Analysis

• 22.1 - Are work hazard analyses being conducted?

  Yes

  No

  N/A

23.0 - Fleet

• 23.1 - Are all fleet vehicles being inspected prior to use?

  Yes

  No

  N/A

• 23.2 - Is seat belt use being enforced?

  Yes

  No

  N/A

• 23.3 - Are all drivers qualified with current drivers license?

  Yes

  No

  N/A

24.0 - Chemical Exposure

• 24.1 - Is SDS available for all chemicals being used?

  Yes

  No

  N/A

• 24.2 - Are there engineering controls to limit/eliminate exposure to fumes/dust?

  Yes

  No

  N/A

• 24.3 - Are employees using proper PPE during exposure to chemicals?

  Yes

  No

  N/A

25.0 - Fuel Storing and Refilling

• 25.1 - Are gas/diesel cans metal?

  Yes

  No

  N/A

• 25.2 - Are flammable liquids being stored in designated location away from stairways or exits?

  Yes

  No

  N/A

• 25.3 - Refueling being done with equipment off and cool?

  Yes

  No

  N/A

• 25.4 - Is proper PPE being used during refueling?

  Yes

  No

  N/A

26.0 - Hole Protection

• 26.1 - Are all holes over 2" in diameter covered?

  Yes

  No

  N/A

• 26.2 - Are all covers designed to support 2 times intended load?

  Yes

  No

  N/A

• 26.3 - Are all covers secured?

  Yes

  No

  N/A

27.0 -Signage’s and barricades

• 27.1 - Are all materials properly barricaded?

  Media

• 27.2- Are signage's properly displayed?

  Media

28.0 -Monthly safety training

• 28.1- Are safety personnel conduct monthly safety training every month?

  Media

29.0 Edge protections

• Yes

  No

  N/A

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