D2C JOBSITE SAFETY AUDIT v1.2

• Job Site

• Customer / General Contractor

• Document No.

• Conducted on

  Date

• Prepared by

• Foreman

1. Fall Hazards

• Is work being conducted above 10' (including over pits, holes and trenches)

  yes

  no

• Are guardrails and protective barriers in place? (including over pits, holes and trenches or along edges)

  Yes

  No

1.1 Harness and Equipment

• Is fall protection in use?

  Yes

  No

• Please explain why:

• Are all the components of the correct type for the work and being used properly?

  Yes

  No

• Is the equipment to standard and in good repair?

  Yes

  No

• Are the anchor points set-up correctly for the work being done?

  Yes

  No

• Is there an inspection protocol for the fall equipment in place

  Yes

  No

• If over 25' is there a fall protection plan?

  Yes

  No

  N/A

• Photo

  Media

2. Heavy Equipment

• Is heavy equipment in use onsite? (Forklifts, Excavators, Man-lifts)

  Yes

  No

  By Other Trades

• Are appropriate precautions being taken to prevent injury by others around the workplace? (known areas of operation, delineation of hazard area, known operators, communication)

  Yes

  No

  N/A

• Unsafe or damaged equipment?

  Safe

  At Risk

  N/A

• Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Safe

  At Risk

  N/A

• Maintenance, testing and inspection?

  Safe

  At Risk

  N/A

• Safe Working Limit information displayed?

  Yes

  No

  N/A

• Daily inspection protocol?

  Yes

  No

  N/A

• Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  Safe

  At Risk

  N/A

• Licensed operators?

  Yes

  No

  N/A

• Lock out procedures for cleaning, servicing and maintenance?

  Yes

  No

  N/A

2. Tools and Equipment

• Unsafe or damaged equipment? (including missing or damaged guards)

  Safe

  At Risk

  N/A

• Incorrect equipment for job? (e.g. grinding discs for cutting)

  Safe

  At Risk

  N/A

• Unsafe or incompatible attachments used with equipment?

  Safe

  At Risk

  N/A

• Licensed operators?

  Yes

  No

  N/A

• Safe work instructions/procedures?

  Yes

  No

  N/A

• Training in safe operation, clean-up and maintenance?

  Safe

  At Risk

  N/A

• Procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• Inspection regime?

  Safe

  At Risk

  N/A

• Photo

  Media

3. Scaffolds

• Are Scaffolds in use on the site?

  yes

  no

• Are unlicensed persons erecting scaffold above 15'?

  Safe

  At Risk

  N/A

• Are scaffolds unsafe or incomplete?

  Safe

  At Risk

  N/A

• Is an inspection protocol in place?

  Safe

  At Risk

  N/A

• Does the scaffold contain incomplete, incorrect or damaged parts?

  Safe

  At Risk

  N/A

• Is the scaffold being used within it's Safe Work Load (SWL)? (tools, stored materials, number of persons)

  Safe

  At Risk

  N/A

• Photo

  Media

4. Ladders

• Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

• Unsafe positioning or use of ladders?

  Safe

  At Risk

  N/A

• Photo

  Media

5. Hazardous Manual Tasks

• Complete list of hazardous tasks on site?

  Yes

  No

  N/A

• Completed JHAs?

  Yes

  No

  N/A

• Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  Safe

  At Risk

  N/A

• Training in risk controls and safe lifting/ team lifting techniques?

  Safe

  At Risk

  N/A

• Photo

  Media

6. Hazardous Chemical (including fuel and oil)

• Are chemicals being stored onsite?

  yes

  no

• Are workers working directly with Chemicals onsite?

  yes

  no

• do workers have correct PPE?

  Yes

  No

  N/A

• Are chemicals being stored only in labeled and suitable containers?

  Yes

  No

  N/A

• Are workers aware of safe handling procedures for the chemicals they are using?

  Yes

  No

  N/A

• Are Safety Data Sheets accessible on site?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

6.1 Storage

• Safe storage location? (e.g. flammables near ignition sources, spills could enter storm-water drains, incomparable chemicals stored near each-other etc)

  Yes

  No

  N/A

• Adequate spill containment equipment?

  Yes

  No

  N/A

• Excessive quantities stored on site or in vehicles?

  Yes

  No

• Adequate ventilation?

  Yes

  No

• Photo

  Media

7. Emergency Response

• Are emergency plans present on site?

  Yes

  No

• Are emergency procedures displayed on safety board?

  Yes

  No

• Have all workers been trained/instructed in emergency procedures?

  Yes

  No

• Is emergency equipment/signage up on site? (muster sign, fire extinguishers/airhorns)

  Yes

  No

  N/A

• Are first aid facilities and procedures adequate for the site?

  Yes

  No

• Are adequately qualified first aid attendants present for all work onsite?

  Yes

  No

• Photo

  Media

8. Traffic Management

• Traffic Management Plan (TMP) in place where needed?

  Yes

  No

  N/A

• All contractors informed of TMP and procedures?

  Yes

  No

  N/A

• Trained TCPs if required?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• What work requires one

• Photo of area needing traffic control

  Media

• Photo

  Media

9. Personal Protective Equipment (PPE)

• Adequate PPE? (including sun protection)

  Yes

  No

• System to issue, inspect, replace and monitor PPE?

  Yes

  No

• Training in safe use, clean-up and inspection of PPE?

  Yes

  No

  N/A

• Photo

  Media

10. Work Environment

• Tool or equipment organization. Tools in poor condition not returned to tool crib.

  Safe

  At Risk

  N/A

• Lighting and visibility?

  Safe

  At Risk

  N/A

• Housekeeping and dust control?

  Safe

  At Risk

  N/A

• Photo

  Media

11. Power Supply

• Electrical cords? (damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• Electrical cords as trip hazards? Organized?

  Safe

  At Risk

  N/A

• Cords placed in safe location? Not near mechanical, chemical, fire, water or conductive hazards?

  Safe

  At Risk

  N/A

• GFI protection?

  Yes

  No

  N/A

• Overloading outlets?

  Safe

  At Risk

  N/A

• Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Safe

  At Risk

  N/A

• Photo

  Media

12. Services (electrical, gas, other)

• Risk of contact with underground services?

  Safe

  At Risk

  N/A

• Risk of contact with overhead services?

  Safe

  At Risk

  N/A

• Are there active services in the building?

  yes

  no

• Have services been deactivated/discharged in the area of work?

  Yes

  No

  N/A

• Have the services been mapped?

  Yes

  No

  N/A

• Is monitoring in place?

  Yes

  No

  N/A

• Are there emergency procedures for if a service line is hit?

  Yes

  No

  N/A

13. Environmental Hazards

• Adequate Environmental Management plan (EMP)?

  Yes

  No

  N/A

• Adequate, dust control/silica control plan?

  Yes

  No

  N/A

• Adequate systems to prevent contaminants entering stormwater drains?

  Yes

  No

  N/A

• Are negative air units in place?

  Yes

  No

  N/A

• Photo

  Media

14. Administrative Procedures

• OH&S Information present, Safety Board posted?

  Yes

  No

• Permit system in place and used? ( Hot Works, Confined Space etc)

  Yes

  No

  N/A

• Orientation for workers, contractors, visitors?

  Yes

  No

• Adequate, supervisory arrangements? Trained and qualified supervisors?

  Yes

  No

• Adequate Safe Work Method Procedure (SWP) for high- risk work?

  Yes

  No

  N/A

• Adequate system to review SWP as needed?

  Yes

  No

  N/A

• Adequate, routine inspections, monitoring, audits?

  Yes

  No

  N/A

• All hazardous tasks reviewed by qualified persons?

  Yes

  No

  N/A

• Photo

  Media

Corrective Actions

Enter any corrective actions that will be undertaken

• Action

• Complete by:

  Date

Sign Off

• Forman

  Sign

• Auditor's signature

  Sign

• Final notes