DBC: Site Safety Audit

• Prepared By:

• Conducted on:

  Date
• Job Name/Location:
  Address

• Site Supervisor:

• Personnel On-Site:

  Add

  N/A

• Select Personnel:

  Select Kyle Aeillo Bradford Boeglin Nicholas Clesos Domenic DiStefanon Peter DiStefano Russell Dubois Danny Favali Gregory Hall Keith Hought Donovan Hannah Kristen Longo Dave Meegan Anthony Morris Joseph Morris Manny Morris Eric Perez Justin Rapp Barry Sumrall

  • Kyle Aeillo
  • Bradford Boeglin
  • Nicholas Clesos
  • Domenic DiStefanon
  • Peter DiStefano
  • Russell Dubois
  • Danny Favali
  • Gregory Hall
  • Keith Hought
  • Donovan Hannah
  • Kristen Longo
  • Dave Meegan
  • Anthony Morris
  • Joseph Morris
  • Manny Morris
  • Eric Perez
  • Justin Rapp
  • Barry Sumrall

• Add Subcontractors:

  Yes

  N/A

• Subcontractors- Company name/Type of work:

Electrical:

• Any electrical work (past/present) or electrical hazards:

  Yes

  N/A

• Electrical cords being used are proper size of wire

  Safe

  At Risk

  N/A

• Advised Controls:

• Extension cords with bare wires taken out of service <br>

  Safe

  At Risk

  N/A

• Advised Controls:

• Ground fault circuit interrupters (GFCI) being used

  Safe

  At Risk

  N/A

• Advised Controls:

• Extension cords with missing ground prongs taken out of service

  Safe

  At Risk

  N/A

• Advised Controls:

• Lockout/tagout devices are available

  Safe

  At Risk

  N/A

• Advised Controls:

• Lockout/tagout devices are being used

  Safe

  At Risk

  N/A

• Advised Controls:

• Lightbulbs covered with protective cages<br>

  Safe

  At Risk

  N/A

• Advised Controls:

• Circuit breakers/disconnects are properly identified (labeled) and accessible

  Safe

  At Risk

  N/A

• Advised Controls:

• Energized panels/devices are covered

  Safe

  At Risk

  N/A

• Advised Controls:

• Electrical dangers are posted

  Safe

  At Risk

  N/A

• Advised Controls:

• No live electrical wires exposed

  Safe

  At Risk

  N/A

• Advised Controls:

Hand, Power & Powder Actuated Tools:

• Hand, Power & Powder Actuated Tools in use:

  Yes

  N/A

• When powder-actuated tools are used is proper PPE being worn (eyes, face, ears and hands)

  Safe

  At Risk

  N/A

• Advised Controls:

• Hand tools in good condition

  Safe

  At Risk

  N/A

• Advised Controls:

• Tool coords in good condition

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees are using power tools properly

  Safe

  At Risk

  N/A

• Advised Controls:

• Power tools are in good working condition

  Safe

  At Risk

  N/A

• Advised Controls:

• Right tool is being used for the job at hand

  Safe

  At Risk

  N/A

• Advised Controls:

• Guards in place on equipment and tools

  Safe

  At Risk

  N/A

• Advised Controls:

• Guards in good working condition

  Safe

  At Risk

  N/A

• Advised Controls:

Fall Protection:

• Fall protection in use:

  Yes

  N/A

• Safety rails are secured properly

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees exposed to fall hazards are tied off

  Safe

  At Risk

  N/A

• Advised Controls:

• Fall protection equipment is appropriate for working height

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees below protected from falling objects

  Safe

  At Risk

  N/A

• Advised Controls:

• Fall protection is in good working condition and inspected before every use

  Safe

  At Risk

  N/A

• Advised Controls:

Ladders & Stairs:

• Ladders & Stairs in use:

  Yes

  N/A

• Ladders are the appropriate duty rating for the task

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladders are of proper type and size for the task

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladders extend at least 36 inches above the landing

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladder access kept clear at all times

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladders are secured to prevent slipping, sliding or falling

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladders with damaged or missing rungs are taken out of service

  Safe

  At Risk

  N/A

• Advised Controls:

• Stepladders used in fully open position<br>

  Safe

  At Risk

  N/A

• Advised Controls:

• Stairway rails or handrails installed when required

  Safe

  At Risk

  N/A

• Advised Controls:

• Stairway or ladder provided at points of access where a break in elevation of 19 inches or more exists

  Safe

  At Risk

  N/A

• Advised Controls:

• No stepping on top two runs of ladders

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladders are being used in accordance with manufacturer's specifications

  Safe

  At Risk

  N/A

• Advised Controls:

Scaffolding:

• Is scaffolding in use:

  Yes

  N/A

• Erect on sound rigid footing

  Safe

  At Risk

  N/A

• Advised Controls:

• Tied to structure as required<br>

  Safe

  At Risk

  N/A

• Advised Controls:

• Scaffold is plumb, square and level

  Safe

  At Risk

  N/A

• Advised Controls:

• Cross braces are complete

  Safe

  At Risk

  N/A

• Advised Controls:

• Complete guardrail system around working platform (guardrail, intermediate rails, toe boards, screens in place)

  Safe

  At Risk

  N/A

• Advised Controls:

• All working-level platforms fully planked/decked

  Safe

  At Risk

  N/A

• Advised Controls:

• Proper access/egress provided and adequate

  Safe

  At Risk

  N/A

• Advised Controls:

• All scaffolding inspected daily by a competent person

  Safe

  At Risk

  N/A

• Advised Controls:

• Mobile scaffold equipped with locking casters

  Safe

  At Risk

  N/A

• Advised Controls:

• Proper pins (no wire, nails, etc.) used in all connections

  Safe

  At Risk

  N/A

• Advised Controls:

• Planking is sound and sturdy

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees below protected from falling objects

  Safe

  At Risk

  N/A

• Advised Controls:

Floor & Wall Openings:

• Any floor and/or wall openings present:

  Yes

  N/A

• All floor/wall openings are planked over/barricaded properly

  Safe

  At Risk

  N/A

• Advised Controls:

• Perimeter protection is in place

  Safe

  At Risk

  N/A

• Advised Controls:

• Deck planks are secured

  Safe

  At Risk

  N/A

• Advised Controls:

• Materials stored away from edge

  Safe

  At Risk

  N/A

• Advised Controls:

Excavations:

• Excavations taking place on-site:

  Yes

  N/A

• Excavations protected by guardrails, fences, or barricades if not readily seen due to plant growth or other visual barriers

  Safe

  At Risk

  N/A

• Advised Controls:

• Competent person with knowledge of excavation hazards, pertinent to OSHA regulations, and soil analysis on hand

  Safe

  At Risk

  N/A

• Advised Controls:

• Excavation inspected daily by a competent person before workers enter

  Safe

  At Risk

  N/A

• Advised Controls:

• Are employees trained in recognition of hazards

  Safe

  At Risk

  N/A

• Advised Controls:

• Materials and spoil piles are stored at least two feet from trench or excavation

  Safe

  At Risk

  N/A

• Advised Controls:

• Equipment is a safe distance from edge of trench/excavation

  Safe

  At Risk

  N/A

• Advised Controls:

• Ladders provided every 25 feet in trench

  Safe

  At Risk

  N/A

• Advised Controls:

• Excavations are shored or sloped back from excavations greater than five feet deep

  Safe

  At Risk

  N/A

• Advised Controls:

Aerial Lift:

• Aerial lifts being used:

  Yes

  N/A

• Aerial lift operators trained and authorized

  Safe

  At Risk

  N/A

• Advised Controls:

• Aerial lift controls clearly marked

  Safe

  At Risk

  N/A

• Advised Controls:

• Aerial lift platform chained or door closed

  Safe

  At Risk

  N/A

• Advised Controls:

• Fall protection used in aerial lift

  Safe

  At Risk

  N/A

• Advised Controls:

• Fall protection used in the aerial lift is of appropriate type

  Safe

  At Risk

  N/A

• Advised Controls:

• Reverse signal alarm working above surrounding noise

  Safe

  At Risk

  N/A

• Advised Controls:

• Materials are properly stored/stacked/cribbed

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees are using proper lifting methods

  Safe

  At Risk

  N/A

• Advised Controls:

• Tag lines are used to guide loads

  Safe

  At Risk

  N/A

• Advised Controls:

• Proper number of workers for each operation

  Safe

  At Risk

  N/A

• Advised Controls:

Hazard Communication:

• HAZCOM:

  Yes

  N/A

• Proper PPE worn in all operations where there is exposure to hazardous chemicals

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees trained to use hazardous chemicals/compounds

  Safe

  At Risk

  N/A

• Advised Controls:

• All chemicals on site stored in original or approved containers with proper labels attached

  Safe

  At Risk

  N/A

• Advised Controls:

• Hazard Communication Program and all SDS sheets available on site

  Safe

  At Risk

  N/A

• Advised Controls:

Confined Space:

• Is work being conducted in a confined space

  Yes

  N/A

• Contact the safety coordinator for proper guidance

Fire Safety

• Indoor work, Power Tools, Flammable Materials, or Motorized Equipment in use:

  Yes

  N/A

• Adequate number of fire extinguishers on site

  Safe

  At Risk

  N/A

• Advised Controls:

• Travel distance between extinguishers does not exceed 100 feet

  Safe

  At Risk

  N/A

• Advised Controls:

• Extinguishers have current inspection (check tag)

  Safe

  At Risk

  N/A

• Advised Controls:

• Phone number of local fire department posted

  Safe

  At Risk

  N/A

• Advised Controls:

• Flammable/combustible liquids stored in approved containers and labeled

  Safe

  At Risk

  N/A

• Advised Controls:

• Fire extinguisher located near flammable/combustible liquid storage

  Safe

  At Risk

  N/A

• Advised Controls:

• Unobstructed access to fire hydrants/extinguishers

  Safe

  At Risk

  N/A

• Advised Controls:

• "No Smoking" signs posted near flammables

  Safe

  At Risk

  N/A

• Advised Controls:

Concrete Work:

• Concrete work being performed:

  Yes

  N/A

• All Proper PPE being work during concrete cutting

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees skin is covered

  Safe

  At Risk

  N/A

• Advised Controls:

• Employees are protected from cement dust

  Safe

  At Risk

  N/A

• Advised Controls:

Personal Protective Equipment

• Safety Glasses are being worn

  Safe

  At Risk

  N/A

• Advised Controls:

• Face protection is being worn when needed

  Safe

  At Risk

  N/A

• Advised Controls:

• Gloves are being worn when needed

  Safe

  At Risk

  N/A

• Advised Controls:

• Proper footwear is being worn in material handling area

  Safe

  At Risk

  N/A

• Advised Controls:

• Dust masks are used when needed

  Safe

  At Risk

  N/A

• Advised Controls:

• Respirators are used when required

  Safe

  At Risk

  N/A

• Advised Controls:

• Hearing protection is being worn when needed

  Safe

  At Risk

  N/A

• Advised Controls:

• All PPE kept in sanitary and reliable condition

  Safe

  At Risk

  N/A

• Advised Controls:

Housekeeping:

• Work area neat, debris picked up and free of trip hazards

  Safe

  At Risk

  N/A

• Advised Controls:

• Floor holes guarded or provided with secure labeled covers

  Safe

  At Risk

  N/A

• Advised Controls:

• Waste containers provided/used

  Safe

  At Risk

  N/A

• Advised Controls:

• Materials properly stored, clear of stairways and exit routes, and stacked using 4:1 maximum stack height to base ratio

  Safe

  At Risk

  N/A

• Advised Controls:

• Passageways/walkways clear

  Safe

  At Risk

  N/A

• Advised Controls:

• Steps filled in

  Safe

  At Risk

  N/A

• Advised Controls:

• Stairway railings complete

  Safe

  At Risk

  N/A

• Advised Controls:

• Potential impalement hazards from protruding rebar, from stakes, pipe stubs, and nails removed capped or covered

  Safe

  At Risk

  N/A

• Advised Controls:

• Adequate lighting present

  Safe

  At Risk

  N/A

• Advised Controls:

• Cords/welding leads/hoses off of the floor

  Safe

  At Risk

  N/A

• Advised Controls:

General

• Toilet facilities available and maintained

  Safe

  At Risk

  N/A

• Advised Controls:

• Drinking water available on site

  Safe

  At Risk

  N/A

• Advised Controls:

• Visitor PPE available

  Safe

  At Risk

  N/A

• Advised Controls:

Site Information/Administrative

• Site supervisor has job binder with all necessary forms and safety information

  Safe

  At Risk

  N/A

• Advised Controls:

• Job signs posted

  Safe

  At Risk

  N/A

• Advised Controls:

• Vehicles parked in non-obstructing locations

  Safe

  At Risk

  N/A

• Advised Controls:

• Daily huddles up to date

  Safe

  At Risk

  N/A

• Advised Controls:

• All applicable site programs available (fall protection, excavation, confined spaces, daily inspections, etc.)

  Safe

  At Risk

  N/A

• Advised Controls:

• Specific Site Emergency Action Plan Identified

  Safe

  At Risk

  N/A

• Advised Controls:

• "Danger"- "Do Not Use" tags on site

  Safe

  At Risk

  N/A

• Advised Controls:

• Safety Manual On Site

  Safe

  At Risk

  N/A

• Advised Controls:

• First aid kit available/stocked

  Safe

  At Risk

  N/A

• Advised Controls:

• First aid kit available/stocked

  Safe

  At Risk

  N/A

• Advised Controls:

• Work areas properly signed/barricaded

  Safe

  At Risk

  N/A

• Advised Controls:

• All workers dressed and conducting themselves in a professional manner

  Safe

  At Risk

  N/A

• Advised Controls:

• Overall Safety Rating:
  10= Very Safe(No reported hazards)
  7= Mostly Safe Site (<5 non-injury threatening hazards identified)
  5= Safe Site (some non-injury/1< injury threatening hazards identified)
  3= Unsafe Site (Multiple safety hazards identified)
  1= Stop Work (Site has been identified as unsafe work conditions)

• Rating Scale

• Follow-up Needed

  Yes

  No

• Select date

  Date

• Auditor Signature:

  Sign

• Site Supervisor Signature:

  Sign