DEW Job Hazard Analysis

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment

• Hard Hats being Worn.

  Yes

  No

  N/A

• Everyone on site has eye protection on person?

  Yes

  No

  N/A

• Proper eye and ear protection is used when needed.

  Yes

  No

  N/A

• Dust masks used only after engineering contols are exhausted. (no respirators without clearance from safety)

  Yes

  No

  N/A

• Proper clothing and footwear is being worn.

  Yes

  No

  N/A

• All harnesses and lanyards inspected and in good repair

  Yes

  No

  N/A

• Gloves are used for hand protection.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Housekeeping

• Steps, aisles and walkways are clear of debris.

  Yes

  No

  N/A

• Slip, trip and fall hazards removed.

  Yes

  No

  N/A

• Walkways clear of ice/snow and slippery conditions.

  Yes

  No

  N/A

• Material is stored neatly.

  Yes

  No

  N/A

• Material/trash is collected and disposed of daily.

  Yes

  No

  N/A

• General site kept free of debris.........

  Yes

  No

  N/A

• Fire hazards removed.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Ladders

• Side rails extend 3 feet above the landing.

  Yes

  No

  N/A

• Ladders secured at top (and bottom as necessary).

  Yes

  No

  N/A

• Stepladders being properly used.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Boom and Scissor Lifts

• Equipment is properly loaded.

  Yes

  No

  N/A

• Gates and chains are secured.

  Yes

  No

  N/A

• Safety harness and retractable used in boom lift.

  Yes

  No

  N/A

• Lifts are on flat, stable base.

  Yes

  No

  N/A

• Operators are trained.

  Yes

  No

  N/A

• Safe work distances from hazards like electricity.

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Scaffolding

• Scaffolding is footed properly

  Yes

  No

  N/A

• Guardrails and toe boards in place. (Note for 2x4 guardrails, max span is 4' or double 2x4 for 8'span

  Yes

  No

  N/A

• Ladders provided for accessing scaffoldig.

  Yes

  No

  N/A

• Scaffold tied into the structure (25' rise x 30' length).

  Yes

  No

  N/A

• All connections (pins, braces) in place and secure.

  Yes

  No

  N/A

• Baker staging is being properly used. (max height =4x the width, 2x the width when rolled with personnel on platform).

  Yes

  No

  N/A

• Competent person is present.

  Yes

  No

  N/A

• Daily inspection conducted and documented.

  Yes

  No

  N/A

• Safe distance from hazards like electricity.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Fall Protection

• Floor and wall openings have proper barricades.

  Yes

  No

  N/A

• Cables are tight (max 3" deflection, 39" - 45").

  Yes

  No

  N/A

• Workers tying off when applicable.

  Yes

  No

  N/A

• Hole covers marked and secured. (hole=2").

  Yes

  No

  N/A

• Perimeter warning system in place on roof with safety monitor and safety monitor trained.

  Yes

  No

  N/A

• Guardrails, mid rails and toe boards in place. (Note - for 2x4 guardrails, max span is 4' or double 2x4 for 8').

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Fire Protection

• Fire extinguishers available for use and within 25' of any fueling station.

  Yes

  No

  N/A

• Fire extinguishers charged and inspected monthly.

  Yes

  No

  N/A

• "No Smoking" regulations observed in any such designated areas.

  Yes

  No

  N/A

• Welders and cutters have extinguishers.

  Yes

  No

  N/A

• Fire watch being used when needed.

  Yes

  No

  N/A

• Signage (flammable, etc.) in place.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Electrical

• All electrical connections GFCI protected.

  Yes

  No

  N/A

• Cover plates on all swiches and outlets.

  Yes

  No

  N/A

• Weld leads in good condition. No repairs within 10' of stinger.

  Yes

  No

  N/A

• All extension cords in good condition with no tape/repair.

  Yes

  No

  N/A

• All extension cords have a grounding pin.

  Yes

  No

  N/A

• All extension cords kept out of traffic patterns to reduce trip hazards.

  Yes

  No

  N/A

• Extension cords not daisy chained.

  Yes

  No

  N/A

• Proper lighting available, protected and on own circuit.

  Yes

  No

  N/A

• Electrical hazards properly identified.

  Yes

  No

  N/A

• Electrical boxes have hard covers and breakers labeled

  Yes

  No

  N/A

• All knockouts, breakers and blanks in place - no duct tape.

  Yes

  No

  N/A

• Overhead power exposures identified and controlled.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Excavation/Trenching

• Competent person present and conducting daily inspections.

  Yes

  No

  N/A

• Trenches properly sloped or shielded. (max non-protected depth is 5').

  Yes

  No

  N/A

• Trench boxes in good condition.

  Yes

  No

  N/A

• Spoil piles and materials stored 2' away from edge.

  Yes

  No

  N/A

• Ladders or ramps provided for access and egress within 25'

  Yes

  No

  N/A

• Proper barricades around trench when needed.

  Yes

  No

  N/A

• Dewatering as necessary.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Steel Erection

• DEW met provisions of 1926.750 requirements.

  Yes

  No

  N/A

• 1/2 inch wire cable used around the perimeter of al levels and tagged at 6' intrvals.

  Yes

  No

  N/A

• Tag lines being used on crane lifts and crane roped off.

  Yes

  No

  N/A

• A tightly planked floor or metal decking in place (<2 stories or 25')

  Yes

  No

  N/A

• There are 2 bolts at each connection, wrench tight, before tag line is released.

  Yes

  No

  N/A

• Safety latches on all hooks and pigtails.

  Yes

  No

  N/A

• The repair of any footing bolt has been engineer approved.

  Yes

  No

  N/A

• CAZ training/utilized.

  Yes

  No

  N/A

• Workers above 30' protected.

  Yes

  No

  N/A

• Workers between 15'-30' wearing fall protection.

  Yes

  No

  N/A

• Swing zone okay with no falling object exposure.

  Yes

  No

  N/A

• Site layout/sequence plan.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Resource Protection

• General office materials (paper, bottles, cans) are recycled.

  Yes

  No

  N/A

• Cardboard is recycled. (Note - protect cardboard from weather)

  Yes

  No

  N/A

• Metal, concrete, asphlt, etc. is recycled.

  Yes

  No

  N/A

• Rolloffs cleary marked fr trash, cardboard, etc.

  Yes

  No

  N/A

• Opportunities for salvage/reuse being used.

  Yes

  No

  N/A

• Waste management plan has been communicated to all personal.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Miscellaneous

• Forklift operators trained, certification provided.

  Yes

  No

  N/A

• Rebar caps in place where needed and impalement hazards removed.

  Yes

  No

  N/A

• Proper stairs built for access to trailers, including handrails.

  Yes

  No

  N/A

• Compressed air/flammable gas tanks upright, secure and stored properly. (Note - Oxygen tanks must be 25' from combustibles.)

  Yes

  No

  N/A

• Nails removed from lumber.

  Yes

  No

  N/A

• Formwork stacked neatly.

  Yes

  No

  N/A

• Floors kept clean.

  Yes

  No

  N/A

• Changes in floor elevation marked or easily noticeable. (max. distance of change is 19").

  Yes

  No

  N/A

• Oil, grease, etc. cleaned up properly.

  Yes

  No

  N/A

• Perimeter protection in place around cranes.

  Yes

  No

  N/A

• Confined spaces ventilated and monitored when workers are inside/spaces are permitted/rescue equipment is acceptable.

  Yes

  No

  N/A

• All personnel are kept out from under lifts.

  Yes

  No

  N/A

• Fences and gates in good condition.

  Yes

  No

  N/A

• General public kept from entering construction work areas and warning signs are posted.

  Yes

  No

  N/A

• Construction vehicles have back-up alarms and operators are wearing seat bels.

  Yes

  No

  N/A

• Fuel being stored in proper containers.

  Yes

  No

  N/A

• Weekly safey meetings (toolbox talks) being held with ALL subcontractors being included.

  Yes

  No

  N/A

• There were no unsafe acts observed.

  Yes

  No

  N/A

• Portable toilets and clean up facilities adequate.

  Yes

  No

  N/A

• First Aid supplies adequate and FA/CPR personnel available.<br>

  Yes

  No

  N/A

• Nearby medicaal facilities identified.

  Yes

  No

  N/A

• All posters including Safety and Human Resources posted.

  Yes

  No

  N/A

• Hazcom materials, including subcontractors available and disseminated.

  Yes

  No

  N/A

• Nail guns sequential fire only - no impulse allowed.

  Yes

  No

  N/A

• Compressors drained daily.

  Yes

  No

  N/A

• No pinch point exposures noted. All hands kept inside lifts while moving.

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A