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Don Castro Safety Audit
Don Castro Safety Audit
Sean Amalla

Don Castro Safety Audit

Safety behavior observations for trend analysis

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Free Don Castro Safety Audit Checklist

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Title Page

  • Project Name

  • Location

  • Conducted on

  • Prepared by

Pre Task Planning

  • Description

  • Add media

  • Pre Task Plan complete, reviewed, signed by all and posted or available?

  • Hazards identified, controls listed?

  • Listed Steps match the work performed, listed controls match controls in place

  • Select the percentage Safe in Pre Task Plan category. Factor in all trades, PTPs reviewed and items listed above % Safe

Emergency Response

  • Description

  • Add media

  • Map and Direction to clinic, contact list, address to site posted, visible?

  • BOLI poster, OSHA poster, OSHA log posted?

  • CPR/AED/FA Trained, Emergency Response Trained, Plan communicated with Fortis team?

  • AED , Grab & Go Trauma Kit, Blood borne pathogen kit, air horn, Grab & Go posted, visible, inspected?

  • Fire Extinguishers within 75 ft, every level, near flam storage, inspected monthly, mounted, signs, and training?

  • Select the Percentage Safe in Emergency Response category. Take into account items above, and all areas

Site and public Protection

  • Description

  • Add media

  • Access and Egress adequate, clear of obstructions, and slip resistant

  • Barricades and stanchions where needed, with correct color tape, signs and visible

  • Egress Lighting in corridors, task lighting in work areas

  • Construction Signs posted, slip/trip hazards mitigated

  • Adequate and clean portable toilets & hand washing stations

  • Rebar caps on impalement hazards, nails bent over or removed

  • Dust, noise, and air quality controlled

  • Slide to the percentage Safe in the Public/ Site Safety Category

Personal Protective Equipment (PPE)

  • Description

  • Add media

  • Hard hats

  • Safety glasses, prescription safety glasses with side shields or OTGs

  • Goggles, Spectagoggles, or double eye protection used when grinding, cutting, roto-hammering overhead?

  • Reflective Vest, high visibility shirt

  • Gloves as needed, specific to the task. Cut resistant when working near sharps, chemical when appropriate

  • Work boots above the ankle

  • Meta Tarsal protection when tamping or using jack hammer

  • Hearing protection used when 85 dB or louder, trained, posted when required

  • Respiratory protection used properly, med eval, fit tested, trained, Appendix D if voluntary use, dust mask NIOSH approved

  • Personal fall protection worn appropriately, trained, inspected, & properly anchored

  • Percent Safe in PPE category. Factor in all trades, all PPE used

Chemicals, gas, diesel, propane

  • Description

  • Add media

  • SDS available, reviewed, understood

  • Gas, Diesel stored in metal safety can, flam cabinet with fire extinguisher

  • Spent powder actuated cartridges stored and disposed off properly

  • Propane stored exterior, protected

  • Hazardous chemicals, asbestos, lead, silica properly identified, isolated, ventilated, PPE, air monitoring, signage and training

  • Percent Safe in Chemical and Hazardous Material Category

Excavation and Trenching

  • Description

  • Add media

  • Benching, sloping, trench box, shoring in place

  • Ladders or access ramps with 25 ft

  • Tape and signs around deeper excavations

  • Competent person inspected, documented, trained

  • Percent Safe for Excavation category

Holes, Openings, Edges ( Fall Exposures, Falling Objects)

  • Description

  • Add media

  • Guardrails, Mid rails, Toeboards in place, adequate, correct height, and capacity

  • Hole covers secured, correct capacity, labeled "hole" or "cover"

  • Warning line made of rope or plastic chain, flagged every 8 ft, signs posted, set back 10ft

  • Percent Safe in Falls / Falling object Category

Ladders and Stairs

  • Description

  • Add media

  • Step ladders inspected, used open, not on top two rungs, decals legible and stored properly

  • Extension ladder secured top and bottom, 3 ft above landing, guardrails near access

  • Steps provided if 18" or more elevation, stair rail if 4 or more risers, hand rail at 36, 37", slip resistant

  • Percent Safe in Ladders & Stairs category

Forklift, Scissorlifts, Scaffolds, Boomlifts

  • Description

  • Add media

  • Forklift Trained, inspected, seat belt, within capacity, secured load, speed limit, FE

  • Scissorlift trained, gate closed, with capacity, no cords tied, protected from tipping, no aftermarket add ons, standing on platform

  • Boomlift trained, inspected, tied off, speed limit, within capacity

  • Scaffold, stair tower green tagged, inspected, fully planked, Toeboards, non slip treads, guardrails, secured or tied back, base plates, locked wheels, mud sill

  • Percent Safe in Equipment, Scaffold Category

Cranes, Rigging, Hoisting

  • Description

  • Add media

  • Lift or Hoist plan in place

  • Area danger taped around swing, no personnel under load

  • Tag lines in Use, Wind Speeds ok, load controlled

  • Rigging inspected, used properly, tagged and in good repair with latches

  • Percent Safe for Crane & Rigging Category

Housekeeping

  • Description

  • Add media

  • Debris removed

  • Material & tools stored orderly

  • Eating , drinking areas sanitary and clean

  • Designated smoking area exists, FE, cigarette butt disposed of

  • Cords, spider boxes, hoses strung overhead or perimeter

  • Percent Safe with Housekeeping Category

Electrical

  • Description

  • Add media

  • Cords assured grounded tested, color coded tape, in good repair

  • Temp power GFCI, assured ground inspected, color coded, adequate quantity

  • LOTO in place, inspected, MOP reviewed, proper NFPA PPE

  • Energized systems labeled, covers in place

  • Percent Safe for Electrical Safety

Permits

  • Description

  • Add media

  • Hot work, FE, Fire watch, fire blankets, in test, smoke detectors protected

  • Confined Space evaluated, posted, retrieval, attendant, ventilation, permits, air monitoring

  • Method of Procedure (MOP) developed, & reviewed. Personnel following LO/TO, NFPA 70e, & MOP. Area barricaded, communication occurring and work-a rounds in place

  • Don't Hit It, GPR scan, insulated gloves, tic tracer, pot holing, locates, BIM as builts reviewed, walked, reviewed signed

  • Percent Safe in Permits category

Don Castro Safety Audit
Sean Amalla

Don Castro Safety Audit

Safety behavior observations for trend analysis

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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