Don Kennedy Roofing Co., Inc. Safety Inspection

• Job Number

• Job Name

• Conducted on

  Date

• Document No.

• Prepared by

• Location
  Address

• Personnel

Site Details

• Site / Project Name

• This Safety Audit is to show the results of the Safety Inspection performed by the Safety Director of Don Kennedy Roofing Co., Inc.

Work Areas

• Do you wish to examine work areas on this safety walk?

  Yes

  No

  N/A

• General Housekeeping (neat, tidy, dust free)

  Yes

  No

  N/A

• Walkways (free of debris and obstructions)

  Yes

  No

  N/A

• Doorways (clear of clutter and debris)

  Yes

  No

  N/A

• Sides or Holes (safety guards or covered)

  Yes

  No

  N/A

• Hole openings in roof (none present, or adequately marked and covered)

  Yes

  No

  N/A

• Material Storage/Lay Down (neat and tidy)

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

• Do you wish to examine PPE on this safety walk?

  Yes

  No

  N/A

• Hard Hats (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Safety Glasses with Side Shields (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Face Shield / Goggles (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Hearing Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Appropriate Clothing (in Uniform)

  Yes

  No

  N/A

• Gloves (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Appropriate foot wear (fit for task, worn by crew and in safe condition)

  Yes

  No

  N/A

What type of system will be used?

• Flags and Stands?

  Yes

  No

  N/A

• Are the flags up and cones set set the proper distance?

  Yes

  No

  N/A

• Crash Cart?

  Yes

  No

  N/A

• Steel Cables and Stands?

  Yes

  No

  N/A

• Yes

  No

  N/A

Fall Protection Equipment

• Do you wish to examine fall protection equipment on this safety walk?

  Yes

  No

  N/A

• Fall protection equipment inspected inspected regularly and before use

  Yes

  No

  N/A

• Safety Harness / Gear on hand?

  Yes

  No

  N/A

• If NO, Name of employee(s):

• Crash Cart in working order and properly used?

  Yes

  No

  N/A

• Appropriate for task and used properly by crew where applicable

  Yes

  No

  N/A

• Suitable Anchorage Points

  Yes

  No

  N/A

Ladders

• Do you wish to examine ladders on this safety walk?

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition

  Yes

  No

  N/A

• Is the ladder secured (Tied off)?

  Yes

  No

  N/A

• Is the ladder extended 3 foot above the landing?

  Yes

  No

  N/A

• Is the ladder painted yellow on the top 3 feet?

  Yes

  No

  N/A

• Is the ladder on the proper 1:4 ratio?

  Yes

  No

  N/A

• Ladder base/footing on an even, stable ground?

  Yes

  No

  N/A

• Proper Ladder for Task

  Yes

  No

  N/A

Tools and Equipment

• Do you wish to examine tools and equipment on this safety walk?

  Yes

  No

  N/A

• General condition of tools

  Safe

  At Risk

  N/A

• Right tools are being used for tasks

  Yes

  No

  N/A

• Crew members are trained to be competent in the tools appropriate for their work tasks

  Yes

  No

  N/A

Electrical Safety

• Do you wish to examine electrical safety on this safety walk?

  Yes

  No

  N/A

• Ground prongs present on cords and hand tools?

  Yes

  No

  N/A

• Extension Cords are not causing trip hazards or used inappropriately

  Yes

  No

  N/A

Personnel

• Do you wish to check personnel on this safety walk?

  Yes

  No

  N/A

• Behavior is orderly and professional

  Yes

  No

  N/A

• Clear communication is possible without needing to shout

  Yes

  No

  N/A

• Proper lifting technique demonstrated

  Yes

  No

  N/A

• Clear direction given to the installers?

  Yes

  No

  N/A

People Safety

• Do you wish to check work crew safety knowledge at this inspection?

  Yes

  No

  N/A

• Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

Team Member

• Has the team member attended the weekly Safety Meeting conducted by Don Kennedy Roofing?

  Yes

  No

  N/A

• Is the team member able to describe the correct process to follow in an emergency situation?

  Yes

  No

  N/A

• Is the worker able to identify three hazards they may encounter in their tasks today?

  Yes

  No

  N/A

• Team member signature (to verify this interview took place NOT to assess their safety knowledge)

  Sign

General Comments

• Add any additional relevant photos

  Media

• Are corrective actions needed from this inspection?

  Yes

  No

  N/A

• Please list the corrective actions needed from this inspection.

• Has the job foreman been notified of the corrections needed?

  Yes

  No

  N/A

• Have the corrections been made?

  Yes

  No

  N/A

• Select date

  Date

Sign Off

• Safety Director

  Sign

• Name & Signature of Site Foreman

  Sign