DP Incorporated Tennant Construction Services

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Administration

• Orientations conducted to new hires.

  Yes

  No

  N/A

• Labor Posters, First Aid Kit, Eye Wash, Map and Phone Number of nearest Medical facility posted.

  Yes

  No

  N/A

• OSHA 300 Log Posted (February 1 through April 30)

  Yes

  No

  N/A

• APP on site. Site Safety Specific Submitted by Subcontractors.

  Yes

  No

  N/A

• Daily JHA/Pre-Tasks and Weekly Safety Meeting and Tool Box Talk done this week.

  Yes

  No

  N/A

• Visitor PPE Available.

  Yes

  No

  N/A

• SDS's Available for chemical products present at this site.

  Yes

  No

  N/A

• Weekly Job Site Safety Inspection performed.

  Yes

  No

  N/A

P.P.E

• Safety Glasses worn by all employees as required.

  Yes

  No

  N/A

• Hard Hats worn by all employees as required.

  Yes

  No

  N/A

• High Visibility Vest/Shirt/Hoodies worn by employees as required.

  Yes

  No

  N/A

• Gloves worn by employees as required.

  Yes

  No

  N/A

• Construction Grade Boots worn by employees as required.

  Yes

  No

  N/A

• Hearing Protection worn at high noise levels.

  Yes

  No

  N/A

• Face Shields worn as required depending on task.

  Yes

  No

  N/A

• Respirator worn by employees as required depending on task.

  Yes

  No

  N/A

Electrical Safety and Lighting.

• Electrical Cords in good condition and protected from traffic.

  Yes

  No

  N/A

• GFCI in use.

  Yes

  No

  N/A

• Adequate Lighting.

  Yes

  No

  N/A

• Electrical Room/ Boxes Protected. Signs in place.

  Yes

  No

  N/A

• Lock Out/Tag Out in place if needed.

  Yes

  No

  N/A

Fall Protection

• Fall Protection Plan signed by all employees available on site.

  Yes

  No

  N/A

• Employees have been trained on the proper use of Fall Protection Equipment.

  Yes

  No

  N/A

• Fall Protection provided at 4' high.

  Yes

  No

  N/A

• Exterior/Interior guard rails properly setup.

  Yes

  No

  N/A

• Warning Line System properly setup.

  Yes

  No

  N/A

• Floor and Wall openings protected.

  Yes

  No

  N/A

• Anchoring Points adequate. Anchors installed properly.

  Yes

  No

  N/A

• Fall Protection PPE inspected daily.

  Yes

  No

  N/A

• Overhead Protection in place.

  Yes

  No

  N/A

• Stairs, ramps, walkways protected.

  Yes

  No

  N/A

Housekeeping

• Work Areas Clean and Sanitary.

  Yes

  No

  N/A

• Slip, Trip and Fall Hazards removed.

  Yes

  No

  N/A

• Aisles, Hallways, Stairwells and Walkways clear.

  Yes

  No

  N/A

• Impalement/Rebar protection in place.

  Yes

  No

  N/A

Ladders.

• Ladders inspected and in good condition.

  Yes

  No

  N/A

• Ladders properly setup and secured top and bottom.a

  Yes

  No

  N/A

• Ladders being used properly by employees.

  Yes

  No

  N/A

Scaffolds.

• Have all employees been trained in the proper use of scaffolds.

  Yes

  No

  N/A

• Scaffolding inspected daily and verified on Green Tag by the Competent Person.

  Yes

  No

  N/A

• Guard Rails, bracing, Mud Sills, Plates, Jack Screws, Planking installed properly.

  Yes

  No

  N/A

• Scaffold properly secured to structure and proper base to height ratio present.

  Yes

  No

  N/A

Forklift, Scissor and Boom Lifts.

• Equipment inspected daily and documented before work begins.

  Yes

  No

  N/A

• Employees trained to operate Forklift, Scissor/Boom Lifts.

  Yes

  No

  N/A

• Fall Protection PPE in place when operating a boom lift.

  Yes

  No

  N/A

Hand and Power Tools.

• Cords in good condition.

  Yes

  No

  N/A

• Tool in good condition.

  Yes

  No

  N/A

• Proper tool for the job.

  Yes

  No

  N/A

• Guards in place.

  Yes

  No

  N/A

• Tools inspected.

  Yes

  No

  N/A

Crane/Rigging/Hoisting.

• Operator Certified. Crane paper work and maintenance records in place.

  Yes

  No

  N/A

• Qualified rigger and signal person verified.

  Yes

  No

  N/A

• Tag Lines in use. Loads properly secured. Rigging inspected.

  Yes

  No

  N/A

Environmental.

• Asbestos/Silica/Lead present.

  Yes

  No

  N/A

• Employee awareness training.

  Yes

  No

  N/A

• Silica dust controlled if present.

  Yes

  No

  N/A

Excavations/Trenching.

• Daily Inspections documented.

  Yes

  No

  N/A

• Competent person present.

  Yes

  No

  N/A

• Sloped/Benched/Shored.

  Yes

  No

  N/A

• Perimeter protected/Barricades.

  Yes

  No

  N/A

Confined Space.

• Employees have been trained in Confined Space.

  Yes

  No

  N/A

• Verified Non Permit or Permit Required Confined Space.

  Yes

  No

  N/A

• Documentation in place as required.

  Yes

  No

  N/A

• Supervisor/Attendant/Entrant clearly defined.

  Yes

  No

  N/A

• Atmospheric testing/conditions checked. Ventilation. Communication protocol. Regular Inspections.

  Yes

  No

  N/A

• Rescue Plan and Emergency numbers in place.

  Yes

  No

  N/A

Hot Work /Fire Prevention/Protection.

• Hot Work Permit in place. Welding, torching, burning.

  Yes

  No

  N/A

• Fire Extinguishers inspected. Adequate number of Fire Extinguishers.

  Yes

  No

  N/A

• Fire Watch when applicable.

  Yes

  No

  N/A

Site/Public Protection.

• Perimeter fences available.

  Yes

  No

  N/A

• Public Protection Signage.

  Yes

  No

  N/A

• Falling Object Protection.

  Yes

  No

  N/A

Notes/Comments

• Comments/Notes/Suggestions.

  Yes

  No

  N/A

• Signature.

  Sign