DPS Construction Services / Project Site Safety Audit

• Project Site:

• General Contractor:

• Contractor Site Contact:

• DPS Project Number:

• Conducted on

  Date

• Prepared by:

• Location
  Address

General Work Environment:

• 1. Are all work areas clean and orderly?

  Yes

  No

  N/A

• 2. Are aisles, walkways, doorways, and exit routes kept clear and un-obstructed?

  Yes

  No

  N/A

• 3. Are all work surfaces kept dry and means taken to assure the surfaces are slip resistant?

  Yes

  No

  N/A

• 4. Are all work areas adequately lighted?

  Yes

  No

  N/A

• 5. Is material piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?

  Yes

  No

  N/A

• 6. Are required postings readily available to all employees in the work place?

  Yes

  No

  N/A

• 7. Are MSDS on-site and in an area that is readily accessible to all employees?

  Yes

  No

  N/A

• 8. Are Safety Orientations being conducted for all employees before being allowed to work on the project?

  Yes

  No

  N/A

• 9. Are weekly and monthly "tool box" safety meetings held and documented with sign up sheets?

  Yes

  No

  N/A

• 10. Are measures in place to protect the public, staff and students exposure to work activities and equipment?

  Yes

  No

  N/A

• 11. Are toilet and washing facilities provided and kept clean?

  Yes

  No

  N/A

• 12. Is GC and DPS Emergency contact information posted at project entrance?

  Yes

  No

  N/A

• Add media

  Media

Personal Protective Equipment (PPE):

• 1. Are hard hats being used by ALL personnel on site?

  Yes

  No

  N/A

• 2. Are safety glasses being used by ALL personnel on site?

  Yes

  No

  N/A

• 3. Are reflective safety vests (or high visibility clothing) being used by ALL personnel on site?

  Yes

  No

  N/A

• 4. Is appropriate foot protection being worn by ALL personnel on site?

  Yes

  No

  N/A

• 5. Is appropriate PPE being used by employees when work task requires?

  Yes

  No

  N/A

• 6. Are respirators (or dust masks) being worn when cutting concrete or block, tile?

  Yes

  No

  N/A

• 6A. Is "wet cutting" of tile or concrete being performed on project?

  Yes

  No

  N/A

• 7. Are dusk masks available for employees that may need them?

  Yes

  No

  N/A

• 8. Is appropriate hearing protection being used when required?

  Yes

  No

  N/A

• 9. Are traffic vests and traffic cones provided and used on site?

  Yes

  No

  N/A

• 10. Are flaggers wearing appropriate orange hardhats and class II safety vests?

  Yes

  No

  N/A

• Add media

  Media

First Aid and Emergency Equipment:

• 1. Are emergency contact numbers posted on the job site

  Yes

  No

  N/A

• 2. Is there at least one person on-site trained in first aid / CPR?

  Yes

  No

  N/A

• 3. Are first aid kits easily accessible, inspected and stocked monthly?

  Yes

  No

  N/A

• 4. Is there a First Aid Trauma bag kept on site?

  Yes

  No

  N/A

• 5. Is there an "Emergency Action Plan" for the project site?

  Yes

  No

  N/A

• 6. Are there at least two emergency exits provided to evacuate in case of an emergency?

  Yes

  No

  N/A

• 7. Are "Emergency Exits" posted and/or signage indicated?

  Yes

  No

  N/A

• Add media

  Media

Fire Protection and Prevention:

• 1. Is there at least one ABC fire extinguisher for every 3000 sq ft of work area?

  Yes

  No

  N/A

• 2. Are fire extinguishers available near stairways?

  Yes

  No

  N/A

• 3. Are fire extinguishers clearly visible and unobstructed at all times?

  Yes

  No

  N/A

• 4. Are fire extinguishers inspected monthly and proper tags applied?

  Yes

  No

  N/A

• 5. Are fire proof cabinets on site and being utilized?

  Yes

  No

  N/A

• 6. Are all fuel gas cylinders and oxygen cylinders secured, separated by 20 feet or have fire resistant barriers in place?

  Yes

  No

  N/A

• Add media

  Media

Environmental

• 1. Silt Fence installed around perimeter ?

  Yes

  No

  N/A

• 2. Storm water plan in place?

  Yes

  No

  N/A

• 2A. Storm water runoff observed?

  Yes

  No

  N/A

• 3. Storm water permit on site?

  Yes

  No

  N/A

• 4. Asbestos plan in place?

  Yes

  No

  N/A

• 4A. Asbestos abatement conducted on project?

  Yes

  No

  N/A

• 4B. Containment in place for worker protection?

  Yes

  No

  N/A

• 4C. DPS Environmental Specialist approved abatement plan?

  Yes

  No

  N/A

Fall Protection:

• 1. Are holes and other floor openings guarded by a grate, cover, guardrail, or equivalent on all sides? (except at entrances to stairways or ladders)

  Yes

  No

  N/A

• 2. Are there stair rails or handrails on all stairways or ladders?

  Yes

  No

  N/A

• 3. Are railings provided on all ramps?

  Yes

  No

  N/A

• 4. Do all elevated surfaces have guardrails at least 42 inches high?

  Yes

  No

  N/A

• 5. Are all elevated surfaces equipped with a safe means of access?

  Yes

  No

  N/A

• 6. Are fall protection harnesses and lanyards used by all employees working 6 feet above the next lowest surface, or on pitched roofs 6/12 or greater?

  Yes

  No

  N/A

• 7. Are harnesses, lanyards, or other fall protection equipment inspected prior to each use?

  Yes

  No

  N/A

• 8. On roof work is fall protection used?

  Yes

  No

  N/A

• 9. On roof work, are guardrails used on roof edges?

  Yes

  No

  N/A

• 10. On roof work are warning lines used - 6 feet from roof edge?

  Yes

  No

  N/A

• 11. On roof work is there a "dedicated monitor" and warning line system in place?

  Yes

  No

  N/A

• 12. On roof work are fall restraint harnesses used whe working near roof edge?

  Yes

  No

  N/A

• 13. Where a job site has protruding steel rebar exposed, are covers used to prevent impaled injuries?

  Yes

  No

  N/A

• Add media

  Media

Portable Ladders:

• 1. Are all ladders maintained in good condition, inspected before each use, and broken or defective ladders removed from use?

  Yes

  No

  N/A

• 2. Are ladders being used for their intended use only?

  Yes

  No

  N/A

• 3. Are ladder rungs/steps slip resistant and free of dirt, grease, oil, ice, snow, etc.?

  Yes

  No

  N/A

• 4. When ladders are used to gain access to elevated platforms or upper surfaces, does the ladder always extend a minimum of 3 feet above the elevated surface and properly secured in place?

  Yes

  No

  N/A

• 5. Are ladders placed on dry, stable and level footing and properly deployed?

  Yes

  No

  N/A

• 6. Are employees facing the ladder when climbing up or down, using three points of contact?

  Yes

  No

  N/A

• 7. Are employees standing below the top two steps when using step ladders?

  Yes

  No

  N/A

• Add media

  Media

Materials Handling, Storage, Use and Disposal:

• 1. Are compressed gas cylinders secured and stored properly, and blocked from potential traffic or vehicle hazards?<br> (Jersey Barrier use / fenced / Caution signage)

  Yes

  No

  N/A

• 2. Compressed gas cylinders properly capped and secured?

  Yes

  No

  N/A

• 3. Are approved "Flammable Storage Cabinets" on site and being used properly?

  Yes

  No

  N/A

• 4. Are approved "Flammable Liquid containers being utilized? (proper sizes?)

  Yes

  No

  N/A

• Add media

  Media

Trenching and Shoring:

• 1. Are trenches or excavations open on project site?

  Yes

  No

  N/A

• 2. Are spoils, materials and equipment set back a minimum of 2 feet from edge of excavation?

  Yes

  No

  N/A

• 3. Is sloping/benching correct angle and proper material compaction tests completed?

  Yes

  No

  N/A

• 4. Are barriers in place around entire open excavations?

  Yes

  No

  N/A

• 5. Is a means of egress available in all trenches 4 feet or more in depth?

  Yes

  No

  N/A

• 6. Are means of egress within 25 lateral feet of all workers?

  Yes

  No

  N/A

• 7. Is high visibility PPE worn by all employees working in and around trenches?

  Yes

  No

  N/A

• 8. Are employees protected from loose or falling rock or soil?

  Yes

  No

  N/A

• 9. If needed, are trench boxes or shoring used?

  Yes

  No

  N/A

• 10. Are all open holes protected from fall hazards?

  Yes

  No

  N/A

• Add media

  Media

Confined Spaces:

• 1. Are there confined spaces on the project?

  Yes

  No

  N/A

• 2. Is there a "Confined Space" Plan program?

  Yes

  No

  N/A

• 3. Has air quality testing been completed?

  Yes

  No

  N/A

• 4. Is there an outside Attendant present?

  Yes

  No

  N/A

• 5. Is there a retrieval process implemented?

  Yes

  No

  N/A

• 6. Is 911 the process for retrieval?

  Yes

  No

  N/A

• 7. Is the confined space process compliant?

  Yes

  No

  N/A

Electrical:

• 1. Are all cord-connected, electrically-operated tools and equipment double insulated or effectively grounded?

  Yes

  No

  N/A

• 2. Are all electrical cords inspected and in good working condition? (NO frays or splices - plug insulation intact)

  Yes

  No

  N/A

• 3. Do all extension cords have 3 prong plugs and all 3 prongs intact?

  Yes

  No

  N/A

• 4. Are ground-fault circuit interrupters provided on all temporary electrical circuits used and tested regularly?

  Yes

  No

  N/A

• 5. Are all extension cords a No 12 or larger and properly marked? (1926-405(g)(2) )

  Yes

  No

  N/A

• 6. Where electrical cords must cross roads, driveways, or walkways, are they protected by solid weather resistant bridges to prevent damage to the cords?

  Yes

  No

  N/A

• 7. Where extension cords are used inside, is proper "cord maintenance" method in place to prevent tripping hazards?

  Yes

  No

  N/A

• 8. Where temporary lighting is used, are all cords suspended from walls or ceilings properly?

  Yes

  No

  N/A

• 9. Are light bulbs protected from being struck and breakage?

  Yes

  No

  N/A

• 10. Are electrical circuits and equipment shut off, de-energized and proper "Lockout/Tagout" being used before service or repairs?

  Yes

  No

  N/A

• 11. Are unused switches, receptacles and junction boxes covered with covers or plates?

  Yes

  No

  N/A

• 12. Are multiple plug adapters and power strips (octopus plugs) prohibited on the project site?

  Yes

  No

  N/A

• Add media

  Media

Scaffolding:

• 1. Are scaffolds on level stable ground?

  Yes

  No

  N/A

• 1.A Approved mud sills used?

  Yes

  No

  N/A

• 2. Has the scaffold been assembled and inspected by a competent person?

  Yes

  No

  N/A

• 3. Is daily inspection tag completed and displayed?

  Yes

  No

  N/A

• 3.A Is a "Red Tag" in place when scaffold is not in use?

  Yes

  No

  N/A

• 4. Do all scaffolds higher than 6 feet have 42 inch high guardrails and midrails in place?

  Yes

  No

  N/A

• 5. Are guardrails in place at the open ends of scaffolds?

  Yes

  No

  N/A

• 5.A Is "X" bracing installed on the ends of scaffolds and every third set horizontally / every fourth set vertically?

  Yes

  No

  N/A

• 6. Have toe boards been installed to prevent falling objects?

  Yes

  No

  N/A

• 7. Are all ladders or stairs used to access scaffolds either tied or secured to the scaffolds for safe access?

  Yes

  No

  N/A

• 7.A Are ladders positioned to provide direct access to scaffold?

  Yes

  No

  N/A

• 8. Are open sides of scaffold less than 14 inches from the face of work?

  Yes

  No

  N/A

• 9. Are scaffolds in good working condition with no damage or missing parts?

  Yes

  No

  N/A

• 9.A Are all pins installed and locked in place?

  Yes

  No

  N/A

• 9.B Are adjustment screws extended no greater than 18 inches?

  Yes

  No

  N/A

• 10. Do all planks fit tightly with no open space between boards? (no more than 1" open space?)

  Yes

  No

  N/A

• 11. Do all planks extend 6-18" beyond the ends of the scaffold frame?

  Yes

  No

  N/A

• 12. Where planks are overlapped, are the overlapped over the supports?

  Yes

  No

  N/A

• 13. If mobile scaffolds are in use, has the movement of occupied scaffolds been prohibited?

  Yes

  No

  N/A

• 13.A Are castors locked during mobile scaffold use?

  Yes

  No

  N/A

• Add media

  Media

Hand Power Tools / Powder Actuated Tools:

• 1. Are employees who operate powder actuated tools properly trained and carry valid operator"s card?

  Yes

  No

  N/A

• 2. Are all power tools maintained in proper condition?

  Yes

  No

  N/A

• 3. Are damaged and defective tools removed from service as soon as the damage is discovered?

  Yes

  No

  N/A

• 4. Are all tools with exposed moving parts equipped with appropriate safety guards to prevent contact with moving parts?

  Yes

  No

  N/A

• 5. Are all tools maintained in safe condition?

  Yes

  No

  N/A

• Add media

  Media

• Select date

  Date

Safety Audit Acceptance:

• Site representative:

  Sign

• DPS SafetyAuditor: Sam Adair, DPS Safety Manager

  Sign