DREAMBUILDER Custom Homes Safety Audit

• Job Site:

• Conducted on

  Date

• Prepared by

• Personnel

Work Areas

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

  Yes

  No

  N/A

• General Housekeeping (neat, tidy, dust free)

  Safe

  At Risk

  N/A

• Walkways (free of debris and obstructions)

  Safe

  At Risk

  N/A

• Work Surfaces (clear of clutter and dust)

  Safe

  At Risk

  N/A

• Guardrails and barricades are present, installed properly, maintained, and effective at preventing falls or dropped material

  Safe

  At Risk

  N/A

• Holes/openings are covered, secured, and labeled

  Safe

  At Risk

  N/A

• Impalement Hazards (none present, or adequately marked)

  Safe

  At Risk

  N/A

• Material Storage/Lay Down (neat, tidy, and away from leading edges)

  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)

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Appropriate Clothing (in safe condition)

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

Personal Fall Protection Equipment

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

  Yes

  No

  N/A

• Personal fall protection equipment inspected regularly and before each use

  Safe

  At Risk

  N/A

• Appropriate for task and used properly by crew where applicable

  Safe

  At Risk

  N/A

• Suitable anchorage point in use

  Safe

  At Risk

  N/A

• Body harness is well fitted and worn properly

  Safe

  At Risk

  N/A

• Connectors are compatible, properly installed, and used correctly

  Safe

  At Risk

  N/A

Ladders/scaffolding

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

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition

  Safe

  At Risk

  N/A

• Ladder base, footing and set up is to standard

  Safe

  At Risk

  N/A

• Proper ladder selected for task

  Safe

  At Risk

  N/A

• Workers demonstrate proper body position while using ladder

  Safe

  At Risk

  N/A

• Scaffold is green tagged when required

  Safe

  At Risk

  N/A

• Scaffolding is erected per the standard (sill plates, cross members, guardrails, etc.)

  Safe

  At Risk

  N/A

• Proper planking installed (no more than 2" gaps, planks extend a minimum of 6 inches and a maximum of 12 inches), and approved planking material.

  Safe

  At Risk

  N/A

• Scaffold does not exceed height to width ratio (4:1)

  Safe

  At Risk

  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

• Pre-use inspection has been performed

  Safe

  At Risk

  N/A

• Right tools are being used for tasks

  Safe

  At Risk

  N/A

• Protective guards are in place and operational

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Excavations

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

  Yes

  No

  N/A

• Competent Person is present and pre-use inspection performed

  Safe

  At Risk

  N/A

• Access/Egress is safe and frequency of egress is acceptable

  Safe

  At Risk

  N/A

• Shoring/Shielding/Sloping is safe

  Safe

  At Risk

  N/A

• Barricades are in place as required

  Safe

  At Risk

  N/A

• Spoil Pile is a minimum 2 feet from excavation

  Safe

  At Risk

  N/A

Electrical Safety

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

  Yes

  No

  N/A

• Ground fault circuit interrupters in use

  Safe

  At Risk

  N/A

• Extension Cords are inspected, in good working condition, and not causing trip hazards or used inappropriately

  Safe

  At Risk

  N/A

• Power Tools are undamaged and being used fit for purpose

  Safe

  At Risk

  N/A

• Energized circuits are verified landed or safed-off

  Safe

  At Risk

  N/A

Fire Prevention

• Fire Extinguishers are present (minimum 1 per level) and accessible

  Safe

  At Risk

  N/A

• Fire Extinguishers are regularly inspected

  Safe

  At Risk

  N/A

• Non-electrical hot work activities are closely monitored and coordinated

  Safe

  At Risk

  N/A

• A designated smoking area is established

  Safe

  At Risk

  N/A

• Flammable materials (liquids, gasses, or solids) are stored properly

  Safe

  At Risk

  N/A

Personnel

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

  Yes

  No

  N/A

• Behavior is orderly and professional

  Safe

  At Risk

  N/A

• Clear communication is possible

  Safe

  At Risk

  N/A

• Personnel are provided rest periods as appropriate

  Safe

  At Risk

  N/A

• Personnel are adapted to environmental conditions

  Safe

  At Risk

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign