Duke Realty - Project Lou

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Subcontractors present

Site Safety

• Site access is free of obstructions and maintained?

  Yes

  No

  N/A

• Site travel routes are free of obstructions and maintained?

  Yes

  No

  N/A

• Project work areas are clean, orderly, and free of excess trash and debris?

  Yes

  No

  N/A

• Material storage is organized and out of travel paths?

  Yes

  No

  N/A

• Site signage is displayed at access points?

  Yes

  No

  N/A

• Emergency medical supplies are available and up to date?

  Yes

  No

  N/A

• Lighting in work areas is adequate?

  Yes

  No

  N/A

Personal Protective Equipment

• Workers on site have hard hats on?

  Yes

  No

  N/A

• Workers on site have high visibility garments on?

  Yes

  No

  N/A

• Eye protection is being worn when needed?

  Yes

  No

  N/A

• Proper footwear is being worn?

  Yes

  No

  N/A

• Gloves are being worn when necessary?

  Yes

  No

  N/A

• Workers have shirts with sleeves and long pants on?

  Yes

  No

  N/A

• Hearing protection when needed?

  Yes

  No

  N/A

• Respiratory protection when needed?

  Yes

  No

  N/A

Excavation & Trenching Safety

• Workers are properly protected in trenches >5' deep?

  Yes

  No

  N/A

• Ladder is provided in trenches >4' deep?

  Yes

  No

  N/A

• Buried utilities are day lighted?

  Yes

  No

  N/A

• Spoil piles are maintained >2' back from edge?

  Yes

  No

  N/A

• Travel paths are marked adjacent to excavation or trench?

  Yes

  No

  N/A

• Excavations and trenches are protected when left unattended?

  Yes

  No

  N/A

Height & Fall Protection Safety

• Workers protected from falling >6'?

  Yes

  No

  N/A

• Workers in aerial lifts properly secured to lift?

  Yes

  No

  N/A

• Ladders properly set and used?

  Yes

  No

  N/A

• Warning lines properly set and maintained on roof?

  Yes

  No

  N/A

• Controlled Access Zone properly set?

  Yes

  No

  N/A

• Elevated floor holes, openings and edges protected?

  Yes

  No

  N/A

• Workers anchored to substantial anchorage point?

  Yes

  No

  N/A

• Workers wearing personal fall protection equipment properly?

  Yes

  No

  N/A

• Personal fall protection equipment shows no signs of visual defects?

  Yes

  No

  N/A

Electrical Safety

• Electrical cords without visual defects?

  Yes

  No

  N/A

• Electrical cords have ground prong attached?

  Yes

  No

  N/A

• Electrical cords are GFCI protected?

  Yes

  No

  N/A

• No live bare parts exposed?

  Yes

  No

  N/A

• Lock out tag out being utilized as required?

  Yes

  No

  N/A

• Temporary electrical in safe operating condition?

  Yes

  No

  N/A

Fire Protection Safety

• Fire extinguishers are placed throughout the site?

  Yes

  No

  N/A

• Fire extinguishers are current, charged with pin, and tags attached?

  Yes

  No

  N/A

• Compressed gas cylinders are properly stored?

  Yes

  No

  N/A

• Metal gas cans are used?

  Yes

  No

  N/A

• Welding and burning is controlled?

  Yes

  No

  N/A

• Flammable liquids and materials are properly stored?

  Yes

  No

  N/A

• Fire extinguishers are near bulk flammable storage areas?

  Yes

  No

  N/A

Crane Safety

• Crane has been properly set and used?

  Yes

  No

  N/A

• Crane superstructure swing radius is effectively blocked?

  Yes

  No

  N/A

• Crane inspections are being performed?

  Yes

  No

  N/A

• Rigging shows no signs of visual defects?

  Yes

  No

  N/A

• Rigging is tagged/stamped and inspected?

  Yes

  No

  N/A

Motor Vehicle & Heavy Equipment Safety

• Machinery and vehicles operated in controlled manner on site?

  Yes

  No

  N/A

• Audible reverse alarms are present on machinery?

  Yes

  No

  N/A

• Machinery and vehicle on site has no visual defects?

  Yes

  No

  N/A

• Seat belts are used while operating machinery?

  Yes

  No

  N/A

• Materials being moved are secured to prevent falling from equipment?

  Yes

  No

  N/A

• Aerial and scissor lifts are moved safety around site?

  Yes

  No

  N/A

• Fire extinguishers in all mobile equipment?

  Yes

  No

  N/A

Scaffold Safety

• Gate chains attached on scissor lifts?

  Yes

  No

  N/A

• Workers have both feet on scaffold platform?

  Yes

  No

  N/A

• Scaffold properly erected and used?

  Yes

  No

  N/A

• Scaffold inspected and tagged?

  Yes

  No

  N/A

Miscellaneous Site Safety

• Exposed vertical rebar is bent or capped?

  Yes

  No

  N/A

• Floor holes >2" are covered?

  Yes

  No

  N/A

• Man doors and dock openings are protected?

  Yes

  No

  N/A

• Temporary Stair Tower has no visual defects?

  Yes

  No

  N/A

• Bulk flammable storage containers protected from traffic?

  Yes

  No

  N/A

• Hand and power tools used properly?

  Yes

  No

  N/A

• Emergency egress routes are clearly identified?

  Yes

  No

  N/A

• Confined space entry procedures being followed?

  Yes

  No

  N/A

• Contractor SSSP's are received, reviewed and available prior to the start of each<br>contractor's work?

  Yes

  No

  N/A

• Toolbox Talks are current for all active contractors?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• General / Additional Comments:

• Inspectors Signature:

  Sign

• Client Signature:

  Sign