EF IBM M+W Safety Walk / Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Time of Audit

  Date

• Contractor Observed

  Select C.B Strain Darlind E.W. Finley Elmsford Sheet Metal Perreca Electric PCI Rondout Electric Techtron TFS Electrical TFS Mechanical U.S Test & Balance Westech Process Solutions M+W U.S., Inc.

  • C.B Strain
  • Darlind
  • E.W. Finley
  • Elmsford Sheet Metal
  • Perreca Electric
  • PCI
  • Rondout Electric
  • Techtron
  • TFS Electrical
  • TFS Mechanical
  • U.S Test & Balance
  • Westech Process Solutions
  • M+W U.S., Inc.

• Inspection by

  Select Scott Cashin Raven Castelli Peter Irion Nakobee Johnson Derek Moss Robert Nytes Brian Tulip Melvin Whitmore

  • Scott Cashin
  • Raven Castelli
  • Peter Irion
  • Nakobee Johnson
  • Derek Moss
  • Robert Nytes
  • Brian Tulip
  • Melvin Whitmore

Housekeeping

• Trash disposed of properly

  Yes

  No

  N/A

• Passageways / walkways clear

  Safe

  At Risk

  N/A

• Work areas neat. Tools / material organized

  Safe

  At Risk

  N/A

• PVC glue containers disposed of properly

  Yes

  No

  N/A

• Carts clean & free of debris & organized

  Yes

  No

  N/A

Fire Protection

• Extinguishers in place and the appropriate size and type

  Safe

  At Risk

  N/A

• Flammables stored in flammable storage cabinets

  Safe

  At Risk

  N/A

• No cardboard, paper or rags stored in flammable cabinet

  Safe

  At Risk

  N/A

Chemicals / Gases

• Containers clearly identified with hazard warning

  Yes

  No

  N/A

• Proper storage practices observed

  Safe

  At Risk

  N/A

• Gas cylinders stored properly & company information

  Yes

  No

  N/A

Tools

• General condition

  Safe

  At Risk

  N/A

• Assured grounding tested

  Yes

  No

  N/A

• GFCI in use

  Yes

  No

  N/A

• Extension cord condition

  Safe

  At Risk

  N/A

Ladders

• General condition

  Safe

  At Risk

  N/A

• Employee using ladder correctly

  Safe

  At Risk

  N/A

• Access to ladder uncluttered

  Safe

  At Risk

  N/A

Fall Protection

• Harness free of defects / damage

  Safe

  At Risk

  N/A

• Proper lanyard use

  Safe

  At Risk

  N/A

• Lanyard attached properly

  Yes

  No

  N/A

Floor Openings / Barricades

• Floor openings barricaded with guardrail system

  Safe

  At Risk

  N/A

• Barricade secured to floor properly

  Safe

  At Risk

  N/A

• Chain opening on barricade hooked

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Using basic PPE (glasses,hard hat, safety shoes, gloves)

  Safe

  At Risk

  N/A

• Proper PPE during hot work (electrical & mechanical)

  Safe

  At Risk

  N/A

• Fall protection being used

  Safe

  At Risk

  N/A

• Respirators

  Safe

  At Risk

  N/A

Site Trucks / Forklifts

• General conditions

  Safe

  At Risk

  N/A

• Regular vehicle inspection performed

  Yes

  No

  N/A

• No riders observed except operator

  Safe

  At Risk

  N/A

Welding / Cutting

• Cylinders secured in upright position

  Safe

  At Risk

  N/A

• Caps installed when not in use

  Yes

  No

  N/A

• Hoses and lines inspected before use

  Safe

  At Risk

  N/A

Lock-Out / Tag-Out

• Employees trained

  Safe

  At Risk

  N/A

• Lock / Tag applied by person performing work

  Safe

  At Risk

  N/A

Hot Work

• Hot work permit signed and displayed

  Safe

  At Risk

  N/A

• All required PPE being used

  Safe

  At Risk

  N/A

• Procedure followed as described on permit

  Safe

  At Risk

  N/A

Emergencies

• Aware of IBM emergency phone number

  Yes

  No

  N/A

• Aware of location of muster point in case of emergency

  Yes

  No

  N/A

• Aware of east and west corridors in B323 are safe zones

  Yes

  No

  N/A

• Aware of building evacuation alarm

  Yes

  No

  N/A

• Aware of phone and exit locations near work area

  Yes

  No

  N/A

Pre Task Plan

• PTP filled out for the day

  Yes

  No

  N/A

• Hazards identified and mitigated

  Yes

  No

  N/A

• PTP is in work area

  Yes

  No

  N/A

• Appropriately signed

  Yes

  No

  N/A

• Additional Comments

  Yes

  No

  N/A

• Contractor EHS Representative

  Sign

• M+W EHS Representative

  Sign