EGM Consulting Checklist

• Project Name

• Company

• Created On

  Date

• Author

• Location
  Address

• INSTRUCTIONS
  
  1. Answer "Positive Observation", "Needs Corrected", "Compliant" or "N/A" on the questions below.
  2. Add photos and notes by clicking on the paperclip icon
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link

General Details

• Project Description

• Priority Level

  High

  Medium

  Low

• Status

  Open

  Close

General Site Conditions - Subpart C

• C.1 Jobsite address posted in trailer and main entrance to site

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.2 Jobsite signage, safety signs posted, controlled access

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.3 Emergency phone numbers posted (foremans, subs, owners, utilities, medical facilities)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.4 Emergency action plan in place

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.5 Adequate dumpsters and trash barrels surrounding area cleaned)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.6 Sanolets clean and staked down on soil or in contained area

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.7 Housekeeping, graffiti (work areas and break areas)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.8 Exits through and from building clear and unobstructed

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.9 Proper ventilation (fans/exhaust ducts)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• C.10 Nails/Screws/Staples removed or bent in lumber

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Personnel Protective Equipment - Subpart E

• E.1 Hardhats, safety glasses, gloves, knee pads, face masks

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• E.2 First aid kit available and stocked

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• E.3 Work zone protection - vests/signs/cones/barricades/TCP

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Excavations - Subpart P

• P.1 Daily dig permits completed by competent persons

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.2 Utilities located by individual contractors - current, w/in 30 days

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.3 Trenches deeper than 5ft implementing trench safety procedures

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.4 Trench box safety procedures in place (tabulated data available)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.5 Ramps/Ladders every 50ft (25ft either direction) when 4ft or deeper

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.6 Open excavations, road drop offs, trenches, manholes, uneven surfaces - barricaded and have proper notification

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.7 Existing utilities shored/supported properly

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.8 Trenches 20ft or deeper to have engineer certification

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• P.9 Walkways provided over trenches (>20" wide)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Materials Handling & Equipment - Subpart H

• H.1 Cranes flagged, roped off

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.2 Crane certification provided and with crane

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.3 All equipment - Level/stable work pad, proper distance from excavations/trenches

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.4 No employees under suspended loads / tag lines on loads

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.5 Rigging devices inspected daily (chains, chokers, slings)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.6 Materials staged 15ft back from leading edge

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.7 Equipment back-up alarms functional and audible

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.8 Operator certifications provided (forklifts)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• H.9 Aerial lifts/manlifts - harnesses being used

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Fall Protection - Subpart M

• M.1 Floor and/or roof openings/holes covered and marked

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• M.2 Overhead protection from employee/pedestrian walkways

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• M.3 Walkways higher than 4ft properly protected

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• M.4 Perimeter cable installed and flagged every 6ft

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• M.5 Guardrails in place and able to withstand 200lb load

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• M.6 Proper tie-off points (able to withstand 5,000lb)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Stairways & Ladders - Subpart X

• X.1 Handrails on stairs and exposed edges

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• X.2 Metal pan stairs poured/blocked out/closed off

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• X.3 Stairwells clear and unobstructed

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• X.4 Stairs with >4 risers or 30" high, equipped with handrails

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• X.5 Leading edges protected/identified (controlled access zone)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• X.6 Ladders extended 3ft above landing, secured, good access

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• X.7 Ropes provided at ladders for material/tool retrieval

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Scaffolds - Subpart L

• L.1 Planking meeting OSHA requirements and in good condition

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.2 Working platforms fully planked (no more than 1" separation)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.3 Planking properly installed (between 6"-12" overhang at supports, less than 6" tie down or cleat)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.5 Toe boards & guardrails on scaffolding over 6ft high

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.6 Tie-ins, pins, & braces installed as required

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.7 Mudsills properly installed under base plates

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.8 Proper access pts. (ladders provided when necessary)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.9 Properly secured/anchored (4 x width vertically, then every 15ft length)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.10 Proper loading of planking (1/12 deflection, 4 x intended ld.)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• L.11 Inspected daily and documented, tagged for service

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Concrete/Steel - Subpart Q&R

• QR.1 Proper bracing/guying (deadman, proper hardware/anchors)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• QR.2 Rebar caps used

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• QR.3 Wall forms - work platforms fully planked, guardrails in place and proper access (no less than 39" from platform to top of form)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• QR.4 Controlled access to erection areas

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Fire Safety & Welding/Cutting - Subpart F&J

• FJ.1 Fire Extinguishers, 1/3000SF or within 100ft of workers, currently inspected, serviced, and located in appropriate areas.

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• FJ.2 Metal gas cans (plastic not permitted)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• FJ.3 Extinguishers present during all hot work (stop work 30 minutes prior to leaving site)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• FJ.4 Fuels properly stored/barricaded/labeled (20ft separation O&A, stored vertically, caps in good condition, no unused tanks in bldg)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• FJ.5 Fire watch/hot work permits required

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• FJ.6 PPE being used with torches (gloves, goggles, face shields)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Electrical - Subpart K

• K.1 Assured grounding, GFCI's checked and documented

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.2 Permanent power- all drop chords GFCI

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.3 Chords, plugs in good condition & protected from traffic/damage

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.4 Proper distance from overhead powerlines (10ft min.)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.5 Proper illumination/temp lighting (min. 3 foot-candles)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.6 Temporary lighting - properly suspended, cages intact, no burned out/missing bulbs, spliced properly insulated, cord feeds in good condition

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.7 Panels marked and/or labeled, secured, and weather resistant

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• K.8 Lockout/tagout in place

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Miscellaneous Items

• 1.1 Laser & powder actuated signs posted and users trained

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• 1.2 Confined spaces - evaluated, classified (permitted/non-permitted), air monitoring available, air quality documented

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• 1.3 Finish products protected

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• 1.4 Materials stored properly and labeled

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Project Admin and Documentation

• PA.1 State and OSHA right to know information posted

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.2 Workers Compensation clinics posted

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.3 Site specific cards with project contact info posted

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.4 Project specific emergency action plan in place

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.5 Site specific orientation/safety plan completed

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.6 Site Specific orientations being conducted and properly documented

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.7 Daily Pre-Task Meetings held by each supervisor

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.8 Five pre-task meeting sheets reviewed for quality (relevant hazards and controls)

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.9 Daily pre-task meetings effective verified by employee interviews

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.10 Records of safety violations maintained with corrective actions completed

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.11 Monthly documented safety audits being conducted

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.12 Monthly documented safety meetings being conducted

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.13 Pre-construction safety meetings conducted for utilities; steel/pre-cast; roofing; etc.

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.14 Hazard communication lists are maintained and MSDS access procedure in place

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• PA.15 Random employee interviews indicate safety rules are being enforced on the project

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• Do you have other Misc. comments?

  Yes

  No

• List other Misc. comments

Comments

• Details

• Select response

  Positive Observation

  Needs Corrected

  Compliant

  N/A

• To add more Other/Misc. comments, scroll up and click on "+Add"

Signature

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