Embrey Builders, LLC

• Audit Title

• Project Name Riverstone

• Conducted on

  Date

• Prepared by

• Present for the audit:

Embrey Builders Construction Trailer

• All Subcontractor project specific safety plans in place?

  Yes

  No

  N/A

• Emergency contact information is posted in appropriate location, includes location of closest Emergency Medical Facility, include emergency numbers for all utility companies..

  Yes

  No

  N/A

• First aid kit is located in appropriate location and sticker with appropriate first aid supplies?

  Yes

  No

  N/A

• Fire extinguishers properly located in trailer, inspection tags are current.

  Yes

  No

  N/A

• Log of Subcontractor Competent Person in place and up to date?

  Yes

  No

  N/A

• Osha 300 log posted per OSHA Regulations

  Yes

  No

  N/A

• Weekly safety orientation in place and log up to date?

  Yes

  No

  N/A

• Trailer electrical panel properly labeled?

  Yes

  No

  N/A

• Trailer clean and well kept?

  Yes

  No

  N/A

• Appropriate MSDS in place?

  Yes

  No

  N/A

• Embrey Staff current on OSHA 10hr and 30 hour class

  Yes

  No

  N/A

General site observations

• Are copies of locates kept in Project Engineers office for information and records.

  Yes

  No

  N/A

• All observed workers have Embrey project orientation hard hat stickers

  Yes

  No

  N/A

• Silt fence and inlet protection properly installed per SWMPP.

  Yes

  No

  N/A

• Site clean and adequate house keeping in place?

  Yes

  No

  N/A

• Site fencing in place per site logistics plan and is secure.

  Yes

  No

  N/A

• Site security complete and in place?

  Yes

  No

  N/A

• Scaffolding and pump jacks are inspected on a daily basis prior to workers using scaffolds and the inspection tags are visible and filled out correctly ?

  Yes

  No

  N/A

• Site signage in place and properly set up with safety postings at all entries?

  Yes

  No

  N/A

• Parking areas well defined and clean?

  Yes

  No

  N/A

• Dirt stockpiled in reasonable area and properly protected per Storm Water Management Plan?

  Yes

  No

  N/A

• All excavations and trenches compliant, identified by hazard tape, and/or rope, banks are sloped back, or fall protection is in place?

  Yes

  No

  N/A

• Overhead power lines properly protected and addressed in site specific safety orientation?

  Yes

  No

  N/A

• Back up alarms working on all equipment?

  Yes

  No

  N/A

• Hard hats, safety glasses and vests worn by all?

  Yes

  No

  N/A

• Cranes operated safely and set up properly with documented daily inspection logs on board?

  Yes

  No

  N/A

• Certified drivers properly operating forklifts, scissor lifts and snorkel lifts?

  Yes

  No

  N/A

Building safety

• Scaffolding/ Pump jacks complete and properly installed, inspected daily by competent person.

  Yes

  No

  N/A

• Guard rails properly installed?

  Yes

  No

  N/A

• Fall protection hooks installed on all roofs (except for metal roofs) upon completion of roof sheathing.

  Yes

  No

  N/A

• Fall protection systems in place? Wood fencing on balconies, 2nd & 3rd floor exterior Windows and stairways.

  Yes

  No

  N/A

• Proper fall protection PP&E being utilized properly my all workers where required , roofs, lift buckets, exterior siding?

  Yes

  No

  N/A

• Fire extinguishers properly charged and tagged?

  Yes

  No

  N/A

• Fire extinguishers properly located in buildings? One extinguisher per every floor at appropriate location.

  Yes

  No

  N/A

• Nails in lumber not creating a safety hazard?

  Yes

  No

  N/A

• No potential struck by situations?

  Safe

  At Risk

  N/A

• GFI inspections done regularly by the electrical contractor and a related log is to date? Temp Breakers marked on all panels.

  Yes

  No

  N/A

• City Hot work permit in place for any hot work, welding?

  Yes

  No

  N/A

• Lock out/ tag out procedures followed. No hot electrical work allowed?

  Yes

  No

  N/A

• Electrical cords in good shape and compliant? Look for frayed,cut, damaged cords, improperly grounded, not working properly.

  Yes

  No

  N/A

• Generators properly grounded?

  Yes

  No

  N/A

• Power Tools used properly and in good working condition? Saw guards in place.. Nail gun guards in place

  Yes

  No

  N/A

• Ladders used properly? OSHA approved. Job Built Ladders are built per Osha standards.

  Yes

  No

  N/A

• Hazardous materials stored properly, cylinders secured upright, and labeled as to the content of containers..

  Yes

  No

  N/A

• General notes: 1.