Encore Safety Audit

• Encore Site Safety Audit

• Job Name

• Project Manager
  Address

• Supervisor/Site Superintendent

• General Contactor

• Conducted on

  Date

• Person Performing Audit

General Safety Information

• Is there a job site labor poster on site?

  Yes

  No

  N/A

• Is there a health and safety manual on site?

  Yes

  No

  N/A

• Are weekly safety meeting being conducted and maintained on site?

  Yes

  No

  N/A

• Are there first-aid kits on site?

  Yes

  No

  N/A

• Is there at least one person on site trained and current in first-aid and CPR?

  Yes

  No

  N/A

Fire Safety

• Are Fire Extinguishers < 100 feet from all work locations?

  Yes

  No

  N/A

• Are employees trained on fire extinguishers?

  Yes

  No

  N/A

• Are extinguishers at all welding or cutting locations?

  Yes

  No

  N/A

• Are LPG bottles stored at least 6 feet away from heaters?

  Yes

  No

  N/A

• Are flammable materials stored correctly

  Yes

  No

  N/A

• Are heaters 10 feet away from combustible materials?

  Yes

  No

  N/A

Hand Tool Use

• Are employees trained on the proper use of hand tools and equipment?

  Yes

  No

  N/A

• Are damaged tools tagged out?

  Yes

  No

  N/A

• Are tools in good working order?

  Yes

  No

  N/A

House-keeping

• Is there adequate temporary lighting on site?

  Yes

  No

  N/A

• Are means of egress into and out of the structure or site clear?

  Yes

  No

  N/A

• Are there slipping and tripping hazards?

  Yes

  No

  N/A

• Are work areas being kept clear of trash, materials, scrap and debris?

  Yes

  No

  N/A

Ladder Safety

• Are ladders being used properly?

  Yes

  No

  N/A

• Are extension ladders setup on a 4:1 ratio?

  Yes

  No

  N/A

• Do extension ladders extend 3 feet above the roof, landing or floor being accessed?

  Yes

  No

  N/A

• Are ladders being inspected?

  Yes

  No

  N/A

• Are ladders with defects being removed from service or tagged?

  Yes

  No

  N/A

• Are employees trained on ladder use? (Toolbox talk is sufficient).

  Yes

  No

  N/A

Material Handing

• Are materials and storage areas/connexes organized?

  Yes

  No

  N/A

• Are materials being moved correctly?

  Yes

  No

  N/A

• Are forklifts used on site?

  Yes

  No

  N/A

• Are forklifts operators certified?

  Yes

  No

  N/A

• Are materials moved safely?

  Yes

  No

  N/A

• Are proper lifting techniques being used for lifting materials?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are hardhats worn and used 100% of the time?

  Yes

  No

  N/A

• Are safety glassed used 100% of the time?

  Yes

  No

  N/A

• Are gloves being worn when required?

  Yes

  No

  N/A

• Are employees wearing the appropriate footwear? (Leather work boots over the ankle.)

  Yes

  No

  N/A

• Is hearing protection available on site?

  Yes

  No

  N/A

• Is there are flash equipment on site if appropriate?

  Yes

  No

  N/A

• Are insulated gloves current on testing if appropriate?

  Yes

  No

  N/A

Respiratory Protection - - (If respiratotrs will not be used answer is N/A for all respirator related questions.)

• Will respirators be used on site?

  Yes

  No

  N/A

• Have employees been medically examined for respirator use?

  Yes

  No

  N/A

• Have employees been trainined on respirator use?

  Yes

  No

  N/A

• Have employees been fit tested?

  Yes

  No

  N/A

• Have employees signed an appendix D letter for voluntary use of respirators? (If not answer is N/A)

  Yes

  No

  N/A

Powder Actuated Tools - (If PATs will not be used answer is N/A for all PAT related questions.)

• Are powder actuated tools used? (If not answer is N/A for all powder actutated tools related questions.)

  Yes

  No

  N/A

• Do employees have their card with them during use? (If not answer is N/A)

  Yes

  No

  N/A

• Are signs posted indicating powder actuated tools are being used?

  Yes

  No

  N/A

• Are employees announcing a warning before firing the tool?

  Yes

  No

  N/A

• Are employees using the tool properly with the appropriate PPE. (IE face shield. hearing protection, gloves) (If not answer is N/A)

  Yes

  No

  N/A

Scaffolding - (If scaffolding will not be used answer is N/A for all scaffold related questions.)

• Will Scaffolds be used on site?

  Yes

  No

  N/A

• Is there a competent person available for inspections?

  Yes

  No

  N/A

• Has the safety department inspected the installation of the scaffolding?

  Yes

  No

  N/A

• Is fall protection used at 6 feet on scaffolds? (IE Guardrails or Personal Fall Arrest System)

  Yes

  No

  N/A

• Is the scaffolding setup on a firm foundation?

  Yes

  No

  N/A

• Is the scaffolding fully planked with no opening greater the 2 inches?

  Yes

  No

  N/A

• Are scissor lifts used and have employees been trained on there use? (Toolbox talk is sufficient if done correctly.)

  Yes

  No

  N/A

• Are adjustable boom lifts used and have employees been trained on there use? (Toolbox talk is sufficient if done correctly.)

  Yes

  No

  N/A

• Are employees using a personal fall protection system in articulating boom lifts and scissor. (Harness are only required in scissor lifts if the customer requires there use.)

  Yes

  No

  N/A

Focus 4 Main Hazards

Caught In Hazards

• Are guards in place on tools and equipment?

  Yes

  No

  N/A

• Do pathways have clear access and egress?

  Yes

  No

  N/A

• Will confined spaces be entered? (If the answer is yes complete confined space permit in heath and safety manual.)

  Yes

  No

  N/A

• Will there be excavation work on site?

  Yes

  No

  N/A

Struck By Hazards

• Are reflective vest worn by all employees?

  Yes

  No

  N/A

• Are materials being stored windsafe?

  Yes

  No

  N/A

• Are areas protective from overhead hazards? (Toe boards or falling object protection where appropriate).

  Yes

  No

  N/A

Electrical Harzards

• Has the company's assured grounding program been implemented?

  Yes

  No

  N/A

• Are weekly GFCI test being conducted?

  Yes

  No

  N/A

• Are electrical danger signs on all electrical rooms and any where an electrical hazard exist?

  Yes

  No

  N/A

• Is there lockout/tagout equipment available on site?

  Yes

  No

  N/A

• Are temporary lights on a dedicated circuit?

  Yes

  No

  N/A

• Are temporary lights properly supported?

  Yes

  No

  N/A

• Are all cord connected tools on GFCI Protection?

  Yes

  No

  N/A

• Are all tools and equipment grounded?

  Yes

  No

  N/A

Fall Hazards (If fall protection will not be used answer is N/A for all fall protection related questions.)

• Are handrails on all stairwells?

  Yes

  No

  N/A

• Are there guardrails or adequate floor covers on all floor openings? (A floor whole is considered any opening greater that 2 inches).

  Yes

  No

  N/A

• Are guardrails on open sided edges, walls, windows, roof edges over 6 feet?

  Yes

  No

  N/A

• Are employees using personal fall arrest systems (PFAS)? (Fall Protection Harness, Lanyard and Anchoring Device).

  Yes

  No

  N/A

• Have employees been trained on the use of PFAS?

  Yes

  No

  N/A

• Are anchorage points capable of supporting 5000 pounds?

  Yes

  No

  N/A

• Have PSAS been inspected?

  Yes

  No

  N/A

Disposition and Routing:

• Were all items corrected? If no when will they be corrected? (Enter Date)

  Yes

  No

  N/A

• Was a copy of this safety audit sent to the general contractor.

  Yes

  No

  N/A

• Was a copy of this safety audit sent to the project manager?

  Yes

  No

  N/A

• Was a copy of this safety audit sent to the business unit leader?

  Yes

  No

  N/A

• Will a copy of this audit be sent to Encore's Safety Office?

  Yes

  No

  N/A

Signatures:

• Signature of Person(s) Performing Audit:

  Sign

• Site Supervisors Signature:

  Sign