E.S. Fox Construction

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Documentation

• Safety Manual available on DocuShare

  Yes

  No

  N/A

• Notice of Registration Form 1000 Posted

  Yes

  No

  N/A

• JHSC Minutes Posted

  Yes

  No

  N/A

• Form 82 for First Aid Reporting/WSIB

  Yes

  No

  N/A

• First Aid Responders List

  Yes

  No

  N/A

• EH&S Policies Posted

  Yes

  No

  N/A

• Emergency Procedure/Map to Hospital Posted

  Yes

  No

  N/A

• Name of H&S Reps Posted

  Yes

  No

  N/A

• Ministry of Labour Orders of Communication

  Yes

  No

  N/A

• Notice of Project if we are the Constructor

  Yes

  No

  N/A

• OHSA Posted

  Yes

  No

  N/A

• Emergency #'s Posted

  Yes

  No

  N/A

• Adequate First Aid Supplies on site

  Yes

  No

  N/A

• Workplace Violence & Harassment Policy

  Yes

  No

  N/A

• Accident Report Forms Available

  Yes

  No

  N/A

Site Condition

• Are aisles/pathways clear

  Yes

  No

  N/A

• Are working surfaces even

  Yes

  No

  N/A

• Is there adequate access/egress

  Yes

  No

  N/A

• Are roadways clear

  Yes

  No

  N/A

• Is ventilation adequate

  Yes

  No

  N/A

• Are stairways clear of debris

  Yes

  No

  N/A

• Are eye wash I stations clean with current fluid

  Yes

  No

  N/A

• Are first aid stations available

  Yes

  No

  N/A

• Are exit routes clear

  Yes

  No

  N/A

• Is there adequate traffic control signage and barriers

  Yes

  No

  N/A

• Is ice/snow/water creating unsafe conditions on site

  Yes

  No

  N/A

• Is lighting adequate

  Yes

  No

  N/A

• Are dust/fumes accumulating

  Yes

  No

  N/A

• Are washrooms colen

  Yes

  No

  N/A

Personal Protective Equipment

Are employees wearing the following Personal Protective Equipment when required

• Safety glasses

  Yes

  No

  N/A

• Hard hats

  Yes

  No

  N/A

• Foot protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Full face shield

  Yes

  No

  N/A

• Hand protection

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A

• Body burn protection

  Yes

  No

  N/A

• Arc flash gear

  Yes

  No

  N/A

• Fluorescent vest

  Yes

  No

  N/A

Housekeeping

• Are materials stacked and stored in a safe manner

  Yes

  No

  N/A

• Are extension cords off the ground or protected

  Yes

  No

  N/A

• Is there airborne duster debris affecting the atmosphere

  Yes

  No

  N/A

• Is garbage being disposed of properly

  Yes

  No

  N/A

• Are loose materials on roof secured

  Yes

  No

  N/A

• Are nails bent over or removed

  Yes

  No

  N/A

• Is there a clear pathway between storage area and work area

  Yes

  No

  N/A

• Are roofs of gang boxes clear of debris, loose materials, tools

  Yes

  No

  N/A

• Does the work area provide enough space and not crowded

  Yes

  No

  N/A

• Are work areas tidy

  Yes

  No

  N/A

• Is materials storage kept a safe distance from handrails

  Yes

  No

  N/A

Working at Heights

• Are employees trained in fall protection

  Yes

  No

  N/A

• Is fall protection/prevention being utilized properly

  Yes

  No

  N/A

• Do the employees wear their harness properly

  Yes

  No

  N/A

• Has the employee factored in the potential fall distance

  Yes

  No

  N/A

• Is the 100% tie off rule being followed

  Yes

  No

  N/A

• Are employees tied off to adequate anchor point

  Yes

  No

  N/A

• In EWPs is the employee tied off to the engineered anchor point

  Yes

  No

  N/A

• Is the path of travel clear for EWPs, ground man required

  Yes

  No

  N/A

• Is the EWP work deck clear of obstructions, trip hazards

  Yes

  No

  N/A

• Ae workers aware of the emergency rescue plan

  Yes

  No

  N/A

• Has the area below the work been secured with signs and tape

  Yes

  No

  N/A

• Have falling material potentials been considered

  Yes

  No

  N/A

Mobile Equipment (Cranes, Forklifts, Elevated Work Platforms)

• Has a pre use inspection been completed by the operator

  Yes

  No

  N/A

• Does the operator have a valid ticket/license for the equipment

  Yes

  No

  N/A

• Does the equipment have an up to date annual inspection

  Yes

  No

  N/A

• Is the equipment appear in good working condition

  Yes

  No

  N/A

• Is the equipment capable of lifting the weight for the task

  Yes

  No

  N/A

• Is the signal person performing their duties properly

  Yes

  No

  N/A

• Has the rigging been inspected prior to hoisting

  Yes

  No

  N/A

• Is the rigging adequate for the hoisting being performed

  Yes

  No

  N/A

• Have electrical systems in the work area been considered

  Yes

  No

  N/A

• Are employees aware of the limits of approach

  Yes

  No

  N/A

• Do lifting devices have certification of inspection

  Yes

  No

  N/A

• Is a critical lift plan in place or required (2 Crane or 75%)

  Yes

  No

  N/A

• Are the outriggers set on pads

  Yes

  No

  N/A

• Are tag lines being utilized

  Yes

  No

  N/A

Hot Work

• Hot work permit posted in place if required

  Yes

  No

  N/A

• Combustibles protected/moved from hazards of hot work

  Yes

  No

  N/A

• Fire extinguisher in good working condition in the area of work

  Yes

  No

  N/A

• Metal receptacles for weld stubs

  Yes

  No

  N/A

• Flash screens in place

  Yes

  No

  N/A

• Ventilation, smoke eater required

  Yes

  No

  N/A

• Fire watch required and in place

  Yes

  No

  N/A

• Pre use inspection of welding equipment

  Yes

  No

  N/A

• Pre use inspection of Oxy/Acetylene torches

  Yes

  No

  N/A

• Tinted face shield utilized for Oxy/Acetylene cutting

  Yes

  No

  N/A

• Ground cables in place during welding

  Yes

  No

  N/A

• Grinder has handle and guards

  Yes

  No

  N/A

• Face shield utilized while grinding

  Yes

  No

  N/A

• Welder and cables are in a dry environment free of water

  Yes

  No

  N/A

Body Positioning/Ergonomics

• Manual lifting techniques

  Yes

  No

  N/A

• Body positioning while working

  Yes

  No

  N/A

• Is there hand protection against vibrating tools

  Yes

  No

  N/A

• Are carts, dollies and mechanical devices being utilized

  Yes

  No

  N/A

• Does the employee bend with their knees when lifting

  Yes

  No

  N/A

• Are workers encouraged to ask for help when lifting

  Yes

  No

  N/A

• Are materials delivered close as possible to where they are being used

  Yes

  No

  N/A

• Ae employees working in pinch point situations

  Yes

  No

  N/A

• Are employees performing repetitive motions

  Yes

  No

  N/A

• Are employees working in awkward postures

  Yes

  No

  N/A

• Are employees arms repetitively above their head<br>

  Yes

  No

  N/A

Electrical

• Are high voltage panels closed and secured

  Yes

  No

  N/A

• Are electrical panels accessible and clear of obstructions

  Yes

  No

  N/A

• Are extension cords in good condition

  Yes

  No

  N/A

• Is the ground pin intact on tools and extension cords

  Yes

  No

  N/A

• Are cords in damp/wet conditions plugged into a GFCI

  Yes

  No

  N/A

• Are cords/cables run to one side or overhead

  Yes

  No

  N/A

• Is defective equipment tagged and removed from service

  Yes

  No

  N/A

• Receptacles on lifts are being utilized/cords not tied to EWPs

  Yes

  No

  N/A

• Does live work have a procedure and appropriate arc flash gear

  Yes

  No

  N/A

• Have lockouts been verified

  Yes

  No

  N/A

• Have locks/tags been properly assigned(1 man 1 lock)

  Yes

  No

  N/A

• Are the lockout tags identified for each employee (name, company)

  Yes

  No

  N/A

Hazardous Chemicals/First Aid

• Are chemicals properly used and stored

  Yes

  No

  N/A

• Are all chemicals containers clearly and properly labelled

  Yes

  No

  N/A

• Are MSDS sheets accessible to workers

  Yes

  No

  N/A

• Are spill kits inspected monthly

  Yes

  No

  N/A

• Are flammable products properly stored in a flammable cabinet

  Yes

  No

  N/A

• Are first aid kits provided

  Yes

  No

  N/A

• Are first aid kits inspected monthly

  Yes

  No

  N/A

• Are first aid logs being completed

  Yes

  No

  N/A

• Are certified first aid attendants available as per F/A regulations

  Yes

  No

  N/A

• Are eye wash stations available

  Yes

  No

  N/A

• Is the eye wash solution expired (decanted bottle expires every six months)

  Yes

  No

  N/A

• Auditors signature

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