ESCO Safety

• Audit Title

• Conducted on

  Date

• Client / Site

• Location
  Address

• Prepared by

• Personnel

Equipment/Assured Grounding Inspections

• All ladders inspected?

  Yes

  No

  N/A

• All electrical equipment connected to GFCI power supply?<br>

  Yes

  No

  N/A

• All extension cords inspected?

  Yes

  No

  N/A

• All corded tools inspected? (Drills, porta band, power pony, etc)

  Yes

  No

  N/A

• All fall protection inspected? (Harnesses, lanyards, retractables, beavers, etc)

  Yes

  No

  N/A

• All rigging equipment inspected?

  Yes

  No

  N/A

• All scissor/aerial/boom lifts inspected daily?

  Yes

  No

  N/A

• Fork lift pre-use inspection completed?

  Yes

  No

  N/A

• Is there a site appointed Designated Safety Coordinator?

  Yes

  No

  N/A

• All equipment in satisfactory condition?

  Yes

  No

  N/A

• Equipment inspection color. Jan/Feb-Red Mar/Apr-Blue May/June-White July/Aug-Brown Sept/Oct-Yellow Nov/Dec-Orange.

Work Area Compliance

• Work areas organized and free of debris/trip hazards?

  Yes

  No

  N/A

• Chemicals properly stored in approved containers?

  Yes

  No

  N/A

• Scrap/trash/oily rag containers emptied regularly? Not overflowing?

  Yes

  No

  N/A

• Fire extinguisher inspected and secured in correct place?<br>

  Yes

  No

  N/A

• First aid kit in place and inspected weekly? Are all contents up to date?

  Yes

  No

  N/A

• ESCO Group Chemical Inventory (SDS) and Safety Manual in place?

  Yes

  No

  N/A

• All paperwork posted in proper location? (Emergency Numbers, Labor Law, Medical Facilities, OSHA 300 Logs)

  Yes

  No

  N/A

• All ladders are secured properly? (Chained or laid down)

  Yes

  No

  N/A

• All benders properly secured to their cart/bench?

  Yes

  No

  N/A

Safe Work Practices

• Employees have Pre Job Hazard Analysis completed?

  Yes

  No

  N/A

• Employees following safe ladder practices?

  Yes

  No

  N/A

• Employees have all proper permits, forms, and tags in place and used properly?

  Yes

  No

  N/A

• Confined space, hot work, excavation, elevated work, energized work, existing conduit removal, verified de-energized tag in place, ground tags with locks.

• Employees know where ESCO Group Chemical Inventory (SDS) and Safety Manual are located?

  Yes

  No

  N/A

• Employees know where to go in case of an emergency?

  Yes

  No

  N/A

• Safety Meetings completed weekly?

  Yes

  No

  N/A

• Toolbox talks completed as required?

  Yes

  No

  N/A

• Employees have an adequate supply of potable water in place?

  Yes

  No

  N/A

• Employees provided adequate restrooms?(Stationary crews)

  Yes

  No

  N/A

• Employees provided with hand washing station/hand wipes?

  Yes

  No

  N/A

• Employees wearing all basic PPE requirements?

  Yes

  No

  N/A

• Hard hats, safety glasses/face shields, goggles, gloves, hearing protection, safety footwear, Arc Rated clothing.

• Employees using proper gloves?

  Yes

  No

  N/A

• Are grinders, band saws, and similar equipment provided with appropriate guards?

  Yes

  No

  N/A

• Employees operating powder-actuated tools? Have they been properly trained?

  Yes

  No

  N/A

• Employees following safe scissor/aerial/boom lift work practices? Have they been properly trained? Are employees properly tied off when needed?

  Yes

  No

  N/A

• Employees following safe fall arrest/restraint practices?

  Yes

  No

  N/A

• Employees wearing harnesses properly?

  Yes

  No

  N/A

• Employees using fall arrest system properly?

  Yes

  No

  N/A

• Employees following customer fall protection requirements?(i.e. 4th step rule)

  Yes

  No

  N/A

• Employees operating forklifts/reach forklift/telehandler? Employees properly trained?

  Yes

  No

  N/A

• Has the ESCO Group client safety exchange taken place?

  Yes

  No

  N/A

Voltage Rated Equipment/Electrical Safe Work Practices

• All voltage rated equipment up to date on testing? (Gloves, grounds, hot sticks, blankets, sleeves)

  Yes

  No

  N/A

• Employees using Voltage Rated PPE correctly? (Check levels and layers of PPE)

  Yes

  No

  N/A

• Employees testing before they touch when working on electrical equipment?

  Yes

  No

  N/A

• Employees have adequately rated meter for detecting voltage?

  Yes

  No

  N/A

• Lockout/Tagout being performed correctly? (LOTO audit form available for reference)

  Yes

  No

  N/A

• Employees using appropriate tools to perform work within electrical equipment?

  Yes

  No

  N/A

• Temporary lighting suspended by nonconductive means and fully protected?

  Yes

  No

  N/A

• Employees have all transformers clear of material/equipment around and on top of?

  Yes

  No

  N/A

• Temporary electrical service panel properly labeled, receptacles labeled, penetrations covered, weather covers in place, NEMA rating, strain relief, properly secured/mounted?

  Yes

  No

  N/A

• Do employees have grounds applied? Did employees apply lock on box for grounds?

  Yes

  No

  N/A

• Voltage rated equipment stored in proper location?

  Yes

  No

  N/A

• Overall summary of the job site safety performance.

• Pictures of overall project status.

  Media

• Signature

  Sign