Estes Construction

• John Deere Harvester Works

• Audit Title

• Conducted on

  Date
• Location
  Address

• Personnel

• Prepared by

• Project #

PPE (Personal Protective Equipment)

• Hard Hats worn 100% of time, per policy? 1926.100

  Yes

  No

  N/A

• Safety Glasses worn 100% of time, per policy? 1926.102

  Yes

  No

  N/A

• High visible apparel worn when required by project, traffic, or earthwork?

  Yes

  No

  N/A

• Hearing protection as required.

  Yes

  No

  N/A

• Safety appropriate footwear worn as needed? 1926.28(a)

  Yes

  No

  N/A

• Respiratory protective measures in place?

  Yes

  No

  N/A

• Safety Glasses appropriate for environment and conditions (do not fog, overhead work or debris from wind, on nose, not broken)?

  Safe

  At Risk

  N/A

• Face Shields used for appropriate hazards.

  Safe

  At Risk

  N/A

• Goggles used for appropriate hazards.

  Safe

  At Risk

  N/A

• Leather gloves worn for puncture hazards?

  Safe

  At Risk

  N/A

Administrative

• Are labor law postings available and posted in an accessible place? 1903.2(a)(1)

  Yes

  No

  N/A

• Safety Data Sheets on site for every chemical exposure?

  Yes

  No

  N/A

• Emergency postings visible and employees know where to find them?

  Yes

  No

  N/A

• First aid kit accessible and checked weekly? 1926.50(d)(1-2)

  Safe

  At Risk

  N/A

Housekeeping

• Nails from used lumber removed? 1926.250(b)(8)

  Safe

  At Risk

  N/A

• Aisle way and walking surfaces clear of debris? 1926.250(a)(3)

  Safe

  At Risk

  N/A

• Material neat and orderly stacked. Professional appearance? 1926.250(a)(1)

  Safe

  At Risk

  N/A

• Trash placed in dumpsters?

  Safe

  At Risk

  N/A

• No spills, prevention and containment measures in place?

  Yes

  No

  N/A

• Cords removed from ground and tripping hazards identified?

  Safe

  At Risk

  N/A

• Materials secured against high winds and storms where exposed?

  Yes

  No

  N/A

• Daily broom sweeping completed?

  Yes

  No

  N/A

Fall Protection

• Fall Arrest equipment use and configuration correct?

  Safe

  At Risk

  N/A

• Pre-engineered fall protection systems used correctly & in good condition?

  Safe

  At Risk

  N/A

• Elevations higher than 6' protected by guardrail, net, or personal fall arrest system? 1926.501(b)(1)

  Yes

  No

  N/A

• No employee working closer than 15' of a leading edge? 1926.501(b); 502(b) & letter of interpretation Troxell 2000

  Safe

  At Risk

  N/A

• Warning line systems erected around perimeter of leading edge 15' away? Letter of interpretation Steigerwald 2005

  Safe

  At Risk

  N/A

• 2" diameter holes and larger securely covered, marked, and able to withstand 200% expected load.

  Yes

  No

  N/A

• Toe boards installed when exposure higher than 6' to prevent falling objects?

  Safe

  At Risk

  N/A

Scaffolds

• Scaffold contains only manufacturer designed components (no mixing without approval)? 1926.451(b)(10)

  Safe

  At Risk

  N/A

• Scaffold on stable ground with base plates and mud sills or other firm foundation? 1926.451(c)(2)

  Safe

  At Risk

  N/A

• Scaffold not erected higher than 4 times the minimum base width without tie backs? 1926.451(c)(1)

  Safe

  At Risk

  N/A

• Scaffold as fully planked as possible? 1926.451(b)(1)(i-ii)

  Safe

  At Risk

  N/A

• Supported scaffold poles, legs, posts, frames, and uprights <br>shall be plumb and braced. 1926.451(c)(3)

  Yes

  No

  N/A

• Fully guard railed when at or over 6' in height?

  Yes

  No

  N/A

Power Tools

• Assured Grounding check in current quarter or GFCI in use? 1926.302(a)(1)

  Safe

  At Risk

  N/A

• Power tools designed to have a guard shall have them equipped. 1926.300(b)(1).

  Safe

  At Risk

  N/A

• Only trained employees are operating powder actuated tools? 1926.302(e)

  Safe

  At Risk

  N/A

• All hand and power tools shall be maintained in a safe condition. 1926.300(a)

  Safe

  At Risk

  N/A

• Lock Out Tag Out procedures used for defective tools? 1926.302(e)(3)

  Safe

  At Risk

  N/A

• Case & switches in good shape and operate freely? 1926.300(d)

  Safe

  At Risk

  N/A

Rigging & Crane Use

• Operator has the authority to stop work when there is a safety concern. 1926.1418

  Yes

  No

  N/A

• Crane is a safe distance from power lines? 50 feet with load. 1926.1409(a) or 20 feet without load? 1926.1411

  Yes

  No

  N/A

• Operator has been trained and has a certification card. Full law in effect November 10, 2017. 1926.1427

  Yes

  No

  N/A

• Operator lifting below 75%, no tandem or other critical picks without approved written plan.

  Yes

  No

  N/A

• A tag or restraint line must be used if necessary to prevent rotation of the load that would be hazardous. 1926.1417(w)

  Yes

  No

  N/A

• Annual Crane inspection completed and documentation reviewed? 1926.1412(f)(1) & 1926.1412(f)(7)(i & ii).

  Yes

  No

  N/A

• Operators manual, load charts, and warnings must be readily available in the operators cab at all times. 1926.1417(c)(1).

  Yes

  No

  N/A

• The operator remains at the controls while the load is suspended unless all exception criteria met. 1926.1417(e)(1)

  Safe

  At Risk

  N/A

• Rigging hardware and slings used correctly and within capacity? 1926.251(a)(2)(ii).

  Safe

  At Risk

  N/A

• Rigging equipment has permanent legible identification markings for capacity and manufacturer. 1926.251(a)(2)(i).

  Yes

  No

  N/A

Fire protection

• Clear egress out of the building? 1926.34(a)

  Yes

  No

  N/A

• Fire extinguishers are in good condition and periodically inspected? 1926.150(a)(4)

  Safe

  At Risk

  N/A

• Fire extinguishers inspected annually? 1926.150(c)(1)(viii)

  Yes

  No

  N/A

• Fire extinguishers are available throughout the project? <br>Minimum 1 per floor, adjacent to stairs, within 100 feet. 1926.150(c)(1)(i&iv).<br>

  Yes

  No

  N/A

• Fire protection and prevention program or "hot work" plan is in place? 1926.24<br>

  Yes

  No

  N/A

• When welding, cutting, or heating operation may cause a fire despite controls in place, additional personnel will act as a "fire watch". 1926.352(e)

  Yes

  No

  N/A

• Is torch assembly equipped with reverse flow check valve?

  Yes

  No

  N/A

• Cylinders protected appropriately?

  Yes

  No

  N/A

• Containers labeled properly: NAPA, GHS etc.

  Safe

  At Risk

  N/A

• Safety cans used for flammable liquids?

  Yes

  No

  N/A

• Flash Arrestor in safety cans containing flammable liquid?

  Yes

  No

  N/A

Ladders and stairs

• Extension ladder 3 rungs above roof? 1910.25(d)(2)(xv)<br>

  Yes

  No

  N/A

• Ladders are setup correctly. Stable, fully open, secured. 1926.1053(b)(4)

  Yes

  No

  N/A

• Employees are maintaining 3 points of contact when climbing a ladder? 1926.1053(b)(21)

  Yes

  No

  N/A

• Ladders are in good condition? No broken, cracked, or missing parts? 1926.1053(b)(16)

  Yes

  No

  N/A

• No employee is standing on or straddling the top step. 1926.1053(b)(13)

  Yes

  No

  N/A

• Stairs having four or more risers or rising more than 30 inches shall have at least one handrail. 1926.1052(c)(1)<br>

  Yes

  No

  N/A

• Pans are level and filled or concrete poured. 1926.1052(b)(1-3)

  Yes

  No

  N/A

Powered Machinery

• Inspections completed daily at start of shift? 1926.601(b)(14). <br>

  Yes

  No

  N/A

• Backup alarms or spotter is in use or clear view to the rear? 1926.601(4)

  Yes

  No

  N/A

• Manufacturer approved attachments?

  Yes

  No

  N/A

• Are they documented by the responsible party?

  Yes

  No

  N/A

• Attachments Secured from movement.

  Safe

  At Risk

  N/A

• Powered industrial truck operator has training certification within three years. 1910.178(I)(4)(iii).

  Safe

  At Risk

  N/A

Electrical Safety

• Electrical panels are labeled.

  Yes

  No

  N/A

• Electrical panels/circuits are effectively enclosed? 1926.405(b)(1)

  Yes

  No

  N/A

• Conductors entering boxes/cabinets are protected from abrasion? 1926.405(b)(1)

  Yes

  No

  N/A

• Extension cords have the ground pin intact? 1926.404(f)(6)

  Yes

  No

  N/A

• Temporary power connections using GFCI? 1926.404(b)(1)(ii)<br>

  Yes

  No

  N/A

• Extension cords are not worn, frayed, or otherwise damaged? 1926.416(e)(1)

  Yes

  No

  N/A

• Light bulbs protected from accidental breakage? 1926.405(a)(2)(ii)(E)

  Yes

  No

  N/A

• All sockets in temporary lighting have bulbs? 1926.416(a)(1)

  Yes

  No

  N/A

Concrete/ Masonry

• Rebar guarded to prevent impalement? 1926.701(b)

  Yes

  No

  N/A

Near Misses

• Any Reported or Occur?

  Yes

  No

  N/A

• Do employees understand the definition?

  Yes

  No

  N/A

• Are employees active identifying near misses and solutions?

  Yes

  No

  N/A

Atmospheric Testing

• Appropriate ventilation?

  Yes

  No

  N/A

• Air Monitoring

  Yes

  No

  N/A

Roof work

• Roof permit completed?

  Yes

  No

  N/A

• Appropriate Fall Protection used?

  Yes

  No

  N/A

Uncommon Issues

• Other (not listed on audit)

  Safe

  At Risk

  N/A

• Follow up needs from the office?<br>

  Yes

  No

  N/A

• Auditor Signature

  Sign

• No cell phone use while walking or driving?

  Yes

  No

  N/A