Field Project Manager/Superintendent Safety & Productivity Survey

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Electrical Safety

• Are all extension cords and too cords free from visible damage?<br>

  Yes

  No

  N/A

• Do all cords have a properly grounded plug (all three prongs are present on plug)?

  Yes

  No

  N/A

• Are GFCI (ground fault) receptacles in use on all power source cords and tools?

  Yes

  No

  N/A

• 100%

  75%

PPE (Personal Protective Equipment)

• Are hard hats and safety glasses worn?

  Yes

  No

  N/A

• Is any safety equipment needed that is not being used?

  Yes

  No

  N/A

Site Conditions

• Are there adequate ramps, stairs and ladders?

  Yes

  No

  N/A

• Are dust masks or respirators needed?

  Yes

  No

  N/A

• Is the ground clean/level?

  Yes

  No

  N/A

• Are the walkways and work areas kept clear of tools, debris, hazards, etc.?

  Yes

  No

  N/A

• Are the stairs filled properly (no longer metal shells)

  Yes

  No

  N/A

• Does the site have adequate and proper handrails?

  Yes

  No

  N/A

• Are fire extinguishers on each floor and properly charged?

  Yes

  No

  N/A

• If working in an open excavation is it properly sloped?

  Yes

  No

  N/A

• Is excavated soil properly placed?

  Yes

  No

  N/A

• Is appropriate shoring used?

  Yes

  No

  N/A

Planning

• Does planning consider human interaction (I.e. repetitive use of tools or postures) with tools, material or equipment?

  Yes

  No

  N/A

• Are new products or techniques considered for installation or safety?

  Yes

  No

  N/A

• Are effective rules determined for start/stop time breaks, personal cell phone use etc.?

  Yes

  No

  N/A

• Are rules (such as standard of excellence or SAC work/safety rules) enforced?

  Yes

  No

  N/A

• Does the planning process determine work activities five or more days in advance?

  Yes

  No

  N/A

• Is there proper access to the trench?

  Yes

  No

  N/A

• Is there proper storage of materials in and above?

  Yes

  No

  N/A

Fall Protection

• Are ladders secured?

  Yes

  No

  N/A

• Are ladders safe for use? (no missing rungs, fully extended, top steps not in use)

  Yes

  No

  N/A

• Is fall protection being properly used?

  Yes

  No

  N/A

• Is fall protection being worn?

  Yes

  No

  N/A

• Are guardrails/barricades properly located and adequately secured?

  Yes

  No

  N/A

• Is fall protection in a safe and useable protection?

  Yes

  No

  N/A

Work Production/Tools

• Is sufficient task lighting available and used in addition to general lighting?

  Yes

  No

  N/A

• Are ergonomically designed hand and power tools in use for repetitive tasks?

  Yes

  No

  N/A

• Are power tools in good condition and tagged defective as needed?

  Yes

  No

  N/A

• Are lifts, scaffolds, ladders and platform ladders selected based on task?

  Yes

  No

  N/A

• Are daily lift inspections being completed?

  Yes

  No

  N/A

• Are the lifts in a safe, usable condition?

  Yes

  No

  N/A

• Are the lifts properly loaded?

  Yes

  No

  N/A

• Are PPE, guards and cords used as required?

  Yes

  No

  N/A

• Is PPE used as a means to reduce fatigue?

  Yes

  No

  N/A

• Are proper extension cords (outdoor, rated over 300 watts)

  Yes

  No

  N/A

• Are the extension cord casings, ends and connectons?

  Yes

  No

  N/A

• Is temporary power supply properly identified?

  Yes

  No

  N/A

• Are the GFCI's used where required?

  Yes

  No

  N/A

• Are overhead lines flagged and secured?

  Yes

  No

  N/A

• Is supervision empowered to stop unproductive and risky work activities?

  Yes

  No

  N/A

• Is a productivity measurement in use?

  Yes

  No

  N/A

Material Handling

• Is manually handled material stored/staged 24" or higher off the ground?

  Yes

  No

  N/A

• Are vehicles inspected on a regular basis to reduce risk and ensure organization?

  Yes

  No

  N/A

• Are all gang boxes mobile and laid out, lit and labeled in a consistent and systematic manner?

  Yes

  No

  N/A

• Are all trailers/conex boxes adequately laid out, lit and labeled in a consistent and systematic manner?

  Yes

  No

  N/A

• Are carts and other pieces of equipment fitted with a minimum 6" roller bearing wheels?

  Yes

  No

  N/A

• Does the maintenance program keep carts, wheels and tools in good working order?

  Yes

  No

  N/A

• Are gang boxes, trailers, port a john's, of sufficient quantity to prevent unnecessary walking?

  Yes

  No

  N/A

• Are carts used to move tools and materials planned and equipped daily (or more often)?

  Yes

  No

  N/A

• Are carts within 6' of the installation point?

  Yes

  No

  N/A

• Are most used items stored/staged between knee and shoulder height?

  Yes

  No

  N/A

• Do material staging points and gang boxes move as the job progresses?

  Yes

  No

  N/A

• Project Manager/Superintendent

  Sign

• Select date

  Date

• Foreman

  Sign

• Select date

  Date