Information
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Audit Title/Job Name
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Job No.
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Conducted on
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Prepared by
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Location
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Superintendent
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Project Manager
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Inspected With
1. Personal Protective Equipment
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1.1 Safety glasses and/or goggles available & used
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1.2 High visibility vests/class II vests where required
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1.3 Face shield available for bulk liquid tasks or grinding
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1.4 Hand protection used/worn as required
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1.5 Foot protection worn where required
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1.6. Hard hats worn as required
2. Tools
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2.1 Portable circular saws equipped with protective guards<br>
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2.3 Pneumatic power tools have hoses secured
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2.4 Hand grinders have guards in place
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2.5 Table saws are properly guarded
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2.6 Electric power tools are double insulated or grounded
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2.7 Compressed gas cylinders not in use have caps in place
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2.8 Compressed gas cylinders stored secured & upright
3. Electrical
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3.1 Energized breaker panels have covers & breakers are labeled
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3.2 Cords are protected from damage such as vehicles
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3.3 Electrical panel knockouts are in place
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Lockout tagout procedures are being followed
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Light bulbs for illumination protected from breakage and have bulbs provided
4. Fire Protection
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4.1 Flammable liquids are in metal safety cans
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4.2 Burn permits are completed and at the location of hot work operations
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4.3 Fire extinguisher readily available, accessible & inspected
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4.4 Fire extinguishers inspected monthly/annually as needed
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4.5 Flammable liquids storage containers labeled properly
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4.6 Combustible material and waste is removed from the building on a regular basis
5. Cranes and Forklifts
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5.1 Mobile crane setup properly
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5.2 Overhead hazards/power lines indentified
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5.3 Tag lines are used during hoisting
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5.4 Rigging is inspected for ware and damage
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5.5 Forklift and Crane inspections completed
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5.6 Forklift, Crane, Rigger and signal person training current
6. General Safety Issues
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6.1 Required postings are posted on bulletin board
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6.2. Subcontractor safety plans and MSDS are on site
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6.3. General housekeeping is neat and orderly - cord management - nothing hits the floor
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6.4 Exit and pathways are free from material and debris
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6.5 Exits are clearly marked
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6.6. Public hazards evaluated
7. Fall Protection
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7.1 Wall openings & floor holes are guarded or covered
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7.2 Guardrails (top rails at 42" +/- 3" and mid rail halfway between) and toe boards in place
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7.3 Cable guardrails are taught with minimal deflection
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7.4 Warning lines are set back from edge at least 15'
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7.5 Fall body harness & lanyard used when employees are exposed a fall hazard
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7.6 100% fall protection in place above 4'
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7.7 Rebar protection in place for protruding rebar and form stakes
8. Excavations
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8.1 Protection from cave-ins for >4' deep
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8.2 Ladders in place every 25' and extended 3' above ground
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8.3 Trench boxes are less than 2' off the trench floor
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8.4 Standing water has been removed from the trench
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8.5 Fall protection around the trench is in place
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8.6 Soil spoils are greater than 2' from the excavation
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8.7 Trench is inspected daily and as needed
9. Scaffold / Aerial lifts
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9.1 Work platforms are fully planked
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9.2 Ladders are provided on scaffolds
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9.3 Guardrails and toe boards which meet requirements are in place when over 6'
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9.4 Base plates are in place
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9.5 Scaffolds are set up on firm footing
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9.6. Tied to structure at 4:1 base ratio and at the following 26'
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9.7 Scaffolds are plumb and square
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Aerial lifts used properly
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Aerial lift operator trained
10. Ladders, Stairs, and Ramps
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10.1 Ladders are safe and inspected as appropriate
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10.2 Extension & straight ladders extend 3' beyond landing
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10.3 Step ladders are only used in the open position
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10.4 Stair rail are provided when change in elevation is greater that 30" or there are 4 risers or more
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10.5 Stair or ladder is provided for access points > 19" high
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10.6 Ramps used for access are at least 18" wide
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Audit conclusions and items still needing attention
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Add media
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FORMA Superintendent
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FORMA Safety Representative
