FSSW SSA Audit Inspection Checklist

Information

Project: FSSW I-5 North Coast Corridor
Job #: 3179
Conducted on
Inspection Leader:
Additional Audit Team Members
Name:
Location

1. Postings / Notices / Bulletins

1.1 Required EEO, State, Federal and/or local agency required postings.
1.2 Emergency Action Plan Posted
1.3 Evacuation Plan, including muster points to account for employees
1.4 Spill Response Plan in place and posted
1.5 Notice to employees on where to find Material Safety Data Sheets
1.6 Signs indicating First Aid Station or First Aid Kit locations posted
1.7 No Trespassing Signs posted at entry points to the job site
Site Observations:
Corrective Actions Assigned To (If Applicable)
Date Corrected (If Applicable)
Photos:
Description:

2. Safety Meetings / Planning

2.1 JHA has been completed for the observed tasks
2.2 Weekly Toolbox Talk completed
2.3 Daily Start Card (DSC) is complete and reviews safe production of the day's tasks. (Sign in on Daily Start Card)
2.4 Crew is familiar with the DSC and the hazards of the work (must ask crew members)
2.5 Stretch & Flex has been performed
Site Observations:
Corrective Actions Assigned To (If Applicable)
Date Corrected (If Applicable)
Photos:
Description:

3. Training

3.1 All employees have had required orientation (Sticker on Hard Hat)
3.2 Employees have been trained for the assigned tasks
3.3 Crew has someone trained in First Aid / CPR
3.4 Supervisors have been through supervisor safety training
3.5 Subcontractor orientation completed
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

4. HazComm / Materials

4.1 Material Safety Data Sheets available for all Hazardous Mat'l used on site
4.2 Hazardous mat'l list up-dated and current
4.3 Materials/Containers properly labeled - Contents and Hazard Rating
4.4 Hazardous materials are properly stored
4.5 Employees aware of Right to Know (must ask crew members)
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

5. Housekeeping

5.1 Project work areas are clean and free of excess trash, debris
5.2 Walkways and passageways clear
5.3 Electrical Panels clear of debris/materials to allow full access
5.4 Fire Extinguishers clear of debris/materials to allow full access
5.5 Material and equipment properly stored
5.6 Electrical cords, hoses, welding leads positioned to prevent trip hazards
5.7 Scrap material free of protruding nails or other puncture hazards
5.8 Trash receptacles are provided for work areas and water kegs
5.9 Barricades, and/or rebar caps installed and maintained
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

6. Fire Protection

6.1 Hot Work Permits completed
6.2 Fire extinguishers properly located and accessible throughout job site
6.3 Fire Extinguishers fully charged & inspected monthly/annually
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

7. Welding and Cutting

7.1 Welding Leads & Cutting Torch hoses maintained in good working order
7.2 Combustibles moved a safe distance away from hot work operations
7.3 Flash arrestors installed on all cutting torch setups
7.4 Oxygen, Acetylene & combustibles separated by 20' or 30 min fire rated wall installed / stored upright /secure
7.5 Regulator gauges properly attached and maintained
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

8. Tools and Equipment

8.1 Tools are maintained in a safe condition
8.2 Tools are properly carried and stored
8.3 Pneumatic / hydraulic hose connections properly secured
8.4 Proper tools used for the job performed
8.5 All tools are properly guarded
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

9. Electrical Safety

9.1 Cords to power tools inspected prior to each use
9.2 No tape on any cords - Tools or Extension Cords
9.3 Ground Pins in place when required
9.4 Ground Fault Circuit Interruptors (GFCI) utilized with power tools
9.5 Supply Cords protected against vehicular or pedestrian traffic damage
9.6 Cords maintained "out of water" to prevent possible shock hazard
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

10. Personal Protective Equipment

10.1 Hard hats worn and maintained as required
10.2 High visible/reflective apparel worn as required
10.3 Hearing protection worn as required
10.4 Eye protection required and worn in a proper manner
10.5 Proper foot protection worn for job performed
10.6 Face shield or goggles worn as required
10.7 Gloves worn at all times
10.8 Proper Cutting Goggles used during cutting operations (#3 Shade Min)
10.9 Respiratory Protection worn and cared for as required
10.10 Other: Paper cups available/provided at all water coolers as required. If reusable bottles are provided - Name must be written on Bottle
10.11 Adequate number of sanitary facilities provided & maintained as required
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

11. Fall Protection

11.1 Full Body harnesses and lanyards worn properly and as required
11.2 Lanyards are adequately secured to suitable anchorage
11.3 Perimeter guarding/Handrails in place where required
11.4 Static lines installed and capable of supporting 5,000 lbs. of force per user
11.5 Fall protection equipment is used for fall protection ONLY
11.6 Fall protection inspected and maintained in a safe-for-use condition
11.7 Retrieval plan complete and communicated
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

12. Scaffolds

12.1 Work Platforms fully decked between front uprights & guardrail
12.2 Scaffold grade planking utilized
12.3 Planks extend no less than 6" , and no more than 12" over bearing rail
12.4 Ladder access with landing at 35' intervals as a minimum
12.5 Scaffolds maintain a minimum of 15' from uninsulated electrical lines
12.6 Scaffold Stairways provided with landings at 12' intervals
12.7 Daily inspections conducted by competent person
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

13. Ladders, Stairways and Access

13.1 Ladder access clear and unobstructed
13.2 Ladders positioned at 4:1 ratio - (4 feet high to 1 foot out from wall)
13.3 Ladders extend 3 feet higher than landing point
13.4 Employees utilizing hoist to raise or lower materials (leaving hands free)
13.5 Employees ascending/descending using three points of contact at all times
13.6 All "Job Made" ladders constructed according to specific requirements
13.7 Ladders tied off/secured properly
13.8 Safe and proper access to work area
13.9 Step ladders used properly - full extend - no use of top two steps
13.10 Stair handrails no less than 36" high from tread to top of stair rail
13.11 Stairs having 4 or more risers or more than 30" in height, have handrails
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

14. Excavations

14.1 Sloped and shored properly
14.2 Utilities notified prior to opening excavations
14.3 Competent Person designated as required by OSHA for excavations
14.4 Access and egress provided within 25 ft. of employee(s)
14.5 Daily inspections conducted
14.6 All excavations 20 ft. or greater are PE engineered & stamped
14.7 Coffer dams have a minimum of 2 access and egress points
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

15. Marine Work

Is there any Marine Work?
Move on to Next Section.
15.1 Work Vests buckled and worn as required when working over water
15.2 Gang Planks/Proper and Adequate Access in place with handrails
15.3 Adequate access to allow safe entry to barge from workboats
15.4 Barge(s) in neat and orderly condition
15.5 Life Rings properly roped and located every 200 feet
15.6 Cranes Radius on barges barricaded/Warning devices in place
15.7 Cranes are positively secured to barges as required
15.8 Safety boats available as required
15.9 Water load charts posted and visible to operators
15.10 Rescue drill has been completed
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

16. Railroad Safety Practices

Is there any work associated with the Rail road?
Please move on to the next section.
16.1 Minimum distance from track (25') when train is passing, employees stopped work and observing passing train
16.2 No movement towards trains or tracks after horn blown
16.3 Employees know protection limits
16.4 Unattended equipment is 25' from rail and 250' from crossing
16.5 Unattended equipment properly secured (buckets, loads grounding)
16.6 Employees look both ways before crossing rail and only do so with rail representative's authority
16.7 All vehicles and equipment stop at rail crossings before crossing
16.8 Self propelled equipment has first aid kit, fire ext and audible back up alarms
16.9 Cranes have at least 3 orange cones displayed to designate work area
16.10 Has proof of applicable and non expired railroad training along
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

17. Pile Driving

17.1 Pile Handling Plan (documented)
17.2 Controlled Access Zone-posted,documented
17.3 Cushion Blocks Protected from the Elements
17.4 Have the Bardon chokers been inspected for wear?
17.5 Shackle pins are safety wired on leads and hammer
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

18. Material Handling Equipment

18.1 Back-Up Alarms operational and audible above area noise- 200 ft away
18.2 Seat Belts worn by operators
18.3 Daily, Pre-Operational Inspection Reports completed
18.4 Deficiencies noted on Inspection reports are corrected
18.5 Loads properly secured prior to attempting to relocate
18.6 Licenses or certifications as required
18.7 Equipment operated at safe speeds
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

19. Hoisting and Lifting Equipment

19.1 Chainfalls, come-a-longs and chokers in good condition with current inspection
19.2 Rigging is stored properly
19.3 Rigging inspected daily and prior to each use
19.4 Proper rigging techniques are followed
19.5 Proper crane set-up (swing radius, barricades, outrigger pads)
19.6 Crane Inspections conducted daily and documented
19.7 Legible capacity tags in place as required
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

20. Traffic Control

20.1 Signage / Setup
20.2 Traffic Control Planning
20.3 Certified Flaggers / Training
20.4 Proper Equipment - Reflectors, arrays, crash cushion
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

21. Subcontractor Safety Compliance

21.1 PPE
21.2 Unsafe Practices
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

22. Monthly Focus

Description of Inspection:
Compliant?
Site Obsevations
Date Corrected (if Applicable)
Photos:
Description:

23. Employee Recognition

Recognize a job well done here
Name:
Describe Recognition

24. Subcontractor Safety Compliance

24.1 Employees stop work while being observed
24.2 Employees adjust position / PPE while being observed
24.3 Employees are aware of other crews and other trades in the area
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

25 Employee Behaviors - Body Position

25.1 Employees in pinch points of lines of fire?
25.2 Employees can contact electricity, hot/cold, toxic chemical, other hazards?
25.3 Employees at Risk for sprains/strains
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

26 Employee Behavior - Tool Use

26.1 Employees' tools are in good condition
26.2 Employees are using the right tool for the job?
26.3 Employees know and follow safety procedures / Rules/ Daily Start Card
Site Obsevations
Corrective Actions Assigned To (If Applicable)
Date Corrected (if Applicable)
Photos:
Description:

Sign off

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FSSW SSA Audit Inspection Checklist

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1. Postings / Notices / Bulletins

2. Safety Meetings / Planning

3. Training

4. HazComm / Materials

5. Housekeeping

6. Fire Protection

7. Welding and Cutting

8. Tools and Equipment

9. Electrical Safety

10. Personal Protective Equipment

11. Fall Protection

12. Scaffolds

13. Ladders, Stairways and Access

14. Excavations

15. Marine Work

16. Railroad Safety Practices

17. Pile Driving

18. Material Handling Equipment

19. Hoisting and Lifting Equipment

20. Traffic Control

21. Subcontractor Safety Compliance

22. Monthly Focus

23. Employee Recognition

24. Subcontractor Safety Compliance

25 Employee Behaviors - Body Position

26 Employee Behavior - Tool Use

Sign off

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FSSW SSA Audit Inspection Checklist

Free FSSW SSA Audit Inspection Checklist Checklist

Go digital today!

Convert your paper checklists into digital forms

1. Postings / Notices / Bulletins

2. Safety Meetings / Planning

3. Training

4. HazComm / Materials

5. Housekeeping

6. Fire Protection

7. Welding and Cutting

8. Tools and Equipment

9. Electrical Safety

10. Personal Protective Equipment

11. Fall Protection

12. Scaffolds

13. Ladders, Stairways and Access

14. Excavations

15. Marine Work

16. Railroad Safety Practices

17. Pile Driving

18. Material Handling Equipment

19. Hoisting and Lifting Equipment

20. Traffic Control

21. Subcontractor Safety Compliance

22. Monthly Focus

23. Employee Recognition

24. Subcontractor Safety Compliance

25 Employee Behaviors - Body Position

26 Employee Behavior - Tool Use

Sign off

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