Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Program Administration

  • Posted E-Verify Poster (English and Spanish)

  • Posted Right to Work Poster (English and Spanish)

  • Insurance Information for Claims

  • OSHA Law posters posted and associated paperwork

  • Employee Assistance Program (EAP) posted

Housekeeping

  • Office areas organized and clear walkways

  • Well maintained laydown yards

  • Passageways and Walkways unobstructed

  • Adequate functional lighting

  • Oil and grease removed from floors

  • All exits clearly marked and identified

  • Exit lighting properly working

  • Power/electrical panels in good condition and no open holes

Fire Prevention

  • Fire extinguisher identified and inspected monthly

  • Hydrants clear, access to public throughfare

  • Access to all Fire Extinguisher is clear/unobstructed

  • Phone numbers of EMS posted

Job Briefing

  • Job Briefing is completed and on the job? 1910.269 (D)

  • All people signed ?

Personal Protective Equipment

  • Safety glasses and/or goggles available & being used? (1926.102)

  • Face shields being used as required?

  • Hand protection used /worn as required? (1926.951)

  • Foot protection worn as required? (1926.96)

  • Hearing protection worn where required? (1926.101)

  • Hard Hats worn as required? (1926.100)

  • Crews wearing appropriate ANSI Class II apparel if required? (1926.201)

  • Arc Flash PPE being used as required?

Fork Trucks

  • Annual inspection current?

  • Daily inspection were done?

  • Seatbelts in use?

Hand and Power Tools

  • Tools neatly stored when not in use?

  • Impact tools, hammers kept free of splinters/mushrooms? (1926.301(c))

  • Grinders (portable & stationary) have guards in place? (196.300(b))

  • Impact style air tools have safety clip/retainers installed? (1926.302(b)(2))

  • Pneumatic power tools have hoses secured? (1926. 302(b)(1))

  • Portable circular saws equipped with protective guards? (1926.304(d))

  • Unsafe hands tools are prohibited? (1926.301(a))

  • Electrical cords in good condition

  • GFCI's available for electrical tool use?<br>

Ladders

  • Ladders are safe and inspected as appropriate? (1926.1053(b)(15))

  • Stair rails - for 30" change in elevation or 4 risers? (1926.1052(c)(1))

  • Stairs or ladder provided for access points > 19" high? (1926.1051(a))

  • Extension & straight ladders extend 3" beyond landing? (1926.1053(b)(1))

  • Stepladders are only used in open position? (1926.1053(b)(4))

Compressed Gases

  • Compressed gas cylinders stored secured & upright? (1926.350(a))

  • Oxygen/acetylene torch units have flash back arrestors? (1926.350(g))

  • Are all cylinders stored properly and at the right distance apart?

  • Are all flammable container are clearly identified

Lockout/ Tagout

  • Tags must be legible and understandable by all employees? (1910.269(d)(2)(vii)(C))

  • Locks, tags, chains or other hardware shall be provided for isolating, securing or blocking of equipment from energy sources? (1910.269.(d)(3)(I))

  • Clearance Procedures for shutting down, isolating, blocking and securing equipment to hazardous energy? Being followed

  • Tags and their means of attachment must be made of material which will encountered in the workplace? (1910.269(d)(2)(vii)(D))

Electrical Operation

  • GFCI's used for all portable electrical hand tools? (1926.404)

  • Light bulbs for illumination has protective covers?

  • LOTO being used for appropriate task? (1910.147)

  • For Extension cords: hard usage cord includes three - wire cords marked S, ST, SO, STO, SJ, SJO, SJT or SJTO (1926.405(5)(a)(2))

  • Electrical cords inspected & have all prongs intact? (1926.404(f)(8))

  • Portable generators are grounded per NEC requirements? (1926.4049f)(2))

  • Electrical power tools are double insulated or grounded? (1926.302(a))

Trenching and Excavation

  • Excavation - ladders if > 4 ft deep ? extended 3 ft? 50 ft apart? (1926.651(c)(2))

  • Excavation - protection from cave -ins for > 5ft? (1926.652(a))

  • Sloping and shoring evaluated? (1926.652 (f))

  • Daily inspection? (1926.651(k))

  • Spoil or equipment placed 2 ft away from edge of excavation? (1926.651(j)(2))

  • Is the competent person identified?

  • Tabulated data on site with shoring equipment?

Confined Space Entry

  • Confined space entry work? Posted? (1910.146(c))

  • Form filled out properly

  • Air monitoring? (1910.146 App B)

  • Training in place?

  • analyzer present and be tested?

Arc Welding

  • Cords and hoses in good shapes?

  • Shielding in place to prevent eye flash to passing employee?

  • Welding helmet properly maintained?

  • Is hotwork permit present?

Miscellaneous

  • Water on Floor?

  • Equipment leaks ( oil, water or steam)

  • undefined

  • undefined

  • undefined

Signautres

  • Select date

  • Add signature

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