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