Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1.0 - Previous inspection
-
1.1 - Is this a first inspection?
- Yes
- No
- N/A
-
1.2 - Has the last inspection been reviewed?
-
1.3 - Are there any outstanding actions?
2.0 - Additional Safety Considerations
-
2.1 - Daily Job Hazard/Risk Analysis Forms current?
-
2.2 - SSE Safety Program binder location is known and documented by employees?
-
2.3 - Missing/or inadequate Site Safety Plan?
-
2.4 - Is Personal Protective Equipment (PPE) provided as needed?
-
2.5 - Is the PPE in good condition and are workers trained in its use and care?
-
2.6 - Are workers trained in the use of all equipment and tools used by them, by a competent person?
-
2.7 - Lack of/or inadequate amenities? (Toilets, wash area, lunch room, etc...)?
-
2.8 - Construction equipment notification (horns, back-up beepers) functioning and audible?
2.9 - What are the temperature weather conditions?
3.0 - Emergency Planning
-
3.1 - Emergency Action Plan present and understood by all employees?
-
3.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
-
3.3 - Extinguishers in place, clearly marked for type of fire?
-
3.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
-
3.5 - Adequate direction notices for fire exits?
-
3.6 - Exit doors easily opened from inside?
-
3.7 - Doors along exit routes marked as " Not an Exit".
-
3.8 - Exits clear of obstructions?
-
3.9 - Are "No Smoking" signs posted in areas where flammable or combustible materials are used or stored?
4.0 - General Lighting
-
4.1 - Good natural lighting?
-
4.2 - Reflected light from walls & ceilings not causing glare to employees?
-
4.3 - Light fixtures clean and in good condition?
5.0 - Building Safety
-
5.1 - Floor surfaces even and uncluttered?
-
5.2 - Entry and walkways kept clear?
-
5.3 - Walkways adequately and clearly marked?
-
5.4 - Intersections kept clear of boxes, etc?
-
5.5 - Holes in floors/ceilings/roofs?
- Safe
- At Risk
- N/A
-
5.6 - Stair and risers kept clear?
-
5.7 - Lack of edge protection?
-
5.8 - Are fall preventive measures in place and used where edge protection lacking?
-
5.9 - Are elevated surfaces (more than four feet above the floor) provided with guardrails and toe boards?
-
5.10 - Loading area clean and tidy?
6.0 Hazardous Manual Tasks
-
6.1 - Lack of assessment of hazardous manual tasks?
-
6.2 - Inadequate risk controls? (Lifting equipment, lighter loads, PPE, etc...)
7.0 - Trash Removal
-
7.1 - Bins located at suitable points around site?
-
7.2 - Bins emptied regularly?
8.0 - Storage Design and Use
-
8.1 - Materials stored in racks and gang boxes wherever possible?
-
8.2 - Storage designed to minimize lifting problems?
-
8.3 - General condition of racks and pallets?
-
8.4 - Floors around racking clear of trash?
9.0 - Electrical Safety
-
9.1 - Temporary power or existing power?
-
9.2 - GFCI outlets installed?
-
9.3 - GFCI outlets tested weekly and tests recorded?
-
9.4 - Are multiple plug adapters in use?
-
9.5 - Are there broken plugs, sockets or switches?
-
9.6 - No power leads across walkways?
-
9.7 - No frayed or damaged extension cords?
-
9.8 - Do extension cords have a grounding conductor?
-
9.9 - Are portable power tools in good condition, properly grounded and with undamaged cords?
-
9.10 - Lack of lock-out/tag-out (LOTO) procedures for electrical equipment?
-
9.11 - Are switch, receptacle and junction boxes provided with tight-fitting covers or plates?
-
9.12 - Do electrical service panels have doors that can be closed?
-
9.13 - Are service panels clear of combustible materials and other obstructions?
10.0 - Chemical Safety/HAZCOM Program
-
10.1 - Safety Data Sheets (SDS) available?
-
10.2 - Risk assessments completed for hazardous substances?
-
10.3 - All containers labeled correctly?
-
10.4 - If applicable, are special storage conditions followed?
-
10.5 - If required, is PPE available and workers trained in its use?
-
10.6 - Is adequate ventilation provided?
11.0 Ladders
-
11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
-
11.2 - Are ladders in good condition?
-
11.3 - If used for electrical work are they non-conductive?
-
11.4 - Used according to instructions?
-
11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?
12.0 - First Aid
-
12.1 - Are contents regularly checked?
-
12.2 - Is there easy access to first aid kit?
-
12.3 - Employees aware of location of first aid kit?
-
12.4 - If other than 911, are emergency numbers displayed?
13.0 - Lift Condition
-
13.1 - Scheduled maintenance performed?
-
13.2 - Daily inspections performed and documented?
-
13.3 - If required is fall protection inspected daily?
-
13.4 - Lack of or inadequate training for operators?
-
13.5 - Equipment notification (back-up beeper) functioning and audible?
14.0- Gas Cylinders
-
14.1 - Are gas cylinders labeled and secured either to the wall, in a cage or to equipment?
-
14.2 - Are empty gas cylinders also secured at top and bottom and labeled as empty?
-
14.3 - Are fuel-gas cylinders and oxygen cylinders separated by distance or fire resistant barriers while in storage?
15.0 Traffic Management
-
15.1 - Lack of/or inadequate Traffic Management Plan in place?
-
15.2 - Inadequate controls for TMP? (Physical barriers, bollards, speed limits, etc...)
Corrective Actions
-
undefined
Sign Off
-
On site representative
-
Surveyor's signature
