GENESYS General Site Safety Audit

• Client / Site

• Prepared by

• Shift

  Day

  Night

• Conducted on

  Date
• Location
  Address

• Site Superintendent

General

• Supervisor / Foreman at time of this inspection

• Current activities being undertaken on site (select all that apply)

Site Safety Inspection

First Aid Facilities

• Are first aid facilities to be inspected in this audit?

  Yes

  No

  N/A

• Are first aid cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are there any expired first aid items?

  Yes

  No

  N/A

• Are First aid cabinets clean, readily available and easily accessible?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet(s)?

  Yes

  No

  N/A

• Are emergency numbers displayed for all to see and find in case of an emergency?

  Yes

  No

  N/A

Fire Prevention & Emergency

• Are fire and emergency procedures to be inspected in this audit?

  Yes

  No

  N/A

• Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• Evacuation procedures discussed regularly?

  Yes

  No

  N/A

• Emergency exit lighting operable?

  Yes

  No

  N/A

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is Personal Protective Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Is head protection worn correctly and where required?

  Yes

  No

  N/A

• Are the correct forms of eye protection (Z87.1 stamps on safety glasses) worn for tasks being completed?

  Yes

  No

  N/A

• Is the correct type of gloves being used? Leather and/or cut resistant?

  Yes

  No

  N/A

• Are cut resistant gloves rated to ANSI 4 or higher?

  Yes

  No

  N/A

• Is hearing protection worn in designated areas?

  Yes

  No

  N/A

• Is respiratory protection worn where dust, mist or fumes are present?

  Yes

  No

  N/A

• Are safety toed boots (6" or higher) worn by GENESYS site personnel and its contractors?<br>

  Yes

  No

  N/A

• Are there high visibility vests worn where required?

  Yes

  No

  N/A

Housekeeping

• Is site housekeeping to be inspected in this audit?

  Yes

  No

  N/A

Work Benches & Working Surfaces

• Work benches and areas to be inspected in this audit?

  Yes

  No

  N/A

• Work benches are clear of debris?

  Yes

  No

  N/A

• Are tools not in use put away?

  Yes

  No

  N/A

• Are there damaged hand tools in use?

  Yes

  No

  N/A

• Are there damaged power tools in use?

  Yes

  No

  N/A

• Work surfaces height correct for the type of work and the employee?

  Yes

  No

  N/A

• Is hearing protection used by all personnel in noisy environments?

  Yes

  No

  N/A

• Are workers utilizing hearing protection as required?

  Yes

  No

  N/A

Storage Design and Use

• Site storage to be inspected in this audit?

  Yes

  No

  N/A

• Are materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• Storage designed to minimize lifting problems?

  Yes

  No

  N/A

• Are floors around racking clear of debris or objects that may cause slips, trips or falls?

  Yes

  No

  N/A

• Are racks and pallets in good condition?

  Yes

  No

  N/A

Waste & Debris

• Waste and debris to be inspected in this audit?

  Yes

  No

  N/A

• Are bins/dumpsters located at suitable points around site?

  Yes

  No

  N/A

• Is site generally orderly, with trash or waste materials disposed of correctly?

  Yes

  No

  N/A

• Are bins/dumpsters emptied regularly?

  Yes

  No

  N/A

• Are oily rags and combustible refuse disposed of in covered metal containers?

  Yes

  No

  N/A

• Is the loading / delivery area clean and tidy?

  Yes

  No

  N/A

• Do work and office areas have adequate lighting?

  Yes

  No

  N/A

• Are working surfaces, including work benches in sound and safe condition?

  Yes

  No

  N/A

Trip and Fall Safety

• Trip and fall safety to be inspected in this audit?

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are entry and walkways kept clear?

  Yes

  No

  N/A

• Are stairs and risers kept clear?

  Yes

  No

  N/A

• Are floor surfaces free of liquid spills?

  Yes

  No

  N/A

• Are railings in good condition?

  Yes

  No

  N/A

• Are walking surfaces in good condition?

  Yes

  No

  N/A

• Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Are appropriate measures in place to prevent falls? ie. handrails (preferred) or fall protection equipment?

  Yes

  No

  N/A

• Is all fall protection equipment is visually inspected prior to use?

  Yes

  No

  N/A

• Is there fall protection or fall prevention for all work above 4', or within 6' of a leading edge?

  Yes

  No

  N/A

• Are all floor openings fully barricaded or are protected with a secured cover and labeled?

  Yes

  No

  N/A

• Are personnel below protected from falling materials (i.e. tools, bolts, etc.)?

  Yes

  No

  N/A

• Are employees expected to wear fall protection trained and its use and effectiveness? and records of training available?

  Yes

  No

  N/A

Manual Material Handling

• Are there manual material handling tasks to be inspected in this audit?

  Yes

  No

  N/A

• Have all manual material handling on site been identified?

  Yes

  No

  N/A

• Have Risk Assessments for these tasks been completed where required?

  Yes

  No

  N/A

• Have Risk controls been selected for these tasks using the hierarchy of controls?

  Yes

  No

  N/A

• Are suitable controls in place for repetitive tasks?

  Yes

  No

  N/A

Rigging - (Wear cut resistant gloves when inspecting wire rope slings)

• Are there five broken wires in one strand in one rope lay?

  Yes

  No

• Are there ten randomly distributed broken wires in one rope lay?

  Yes

  No

• Any section of the rope kinked or crushed?

  Yes

  No

• Any bird caging?

  Yes

  No

• Is there any evidence of severe corrosion?

  Yes

  No

• Is there any evidence of heat damage from any cause?

  Yes

  No

• Is the capacity tag missing or not legible on rigging utilized for lifting?

  Yes

  No

Powered Industrial Trucks (Forklifts)

• Is the assigned employee trained and certified to operate a forklift?

  Yes

  No

• Are there records of daily inspections?

  Yes

  No

Body positioning

• Are lifting techniques (lifting with legs, keeping material close to body while carrying, etc.) practiced?

  Yes

  No

• Are ergonomic lift assistance used when possible?

  Yes

  No

• Do employees practice "buddy lifting" for materials heavier than 50 lbs?

  Yes

  No

Hand and Power Tools

• Hand and power tools to be inspected in this audit?

  Yes

  No

  N/A

• Are all tool guards in place and operable?

  Yes

  No

  N/A

• Are power cords in good condition?

  Yes

  No

  N/A

• Are all tools double insulated or have a ground plug?

  Yes

  No

  N/A

• Are ground fault circuit interrupters in place at the source of electricity?

  Yes

  No

  N/A

• Are all power tools in good condition?

  Yes

  No

  N/A

• Are defective pieces of equipment and tools red tagged and removed from service?

  Yes

  No

  N/A

• Are tools stored correctly and in the right place when not in use?

  Yes

  No

  N/A

• Are employees using the proper tool for the task they are performing?

  Yes

  No

  N/A

• Are dust collectors and exhausts provided on tools that produce large amounts of dust?

  Yes

  No

  N/A

Ladders

• Ladders to be inspected in this audit?

  Yes

  No

  N/A

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders inspected and inspection records available for review?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• If used for electrical work are ladders non conductive? (wood or fiber glass.)

  Yes

  No

  N/A

• Are ladders being used according to instructions?

  Safe

  At Risk

  N/A

• For extension ladders: are ropes, pulleys and treads in a good condition?

  Yes

  No

  N/A

• Are ladders used to access heights when higher order controls should be used?

  Safe

  At Risk

  N/A

Electrical Safety

• Are there broken plugs, sockets or switches?

  Yes

  No

  N/A

• Are there extension cords unprotected and creating a tripping hazard?

  Yes

  No

  N/A

• Are there frayed or damaged extension cords?

  Yes

  No

  N/A

• Are there strained extension cords?

  Yes

  No

  N/A

• Where required are there emergency shut-down procedures in place?

  Yes

  No

  N/A

Chemical Safety

• Are Safety Data Sheets (SDSs) readily available?

  Yes

  No

  N/A

• Have risk assessments been completed for hazardous substances?

  Yes

  No

  N/A

• Are all containers labeled correctly?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Are workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers available and easily accessible?

  Yes

  No

  N/A

• Are spill kits or other clean up arrangements available?

  Yes

  No

  N/A

Confined Spaces

• Do all applicable confined space works have adequate permits granted and documented?

  Yes

  No

  N/A

• Is there a confined space emergency plan in place?

  Yes

  No

  N/A

• Are confined spaces being continually monitored?

  Yes

  No

  N/A

• Are all workers undertaking confined space works trained in confined space entry and activities?

  Yes

  No

  N/A

• Air monitors calibrated and "bumped" tested as required prior to use?

  Yes

  No

  N/A

Incident, Injury & Accident Procedures

• Are there incident, near miss and injury procedures in place?

  Yes

  No

  N/A

• Are adequate reporting forms for for these events in place?

  Yes

  No

  N/A

• Are Corrective Actions (from previous incidents) implemented?

  Yes

  No

  N/A

• Are employee familiar with incident reporting and emergency procedures?

  Yes

  No

  N/A

• Are notification and emergency numbers conspicuously displayed and accessible to all workers?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign