GENESYS Job Site Weekly Safety Audit

• Client/Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Job Number

• Site Superintendents

First Aid Facilities

• Are first aid cabinets clean, readily avaialable and easily readily accessible to workers at the site?

  Yes

  No

  N/A

• Are there any expired first aid items in the kit?

  Yes

  No

  N/A

• Are employees aware of the location of the first aid kit?

  Yes

  No

  N/A

Fire Prevention and Emergencies

• Does the current Job Safety Analysis display emergency contact names, addresses and numbers?

  Yes

  No

  N/A

• Is personnel aware of exits and rally point locations?

  Yes

  No

  N/A

• Are evacuation plans displayed and understood by site personnel?

  Yes

  No

  N/A

• Are fire extinguishers readily available and clear of obstructions?

  Yes

  No

  N/A

• Flammable liquid containers are properly labeled.

  Yes

  No

  N/A

• Flammable/Combustible material spills are cleaned up immediately.

  Yes

  No

  N/A

• Site trailer fire extinguishers are inspected monthly.

  Yes

  No

  N/A

• Hot work permits are obtained and complted before start of work.

  Yes

  No

  N/A

• Fire watch remains present at the hot work location for 30 minutes after the work is completed.

  Yes

  No

  N/A

Personal Protective Equipment

• Are safety glasses (stamped Z87.1) worn?

  Yes

  No

  N/A

• Are protective goggles, face shield used where there is a danger of flying particles or corrosive materials splash?

  Yes

  No

  N/A

• Are employees utilizing the correct type of glove? leather and/or cut resistant (A4 as minimum)?

  Yes

  No

  N/A

• Face protection is being worn when burning, welding, cutting, grinding or chipping.

  Yes

  No

  N/A

• Is head protection worn correctly and where required?

  Yes

  No

  N/A

• Is hearing protection worn as required?

  Yes

  No

  N/A

• Dust masks, respirators readily avaialble to protect the worker from nuisances, fumes, etc?

  Yes

  No

  N/A

• Are safety toed boots worn by GENESYS site personnel and/or its contractors?

  Yes

  No

  N/A

• Are high visibility clothing (including vests) worn where required?

  Yes

  No

  N/A

• Fall protection is used for work at or above 6 feet (some customers may have more stringent requirements).

  Yes

  No

  N/A

• Eye wash stations are identified, easily accessible, cleared or any debris and in working condition.

  Yes

  No

  N/A

• Adequate supplies of common PPE are available.

  Yes

  No

  N/A

Pre Task Plans

• Pre task plans are applicable, effective and accurately describes the work being done?

  Yes

  No

  N/A

• Specific tools, equipment and PPE are identified in the pre-task plan.

  Yes

  No

  N/A

• Potential hazards are listed for each step of the task.

  Yes

  No

  N/A

• Proper control measures are listed for each hazard.

  Yes

  No

  N/A

• Correct and up-to-date emergency information is listed on the the pre-task plan.

  Yes

  No

  N/A

• Fire watch requirements are included in the pre-task plan.

  Yes

  No

  N/A

• Areas surrounding hot work are discussed to be cleared from any flammable or combustible materials.

  Yes

  No

  N/A

• Supervisors have reviewed the pre-task plan with crew before starting work.

  Yes

  No

  N/A

• Workers have reviewed and signed pre-taks before starting work.

  Yes

  No

  N/A

• Changes have been made as needed to existing pre-task plans.

  Yes

  No

  N/A

• Are the weekly safety topics discussed with personnel? Provide documentation of the discussion.

  Yes

  No

  N/A

• Are daily briefings completed accordingly? Provide copies of the last three safety daily safety meetings.

  Yes

  No

  N/A

• Yes

  No

  N/A

Fall Protection

• Employees that are exposed to fall hazards are tied off.

  Yes

  No

  N/A

• Anchorage points meet the 5,000 lbs. (per person) minimum requirement.

  Yes

  No

  N/A

• Fall arrest system (full body harness, shock absorbing lanyard, and anchorage point) are properly used and inspected.

  Yes

  No

  N/A

• Anchor point locations have been identified.

  Yes

  No

  N/A

• Fall protection is being properly maintained and stored.

  Yes

  No

  N/A

• Fall protection is being worn properly.

  Compliant

  Non-Compliant

  N/A

• Rigging is not being used for fall arrest.

  Compliant

  Non-Compliant

  N/A

Housekeeping

• Are working surfaces clear of obstacles?

  Yes

  No

  N/A

• Are work benches clear of debris?

  Yes

  No

  N/A

• Are tool, that are not in use, put away?

  Yes

  No

  N/A

• Is the job site generally orderly, with trash or waste materials disposed of correctly and frequently?

  Yes

  No

  N/A

• Are flammable materials kept away from igniting sources?

  Yes

  No

  N/A

• Are walking surfaces free from tripping unused items such as hoses, power cords, welding leads, etc.,

  Yes

  No

  N/A

Slips, Trips and Falls

• Are entry and walkways kept clear?

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  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 walking surfaces in good condition?

  Yes

  No

  N/A

• Do personnel keep 3-point of contact on ladders?

  Yes

  No

  N/A

• Is fall protection equipment inspected before use?

  Yes

  No

  N/A

• Is there fall protection practices in places while working above 4', or within 6' of a leading edge?

  Yes

  No

  N/A

• Are all floor openings fully barricaded or protected with secured covers and warning labels?

  Yes

  No

  N/A

Material Handling

• Does the Job Hazard Analysis discuss the handling of materials?

  Yes

  No

  N/A

• Are pinch points, crush or struck hazards discussed in detail in the JSA with incident preventive methods?

  Yes

  No

  N/A

• Have personnel been briefed (and records available for review) on lifting and back safety?

  Yes

  No

  N/A

• Are forklift operators identified and certified to operate the equipment?

  Yes

  No

  N/A

• Do employees practice "buddy lifting" while lifting materials exceeding 50 lbs?

  Yes

  No

  N/A

• Are pinch points, strain and sprain hazards identified and discussed in the daily safety briefing?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If applicable, during the process of removing flights, do employees remain in the clear from all rigging materials being used?

  Yes

  No

  N/A

Rigging

• Is rigging inspected prior to use?

  Yes

  No

  N/A

• Do hooks used for hoisting have a safety latch in place?

  Yes

  No

  N/A

• Are there any signs of deformation, cracks or wear on shackles?

  Yes

  No

  N/A

• Are the any signs of cuts, abrasions, or damage to slings?

  Yes

  No

  N/A

• Do hooks display cracks, deformities or excessive wear?

  Yes

  No

  N/A

• Are there any kinks, broken wires, crush, "bird caging" or rust in wire ropes?

  Yes

  No

  N/A

• Are there any excessive wear, deformation or thread damage to eye bolts?

  Yes

  No

  N/A

• Are anchor points structurally sound and capable of supporting the intended load?

  Yes

  No

  N/A

• Are load rating markings (tags) on all rigging components clear and legible?

  Yes

  No

  N/A

Powered Industrial Trucks - Forklifts

• Does each industrial truck have a warning device that can be heard above the normal noise in the operating area?

  Yes

  No

  N/A

• Are forklifts loads lowered while the truck is traveling?

  Yes

  No

  N/A

• Does the operator rest the forks completely on the ground when not in use?

  Yes

  No

  N/A

• Does the operator wear the seatbelt as required?

  Yes

  No

  N/A

• Is the operator prohibited from carrying loads over personnel and taps the horn before setting the equipment in motion?

  Yes

  No

  N/A

• Are forklifts inspected daily before use?

  Yes

  No

  N/A

• Are only trained personnel allowed to operate industrial trucks?

  Yes

  No

  N/A

Portable Power Tools and Equipment

• Are grinders, saws and similar equipment used with appropriate safety guards?

  Yes

  No

  N/A

• Are rotating or moving parts guarded to prevent physical contact?

  Yes

  No

  N/A

• Are all cord-connected, electrically operated tools and equipment grounded or double insulated?

  Yes

  No

  N/A

• Are Ground Fault Circuit Interrupters (GFCI) used with portable electrical power tools?

  Yes

  No

  N/A

• Are defective pieces red tagged and removed from service?

  Yes

  No

  N/A

Aerial Lifts

• Daily inspection of aerial lifts are completed before use on each shift.

  Yes

  No

  N/A

• Daily inspection sheets are properly completed prior to each shift. (A picture of the current inspection is required if checking "yes")

  Yes

  No

  N/A

• Only aerial lift trained and authorized employees employees are operating aerial lifts.

  Yes

  No

  N/A

• Employees are wearing proper fall protection as required.

  Yes

  No

  N/A

• Yes

  No

  N/A

Hand Tools and Equipment

• Are tools and equipment in good condition?

  Yes

  No

  N/A

• Are chisels, punches or other mushroomed head tools repaired or replaced?

  Yes

  No

  N/A

• Are broken handles on hammers replaced promptly?

  Yes

  No

  N/A

• Is eye and face protection worn while using hand tools that might produce flying materials or breakage?

  Yes

  No

  N/A

• Do files have handles?

  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 performed?

  Yes

  No

  N/A

• Are defective pieces red tagged and removed from service?

  Yes

  No

  N/A

Portable Ladders

• Are all ladders maintained in good condition?

  Yes

  No

  N/A

• Is each ladder equipped with non-slip safety feet?

  Yes

  No

  N/A

• Are ladder rungs and steps free of grease and oil?

  Yes

  No

  N/A

• Do employees face the ladder and use both hands when climbing and descending the ladder?

  Yes

  No

  N/A

• Are ladders inspected prior to use?

  Yes

  No

  N/A

• Are ladders in overall good operating condition?

  Yes

  No

  N/A

Welding and Hotwork Operations

• Are only authorized and trained personnel permitted to use welding, cutting or brazing equipment?

  Yes

  No

  N/A

• Are compressed gas cylinders examined regularly for obvious defects such as rusting or leakage?

  Yes

  No

  N/A

• Are gas cylinders kept away from heat sources?

  Yes

  No

  N/A

• Are empty cylinders marked and are the valves closed and protected by valve caps?

  Yes

  No

  N/A

• Are cylinders, valves, couplings, regulators, hoses and apparatus kept free of oil and grease?

  Yes

  No

  N/A

• Are work and electrode lead cables inspected for wear and damage prior to use, and replaced as necessary?

  Yes

  No

  N/A

• When fire hazards cannot be removed, are shields used to confine heat, sparks and slag?

  Yes

  No

  N/A

• Are firewatchers assigned when welding or cutting is done in locations where a serious fire may occur?

  Yes

  No

  N/A

• Are employees who are exposed to the hazards of welding, cutting or brazing protected with personal protective equipment?

  Yes

  No

  N/A

• When working in confined spaces, are tests for toxic and combustible gases taken prior to welding, cutting or brazing?

  Yes

  No

  N/A

Hazard Communication

• Are SDSs readily available to workers on site?

  Yes

  No

  N/A

• Are flammable liquids in approved safety cans?

  Yes

  No

  N/A

• Are flammable liquids storage containers labeled properly?

  Yes

  No

  N/A

• Are hazardous containers labeled appropriately?

  Yes

  No

  N/A

• Are there supplies on hand for the control of hazardous spills?

  Yes

  No

  N/A

• "Hazard", "DANGER", "CAUTION" signs posted as necessary?

  Yes

  No

  N/A

• Are SDSs radily avaialable on site?

  Yes

  No

  N/A

Confined Space Operations

• Is a Confined Space Entry Permit, signed by the entry supervisor, provided prior to any permit required confined space?

  Yes

  No

  N/A

• Are all lines to a confined space containing inert, toxic, flammable or corrosive materials, shut off and blanked, disconnected or separated before entry?

  Yes

  No

  N/A

• Are gas tests performed for oxygen deficiency, toxic substances and explosive concentrations before confined space entry?

  Yes

  No

  N/A

• Is the atmosphere inside the confined space periodically tested or continuously monitored during the conduct of work?

  Yes

  No

  N/A

• Is there an assigned safety standby employee outside of the confined space, when required, whose sole responsibility is to watch the work in progress, sound an alarm and render assistance if necessary?

  Yes

  No

  N/A

• Before gas welding or cutting is started in a confined space, are hoses checked for leaks, compressed gas cylinders forbidden in the confined space, torches lighted outside the confined space, and is the confined area tested for toxic and combustible gases?

  Yes

  No

  N/A

• Is exhaust ventilation required when welding or hazardous materials are used in a confined space?

  Yes

  No

  N/A

• Is there a confined space emergency plan in place?

  Yes

  No

  N/A

• Are air monitors calibrated as required before use?

  Yes

  No

  N/A

Incident Procedures

• Do personnel know the steps to follow upon the occurrence of an incident, near miss, unsafe condition or unsafe act?

  Yes

  No

  N/A

Unsafe Acts/Conditions

• Have any unsafe acts or conditions been reported and effectively addressed?

  Compliant

  Non-Compliant

  N/A

Control of Hazardous Energy

• Are proper Lockout/Tagout procedures in place?

  Yes

  No

  N/A

• Does the authorized employee attempt to restart or operate the equipment prior to beginning work?

  Yes

  No

  N/A

• Are locks uniquely identified, uniquely keyed, and only used for the purpose of Locking/Tagging?

  Yes

  No

  N/A

• Can the employee identify all hazardous energy sources and associated hazard for the equipment or machine locked out?

  Yes

  No

  N/A

• Have the proper procedures for de-energizing the equipment or machine been verified?

  Yes

  No

  N/A

• Does the employee demonstrate the proper steps for the placement, removal and transfer of Lockout/Tagout devices?

  Yes

  No

  N/A

• Before releasing the machine or equipment from lockout/tagout, does the authorized employee ensure all employees are safely positioned?

  Yes

  No

  N/A

• Before releasing the machine or equipment from lockout/tagout, does the authorized employee notifies affected employees that the Lockout/Tagout devices have been removed?

  Yes

  No

  N/A

Signing Off

• Name of Safety Representative

• Signature of Safety Representative

  Sign

• Superintendent Name

• Superintendent Signature

  Sign