Georgia Pacific General Site Audit

• Document No.

• Audit Title

• Job Number

• Conducted on

  Date

• Prepared by

• Personnel

• Basic Work Description:

• Any Subcontractors?:

• Buildings Work is being Performed:

• GP Representatives for Current Projects:

1. General Information

• 1.1 Did any company representatives accompany the inspector?

  Yes

  No

  N/A

• 1.2 Are all Safety/HazCom/Emergency Programs on site?

  Yes

  No

  N/A

• 1.3 Are OSHA posters/Emergency numbers posted?

  Yes

  No

  N/A

• 1.35 Are Daily JHA forms filled out?<br>AWS: <br>Subcontractors:

  Yes

  No

  N/A

• 1.4 Are Confined Space Hazards identified and addressed - Permits Issued?<br>AWS:<br>Subcontractors:

  Yes

  No

  N/A

• 1.5 Are Hot work Permits being used accordingly?<br>AWS:<br>Subcontractors: <br>

  Yes

  No

  N/A

• 1.6 Are Gas Cylinders stored and used properly?

  Yes

  No

  N/A

• 1.7 Are first aid kits available and properly stocked?

  Yes

  No

  N/A

• 1.8 Are fire extinguishers available/charged/inspected?

  Yes

  No

  N/A

• 1.9 Is Material storage proper?

  Yes

  No

  N/A

• 1.10 Is housekeeping and sanitation proper?

  Yes

  No

  N/A

• 1.11 Are flammable materials in approved containers and properly labeled?

  Yes

  No

  N/A

• 1.12 Are all hand tools properly labeled/used/stored?

  Yes

  No

  N/A

• 1.13 Are barricades around work and traffic proper?

  Yes

  No

  N/A

2. Personal Protective Equipment (PPE)

• 2.1 Is all PPE provided by employer and readily available on site?

  Yes

  No

  N/A

• 2.2 Is respiratory protection proper/silica standard enforced?

  Yes

  No

  N/A

• 2.3 Is respiratory protection proper?

  Yes

  No

  N/A

• 2.4 Is proper foot protection worn?

  Yes

  No

  N/A

• 2.5 Is proper head protection worn?

  Yes

  No

  N/A

• 2.6 Is proper eye protection worn?

  Yes

  No

  N/A

• 2.7 Is hand protection/gloves proper?

  Yes

  No

  N/A

3. Fall Protection

• 3.1 Are fall protection plans required and in place - Permits filled out?

  Yes

  No

  N/A

• 3.2 Is fall protection provided at heights over 4 feet or site specific height?

  Yes

  No

  N/A

• 3.25 Are Retractable lanyards being used in scissor lifts?

  Yes

  No

  N/A

• 3.3 Is fall protection equipment inspected and maintained?

  Yes

  No

  N/A

• 3.4 Are stairways protected and properly used?

  Yes

  No

  N/A

• 3.5 Are ladders properly used and maintained?

  Yes

  No

  N/A

• 3.6 Are all floor holes properly covered or protected?

  Yes

  No

  N/A

4. Electrical

• 4.1 Are GFCI's in use?

  Yes

  No

  N/A

• 4.2 Is temporary lighting used and proper?

  Yes

  No

  N/A

• 4.3 Are lockout/tagout procedures in place and being used properly?

  Yes

  No

  N/A

• 4.4 Are extension cords maintained/taped/hung and being used properly?

  Yes

  No

  N/A

5. Scaffolding

• 5.1 Is a scaffold competent person on site?

  Yes

  No

  N/A

• 5.4 Is fall protection provided for anyone working on scaffolding if required?

  Yes

  No

  N/A

• 5.6 Are all scaffold frames pinned together?

  Yes

  No

  N/A

• 5.7 Is scaffolding tied to structure using wire?

  Yes

  No

  N/A

• 5.9 Are all work planks properly installed and free of damage?

  Yes

  No

  N/A

• 5.10 Are all guardrails properly installed?

  Yes

  No

  N/A

6. Heavy Equipment

• 6.1 Are all parts/equipment free of damage?

  Yes

  No

  N/A

• 6.2 Are all guards in place and working properly?

  Yes

  No

  N/A

• 6.3 Is all equipment maintained and inspected/documented?

  Yes

  No

  N/A

• 6.4 Does all equipment have working Blue lights/backup alarms/flashing beacons?

  Yes

  No

  N/A

• 6.5 Are all equipment operators trained/licensed?

  Yes

  No

  N/A

• 6.6 Are seatbelts operative and in use?

  Yes

  No

  N/A

• 6.7 Are aerial/scissor lifts properly used/documented/inspected?

  Yes

  No

  N/A

• 6.8 Are forks on the ground when forklift is parked?

  Yes

  No

  N/A

• 6.9 Is all equipment kept more than 10 feet away from overhead power lines?

  Yes

  No

  N/A

7.0 Excavation/Trenching

• 7.1 Is the trench competent person on site?

  Yes

  No

  N/A

• 7.2 Is the trench/excavation inspected daily?

  Yes

  No

  N/A

• 7.3 Has proper soil analysis been completed?

  Yes

  No

  N/A

• 7.4 Is employee protection proper for the type of soil/depth? (Trench Shoes,Shoring,Benching)

  Yes

  No

  N/A

• 7.5 Is safe access/egress provided?

  Yes

  No

  N/A

• 7.6 Are water removal procedures proper?

  Yes

  No

  N/A

• 7.7 Has the trench been evaluated as a confined space?

  Yes

  No

  N/A

• Overall AWS Employee Notes:

• Overall Subcontract Employee Notes:

• Final Audit Notes:

• 8. Overall Rating for the Audit?

  Select Outstanding-No deficiencies Satisfactory-Minor issues Unsatisfactory-Major issues

  • Outstanding-No deficiencies
  • Satisfactory-Minor issues
  • Unsatisfactory-Major issues

• Signature

  Sign