Gerace Construction Site Safety Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

A. General Site Conditions

• A.1 Materials stored properly?

  Safe

  At Risk

  N/A

• A.2 Tripping hazards/Scraps picked up?

  Safe

  At Risk

  N/A

• A.3 Ice salted/Snow shoveled?

  Safe

  At Risk

  N/A

• A.4 Adequate signs, tags, barricades in use?

  Yes

  No

  N/A

• A.5 Adequate sanitary facilities?

  Yes

  No

  N/A

• A.6 First Aid Kit onsite & available?

  Yes

  No

  N/A

• A.7 Eye Wash onsite & available?

  Yes

  No

  N/A

• A.8 Employee Information Posters (OSHA, Hazcom, Rules, etc...)

  Yes

  No

  N/A

• A.9 Is general housekeeping neat and orderly?

  Yes

  No

  N/A

• A.10 Are wall openings & floor holes covered or guarded?

  Yes

  No

  N/A

• A.11 Is JSA filled out and reviewed by all workers?

  Yes

  No

  N/A

• A.12 Is crew participating in the Gerace Stretching Program?

  Yes

  No

  N/A

• A.13 Have all employees filled out a CHAT card for the week?

  Yes

  No

  N/A

• A.14 Has the supervisor filled out a Weekly Safety Audit?

  Yes

  No

  N/A

• A.15 Has crew produced a weekly Near Hit Form?

  Yes

  No

  N/A

B. Heavy Equipment

• B.1 Is there adequate power line clearence?

  Safe

  At Risk

  N/A

• B.2 Is operator trained and knowledgable?

  Safe

  At Risk

  N/A

• B.3 Is rigger/signal trained & knowledgable?

  Safe

  At Risk

  N/A

• B.4 Seats belts in use?

  Safe

  At Risk

  N/A

• B.5 Is there a fire extinguisher in cab?

  Yes

  No

  N/A

• B.6 Is the operators manual, load charts and inspections in the cab?<br>

  Yes

  No

  N/A

• B.7 Is work area/swing radius controlled/barricaded?

  Safe

  At Risk

  N/A

C. PPE

• C.1 Safety glasses w/ side shields worn

  Safe

  At Risk

  N/A

• C.2 Are face-shields being used for chipping, grinding or welding?

  Safe

  At Risk

  N/A

• C.3 Hearing protection being worn as required?

  Safe

  At Risk

  N/A

• C.4 Hard hats being worn?

  Safe

  At Risk

  N/A

• C.5 Proper gloves worn?

  Safe

  At Risk

  N/A

• C.6 Harness and lanyard in good condition & being worn correctly?

  Safe

  At Risk

  N/A

• C.7 Suitable anchor point?

  Safe

  At Risk

  N/A

• C.8 Outer clothing suits task?

  Safe

  At Risk

  N/A

• C.9 Respiratory protection as required.

  Safe

  At Risk

  N/A

D Electrical

• D.1 All cords & tools protected by GFCI?

  Safe

  At Risk

  N/A

• D.2 Ground plugs on all cords?

  Safe

  At Risk

  N/A

• D.3 Extension cords and tools in good shape?

  Safe

  At Risk

  N/A

• D.4 Are cords hung out of path, in water, or sharp objects?

  Safe

  At Risk

  N/A

• D.5 10' minimum clearance from power lines?

  Safe

  At Risk

  N/A

• D.6 Electrical panels properly marked?

  Safe

  At Risk

  N/A

• D.7 Temporary lighting and wiring in compliance?

  Safe

  At Risk

  N/A

E Torches/Cylinders/L.P.

• E.1 Cylinders restrained & oxygen separated from fuel by 20' or separated by a wall?

  Safe

  At Risk

  N/A

• E.2 Torch, regulator, hose & couplings in good shape?

  Safe

  At Risk

  N/A

• E.3 Unused cylinders capped?

  Safe

  At Risk

  N/A

• E.4 Torches, hoses, regulators stored?

  Safe

  At Risk

  N/A

• E.5 Compressed gas cylinders stored secured & upright?

  Safe

  At Risk

  N/A

G. Tools

• G.1 Guards are in place and working

  Safe

  At Risk

  N/A

• G.2 Handles in place & in good shape?

  Safe

  At Risk

  N/A

• G.3 Bits & blades sharp & free from defects?

  Safe

  At Risk

  N/A

• G.4 Proper pins & shear bolts in place?

  Safe

  At Risk

  N/A

• G.5 Tools being used as intended?

  Safe

  At Risk

  N/A

H. Aerial Work Platforms

• H.1 Pre-operational checklist completed?

  Yes

  No

  N/A

• H.2 Operator license current?

  Yes

  No

  N/A

• H.3 Tied off in basket, safety chain latched?

  Safe

  At Risk

  N/A

• H.4 Adequate barricades around work area?

  Safe

  At Risk

  N/A

• H.5 Operations manual located in lift?

  Yes

  No

  N/A

• H.6 Is lift basket free from trip hazards, is it being used to lift material?

  Safe

  At Risk

  N/A

J. Fire Protection

• J.1 Fire extinguisher-correct type & quantity?

  Yes

  No

  N/A

• J.2 Inspection tag up to date?

  Yes

  No

  N/A

• J.3 Pin in place & properly secured?

  Yes

  No

  N/A

• J.4 Flammable liquids in approved containers?

  Safe

  At Risk

  N/A

• J.5 Is bulk fuel stored within 20' of a structure?

  Yes

  No

  N/A

• J.6 No smoking signs in place & obeyed?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign