Great Plains Construction Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General site conditions

• Is the site secure?

  Yes

  No

  N/A

• Are the works areas clear of slip trip falls, debris.<br><br>

  Yes

  No

  N/A

• Is house keeping good, clean and tidy.

  Yes

  No

  N/A

Equipment

• Equipment on site have operational back-up alarms.

  Yes

  No

  N/A

• All mirrors on equipment operational.

  Yes

  No

  N/A

• Operators walking around equipment and looking under before operating.

  Yes

  No

  N/A

• Tracks or tires in good work order and adjusted correctly.

  Yes

  No

  N/A

• Seat belts being worn while operating.

  Yes

  No

  N/A

• Equipment checklist being performed daily.

  Yes

  No

  N/A

• Keys removed if not in use and equipment locked.

  Yes

  No

  N/A

• Equipment being used is in sound condition and fit for purpose.

  Yes

  No

  N/A

• Unsafe actions.

  Media

Excavations

• Excavations protected from the public or other workers on-site.

  Yes

  No

  N/A

• Excavations deeper than 3 feet that require workers to be in them, have been reviewed by a competent person and a benching, sloping, shoring, or shielding plan have been put in place.

  Yes

  No

  N/A

• Spoil are more than 2 feet from the edge of the excavation.

  Yes

  No

  N/A

• Workers are not working above an excavation where equipment could fall on a worker in the bottom of an excavation.

  Yes

  No

  N/A

• Unsafe actions.

  Media

Emergency arrangements

• Workers have a first-aid kit on site.

  Yes

  No

  N/A

• Workers are aware of the closet emergency room facility.

  Yes

  No

  N/A

• Workers know the number to call for emergency response personnel and know the directions to the site.

  Yes

  No

  N/A

Management procedures.

• JSA and tool box talks have been completed for workers on site.

  Yes

  No

  N/A

• Workers understand the scope of work.

  Yes

  No

  N/A

• Workers are capable to perform the specific scope of work in a safe manner.

  Yes

  No

  N/A

Environmental

• Spill kits is on site.

  Yes

  No

  N/A

Personal Protective Equipment

• All workers on site were wearing Head Protection, in good order.

  Yes

  No

  N/A

• Operatives were observed wearing hearing protection if needed.

  Yes

  No

  N/A

• Safety goggles or glasses were being worn for the correct operation.

  Yes

  No

  N/A

• Gloves fit for the task were worn. <br>

  Yes

  No

  N/A

Overhead & Underground Services

• Overhead & underground services/hazards have been identified and discussed with workers on site.

  Yes

  No

  N/A

• OKIE811 has been called and locates are up to date.

  Yes

  No

  N/A

• OKIE #:

Traffic Management

• Traffic management plan is in place and being followed

  Yes

  No

  N/A

Signatures.

• Signed by site supervisor

  Sign

• Received by lead operator

  Sign

• Time and date of inspection

  Date

• Remedial action to be completed by

  Date

• Add drawing

  Drawing