Habitat Wake

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Hardhats worn by all peesonnel

  Yes

  No

  N/A

• Hard hats inspected free of defects

  Yes

  No

  N/A

• Proper foote are worn by all personnel

  Yes

  No

  N/A

• Eye protection worn by all personnel

  Yes

  No

  N/A

• Hearing protection worn when necessary

  Yes

  No

  N/A

• Proper breathing apparatus used when necessary

  Yes

  No

  N/A

• Shirts worn at all times

  Yes

  No

  N/A

INDIVIDUAL SITE REQUIRMENTS

• Site clearly marked with address and lot number

  Yes

  No

  N/A

• Site clearly marked with CAZ

  Yes

  No

  N/A

• Drop zone clearly marked on two story homes

  Yes

  No

  N/A

• Porches more than six feet above grade marked to limit access

  Yes

  No

  N/A

• Fire extinguisher on site and readily available

  Yes

  No

  N/A

• First aid kit on site and fully stocked

  Yes

  No

  N/A

• Rebar and anchor bolts capped

  Yes

  No

  N/A

• Site free of trip hazards

  Yes

  No

  N/A

• Electric cords crossing streets protected by channel

  Yes

  No

  N/A

• GFCI at temp pole provided and tested prior to each shift

  Yes

  No

  N/A

• Competent person on site for each sub contractor/ Volunteer team

  Yes

  No

  N/A

• Subcontractor framing crew Competent person identified

  Yes

  No

  N/A

• Copy of Habitat Wake Written Health and Safety Program on site

  Yes

  No

  N/A

POWER TOOLS

• Instruction given to each Volunteer user on proper use of tool

  Yes

  No

  N/A

• All power tools equipped with operable guards

  Yes

  No

  N/A

• All power tools equipped with proper cords

  Yes

  No

  N/A

• Powder actuated tools used by certified personnel

  Yes

  No

  N/A

LADDERS

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

SCAFFOLDING

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

GUARD RAILS

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

FALL PROTECTION

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

EXCAVATIONS

• Ditch depth 5 ft. Or deeper sloped or sheilded

  Yes

  No

  N/A

• Escape ladder less than 25 ft. From worker in ditch

  Yes

  No

  N/A

• Spoils 2 ft. Or greater back from edge of ditch

  Yes

  No

  N/A

• All trenches clearly marked as hazardous areas

  Yes

  No

  N/A

• Utilities located prior to digging

  Yes

  No

  N/A

• Traffic controled

  Yes

  No

  N/A

HAZ COM

• Flammable liquids stored in metal cans and marked as to contents

  Yes

  No

  N/A

• All flammable and toxic materials properly labeled

  Yes

  No

  N/A

• MSDS on site

  Yes

  No

  N/A

MATERIAL HANDLING

• Fork lift operators certified

  Yes

  No

  N/A

• Boom truck operators certified

  Yes

  No

  N/A

• Boom truck operators check list complete

  Yes

  No

  N/A

• Back up alarms functioning on all equipment

  Yes

  No

  N/A

• Swing radius cordend off

  Yes

  No

  N/A

• Proper hoisting equipment inspected and used

  Yes

  No

  N/A

• Signal person competent in task

  Yes

  No

  N/A

• Rigger competent in task

  Yes

  No

  N/A

• Boom truck set up on stable ground

  Yes

  No

  N/A

• Proper truss setting techniques used per Habitat Wale Written Fall protection Plan

  Yes

  No

  N/A

VOLUNTEERS BREFING

• Each group breaded on Safety Procedures for their tasks

  Yes

  No

  N/A

• PPE provided to each volunteer

  Yes

  No

  N/A

• All volunteers have signed in and provided emergency phone number

  Yes

  No

  N/A

• All volunteers have signed Release Agreement

  Yes

  No

  N/A

• Parental or Guardian Consent Form signed for volunteers under the age of 16

  Yes

  No

  N/A