HBI Site Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Job Name:

• Foreman:

• Project Manager:

• Mechanical/Electrical Contractor:

• General Contractor:

• Select date

  Date

1.0 Administrative

• 1.1 Are Pre-Task Plans being done daily?

  Yes

  No

  N/A

• 1.2 Have all on-site employees been orientated to the job site?

  Yes

  No

  N/A

• 1.3 Have all on-site employees read and signed the Safety & Risk Management Plan?

  Yes

  No

  N/A

• 1.4 Are Tool Box Talks or Safety Meetings being held weekly? If so where, when and by whom?

  Yes

  No

  N/A

• 1.5 Are HBI employees conducting Stretch & Flex everyday?

  Yes

  No

  N/A

• 1.6 How many Hudson Bay Insulation employees are on-site today?

2.0 Personal Protective Equipment - PPE

• 2.1 Are safety glasses, gloves and hard hats in serviceable condition and worn at all times?

  Yes

  No

  N/A

• 2.2 Are dust masks and/or respirators being used?

  Yes

  No

  N/A

• 2.3 Are earplugs being used by employees around loud noise areas?

  Yes

  No

  N/A

3.0 Fall Protection

• 3.1 Are all employees wearing appropriate fall protection that may be exposed to leading edges or falls greater than 4' (feet)?

  Yes

  No

  N/A

• 3.2 Was a fall protection work plan created and explained to the employees who are at risk performing the work?

  Yes

  No

  N/A

• 3.3 Are guardrails constructed with a Top Rail of (36" to 42"), Mid Rail & Toe Board?

  Yes

  No

  N/A

• 3.4 Are tie-off points capable of withstanding 5,000 lbs. of force?

  Yes

  No

  N/A

• 3.5 Have fall protection devices and equipment been inspected and in serviceable condition?

  Yes

  No

  N/A

• 3.6 Are fall protection devices and equipment being used correctly?

  Yes

  No

  N/A

• 3.7 Are floor holes/penetrations protected, marked and secured?

  Yes

  No

  N/A

• 3.8 Are wall openings guarded?

  Yes

  No

  N/A

4.0 Ladders

• 4.1 Are ladders in serviceable condition? (split legs or rails, rubber foot pads present, bent or missing rungs, spreader bars in place and secure, missing rivets)

  Yes

  No

  N/A

• 4.2 Are ladders being used correctly?

  Yes

  No

  N/A

• 4.3 Are manufacturer labels and stickers present and legible?

  Yes

  No

  N/A

• 4.4 Are extension ladders tied off at the top and bottom, extending at least 36" above the landing point and set to a proper pitch of 4:1?

  Yes

  No

  N/A

5.0 Aerial Lifts

• 5.1 Was a pre-start inspection completed on the aerial lift prior to starting work?

  Yes

  No

  N/A

• 5.2 Was a work zone inspection completed prior to starting work?

  Yes

  No

  N/A

• 5.3 Are the inspections recorded on the Aerial Lift Inspection Sheet prior to the start of each shift?

  Yes

  No

  N/A

• 5.3.1 Manufacturer

• 5.3.2 Model Number

• 5.4 Is the operator certified to use the lift?

  Yes

  No

  N/A

• 5.5 Are the lifts being used appropriatly?

  Yes

  No

  N/A

• 5.6 Are employees using fall protection inside the lifts?

  Yes

  No

  N/A

6.0 Tools - Hand, Power & PAT

• 6.1 Are the appropriate tools being used for the work being performed?

  Yes

  No

  N/A

• 6.2 Are tools safely stored and carried when not in use?

  Yes

  No

  N/A

• 6.3 Have the tools been inspected for serviceability and maintenance prior to use?

  Yes

  No

  N/A

• 6.4 Are power tools properly grounded? If so by what means?

  Yes

  No

  N/A

• 6.5 Are damaged or malfunctioning tools tagged out until repaired or replaced?

  Yes

  No

  N/A

• 6.6 Are all mechanical guards and safety devices in place and secure?

  Yes

  No

  N/A

• 6.7 Are all operators qualified to operate PAT's?

  Yes

  No

  N/A

• What is the control plan for used and unused PAT cartridges?

7.0 Electrical Protection

• 7.1 Have extension cords been inspected for wear, damage or missing ground prongs?

  Yes

  No

  N/A

• 7.2 Are GFCI's in use for all electrical tools or equipment on temporary circuits?

  Yes

  No

  N/A

• 7.3 Are employees maintaining a minimum 10' clearance from high voltage power lines?

  Yes

  No

  N/A

• 7.4 Are Lock Out Tag Out procedures being utilized to safeguard employees from energized system hazards?

  Yes

  No

  N/A

8.0 First Aid & Emergency Preparedness

• 8.1 Are there First Aid & Bloodborne Pathogen kits inside each gang box?

  Yes

  No

  N/A

• 8.2 Are there at least 2 eye wash bottles in each gang box? What are their expiration dates?

  Yes

  No

  N/A

• 8.3 Are there HBI employees who are certified in CPR & First Aid on-site? If so, who are they?

  Yes

  No

  N/A

• 8.4 Is there a jobsite First Aid Station on-site? If so, where is it located?

  Yes

  No

  N/A

• 8.5 Where is the closest Hospital or US Healthworks location?

• 8.6 In the event of an emergency, is there a rally point or marshaling area? If so, where is it located?

  Yes

  No

  N/A

• 8.7 Are emergency numbers posted in one location? If so, where are they located?

  Yes

  No

  N/A

9.0 Housekeeping

• 9.1 Are there clear and safe routes for ingress and egress into work areas?

  Yes

  No

  N/A

• 9.2 Are work areas clean and orderly?

  Yes

  No

  N/A

• 9.3 Is lighting suitable for work being completed?

  Yes

  No

  N/A

• 9.4 Are material storage areas safeguarded from inclement weather?

  Yes

  No

  N/A

• 9.5 Is material stored or positioned to prevent tipping or falling?

  Yes

  No

  N/A

• 9.6 Are tools, gang boxes, ladders & lifts secured at the end of shift?

  Yes

  No

  N/A

• 9.7 Is there a centralized break area or lunch room? Where is it located?

  Yes

  No

  N/A

• 9.8 Are there enough toilets and washing facilities on the jobsite?

  Yes

  No

  N/A

• Notes / Comments

• Foreman:

  Sign

• Inspector:

  Sign

• Add media

  Media