Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Field Manager
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Personnel
Administration
Weekly Safety Meeting
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Weekly Safety Meeting documented with 100% attendance
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Comments / Corrective Measures:
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Monthly JOHSC
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Current Months Minutes Posted?
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Previous 2 Months Minutes Posted?
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Posted in common area?
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General Safety Orientations
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Is a site specific orientation provided?
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Do subcontractors receive the orientation?
Job Specific Training
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Is job specific training provided?
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Is the training documented?
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Incident Reporting
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Are incidents reported to supervision immediately?
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Are near misses reported?
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Are incident investigations reports completed within 24 hours?
Mobile Equipment Inspection Reports
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Is mobile equipment utilized by the crew?
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Is an inspection completed before use?
Personal Protective Equipment Selection
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Does supervision ensure adequate PPE available for the employees based on the job task?
Emergency Evacuation
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Are emergency evacuation procedures and emergency telephone numbers known and posted?
Medical evaluations
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Do all employees receive medical evaluations when necessary?
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Are first aid kits sufficiently stocked
Policies and Procedures
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Is supervision able to locate CCS policies and procedures when requested?
WHMIS
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Are Hazardous Materials properly labeled?
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Can supervision located MSDSs when requested?
Contractor Qualifications
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Are contractors qualified and approved by CCS Safety Department?
Behavior and Procedures
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Are all incidents reported immediately by workers to the Supervisor/Manager?
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A supervisor/manager is contacted by worker prior to receiving treatment for any work relate injury.
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Mobile equipment inspections reports completed properly
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Are site safe work practices being followed?
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Permits completed as required - confined space, hot work etc.
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Tools and equipment safely/properly used. Employees are trained.
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Housekeeping
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Keep oxygen cylinders a minimum 25' from flammable gas cylinders or combustible materials. Or non combustible barrier in place
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Good housekeeping practiced throughout the day.
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Fire extinguishers are fully charged and inspected
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Fire extinguishers, exits and electrical panels are unobstructed
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Proper storage of combustibles/flammables
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Decontamination trailer clean, proper hygiene procedures being followed.
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Unnecessary debris/trash removed from the work/area
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Proper storage of tools, equipment, supplies and material
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Work areas free from fire hazards
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Work areas sufficiently illuminated
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Extension cords protected on the ground or run overhead/around rails
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Trash containers available and not overflowing
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Locker room facilities provided and properly maintained
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Personal Protective Equipment
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Respirators inspected, cleaned and properly stored
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Fall protection provided when working above 6' (guardrails, harness)
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PFDs inspected and properly worn when working near water
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Hearing protection worn by blasters or when in a noise hazard area
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Face shields worn when grinding, cutting or burning.
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Clear lens safety glasses worn inside buildings, at night, cloudy etc
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Correct PPE used, worn properly and replaced when necessary.
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Additional eye/face protection worn, if necessary (high dust, over-head work, chemical splash)
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Gloves worn consistent with exposures/identified hazards
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High visibility vest worn in high traffic areas for increased visibility
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Minimum PPE being worn in operational areas (hard hats, safety glasses, puncture resistant footwear)
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Tools/Equipment
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Guards on fixed and mobile equipment in place and functional
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Mobile equipment in good working condition
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Ladders in good condition - no broken rungs or cracks, free of oil, slip-resistant foot wear
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Plug ends and cords on tools/extension cords in good condition
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GFCI are used for extension cords, tools and equipment when used outdoors or in damp areas.
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Scaffolds- tagged and inspected by a competent person
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Rigging equipment (slings, chains, cables, hooks, safety latch) inspected and in good condition
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Flash arrestors (flash backs) used on regulators at the bottle and end.
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Fully charged fire extinguisher attached to all mobile equipment
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Corrective Actions
Corrective Action
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HSE Auditor
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CCS Site Representative
Ventilation
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Is a Ventilation Plan required?
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Is there a documented Ventilation Plan?
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Is the ventilation system set up as specified in the plan?
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Anemometer Reading
