Health, Safety & Environmental Job-Site Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

OHS DOCUMENTATION

• 1. Job Safety Box

  Yes

  No

  N/A

• 2. OHSA and Regulations

  Yes

  No

  N/A

• 3. Company Safety Policy

  Yes

  No

  N/A

• 4. Registration of Constructors (Form 1000)

  Yes

  No

  N/A

• 5. WSIB Clearance Certificate

  Yes

  No

  N/A

• 6. Insurance Certificate

  Yes

  No

  N/A

• 7. Safe Work Procedures / Job Safety Analysis

  Yes

  No

  N/A

• 8. Material Safety Data Sheet (Site Specific)

  Yes

  No

  N/A

• 9. Tool Box Talk Reports

  Yes

  No

  N/A

• 10. JHSC/H&S Representative Posting

  Yes

  No

  N/A

EMPLOYEE TRAINING

• 11. Safety Policy & OHSMS 2013 rev 5

  Yes

  No

  N/A

• 12. WHMIS

  Yes

  No

  N/A

• 13. Fire Extinguisher

  Yes

  No

  N/A

• 14. Fall Protection

  Yes

  No

  N/A

• 15. Confined Space

  Yes

  No

  N/A

• 16. Competent Supervisor

  Yes

  No

  N/A

• 17. Elevated Work Platform

  Yes

  No

  N/A

• 18. Forklift / Zoom Boom (Class 7 Rough Terrain)

  Yes

  No

  N/A

• 19. Chainsaw / Power Actuated Tools

  Yes

  No

  N/A

EMPLOYEE COMPLIANCE

• 20. Eye Protection

  Yes

  No

  N/A

• 21. Hard Hats Worn

  Yes

  No

  N/A

• 22. Foot Protection Worn

  Yes

  No

  N/A

• 23. Hearing Protection Worn

  Yes

  No

  N/A

• 24. Respirators (Paper, Half or Full Face Mask)

  Yes

  No

  N/A

• 25. Reflective Clothing

  Yes

  No

  N/A

• 26. PPE Inspected and Maintained

  Yes

  No

  N/A

• 27. Material Handling

  Yes

  No

  N/A

• 28. Site Specific Procedures Followed

  Yes

  No

  N/A

• 29. Employee Conduct

  Yes

  No

  N/A

PUBLIC PROTECTION

• 30. Site Properly Delineated

  Safe

  At Risk

  N/A

• 31. Proper Signage and Instructions

  Safe

  At Risk

  N/A

• 32. Traffic Control / Pedestrian Control

  Safe

  At Risk

  N/A

• 33. Material Clear of Public Areas

  Safe

  At Risk

  N/A

• 34. Equipment Clear of Public Areas

  Safe

  At Risk

  N/A

• 35. Slip/Trips Hazards Cleared

  Safe

  At Risk

  N/A

FALL PROTECTION

• 36. Guard rails / Barriers

  Safe

  At Risk

  N/A

• 37. Anchorage / Travel Restraint

  Safe

  At Risk

  N/A

• 38. Fall Protection Gear

  Safe

  At Risk

  N/A

• 39. Covers / Safety Nets

  Safe

  At Risk

  N/A

HOUSEKEEPING & MATERIAL STORAGE

• 40. Waste Materials Removed

  Safe

  At Risk

  N/A

• 41. Proper Disposal Method Used

  Yes

  No

  N/A

• 42. Combustible Cylinders Storage

  Safe

  At Risk

  N/A

• 43. Hazardous Material Storage

  Safe

  At Risk

  N/A

• 44. Materials and Tools Storage

  Safe

  At Risk

  N/A

• 45. WHMIS Controlled Product Labels (i.e. workplace labels)

  Safe

  At Risk

  N/A

• 46. Protruding Objects

  Safe

  At Risk

  N/A

• 47. Dust Control Measures

  Safe

  At Risk

  N/A

• 48. Spill Kits and Absorbent Material

  Safe

  At Risk

  N/A

• 49. Bins Organized and Items accessible

  Safe

  At Risk

  N/A

EQUIPMENT CONDITION & USE

• 50. Heavy Equipment

  Safe

  At Risk

  N/A

• 51. Hand Tools / Power Tools

  Safe

  At Risk

  N/A

• 52. Ladders / Scaffolding / Platforms

  Safe

  At Risk

  N/A

• 53. Welding and Torching

  Safe

  At Risk

  N/A

• 54. Hoisting and Rigging

  Safe

  At Risk

  N/A

• 55. Compressors

  Safe

  At Risk

  N/A

• 56. Cranes

  Safe

  At Risk

  N/A

CHECKLISTS

• 57. Drill Rig / Crane

  Yes

  No

  N/A

• 58. Heavy Equipment (Loader)

  Yes

  No

  N/A

• 59. TWM 20 Mixer

  Yes

  No

  N/A

• 60. Forklift / Zoom Boom

  Yes

  No

  N/A

• 61. Supervisor Weekly Inspection

  Yes

  No

  N/A

FIRE PROTECTION & PREVENTION

• 62. Fire Extinguisher (ABC) or as Required

  Yes

  No

  N/A

• 63. Fire Extinguishers Inspected (Tags)

  Yes

  No

  N/A

• 64. Flammable Products Storage

  Safe

  At Risk

  N/A

• 65. Electrical Boxes / Hydrants Clear

  Safe

  At Risk

  N/A

• 66. Hot Work Procedures

  Yes

  No

  N/A

• 67. Fire Watch Person

  Yes

  No

  N/A

EMERGENCY PROVISIONS

• 68. Emergency Contact Numbers Posted

  Yes

  No

  N/A

• 69.Map to Nearest Hospital Posted

  Yes

  No

  N/A

• 70. First Aid & CPR Holder Onsite (min 2)

  Yes

  No

  N/A

• 71. First Aid Kits / Certificates

  Yes

  No

  N/A

• 72. Eyewash Station(s)

  Yes

  No

  N/A

• 73. Signal-Person

  Yes

  No

  N/A

GENERAL CONDITIONS & PROCEDURES

• 74. Washroom Facilities

  Yes

  No

  N/A

• 75. Drinking Water

  Yes

  No

  N/A

• 76. Air Circulation and Ventilation

  Safe

  At Risk

  N/A

• 77. Access and Egress

  Yes

  No

  N/A

• 78. Lighting

  Safe

  At Risk

  N/A

• 79. Barrier Cream / Sun Screen

  Yes

  No

  N/A

EXCAVATIONS

• 80. Ladder Provided

  Yes

  No

  N/A

• 81. Slope or Trench Box / Shoring

  Safe

  At Risk

  N/A

• 82. Water Controlled / Removed

  Safe

  At Risk

  N/A

• 83. Is Excavation Barricaded

  Safe

  At Risk

  N/A

• 84. Atmosphere Monitored

  Safe

  At Risk

  N/A

ELECTRICAL

• 85. Panels / ReceptaclesWeather Protected

  Yes

  No

  N/A

• 86. GFCI's In Use

  Yes

  No

  N/A

• 87. Temporary Lights Rigged and Secured

  Safe

  At Risk

  N/A

• 88. Lockout/Tagout

  Yes

  No

  N/A

WATERFRONT AREA

• 89. Personal Floating Device

  Yes

  No

  N/A

• 90. Rescue Skiff Available

  Yes

  No

  N/A

• 92. Emergency Life Ring

  Yes

  No

  N/A

• Inspector's Signature

  Sign