Information
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Project:
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Description of Work Being Conducted
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Conducted on
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Conducted by;
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Location
1. Postings / Notices / Bulletins
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Were Postings / Notices / Bulletins Audited?
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1.1 Required EEO, State, Federal and/or local agency required postings.
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1.2 Emergency Action Plan Posted
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1.3 Evacuation Plan, including muster points to account for employees<br>
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1.4 Spill Response Plan in place and posted<br>
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1.5 Notice to employees on where to find Material Safety Data Sheets<br>
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1.6 Signs indicating First Aid Station or First Aid Kit locations posted<br>
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1.7 No Trespassing Signs posted at entry points to the job site<br><br>
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Site Observations:
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (If Applicable)
Relevant Photos
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Photos:
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Description:
2. Safety Meetings / Planning
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Were Safety Meetings / Planning Audited ?
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2.1 JHA has been completed for the observed tasks<br>
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2.2 Weekly Toolbox Talk completed<br>
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Site Observations:
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (If Applicable)
Relevant Photos
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Photos:
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Description:
3. Training
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Were Training Requirements Audited?
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3.1 All employees have had required orientation (Sticker on Hard Hat)
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3.2 Employees have been trained for the assigned tasks<br>
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3.3 Crew has someone trained in First Aid / CPR
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3.4 Supervisors have been through supervisor safety training<br>
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
4. HazComm / Materials
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Were Hazcomm / Materials Audited?
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4.1 Material Safety Data Sheets available for all Hazardous Mat'l used on site<br>
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4.2 Hazardous mat'l list up-dated and current
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4.3 Materials/Containers properly labeled - Contents and Hazard Rating<br>
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4.4 Hazardous materials are properly stored<br>
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4.5 Employees aware of Right to Know (must ask crew members)
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
5. Housekeeping
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Was Housekeeping Audited?
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5.1 Project work areas are clean and free of excess trash, debris<br>
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5.2 Walkways and passageways clear
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5.3 Electrical Panels clear of debris/materials to allow full access<br>
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5.4 Fire Extinguishers clear of debris/materials to allow full access<br>
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5.5 Material and equipment properly stored<br>
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5.6 Electrical cords, hoses, welding leads positioned to prevent trip hazards<br>
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5.7 Scrap material free of protruding nails or other puncture hazards
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5.8 Trash receptacles are provided for work areas and water kegs
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
6. Fire Protection
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Was Fire Protection Audited?
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6.1 Hot Work Permits completed<br>
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6.2 Fire extinguishers properly located and accessible throughout job site
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6.3 Fire Extinguishers fully charged & inspected monthly/annually<br>
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
7. Welding and Cutting
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Was Welding and Cutting Audited?
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7.1 Welding Leads & Cutting Torch hoses maintained in good working order
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7.2 Combustibles moved a safe distance away from hot work operations
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7.3 Flash arrestors installed on all cutting torch setups<br>
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7.4 Oxygen, Acetylene & combustibles separated by 20' or 30 min fire rated wall installed / stored upright /secure
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7.5 Regulator gauges properly attached and maintained
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
8. Tools and Equipment
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Was Tools and Equipment Audited?
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8.1 Tools are maintained in a safe condition<br>
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8.2 Tools are properly carried and stored
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8.3 Pneumatic / hydraulic hose connections properly secured
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8.4 Proper tools used for the job performed
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8.5 All tools are properly guarded
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
9. Electrical Safety
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Was Electrical Safety Audited
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9.1 Cords to power tools inspected prior to each use
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9.2 No tape on any cords - Tools or Extension Cords
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9.3 Ground Pins in place when required
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9.4 Ground Fault Circuit Interruptors (GFCI) utilized with power tools
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9.5 Supply Cords protected against vehicular or pedestrian traffic damage
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9.6 Cords maintained "out of water" to prevent possible shock hazard
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
10. Personal Protective Equipment
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Was Personal Protective Equipment Audited?
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10.1 Hard hats worn and maintained as required<br>
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10.2 High visible/reflective apparel worn as required
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10.3 Hearing protection worn as required<br><br>
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10.4 Eye protection required and worn in a proper manner<br><br>
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10.5 Proper foot protection worn for job performed
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10.6 Face shield or goggles worn as required
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10.7 Gloves worn at all times
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10.8 Proper Cutting Goggles used during cutting operations (#3 Shade Min)
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10.9 Respiratory Protection worn and cared for as required
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10.10 Other: Paper cups available/provided at all water coolers as required. If reusable bottles are provided - Name must be written on Bottle
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10.11 Adequate number of sanitary facilities provided & maintained as required
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
11. Fall Protection
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11.1 Full Body harnesses and lanyards worn properly and as required<br>
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11.2 Lanyards are adequately secured to suitable anchorage
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11.3 Perimeter guarding/Handrails in place where required<br>
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11.4 Static lines installed and capable of supporting 5,000 lbs. of force per user
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11.5 Fall protection equipment is used for fall protection ONLY
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11.6 Fall protection inspected and maintained in a safe-for-use condition
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11.7 Retrieval plan complete and communicated
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
12. Scaffolds
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12.1 Work Platforms fully decked between front uprights & guardrail<br>
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12.2 Scaffold grade planking utilized
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12.3 Planks extend no less than 6" , and no more than 12" over bearing rail<br>
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12.4 Ladder access with landing at 35' intervals as a minimum
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12.5 Scaffolds maintain a minimum of 15' from un-insulated electrical lines
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12.6 Scaffold Stairways provided with landings at 12' intervals
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12.7 Daily inspections conducted by competent person
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
13. Ladders, Stairways and Access
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13.1 Ladder access clear and unobstructed<br>
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13.2 Ladders positioned at 4:1 ratio - (4 feet high to 1 foot out from wall)
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13.3 Ladders extend 3 feet higher than landing point
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13.4 Employees utilizing hoist to raise or lower materials (leaving hands free)
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13.5 Employees ascending/descending using three points of contact at all times
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13.6 All "Job Made" ladders constructed according to specific requirements<br>
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13.7 Ladders tied off/secured properly
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13.8 Safe and proper access to work area
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13.9 Step ladders used properly - full extend - no use of top two steps
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13.10 Stair handrails no less than 36" high from tread to top of stair rail
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13.11 Stairs having 4 or more risers or more than 30" in height, have handrails
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
14. Excavations
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14.1 Sloped and shored properly
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14.2 Utilities notified prior to opening excavations
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14.3 Competent Person designated as required by OSHA for excavations<br>
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14.4 Access and egress provided within 25 ft. of employee(s)
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14.5 Daily inspections conducted
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
15. Marine Work
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Any Marine Work Audited?
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15.1 Work Vests buckled and worn as required when working over water
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15.2 Gang Planks/Proper and Adequate Access in place with handrails<br><br>
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15.3 Adequate access to allow safe entry to barge from workboats<br><br>
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15.4 Barge(s) in neat and orderly condition
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15.5 Life Rings properly roped and located every 200 feet<br><br><br>
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15.6 Cranes Radius on barges barricaded/Warning devices in place<br><br><br><br>
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15.7 Cranes are positively secured to barges as required<br><br><br><br>
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15.8 Safety boats available as required<br><br><br><br>
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15.9 Water load charts posted and visible to operators<br><br><br><br>
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15.10 Rescue drill has been completed<br><br><br><br>
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
16. Railroad Safety Practices
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Any Railroad Work Audited?
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THEN MOVE TO NEXT SECTION
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16.1 Minimum distance from track (25') when train is passing, employees stopped work and observing passing train
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16.2 No movement towards trains or tracks after horn blown
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16.3 Employees know protection limits
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16.4 Unattended equipment is 25' from rail and 250' from crossing
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16.5 Unattended equipment properly secured (buckets, loads grounding)
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16.6 Employees look both ways before crossing rail and only do so with rail representative's authority
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16.7 All vehicles and equipment stop at rail crossings before crossing
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16.8 Self propelled equipment has first aid kit, fire ext and audible back up alarms
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16.9 Cranes have at least 3 orange cones displayed to designate work area
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16.10 Has proof of applicable and non expired railroad training along
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
17. Pile Driving
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Were Any Pile Driving Operations Audited
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THEN MOVE TO NEXT SECTION
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17.1 Pile Handling Plan (documented)<br>
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17.2 Controlled Access Zone-posted,documented
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17.3 Cushion Blocks Protected from the Elements
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17.4 Have the Bardon chokers been inspected for wear?
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17.5 Shackle pins are safety wired on leads and hammer
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
18. Material Handling Equipment
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Were Any Material Handling Equipment Operations Audited?
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THEN MOVE TO NEXT SECTION
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18.1 Back-Up Alarms operational and audible above area noise- 200 ft away
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18.2 Seat Belts worn by operators
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18.3 Daily, Pre-Operational Inspection Reports completed<br>
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18.4 Deficiencies noted on Inspection reports are corrected
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18.5 Loads properly secured prior to attempting to relocate
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18.6 Licenses or certifications as required
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18.7 Equipment operated at safe speeds
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
19. Hoisting and Lifting Equipment
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Were there any Hoisting and Lifting Equipment Operations Audited?
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THEN MOVE TO NEXT SECTION
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19.1 Chainfalls, come-a-longs and chokers in good condition with current inspection
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19.2 Rigging is stored properly
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19.3 Rigging inspected daily and prior to each use
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19.4 Proper rigging techniques are followed
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19.5 Proper crane set-up (swing radius, barricades, outrigger pads)
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19.6 Crane Inspections conducted daily and documented
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19.7 Legible capacity tags in place as required
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
20. Traffic Control
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Were Any Traffic Control Operations Audited?
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THEN MOVE TO NEXT SECTION
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20.1 Signage / Setup<br>
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20.2 Traffic Control Planning
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20.3 Certified Flaggers / Training
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20.4 Proper Equipment - Reflectors, arrays, crash cushion
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
22. Silica Dust Control
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Were There Any Silica Dust Operations Observed
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THEN MOVE TO NEXT SECTION
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22.1 Silica Control Plan Implemented for work performed
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22.2 Engineering Controls Implemented
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Table 1 Link
https://www.osha.gov/silica/Table1sect1926.1153.pdf -
22.3 Housekeeping
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22.4 Respiratory Protection Required?
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22.5 Are Other Crews at Risk of Exposure to Silica Dust?
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Site Observations
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Corrective Actions
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Date Corrected
23. Monthly Focus
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Add Additional Inspections associated with Monthly Focus
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Description of Inspection:
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Compliant?
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Site Obsevations
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
24. Employee Recognition
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Recognize a job well done here
Employee
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Name:
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Describe Recognition
25. Subcontractor Safety Compliance
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24.1 Employees stop work while being observed
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24.2 Employees adjust position / PPE while being observed
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24.3 Employees are aware of other crews and other trades in the area
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
26. Employee Behaviors - Body Position
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25.1 Employees in pinch points of lines of fire?
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25.2 Employees can contact electricity, hot/cold, toxic chemical, other hazards?
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25.3 Employees at Risk for sprains/strains?
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
27. Employee Behavior - Tool Use
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26.1 Employees' tools are in good condition
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26.2 Employees are using the right tool for the job?
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26.3 Employees know and follow safety procedures / Rules.
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Site Obsevations
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Corrective Actions Assigned To (If Applicable)
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Date Corrected (if Applicable)
Relevant Photos
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Photos:
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Description:
Sign off
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Crew Sign Off (Acknowledgment of Outcomes)
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Print Name:
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Signature