HM - Site Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Hoover Mechanical Foreman:

• Select date

  Date

**Priority index: 1. Imminent Danger. 2. Serious. 3. Minor. 4.Acceptable. 5.Not Applicable

1. Manpower-How many workers on site today

• General site contact:

  Yes

  No

  N/A

2. General-Risk Rating ---3. Minor

• First aid kit on site

  Safe

  At Risk

  N/A

• Employee(s) first aid trained for crew size

  Safe

  At Risk

  N/A

• Emergency procedures posted and known

  Safe

  At Risk

  N/A

• Emergency phone numbers posted

  Yes

  No

  N/A

• Safety inspections completed/recorded

  Safe

  At Risk

  N/A

• Safety training

  Safe

  At Risk

  N/A

• Orientations done for new hires

  Safe

  At Risk

  N/A

• PSA , toolbox meetings handed in and complete

  Safe

  At Risk

  N/A

• Any permits -confined space - hot work -etc

  Safe

  At Risk

  N/A

• Workers aware of steps for incident reporting

  Safe

  At Risk

  N/A

• Washrooms, eyewash station

  Safe

  At Risk

  N/A

• MSDS available at all times to workers

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

3. Fall Protection. 1.Imminent Danger

• Harness condition and inspection

  Safe

  At Risk

  N/A

• Lanyard condition and inspection

  Safe

  At Risk

  N/A

• Competent worker

  Safe

  At Risk

  N/A

• Guard rails in place

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

4. Environment. 2. Serious

• Dust, gases, fumes, sprays, noise

  Safe

  At Risk

  N/A

• Ventilation and air flow

  Safe

  At Risk

  N/A

• Weather

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

5. Fire. 1.Imminent Danger

• Fire extinguishers

  Safe

  At Risk

  N/A

• Flammable materials stored properly

  Safe

  At Risk

  N/A

• Smoking rules posted

  Safe

  At Risk

  N/A

• Employees trained in extinguisher use

  Safe

  At Risk

  N/A

• Muster point signage or awareness

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

6. Housekeeping. 3. Minor

• General site housekeeping

  Safe

  At Risk

  N/A

• Work areas

  Safe

  At Risk

  N/A

• Hallways maintained

  Safe

  At Risk

  N/A

• Waste container provided

  Safe

  At Risk

  N/A

Corrective Action

7. Buildings. 2. Serious

• Access Egress

  Safe

  At Risk

  N/A

• Handrails in place

  Safe

  At Risk

  N/A

• Adequate lighting for workers -both task and area

  Safe

  At Risk

  N/A

• No tripping hazards

  Safe

  At Risk

  N/A

• Floors covered no open holes

  Safe

  At Risk

  N/A

• Walkways and roadways free of debris

  Safe

  At Risk

  N/A

• Rebar capped

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

8. Personal Protective Equipment. 2. Serious

• Hard hat usage

  Safe

  At Risk

  N/A

• Eye and face protection

  Safe

  At Risk

  N/A

• Hand and arm protection

  Safe

  At Risk

  N/A

• Safety shoes

  Safe

  At Risk

  N/A

• Hearing protection

  Safe

  At Risk

  N/A

Corrective Action

9. Ladders. 2. Serious

• No cracks or splits

  Safe

  At Risk

  N/A

• Properly secured when in use

  Safe

  At Risk

  N/A

• Regularly inspected (prior to use)

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

10. Scaffolding. 1. Imminent Danger

• Guard rails and toe boards in place

  Safe

  At Risk

  N/A

• Planks in good condition/secured

  Safe

  At Risk

  N/A

• Proper access and egress

  Safe

  At Risk

  N/A

• Wheels locked when in use

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

11. Material handling. 3. Minor

• Communication adequate

  Safe

  At Risk

  N/A

• Safe lifting techniques

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

12. Tools. 2. Serious

• Electric tools grounded

  Safe

  At Risk

  N/A

• Operators trained and qualified

  Safe

  At Risk

  N/A

• All guards in place

  Safe

  At Risk

  N/A

• Condition of tools

  Yes

  No

  N/A

• Storage of tools

  Yes

  No

  N/A

• Add media

  Media

Corrective Action

13. Traffic on site. 2. Serious

• Vehicles, cranes, lifts, hoists, visibility

  Safe

  At Risk

  N/A

• Trained in operation of machines

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

14. Electrical. 2. Serious

• Adequate extension cord size and length

  Safe

  At Risk

  N/A

• Extension cords in good condition

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

15. Hand tools. 3. Minor

• Proper tool being used for jobs

  Safe

  At Risk

  N/A

• Stored neatly/carried safely

  Safe

  At Risk

  N/A

• Inspected for wear/defects

  Safe

  At Risk

  N/A

• Damaged tools tagged and removed

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

16, Temporary Heaters. 2. Serious

• Clear from flammables/combustibles

  Safe

  At Risk

  N/A

• In good working condition

  Safe

  At Risk

  N/A

• Sufficient ventilation

  Safe

  At Risk

  N/A

• Add media

  Media

Corrective Action

Signatures

• Hoover Mechanical Site Representative

  Sign

• CSO Signature

  Sign

• Site Representative

  Sign