Holland safety walk

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Administration

• Turn on if Audited

  Off

  On

• Freq/regular safety inspections / Filed on SharePoint

  Yes

  No

  N/A

• JHA/PTP performed / Files on SharePoint

  Yes

  No

  N/A

• Orientations conducted / Filed on SharePoint

  Yes

  No

  N/A

• OSHA 300 Log (posted Feb 1st – April 30th)

  Yes

  No

  N/A

• Safety manual / Filed on SharePoint

  Yes

  No

  N/A

• Safety meetings / Filed on SharePoint

  Yes

  No

  N/A

• State / Fed posters (Eng)

  Yes

  No

  N/A

• Visitor PPE available

  Yes

  No

  N/A

• Visitor sign-in form

  Yes

  No

  N/A

Confined Space

• Turn on if Present

  Off

  On

• Training documentation

  Yes

  No

  N/A

• Verified permit or non permit required

  Yes

  No

  N/A

• Entry super/monitor/entrant

  Yes

  No

  N/A

• Communications / secure area / signage

  Yes

  No

  N/A

• Documentation of Regular inspections / air monitor

  Yes

  No

  N/A

• Atmospheric conditions checked

  Yes

  No

  N/A

• Ventilation

  Yes

  No

  N/A

• Harness / extraction equip / in the area

  Yes

  No

  N/A

• Rescue plan/emergency #'s/map

  Yes

  No

  N/A

Cranes And Hoisting Equipment

• Turn on if Crane is Present

  Off

  On

• Annual crane/wire rope inspection current

  Yes

  No

  N/A

• Confirm Operator has a daily inspection log filled out / filed on SharePoint

  Yes

  No

  N/A

• Verification of certified operator

  Yes

  No

  N/A

• Qualified signal person(s) identified/verified

  Yes

  No

  N/A

• Qualified rigger(s) identified/verified

  Yes

  No

  N/A

• Rigging inspected/rated

  Yes

  No

  N/A

• Loads properly secured

  Yes

  No

  N/A

• Tag lines used

  Yes

  No

  N/A

Electrical

• Turn on if observed

  Off

  On

• Cords in good condition

  Yes

  No

  N/A

• S O Cords properly labeled for quarter

  Yes

  No

  N/A

• Cords protected from traffic / Pinch Points

  Yes

  No

  N/A

• Electrical room protected

  Yes

  No

  N/A

• GFCI's used

  Yes

  No

  N/A

• Proper temp lighting

  Yes

  No

  N/A

• Proper use temp power boxes

  Yes

  No

  N/A

Environmental

• Turn on if observed

  Off

  On

• Asbestos/lead awareness training

  Yes

  No

  N/A

• Concrete/block/brick cut wet & vacuumed

  Yes

  No

  N/A

• Nuisance dust

  Yes

  No

  N/A

• Spill containment adequate

  Yes

  No

  N/A

Excavations

• Turn on if observed

  Off

  On

• Access with 25'

  Yes

  No

  N/A

• Competent person present

  Yes

  No

  N/A

• Daily inspections documented

  Yes

  No

  N/A

• Excavation > 20' engineered

  Yes

  No

  N/A

• Perimeter protection/barricade

  Yes

  No

  N/A

• Sloped, benched, or shored

  Yes

  No

  N/A

• Spoil 2' from edge

  Yes

  No

  N/A

• Water entering excavation

  Yes

  No

  N/A

Fall Protection

• Turn on if observed

  Off

  On

• Fall protection plan written

  Yes

  No

  N/A

• Training verified

  Yes

  No

  N/A

• Competent person verified

  Yes

  No

  N/A

• Fall protection provided at '

  Yes

  No

  N/A

• Exterior/interior guardrails

  Yes

  No

  N/A

• Warning line system properly set up

  Yes

  No

  N/A

• Floor/wall opening protected

  Yes

  No

  N/A

• Floor covers adequate, secured, labeled

  Yes

  No

  N/A

• Proper anchorage points

  Yes

  No

  N/A

• Roof edge protected

  Yes

  No

  N/A

• Safety harness and lanyard

  Yes

  No

  N/A

• Stair/ramp/walkway protected

  Yes

  No

  N/A

Fire Protection

• Turn on if Hot Work is Present

  Off

  On

• Hot Work Permit in Use

  Yes

  No

  N/A

• Fire watch when applicable

  Yes

  No

  N/A

• Emergency vehicle access

  Yes

  No

  N/A

• Extinguishers charged and inspected

  Yes

  No

  N/A

• Adequate number of extinguishers

  Yes

  No

  N/A

• Task extinguishers present

  Yes

  No

  N/A

• Proper fuel containers used

  Yes

  No

  N/A

• Proper signs in storage areas

  Yes

  No

  N/A

• Fire suppression equip available

  Yes

  No

  N/A

Hand And Power Tools

• Turn on if observed

  Off

  On

• Anti-whip attach to pressurized lines

  Yes

  No

  N/A

• Auto shut off/safety switches

  Yes

  No

  N/A

• Cord in good condition

  Yes

  No

  N/A

• Ground prong in place

  Yes

  No

  N/A

• Guards in place

  Yes

  No

  N/A

• Information label on tool

  Yes

  No

  N/A

• Proper tool for the job

  Yes

  No

  N/A

• Powder actuated tool used properly

  Yes

  No

  N/A

• Unspent powder actuated shots disposed of properly

  Yes

  No

  N/A

• Strain relief functioning

  Yes

  No

  N/A

• Tool in good condition

  Yes

  No

  N/A

Housekeeping

• Turn on if observed

  Off

  On

• Clear access to bldg/site

  Yes

  No

  N/A

• Impalement/ rebar protection

  Yes

  No

  N/A

• Proper material storage

  Yes

  No

  N/A

• Proper use of “Controlled Access Zone”

  Yes

  No

  N/A

• Roadway around project clear

  Yes

  No

  N/A

• Slip, trip, fall hazards

  Yes

  No

  N/A

• Trash in protected cont

  Yes

  No

  N/A

• Walkways clear

  Yes

  No

  N/A

• Egress pathways clear

  Yes

  No

  N/A

Ladders / Stairs

• Turn on if observed

  Off

  On

• 3’ above landing

  Yes

  No

  N/A

• Access break >19”

  Yes

  No

  N/A

• Clear of debris/materials

  Yes

  No

  N/A

• Extension ladder 4:1 pitch

  Yes

  No

  N/A

• Corral built around ladder access

  Yes

  No

  N/A

• Inspected for defects

  Yes

  No

  N/A

• Ladders secured

  Yes

  No

  N/A

• Landings and treads filled

  Yes

  No

  N/A

• Proper use of ladder

  Yes

  No

  N/A

• Rails at stairs/landings

  Yes

  No

  N/A

• Safe work distance from electrical hazard

  Yes

  No

  N/A

• Slip trip exposure eliminated

  Yes

  No

  N/A

• Stairs illuminated

  Yes

  No

  N/A

Medical / Emergency

• Turn on if observed

  Off

  On

• 1st Aid/CPR on site

  Yes

  No

  N/A

• Emergency numbers posted

  Yes

  No

  N/A

• Emergency procedure supplies

  Yes

  No

  N/A

• Eye wash

  Yes

  No

  N/A

• Map to medical facility

  Yes

  No

  N/A

• Project. Emer./Crisis Mgmt Plan

  Yes

  No

  N/A

Motorized Equipment

• Turn on if observed

  Off

  On

• Forklift operator certification verified

  Yes

  No

  N/A

• Daily inspection of equipment verified

  Yes

  No

  N/A

• Operator appears competent

  Yes

  No

  N/A

• Seat belts used

  Yes

  No

  N/A

• Back up alarm functioning

  Yes

  No

  N/A

• Glass free of obstructions

  Yes

  No

  N/A

• Flagman used if applicable

  Yes

  No

  N/A

P.P.E.

• Turn on if observed

  Off

  On

• Face Shields

  Yes

  No

  N/A

• Glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Proper High-Vis clothing/vests

  Yes

  No

  N/A

• Respirators

  Yes

  No

  N/A

• Visitor PPE available

  Yes

  No

  N/A

• Work Boots

  Yes

  No

  N/A

• Powder Actuate Tool in use Signage

  Yes

  No

  N/A

• Laser In use Signage

  Yes

  No

  N/A

Scaffolds

• Turn on if observed

  Off

  On

• Standard scaffolding properly set up

  Yes

  No

  N/A

• Bracing and pins in place

  Yes

  No

  N/A

• Compatible components used

  Yes

  No

  N/A

• Competent person present

  Yes

  No

  N/A

• All accessing scaffold have had user training

  Yes

  No

  N/A

• Guard rails in place

  Yes

  No

  N/A

• Inspected daily and verified on Green Tag

  Yes

  No

  N/A

• Outriggers installed

  Yes

  No

  N/A

• Properly secured to structure

  Yes

  No

  N/A

• Proper access to platforms

  Yes

  No

  N/A

• Proper height to base ratio

  Yes

  No

  N/A

• Proper loading of materials

  Yes

  No

  N/A

• Sills, plates, jacks installed properly

  Yes

  No

  N/A

• Safe work distances from electrical

  Yes

  No

  N/A

• Surface in safe condition

  Yes

  No

  N/A

• Wheels locked

  Yes

  No

  N/A

Scissor / Boom Lifts

• Turn on if observed

  Off

  On

• Proper use of scissor or boom lifts

  Yes

  No

  N/A

• Gate or chain secured

  Yes

  No

  N/A

• Harness while in boom lifts

  Yes

  No

  N/A

• Nothing to increase height

  Yes

  No

  N/A

• Operating on flat surface

  Yes

  No

  N/A

• Operator training

  Yes

  No

  N/A

• Safe work distances

  Yes

  No

  N/A

Site / Public Protection

• Turn on if observed

  Off

  On

• Adequate lighting

  Yes

  No

  N/A

• Barricades installed properly

  Yes

  No

  N/A

• Falling object protection

  Yes

  No

  N/A

• Perimeter fences

  Yes

  No

  N/A

• Public protection signage

  Yes

  No

  N/A

• Security system in place

  Yes

  No

  N/A

• Street closure identified / traffic control plan

  Yes

  No

  N/A

Welding / Cutting

• Turn on if observed

  Off

  On

• Bottles upright/cap/secured

  Yes

  No

  N/A

• Fire ext present

  Yes

  No

  N/A

• Flash arrest on torches

  Yes

  No

  N/A

• Leads in good condition

  Yes

  No

  N/A

• Proper Storage of Cylinders

  Yes

  No

  N/A

• Torch hoses good condition

  Yes

  No

  N/A

• Prop PPE in use

  Yes

  No

  N/A

Photos

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