HPCC Weekly Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Administration

• JHA: complete, followed, revised as necessary, signed, STA

  Yes

  No

  N/A

• Bulletin Board: complete,legible,current, accessible

  Yes

  No

  N/A

• Training: tailgate meetings, training, competent person

  Yes

  No

  N/A

• Signage: site, laser, powder actuated tools, over head work

  Yes

  No

  N/A

• Emergency: first aid, AED, plan, fall rescue

  Yes

  No

  N/A

• OSHA 300 / 300A: 300A posted Feb 1 - Apr 30, complete

  Yes

  No

  N/A

• Written Procedures: Respiratory, safety management tool, etc

  Yes

  No

  N/A

Personal Protective Equipment

• Head: worn, bill worn forward, only approved items under hat

  Yes

  No

  N/A

• Eyes and Face: ANSI Z-87, side shields, goggles, face shield

  Yes

  No

  N/A

• Hearing: worn, trained, appropriate, worn properly

  Yes

  No

  N/A

• Respiratory: written program, fit test, medical evacuation, training

  Yes

  No

  N/A

• Arms / Hands: gloves, shirts, protective clothing

  Yes

  No

  N/A

• Trunk: apron, high visibility apparel

  Yes

  No

  N/A

• Legs / Feet: long pants, work boots, foot protection

  Yes

  No

  N/A

Tools & Equipment

• Tool: used correctly, safe condition, guards in place

  Yes

  No

  N/A

• Equipment: guarding, cords, safe appropriate

  Yes

  No

  N/A

• Equipment: vehicle, aerial device, forklift, heavy equipment, man lift

  Yes

  No

  N/A

Falls

• Hole covers: secure, labeled, holds 2 times max load

  Yes

  No

  N/A

• Guardrails: holds 200 pounds, height

  Yes

  No

  N/A

• Misc: free fall distance, 5,000 pound anchorage

  Yes

  No

  N/A

Positions

• Contacting: hazardous temperatures, electricity, substance

  Yes

  No

  N/A

• Positions: struck by / against, caught in / between

  Yes

  No

  N/A

• Positions: awkward, repetitive motions, over exertion

  Yes

  No

  N/A

General

• HzCom: written program, labels, training, form D2.11

  Yes

  No

  N/A

• Fire: extinguishers, hot work permits, housekeeping

  Yes

  No

  N/A

• Welding / Cutting: gas storage, PPE, fire protection

  Yes

  No

  N/A

• Competent Person: trench, scaffold, confined space, etc

  Yes

  No

  N/A

• Trench / Excavation: access, planks, bracing, mud sills, etc

  Yes

  No

  N/A

• Electrical: temp power, cords, GFCI, assured grounding

  Yes

  No

  N/A

• Ladders: safe, inspected, capacity, non-conductive, secure

  Yes

  No

  N/A

• Stairways: clean lighting, hand rail / stair rail

  Yes

  No

  N/A

• Cranes: hoisting, rigging, inspection, operator, stable

  Yes

  No

  N/A

• Traffic: flagging, plan, pedestrians

  Yes

  No

  N/A

• LCD: training, adequate clothing, controls

  Yes

  No

  N/A

• That: water, training, shade, cups w/ shared containers

  Yes

  No

  N/A

• Lighting: adequate, guards, cords

  Yes

  No

  N/A

• Housekeeping: general, clean up, graffiti, nails

  Yes

  No

  N/A

• Toilets: adequate, clean, stocked, wash station, graffiti

  Yes

  No

  N/A

Misc

• Site specific: fence, lockable gates, signage, visitor indemnity

  Yes

  No

  N/A

• Implement Protection: are bar, form stakes

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A