Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Subcontractors

  • IC Project Manager

  • IC Superintendent

Administration

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  • Independence Construction personnel have body temperatures less than 100.4 degrees

  • Subcontractors report that their personnel have body temperatures less than 100.4 degrees

  • All personnel are maintaining 6' distance from others as much as reasonably possible.

  • All personnel are wearing Covid-19 face coverings?

  • Is a properly trained supervisor on site?

  • Is there an individual certified in first aid/CPR onsite?

  • Is there a first aid kit available onsite?

  • Is there a Site Specific Safety Plan?

  • Are emergency/ safety team/ hotline numbers posted?

  • Is a map to medical facility available/posted?

  • OSHA Posters posted?

  • State/Fed. posters posted in English/Spanish?

  • Are safety manuals readily available?

  • Have IC orientations been conducted/completed

  • Are daily Subcontractor construction and sign-in logs being submitted daily by each sub-contractor?

  • Superintendent performing safety inspections throughout the day?

  • Are safety concerns being addressed and documented in the weekly job site meetings?

Aerial Lifts

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  • 10' away from overhead power lines?

  • Exceeding load limits?

  • Properly using personal fall arrest system?

  • Is gate or chain secured?

  • Lift operating on a stable surface

  • Is the operating surface free from holes or sudden changes in elevation?

  • Overhead obstructions?

  • Has the lift been modified?

  • Occupants standing on the guardrails?

  • Is the lift being used as a crane?

Concrete/Masonry

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  • No personnel under the concrete Bucket?

  • Limited access zone during wall installation on unscaffolded side?

  • All walls over 8' braced?

  • limited access zone is wall height plus 4'?

  • Limited access zone runs the length of the wall?

  • Rebar caps in place?

  • Concrete stakes made safe?

  • Pump truck level and on solid surface, no utilities?

  • Bull float handles away from electrical power source?

Confined Space

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  • Competent person?

  • Are atmospheric conditions being monitored?

  • Permit required confined space?

Cranes

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  • Exhibit F-Crane Safety Checklist completed?

  • Is the load bearing capacity of the soil acceptable for hoisting operations?

  • Have underground utilities located?

  • Swing radius barricaded?

  • No hoisting over personnel?

  • Safe working distance from overhead power lines?

Electrical

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  • GFCI being used?

  • Repaired cords?

  • 3-wire,12 gauge with ground pin in place?

  • Temp lights suspended by power cords?

  • Cords in the walkway?

  • Workers exposed to open electrical panels?

  • Signage warning of electrical hazards?

  • LOTO being used correctly?

Excavations

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  • One call system used?

  • Surface traffic exposure?

  • Excavations > 20' engineered?

  • Excavation 4'+ ladder within 25' or ramp?

  • Excavations 5'+ proper protection in place?

  • Spoils pile 2+ from edge of excavation?

  • Perimeter properly protected?

Fall Protection

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  • Guardrails at 42" +/- 3"?

  • Top-rail able to withstand 200lbs. of force?

  • Midrail?

  • Midrail able to withstand 150lbs. of force?

  • Wall openings protected?

  • Guardrail system for exposed edges 6'+?

  • Is the full body harness worn properly?

  • Will the anchorage point support at least 5,000 pounds?

  • Is there a Rescue Plan?

  • Are floor openings covered, secured, and marked hole?

  • Cover able to support 4x weight?

  • Are warning lines being used correctly?

  • Is there a safety monitoring system?

  • Overhead protection in place?

Fire Protection

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  • 2A fire extinguisher on site?

  • Fire extinguishers charged and Inspected?

  • One for every 3,000 sqft of building?

  • Travel distance not more than 100'?

  • Clear access for emergency vehicles to hydrants?

  • 10B extinguisher < 25' not > 50' from 5+ gallons of fuel?

  • Proper closed storage tanks/cans being used?

  • More than 25 gallons stored outside of fire resistant cabinet?

  • No smoking signs in place?

  • Grounding on refueling tank?

  • Proper barriers around refueling tank?

  • Hot Work: Suitable fire extinguisher?

  • Fire watch?

Hand and Power Tools

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  • Hand tools properly maintained?

  • Impact tools mushroomed?

  • Cracks in wooden handles?

  • Power tools properly grounded?

  • Guards in place?

  • Powder actuated tool loaded left unattended?

  • Worker using anti-kickback techniques for chain saws and cut-off saws?

House Keeping

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  • Protruding nails?

  • Trip hazards?

  • Combustible scraps and/or solvent waste?

  • Is trash collected in proper containers?

  • Flammable dust controlled?

  • Disposal chute over 20' enclosed?

  • Dropped debris w/o chute warning signs, 42" barricades 6' back?

Ladders

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  • Proper ladder for the job?

  • Is ladder being used properly?

  • Ladder labeling is in place?<br>

  • Structural damage?

  • Is ladder secured?

  • Is extension ladder used on 4:1 pitch?

  • Does ladder extend 3' or more above access point?

  • Is the ladder footing on a level stable surface?

  • 3-points of contact maintained?

  • Are access/egress areas free of debris/materials?

  • Set up within 10’ of overhead power lines?

  • Conductive material?

  • Fixed ladder over 24’ PFAS?

Material Handling

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  • Equipment operating within 10’ of power lines?

  • Operator paying attention?

  • Damaged rigging?

  • Tags in place?

  • 10 randomly broken wires in wire rope sling?

  • 5 broken wires in 1 rope strand in 1 rope lay?

  • Dead horse saddled?

  • Synthetic slings snagged, punctured, torn, cut, burned, or worn?

  • Sling angle less than 45°?

  • Softener needed?

  • Self-closing hooks in place?

  • Safe load limits on floor of storage area?

  • Masonry stacked +6' tapered?

  • Lumber not stacked +16'

Means of Egress

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  • Proper lighting?

  • Exit signs visible?

  • Exits free of obstructions?

  • Exits maintained?

  • Exits unlocked?

Motorized Equipment

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  • Is operator working safely?

  • Is machine operating at least 10' away from overhead power lines?

  • Is proper operator protection in place ROPS?

  • Does backup alarm function properly?

  • Seat belts?

  • Is flag man required/ present?

  • Personnel working under suspended component?

  • No riders on exterior of moving equipment?

Personal Protective Equipment

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  • Hard hats, Safety glasses, High Vis, Work boots, and Gloves?

  • Hearing protection, Face shield?

  • Visitor PPE available?

Scaffolds

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  • Erected within 10’ of overhead power lines?

  • Fully planked?

  • Working/walking surface 18”+ wide?

  • Proper access when over 24” vertical and 14” horizontal?

  • Climbing the X braces?

  • Guardrails, Midrails, Toeboards, Mesh needed?

  • Wheels locked on mobile scaffolds?

  • Real scaffold plank being used?

  • Plumb, level, and square?

  • Base plates and mud sills?

  • Ties after 4:1 base to height every 30’ horizontally?

  • Are materials being loaded properly?

Silica

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  • Using Table 1?

  • Dust controlled with water?

  • Is the slurry being cleaned up while wet?

  • Dust mask?

  • Sweeping compound being used?

Site

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  • Is an adequate supply of drinking water available?

  • Are sanitary facilities available, adequate, and clean?

  • 1 toilet per 20 workers or less on site?

  • 20 workers or more on site 1 toilet seat 1 urinal?

  • Is there an Emergency Action Plan?

  • Has a rally point be established?

  • Has a site evacuation signal been established?

  • Are excavations properly protected?

  • Is falling object/overhead protection in place?

  • Are perimeter fences installed?

  • Are barricades installed properly?

  • Is adequate lighting available?

  • Is public protection signage necessary/present?

  • Is traffic control plan in place?

Stairways

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  • Pan steps made safe?

  • Stairways with 4 or more risers or more than 30” in height handrail on at least one side?

  • Handrails between above tread 30”- 37”?

  • Unprotected sides have a guardrail system?

Steel Erection

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  • 15’+ and above PFAS?

  • 30’+ or 2 stories+ connectors PFAS?

  • No personnel under suspended loads?

  • At least 4 anchor bolts per column base?

  • 1 wrench tight bolt per column connection?

  • Bar joist bolted before hoisting cable released?

  • Bar joist bridging install before decking bundle is place on at least 3 joist?

Welding/Cutting

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  • Wrench in position on valve?

  • Are cylinders upright, capped, and properly secured?

  • Are torch hoses in good condition?

  • Is proper PPE in use (FR clothing, gloves, burning shield, safety glasses)?

  • Shielding workers from arch?

  • Is welding machine properly ventilated?

  • Are welding leads in good condition?

Conclusion

  • I agree to address and abate the above issues prior to

  • Add signature

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