Ivey Monthly Audit Nashville

• Ivey Monthly Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Project Information

• Project Number

• Percent Project Complete

• Number of Ivey Personnel

• Number of Sub Contractor Personnel

• Is the required OSHA workplace poster displayed in a prominent location, where all coworkers are likely to see it?

  Yes

  No

  N/A

• Is the log of occupational injuries and illnesses (OSHA 300) posted in a prominent location?

  Yes

  No

  N/A

• Are emergency telephone numbers posted where they can be readily found in case of an emergency?

  Yes

  No

  N/A

• Is a panel of treating physicians, medical clinics prominently posted?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Has our return to work policy been communicated to the local clinic?

  Yes

  No

  N/A

• Is a copy of current OSHA standards, and Ivey's Safety Manual on site?

  Yes

  No

  N/A

• Are occupational injuries or illnesses, except minor injuries, requiring first aid only,being recorded as required on the OSHA 300 log?

  Yes

  No

  N/A

• Is the SDS manual for this project up to date?

  Yes

  No

  N/A

• Have accidents been reported to the insurance company, with a copy of the report forwarded to Kosciusko?

  Yes

  No

  N/A

• Is the grounding assurance program documented this month with a copy placed in job files?

  Yes

  No

  N/A

• Is the body harness inspection log complete this month, and on file?

  Yes

  No

  N/A

• Is the fire extinguisher inspection documented this month, and on file?

  Yes

  No

  N/A

• Is the ladder inspection log documented this month, and on file?

  Yes

  No

  N/A

• Has the safety committee met within the past 30 days, and is documentation included in the file?

  Yes

  No

  N/A

• Was the OSHA 300 form submitted to the appropriate office by January 1?

  Yes

  No

  N/A

Medical and First Aid

• Have all coworkers received training and orientation concerning the Ivey Safety Plan?

  Yes

  No

  N/A

• Have all subcontractors and vendors received training and orientation concerning the Ivey Safety Plan?

  Yes

  No

  N/A

• Are written safety warnings issued for safety violations?

  Yes

  No

  N/A

• Are weekly safety meetings held with all coworkers and subcontractors?

  Yes

  No

  N/A

• Have all coworkers been issued safety equipment including hard hats, safety glasses, and gloves?

  Yes

  No

  N/A

• Is proper clothing being worn by all coworkers?

  Yes

  No

  N/A

• Are at least two Ivey employees trained in First Aid / CPR on site?

  Yes

  No

  N/A

• Is a First Aid Kit, sufficient in size, for number of coworkers provided?

  Yes

  No

  N/A

• Is a First Aid log being maintained?

  Yes

  No

  N/A

• Are first aid incidents being investigated and corrective action taken?

  Yes

  No

  N/A

Hazardous Substance Communication

• Have all hazardous substances been identified and risk assessments been carried out?

  Yes

  No

  N/A

• Are SDSs current for all materials on site?

  Yes

  No

  N/A

• Is Hazardous Communication training documented on the proper form (form number 34)?

  Yes

  No

  N/A

• Are substances clearly marked and securely stored?

  Yes

  No

  N/A

• Is an emergency evacuation plan in place?

  Yes

  No

  N/A

• Are those working with hazardous substances, informed of the risks,and safe working procedures?

  Yes

  No

  N/A

• Is there training on at least one (1) SDS per week, in the weekly safety meeting?

  Yes

  No

  N/A

• Is the location of SDSs from other trades on site, known?

  Yes

  No

  N/A

• Is the requirement for SDS listed on each purchase order?

  Yes

  No

  N/A

Training and Planning

• Have all new hires completed the new hire orientation?

  Yes

  No

  N/A

• Have the site emergency procedures been relayed to all staff during orientation?

  Yes

  No

  N/A

• Are crews completing TSAs, and are they adequate for task being performed?

  Yes

  No

  N/A

• Is pressure testing of piping systems properly planned, and are Pressure Test Permits completed?

  Yes

  No

  N/A

• Are Near Miss / Near Hit reports being turned in?

  Yes

  No

  N/A

• Are behavior observations being made and recorded?

  Yes

  No

  N/A

• Has Sexual Harassment training been provided this month?

  Yes

  No

  N/A

• Has Workplace Violence training been provided this month?

  Yes

  No

  N/A

Personal Protective Equipment

• If required, are workers provided with PPE?

  Yes

  No

  N/A

• Is the PPE properly maintained?

  Yes

  No

  N/A

• Are coworkers trained in the use of PPE?

  Yes

  No

  N/A

• Are visitors provided with PPE?

  Yes

  No

  N/A

• Is all PPE provided by the employer?

  Yes

  No

  N/A

• Is respiratory protection proper?

  Yes

  No

  N/A

• Is hearing protection used and proper?

  Yes

  No

  N/A

• Is proper foot protection worn?

  Yes

  No

  N/A

• Is proper head protection worn?

  Yes

  No

  N/A

• Is proper eye protection worn?

  Yes

  No

  N/A

• Is proper hand protection worn?

  Yes

  No

  N/A

• Is Appendix D on file for voluntary respirator use?

  Yes

  No

  N/A

Fire Protection

• Are fire extinguishers available, charged, and inspected?

  Yes

  No

  N/A

• Are the coworkers aware of emergency procedures?

  Yes

  No

  N/A

• Are escape routes maintained?

  Yes

  No

  N/A

• Are Hot Work Permits in place?

  Yes

  No

  N/A

• If so, are copies of permits on file?

  Yes

  No

  N/A

• Are all materials and equipment kept away from fire hydrants, extinguishers, and other emergency equipment. Are exits, stairways, fire doors and passageways kept clear?

  Yes

  No

  N/A

• Are engines shut off before refueling? Is

  Yes

  No

  N/A

• Is the area around welding and burning operations kept free from flammable and combustible materials?

  Yes

  No

  N/A

• Is there one 10 pound ABC dry chemical extinguisher within 25 feet of any hot work?

  Yes

  No

  N/A

• Is there a portable fire extinguisher at the storage yard?

  Yes

  No

  N/A

• Is there a portable fire extinguisher for office trailers?

  Yes

  No

  N/A

Material Handling and Storage

• Are compressed gas cylinders securely stored from tipping and sorted by gas?

  Yes

  No

  N/A

• Is material storage proper?

  Yes

  No

  N/A

• Are flammable materials in approved containers and properly labeled?

  Yes

  No

  N/A

• Are safety cans used for dispensing flammable or combustible materials?

  Yes

  No

  N/A

• Are motors on equipment being refueled shut off?

  Yes

  No

  N/A

• Is smoking prohibited in the vicinity of fueling operations?

  Yes

  No

  N/A

• Are materials, stored inside buildings under construction, placed more than 6 feet any side or opening, or more than 10 feet from exterior walls do not extend above the top of the material stored?

  Yes

  No

  N/A

• Are coworkers using gloves when handling material?

  Yes

  No

  N/A

• Is rigging equipment inspected each shift prior to use, and removed from immediate working area when not in use?

  Yes

  No

  N/A

Electrical

• Are GFCIs in use?

  Yes

  No

  N/A

• Are ground fault circuit interrupters installed on each temporary 15 or 20 amp 120 V AC circuits at locations where construction, demolition, modification, alterations or excavations are being performed?

  Yes

  No

  N/A

• Is temporary lighting used and proper?

  Yes

  No

  N/A

• Are lock Out / Tag Out procedures in place and used?

  Yes

  No

  N/A

• Are temporary cords properly coded?

  Yes

  No

  N/A

• Are temporary cords properly used and maintained?

  Yes

  No

  N/A

• Do all boxes, panels have covers and are all circuits labeled?

  Yes

  No

  N/A

• Are all electrical tools and cords checked once a month by a competent person and are electrical tools and cords color coded to show compliance with the 30 day check?

  Yes

  No

  N/A

• Are Arc Flash / Blast Hazards identified and addressed?

  Yes

  No

  N/A

• Are generators over 5kV properly grounded?

  Yes

  No

  N/A

• Are authorized coworkers trained on Lock Out / Tag Out?

  Yes

  No

  N/A

Tools and Equipment

• Are all guards in place and in good repair?

  Yes

  No

  N/A

• Do tools and equipment meet Ivey Ground Assurance?

  Yes

  No

  N/A

• Is machinery in good condition and operated properly?

  Yes

  No

  N/A

• Is equipment being used properly without any unsafe or incompatible attachments?

  Yes

  No

  N/A

• Are all operators qualified?

  Yes

  No

  N/A

• Is equipment inspected on a regular basis?

  Yes

  No

  N/A

• Are goggles and full face shields required for such operations as grinding, jack hammering, or utilizing compressed air?

  Yes

  No

  N/A

• Are portable fans provided with full guards or screens having openings of 1/2 inch or less?

  Yes

  No

  N/A

• Are coworkers who operate powder actuated tools, trained in their use, and carry a valid operators card?

  Yes

  No

  N/A

• Is each powder actuated tool stored in its own container and locked when not in use?

  Yes

  No

  N/A

• Do all handheld tools have appropriate "on-off" controls including momentary contact controls when required?

  Yes

  No

  N/A

Ladders and Step Ladders

• Are all ladders in good condition?

  Yes

  No

  N/A

• Are all ladders of the proper duty rating?

  Yes

  No

  N/A

• Are all ladders being secured when in use?

  Yes

  No

  N/A

• When used, are ladders being positioned properly?

  Yes

  No

  N/A

• Are step ladders used correctly?

  Yes

  No

  N/A

Fall Protection

• Are fall protection plans in place?

  Yes

  No

  N/A

• Is fall protection provided at heights over 6 feet?

  Yes

  No

  N/A

• Is fall protection equipment inspected and maintained?

  Yes

  No

  N/A

• Are stairways properly protected for use?

  Yes

  No

  N/A

• Are all floor holes properly covered and protected?

  Yes

  No

  N/A

• Are subcontractors required to provide fall protection for their coworkers?

  Yes

  No

  N/A

Equipment

• Are backhoes, forklifts,track hoes equipped with audible backup alarms and horn?

  Yes

  No

  N/A

• Are scissor lifts and boom lifts equipped with backup alarms?

  Yes

  No

  N/A

• Are platforms kept clean and free of debris?

  Yes

  No

  N/A

• Are all operators trained in equipment safe use and for possible hazards?

  Yes

  No

  N/A

• Is all equipment inspected daily and documented on appropriate form?

  Yes

  No

  N/A

• Are harnesses being used?

  Yes

  No

  N/A

• Has the lanyard been connected to a proper tie off point?

  Yes

  No

  N/A

• Are attachments is proper working condition and being used in an approved manner?

  Yes

  No

  N/A

General Site Issues

• Is suitable storage for waste provided on site?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Is storage adequate and safe?

  Yes

  No

  N/A

• Is the site safety signage adequate?

  Yes

  No

  N/A

• Is overhead protection provided at entrances where overhead work is ongoing?

  Yes

  No

  N/A

• Are aisles kept clean, is scrap removed?

  Yes

  No

  N/A

• Is there an adequate supply of water, water jugs, cups, and trash containers?

  Yes

  No

  N/A

• Are toilet facilities adequate?

  Yes

  No

  N/A

• Is public protection adequate including warning signs?

  Yes

  No

  N/A

• Are vehicles accessing the site safely?

  Yes

  No

  N/A

• Are all deliveries occurring during prescribed times?

  Yes

  No

  N/A

• Are all rebar and pipe or other impalement hazards capped or protected?

  Yes

  No

  N/A

• Miscellaneous Site Conditions Noted...

  Yes

  No

  N/A

Welding and Cutting

• Are all welders wearing proper welding PPE?

  Yes

  No

  N/A

• Are cylinder valves closed when empty or when work is finished?

  Yes

  No

  N/A

• Are unused cylinders secured in an upright position when not in use?

  Yes

  No

  N/A

• Are all torches inspected at the beginning of each shift?

  Yes

  No

  N/A

• Are welding cables inspected at the beginning of each shift?

  Yes

  No

  N/A

• Are welding cables free from damage, repair, and splices for a minimum distance of 10 feet, from the cable end to which the electrode is connected? ( except that cables with standard insulated connectors or with splices whose insulating quality is equal to that of the cable are permitted.) 29 CFR 1926.351 (b) (2)

  Yes

  No

  N/A

• Are flame arrestors used on hookups?

  Yes

  No

  N/A

• Is there a fire watch assigned for welding or cutting when a serious fire might develop?

  Yes

  No

  N/A

• Is a suitable fire extinguisher available at each welding or cutting operation?

  Yes

  No

  N/A

• Are noncombustible or flameproof screen used for shielding other coworkers, working in the direct vicinity, from the direct rays of the arc?

  Yes

  No

  N/A

Silica

• Has a Silica Plan been submitted for this project?

  Yes

  No

  N/A

• Have tools and procedures been evaluated for use in Silica control?

  Yes

  No

  N/A

• Has Silica control training been conducted?

  Yes

  No

  N/A

Vehicle and Transportation

• Does every vehicle have insurance information and investigation kit?

  Yes

  No

  N/A

• Is the vehicle interior and exterior clean and maintained?

  Yes

  No

  N/A

• Does the vehicle have emergency kits according to Ivey Policy?

  Yes

  No

  N/A

• Are tools and equipment stored and secured for traveling?

  Yes

  No

  N/A

Pressure Testing and Release

• Have employees been informed of the hazards and abatement's needed to safely pressure test?

  Yes

  No

  N/A

• Is a pressure testing rig in use for pipe testing?

  Yes

  No

  N/A

• Is the testing area set up to protect workers and bystanders?

  Yes

  No

  N/A

• Are systems being purged to the outside, if not is air monitoring present?

  Yes

  No

  N/A

• Has the system been isolated and locked and tagged to prevent incidental release?<br>

  Yes

  No

  N/A

• Are workers positioned to limit exposure to accidental release of pressure?

  Yes

  No

  N/A