JACOBS Site Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Site Signage/General administration

• New York Labor Law Poster

  Yes

  No

  N/A

• OSHA 300 log posted February 01 thru April 30

  Yes

  No

  N/A

• Department of Labor Poster

  Yes

  No

  N/A

• OSHA Poster

  Yes

  No

  N/A

• Site Specific Subcontractor Safety Manuals

  Yes

  No

  N/A

• No smoking signs posted

  Yes

  No

  N/A

• Site PPE signs posted

  Yes

  No

  N/A

• Are exit signs posted

  Yes

  No

  N/A

• Emergency Evacuation Procedure posted

  Yes

  No

  N/A

• Is means of egress continually free from all obstructions or impediments to full instant use in the case of fire or other emergency?

  Yes

  No

  N/A

• Weekly Safety Award Winner

  Yes

  No

  N/A

FIRST AID

• Is first aid equipment available on site.

  Yes

  No

  N/A

• Are first aid kit properly stocked?

  Yes

  No

  N/A

• Are first aid trained coworkers on site?

  Yes

  No

  N/A

• Are coworkers aware of the address of the site and the nearest hospital?

  Yes

  No

  N/A

• Are coworkers aware of the address of the site and capable of giving directions to emergency crew

  Yes

  No

  N/A

HAZARD COMMUNICATION

• Are MSDS sheets maintained on each product in use?

  Yes

  No

  N/A

• Are MSDS labels on each chemical container that is unmarked.?

  Yes

  No

  N/A

• Are coworkers properly trained on hazardous chemicals present?

  Yes

  No

  N/A

HOUSEKEEPING & SANITATION

• Are general site conditions acceptable ?

  Yes

  No

  N/A

• Is general neatness of working areas aceptable?

  Yes

  No

  N/A

• Is good housekeeping observed?

  Yes

  No

  N/A

• Are passageways and walkways clear and free of debris?

  Yes

  No

  N/A

• Are exposed nails removed or bent over?

  Yes

  No

  N/A

• Is there regular removal of waste and trash from the containers?

  Yes

  No

  N/A

HANDLING & STORAGE OF MATERIALS

• Are materials properly stored and stacked?

  Yes

  No

  N/A

• Proper number of workers for each operations?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Are personal fall arrest systems in good working order?

  Yes

  No

  N/A

• Do personal fall arrest systems have proper anchorage points?

  Yes

  No

  N/A

• Are hard hats being worn?

  Yes

  No

  N/A

• Are proper steel toe boots utilized for foot protection?

  Yes

  No

  N/A

• Is proper PPE worn during electrical work?

  Yes

  No

  N/A

• Is eye protection worn at all times?

  Yes

  No

  N/A

• Are face shield being worn when required?

  Yes

  No

  N/A

• Is hearing protection being used by coworkers that may be exposed to noisy conditions?

  Yes

  No

  N/A

• Are coworkers using proper hand protection?

  Yes

  No

  N/A

• Are all staff and visitors are wearing Hi-Viz vests or jackets?<br>Ensure Hi-Viz clothing is not damaged.

  Yes

  No

  N/A

• Is respiratory protection being used when conditions require them?

  Yes

  No

  N/A

• Are respirators stored and worn properly?

  Yes

  No

  N/A

DUST, GASES, VAPORS, FUMES & MISTS

• Adequate dust control being used?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Is protective equipment used to protect against over-exposure?

  Yes

  No

  N/A

• Are coworkers made knowledgeable of the hazards when working with harmful agents?

  Yes

  No

  N/A

Welding/Cutting/Grinding

• When practicable, are welding and cutting operations shielded by non combustible screens?

  Yes

  No

  N/A

• Are welding leads in good repair?

  Yes

  No

  N/A

• Is proper face protection used when grinding/cutting?

  Yes

  No

  N/A

• Are welding lead connections at the welder properly covered?

  Yes

  No

  N/A

FIRE PROTECTION & PREVENTION

• Are hot work permits issued and posted?

  Yes

  No

  N/A

• Are extinguishers readily accessible?

  Yes

  No

  N/A

• Are fire extinguishers located at each level at stair locations?

  Yes

  No

  N/A

• Do fire extinguishers have current inspection tags?

  Yes

  No

  N/A

• Is there a clear path to fire hydrants for the fire deparment?

  Yes

  No

  N/A

• Are standpipes installed when required?

  Yes

  No

  N/A

• Are all flammable liquid containers clearly identified?

  Yes

  No

  N/A

• Are all flammable liquid containers metal cans that are OSHA approved?

  Yes

  No

  N/A

• Have proper storage practices for flammables been observed?

  Yes

  No

  N/A

• Are temporary heaters located at a safe distance from combustibles?

  Yes

  No

  N/A

• Is ventilation adequate for temporary heaters?

  Yes

  No

  N/A

FLAMMABLE GASES & LIQUIDS

• Oxygen and fuel gas pressure regulators, including their related gauges, in proper working order?

  Yes

  No

  N/A

• Has there been proper segregation between flammable gas cylinders?

  Yes

  No

  N/A

• Are gas cylinders stored and secured in an upright position?

  Yes

  No

  N/A

• Proper labeling of full and empty flammable gas cylinders?

  Yes

  No

  N/A

• Are proper type and number of fire extinguishers nearby?

  Yes

  No

  N/A

FALL PROTECTION

• Are employees on a walking/working surface with an unprotected edge or side which is 6' or more above a lower level, protected from falling by the use of guardrail systems, safety net systems, or personal fall arrest systems?

  Yes

  No

  N/A

• Are all wall openings from which there is a drop of more than 4' properly guarded ?

  Yes

  No

  N/A

• Are stairs with four or more risers equipped with standard hand rail protection?

  Yes

  No

  N/A

• Are employees in a hoist area protected from fall hazard by guardrail systems or personal fall arrest systems?

  Yes

  No

  N/A

• Are walking/working surfaces protected from tripping/stepping into holes by covers?

  Yes

  No

  N/A

• Are hole covers marked with the word HOLE or COVER?

  Yes

  No

  N/A

• Are wire rope railings properly marked with high visibility material and in good repair?

  Yes

  No

  N/A

• Are guard rails constructed properly and in good repair?

  Yes

  No

  N/A

LIFTING OPERATIONS

• Are the accessible areas within the swing radius of the rotating superstructure of the crane protected in such a manner as to prevent an employee from being struck or crushed by the crane?

  Yes

  No

  N/A

• Do all cranes have an anti-two-blocking device installed?

  Yes

  No

  N/A

• Are daily inspections of the crane on file?

  Yes

  No

  N/A

• Are tag lines used?

  Yes

  No

  N/A

• The riggers had the appropriate training

  Yes

  No

  N/A

• Are the rate capacity/safe working loads clearly marked

  Yes

  No

  N/A

• Is lift positioned on solid level ground

  Yes

  No

  N/A

• Is the rigging equipment been inspected daily before use?

  Yes

  No

  N/A

• Are the lifting operations at a minimum clearance of 20" from the power lines

  Yes

  No

  N/A

Concrete

• Is all protruding reinforcing steel guarded to eliminate the hazard of impalement?

  Yes

  No

  N/A

• Proper PPE use during placement of concrete?

  Yes

  No

  N/A

Mechanized equipment/ Motor Vehicles

• Are daily inspection reports completed?

  Yes

  No

  N/A

• All earthmoving or compacting have an operational reverse signal alarm?

  Yes

  No

  N/A

• Seat belts worn at all times?

  Yes

  No

  N/A

• All windshields/windows free from cracks?

  Yes

  No

  N/A

Aerial lifts

• Spotter used when relocating aerial lift?

  Yes

  No

  N/A

• Employees standing firmly on the floor of the basket?

  Yes

  No

  N/A

• Employees protected by personal fall arrest system?

  Yes

  No

  N/A

HAND TOOLS

• Areas in which lasers are used, posted with laser warning placards?

  Yes

  No

  N/A

• Are tools neatly stored and accessible when not in use?

  Yes

  No

  N/A

• Is the proper hand tool used for the task?

  Yes

  No

  N/A

• Are hand tools and other equipment regularly inspected for safe conditions?

  Yes

  No

  N/A

• Are the handles on hand tools in good condition, not bent, splintered or broken?

  Yes

  No

  N/A

POWER TOOLS & POWDER ACTUATED TOOLS

• Are workers using powder actuated tools properly trained?

  Yes

  No

  N/A

• Are powder actuated tools or powder charges properly secured when left unattended?

  Yes

  No

  N/A

• Are power tools inspected before use?

  Yes

  No

  N/A

• Are tools inspected for frayed and damaged cords?

  Yes

  No

  N/A

• Are tools and cords properly grounded and are ground pin in good condition?

  Yes

  No

  N/A

• Are double insulated tools in use and in good condition?

  Yes

  No

  N/A

• Are tools neatly stored and accessible when not in use?

  Yes

  No

  N/A

• Is the proper power tool being used for the task?

  Yes

  No

  N/A

• Are guards in place on the tool and in good condition?

  Yes

  No

  N/A

• Are portable circular saws equipped with guard above and bellow the base or shoe?

  Yes

  No

  N/A

• Are rotating or moving parts of equipment guarded to prevent contact by coworker?

  Yes

  No

  N/A

• Are all hoses on air or hydraulic tools in good condition?

  Yes

  No

  N/A

ELECTRICAL

• Are electric panels covered?

  Yes

  No

  N/A

• Are all energized outlets and switches covered with plates?

  Yes

  No

  N/A

• Are extension cords free of nicks, gouges or cuts?

  Yes

  No

  N/A

• Are cords ends inspected for proper grounded prongs?

  Yes

  No

  N/A

• Are power cords protected in traffic ways?

  Yes

  No

  N/A

• Are GFCI's and/or assured equipment grounding conductor programs being used?

  Yes

  No

  N/A

• Lockout / tagout devices available and used on circuits that could be come energized?

  Yes

  No

  N/A

• If temporary lighting is provided, are bulbs protected against accidental breakage, and in good working order?

  Yes

  No

  N/A

• Are all construction areas, ramps, walkways, corridors lighted to not less than the minimum illumination intensities?

  Yes

  No

  N/A

LADDERS/STAIRS

• Are stairs having more than four risers equipped with standard stair railings or standard handrails?

  Yes

  No

  N/A

• Are stairways with pan stairs where the treads and/or landings are to be filled with concrete or other material at a later date, temporarily fitted with wood or other solid material?

  Yes

  No

  N/A

• Is the proper ladder being used for the task?

  Yes

  No

  N/A

• Are portable ladders adequate for their purpose?

  Yes

  No

  N/A

• Are step ladders fully open when in use?

  Yes

  No

  N/A

• Are ladder rungs in good condition, none missing or broken?

  Yes

  No

  N/A

• Are safety shoes/cleats on the bottom of the ladder?

  Yes

  No

  N/A

• Is the proper foundation present at base of ladder?

  Yes

  No

  N/A

• Are ladder properly secured to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Do side rails extend 36" above top of each landing?

  Yes

  No

  N/A

• Are portable ladders used at such a pitch that the horizontal distance from the top bearing to the foot of the ladder is about 1/4 of the working length of the ladder?

  Yes

  No

  N/A

• Are ladders prohibited from being used in a horizontal position as platforms, runways or scaffolds?

  Yes

  No

  N/A

• Are areas around the top and bottom of the ladder kept clear?

  Yes

  No

  N/A

SCAFFOLDING

• Scaffold stairs inspected on daily basis?

  Yes

  No

  N/A

• Is erection movement and dismantling properly supervised by a competent person?

  Yes

  No

  N/A

• Is proper fall protection used during scaffold erection?

  Yes

  No

  N/A

• Are workers on scaffolds above 6' protected from fall hazard?

  Yes

  No

  N/A

• Are scaffold components visible free of any physical damage with no bent support or braces?

  Yes

  No

  N/A

• Are scaffold no greater than 14" away from the wall?

  Yes

  No

  N/A

• Is the scaffold plumb, square and in good condition?

  Yes

  No

  N/A

• Are scaffold which are 4 times higher that the width tied off?

  Yes

  No

  N/A

• Is scaffold erected on a firm and substantial surface (concrete, base plate, mud sill)?

  Yes

  No

  N/A

• Is scaffold properly erected with all pins and two braces installed?

  Yes

  No

  N/A

• Is platform area free of debris/trash?

  Yes

  No

  N/A

• Is planking of sufficient stress grade of scaffold grade timber?

  Yes

  No

  N/A

• Is planking in good condition and fully installed across the platform?

  Yes

  No

  N/A

• Is planking overlapped at least 6" but not greater than 12"?

  Yes

  No

  N/A

• Are planking overlaps centered over a support member?

  Yes

  No

  N/A

• Is planking secured from movement?

  Yes

  No

  N/A

• Is there proper access to scaffolds?

  Yes

  No

  N/A

• Are guardrails, intermediate rails and toe-board in place?

  Yes

  No

  N/A

• Are top rails between 38" & 48" above the planking?

  Yes

  No

  N/A

ROLLING SCAFFOLDS

• Are scissor lifts being used properly

  Yes

  No

  N/A

• Are rolling scaffolds equipped with locking wheels?

  Yes

  No

  N/A

• Are wheels locked when scaffold is in use?

  Yes

  No

  N/A

• Are ladders provided for access to scaffold work platform?

  Yes

  No

  N/A

Excavations

• Have all underground utilities been properly located/marked by 811 Dig Safely New York ?

  Yes

  No

  N/A

• Employees protected from cave-ins, excavations 4'or more?

  Yes

  No

  N/A

• Do excavations 4' or more have a safe means of egress, not more than 25' of lateral travel for employees?

  Yes

  No

  N/A

• Are open excavations barricaded?

  Yes

  No

  N/A

• Are employees protected from excavated or other materials or equipment that could pose a hazard by falling or rolling into excavations?

  Yes

  No

  N/A

• Are materials or equipment kept at least two (2) feet from the edge of excavations?

  Yes

  No

  N/A

• Is a flag person provided to direct traffic when needed?

  Yes

  No

  N/A

Notes / Comments

Prime Contractor responsible party on site

• Add signature

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Completed by

• Corey Hires, Jacobs Site HSE Manager

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