Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

2. Safety Responsibilities

  • 2a. Please list Project Team and their responsibilities

  • Project Manager

  • Superintendent

  • Safety Manager

  • Safety Carpenter

  • Other

  • 2b. Please list the General Foremen on site and their safety responsibilities

  • Carpenter General Foreman

  • Deck Foreman

  • Vertical Foreman (besides core)

  • Core Foreman

  • Carpenter Union Steward

  • Laborer General Foreman?

  • Stripping Foreman

  • Sub Foreman

  • Ground man

  • Deck Laborer

  • Laborer Union steward

  • Safety Laborer

  • Ironworker General Foreman?

  • Deck Foreman (rebar decks)

  • Deck Foreman (PT slabs)

  • Vertical Foreman

  • Core foreman

  • Ironworker Union Steward

  • Safety Ironworker

  • Cement Mason General Foreman?

  • Sub Foreman

  • Cement Mason Union Steward

  • Safety Cement Mason

  • Engineer Foreman

  • Safety Tech. Engineer

  • Operators

  • Crane Operators

  • Oiler

  • Crane Operator

  • Oiler

  • Pump Operator

  • Placing Boom Operator

  • 2c. Are there any site safety contractual requirements above and beyond McHugh's requirements? If so pease list

  • Please list

  • 2d. List any additional Safety Comments

3. Emergency Action Plans

  • 3a. Have you designated an emergency evacuation meeting area?

  • Please enter the location

  • 3b. Severe Weather-preventative measures?

  • List any site specific potential safety hazards

  • 3c. Please list emergency contact numbers of Project Team.

  • Home Phone Number

  • Cellular Phone Number

  • Other Phone Number

  • 3d. Please list the operational plans that will be provided for the project.

  • Locations of Safety straps

  • Location plan for fire extinguishers

  • Location plan of exits

  • Location Plan of other (please list)

4. Training and Education, New Employee Orientation

  • 4a. Please ensure the following requirements are met prior to employee beginning work

  • Fit for duty for new employees

  • Drug and alcohol test

  • Safety Orientation

  • Proper documentation

  • Copy of special certifications, if applicable

  • 4b. Is there anyone on site that is trained in CPR or First Aid? If not, there should be an effort made to provide training

  • Please list employees who are trained in CPR or First Aid

  • Please list employees you recommend to be trained in CPR or First Aid

  • Please list employees you recommend to be trained in CPR or First Aid

  • 4c. Please list any planned training that will take place

  • 4d. Is there any task specific training that will be necessary for this project?

  • Confined Space? If so please explain

  • Trenching? If so, please explain

  • Post tensioned slabs/beams? If so, please explain

  • High Decks? If so, please explain

  • Any other task specific training that will be necessary for this project?

5. Pre-task Planning and Job Hazard Analysis

  • 5a. Please list any areas that need extensive long term planning with pre-construction safety meeting required

  • Confined Space?

  • Please list Responsible person

  • Please select date of scheduled work

  • Please enter the meeting date

  • Trenching?

  • Please list Responsible person

  • Please select date of scheduled work

  • Please enter the meeting date

  • Post-Tensioning?

  • Please list Responsible person

  • Please select date of scheduled work

  • Please enter the meeting date

  • High Decks?

  • Please list Responsible person

  • Please select date of scheduled work

  • Please enter the meeting date

  • Other?

  • Please list Responsible person

  • Please select date of scheduled work

  • Please enter the meeting date

  • 5b. Please list those on your Team who will be performing the Take 5 meetings, and their titiles

6. Safety Inspection Procedures

  • 6a. Please list inspection procedures besides the regular safety audits that will be performed

  • Please list the plans that will be provided regulating fire extinguishers

  • Please list the plans that will be provided for checking PPE

  • 6b. Please list whom will perform the regular Safety Audits

  • 6c. What processes are in place to make employees aware of potential hazards?

  • Site Orientation?

  • JHAs?

  • Take 5 meetings?

  • Weekly coordination meetings?

  • Tool box talks?

  • Other (Please list)?

7. Personal Protective Equipment

  • 7a. Are there any Protective Equipment requirements above and beyond the standard?

  • Please list

  • 7b. Is there any special equipment required for the project?

  • Please list

  • 7c. Has the project required PPE signage locations been determined?

  • Please list signage and locations

8. Respiratory Protection Program

  • 8a. Employees on site using respirators?

  • 8b. Employees Medical and Fit tested?

  • 8c. Records on site?

  • 8d. Respirators in sealed container when not in use?

  • 8e. Only McHugh Construction respirators used on site?

  • 8f. Confined spaces?

  • 8g. Hazardous gases/dust?

  • 8h. Have the Silica Hazard signs en posted if applicable?

9. Fire Prevention and Protection

  • 9a. Will flammables be stored on site?

  • 9b. Are flammables located in a safe area, away from sparks, flames and traffic?

  • 9c. Are flammables stored in an enclosure that is labeled?

  • 9d. Will torches be used on site?

  • 9e. Do the gauges have flash back arrestors?

  • 9f. Required separation and storage area's provided for oxygen and acetylene?

  • 9g. Storage area's labeled and warning signs posted?

  • 9h. Has the local Fire Dept. been notified of the type of construction taking place?

  • 9i. Has a drawing of the site and hazardous area's been provided to the Fire Dept.?

  • 9j. Evacuation Area designated?

  • 9k. Special hot work needs, neighboring fuel storage/flammables?

  • 9l. Deck heaters being used on site?

  • 9m. Extra fire extinguishers placed near heated areas?

  • 9n. Has the appropriate number of fire extinguishers and signage been addressed for the project formwork?

10. Fall Prevention and Protection

  • 10a. Decking over 10'?

  • 10b. Deck monitor on site?

  • 10c. Full time tie off on floors over 10'?

  • 10d. Briefings/Safety Meetings prior to 10'+ decking operation?

  • 10e. Procedures in place for stripping elevated decks - scissor lifts, boom lifts, ladders, tie off straps?

  • 10f. Scaffolds on site?

  • 10g. Employee's trained and proof of training on site?

  • 10h. Type of exterior fall protection - cables, wood rails, mesh?

  • 10i. Boom lifts being used on site?

  • 10j. Scissor lifts used on site?

  • 10k. Employees trained in use of boom and scissor lifts?

  • 10l. Deck monitor on site?

  • 10m. Plan for full time tie off on floors over 10' in elevation?

  • 10n. Life lines, retractables, d-ring anchors and column straps inspected prior to use?

  • 10o. Will the control zone and 100% tie-off signs be posted?

11. Housekeeping and Material Storage

  • 11a. All material will be stored to not block aisle ways and passageways, both interior and exterior?

  • 11b. All fuel tanks to be properly stored and removed from building ASAP?

  • 11c. All work areas to be kept as free of waste materials that may cause tripping, fire, or other hazards?

  • 11d. Materials will be stacked, racked, and blocked in such a way as to prevent the accidental displacement or collapse?

  • 11e. Nails will be removed from lumber that is to be re-used?

12. Electrical Safety

  • 12a. Are all electrical tools protected by Ground Fault Circuit Interrupters (GFCIs)?

  • 12b. Will electrical tools be inspected for visible defects daily?

  • 12c. Electrical cords will be positioned to not cause tripping hazards?

  • 12d. Crane electrical & boxes will be marked with the operating voltage?

  • 12e. If temporary generators are used there will be proper ventilation and electrical cords will be checked daily?

  • 12f. Will the electrical boxes and disconnects be labelled for the crane?

13. Cranes, Rigging, and Heavy Equipment

  • 13a. Type of crane/cranes on site - Hammerhead, luffing boom, crawler, rubber tire mobile.

  • 13b. Copy of annual inspections on site?

  • 13c. Inspection sheets for each type of crane being used?

  • 13d. Procedures in place for swing radius protection for crawler cranes?

  • 13e. Communication to Crane operators - radios, hand signals, hardline speaker?

  • 13f. Signal and rigging training certification for employees on site?

  • 13g. Copy of City of Chicago Crane License if necessary on site?

  • 13h. Signal and rigging training certification for employees on site?

  • 13i. Will the "Authorized Personnel Only" sign be posted at the bottom of crane ladder?

14. Truck and Auto Fleet Safety

  • 14a. List of vehicles used on site available?

  • 14b. Copy of Drivers Licenses of employees using vehicles on site?

  • 14c. Fire extinguishers and First Aid kits in company vehicles (infrastructure)?

  • 14d. Mars lights/ four way flashers required?

15. Confined Space Entry

  • 15a. If there will be CSE work, has the CSE procedure been developed by Corporate Safety?

  • 15b. Are concrete subcontractors of McHugh planning to use CSE with their work?

  • 15c. CSE safety procedures for subs need to be approved by Corporate Safety?

  • 15d. Will confined Space sign be posted if applicable?

16. Scaffold, Aerial Lift, and Ladder Safety

  • 16a. Are any scaffolds or aerial lifts (scissor or booms) planned to be used for the concrete work?

  • 16b. Will there be daily records kept for each days inspection?

  • 16c. Will there be training records for each employee that is trained on booms or other?

  • 16d. Will there be ladder safety training done and recorded?

17. Trenching and Excavation

  • 17a. If trenching is done to do concrete work, have the employees working in the trench been trained and has this training been recorded?

  • 17b. Will the excavator be following the McHugh process trench safety?

18. Portland Cement/Concrete Safety

  • 18a. Have the employee been trained regarding Cement/Concrete safety?

  • 18b. Will employees be wearing proper PPE, fitted masks, and other?

  • 18c. Are mask fit test records being kept for each affected employee?

  • 18d. Has the "Silica Hazard" signage been posted if applicable?

19. Cable Post Tensioning/Safety Traffic Control

  • 19a If there is concrete post tensioning on the project, have the employees been trained?

  • 19b. Are the records of the employee training being kept?

  • 19c. Has there been a procedure for disposing of the cut-off tails?

  • 19d. Has the "Post Tensioning in Progress" signage been posted if applicable?

20. Traffic Control

  • 20a. Has the site logistics plan used for the bid been reviewed for more project specific information?

  • 20b. Has the site logistics plan included auto, truck, and pedestrian traffic control?

  • 20c. If there is specific training for traffic control, like for flaggers, has this training been planned?

  • 20d. Has the "Truck Crossing" and "Sidewalk Traffic Control" signage been posted if applicable?

21. Work Over, On, or Near Water

  • 21a. will there be any work over, on, or near water?

  • 21b. Has there been a JHA for this work item?

  • 21c. Has the "Life Jackets Required" signage been posted if applicable?

22. Demolition

  • 22a. Will there be any demolition on this project? If yes, describe locations and methods plan.

  • 22b. Are existing utilities (gas, water, electric, sewer) anticipated?

  • 22c. Hazardous materials (gases, explosives, flammable materials, lead, asbestos)?

  • 22d. Testing for hazardous materials?

  • 22e. Has the "Demolition Hazard" signage been posted if applicable?

23. Public Protection and Site Security

  • 23a Does site logistics plan address public safety?

  • 23b. Are noise, vibrations, fumes, dust, falling debris concerns?

  • 23c. Will overhead protection canopies be required?

  • 23d. Does construction traffic cross pedestrian routes safely?

  • 23e. Will perimeter wind screens be needed?

  • 23f. Has "Construction Site Public Protection Plan Checklist been reviewed" (ref. Section 23 of Corp. Safety Plan

  • 23g. Will Logistics/Site Security plans be included in tool box talks and orientations?

  • 23h. Will Logistics/Site Security plans be posted? Where?

  • 23i. Have the "Danger Truck Traffic" signs been displayed?

24. Employee Safety Violation and Penalty Program

  • 24a. Does this project require stricter standards than what is included in McHugh's corporate plan section 24?

25. Subcontractor Information and Requirements

  • 25a. Will there be any subcontractors working for McHugh on this project?

  • 25b. Does their contract include safety requirements and schedule of violation fines?

  • 25c. Are there any special job site requirements for this project and are they included in their subcontract? i.e. no smoking, 100% tie-off...

  • 25d. Is this an OCIP or CCIP job? If so, do we have a copy of the OCIP/CCIP Plan Requirements?

26. Substance Abuse and recovery Program

  • 26a. Does this project require stricter standards than what is included in McHugh's corporate plan section 26?

27. Blood Borne Pathogens Information

28. Accidental

  • 28a. Has the person been assigned that will lead all accident investigations?

  • 28b. Are there any reports or procedures required for this project different from what is in McHugh's Corporate Plan section 28?

29. Sexual Harassment and Unlawful Acts Policy

  • 29a. Does this project require stricter standards than what is included in McHugh's corporate plan section 29?

  • 29b. Where will McHugh Hotline posters be displayed?

30. OSHA Inspections

  • 30a. Are there any procedures required for this project different from what is in McHugh's Corporate Plan section 30?

31. Crisis Management Plan

  • 31a. Are there any procedures required for this project different from what is in McHugh's Corporate Plan section 31?

  • Sign off (Print Name)

  • Signature

  • Title

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