James McHugh Construction RR1-1-3

• Audit Title

• Client / Site

• Document No.

• Conducted on

  Date

• Prepared by

Safety Manager

• What time did you start and end shift?

  Yes

  No

  N/A

• Weather conditions?

  Yes

  No

  N/A
• Location
  Address

1. Planned / Scheduled work for the day.

• 1a. Pre-Task / Safety Briefing prior to start of work?

  Yes

  No

  N/A

• 1b. Work performed according to plan?

  Yes

  No

  N/A

• 1c. Adequate tools, materials and Safety controls to perform work?

  Yes

  No

  N/A

• 1d. List Sub-Contractors on site:

2. Ladders

• 2a. Unsafe or damaged ladders discarded, destroyed, and removed from site?

  Yes

  No

  N/A

• 2b. Ladders properly positioned?

  Yes

  No

  N/A

• 2c. Ladder properly secured?

  Yes

  No

  N/A

3. Emergency Response

• 3a. Adequate emergency plans for site?

  Yes

  No

  N/A

• 3b. Emergency procedures displayed at site?

  Yes

  No

  N/A

• 3c. Adequate first aid kits and equipment for site?

  Yes

  No

  N/A

4. Personal Protective Equipment (PPE)

• 4a. Adequate PPE supplied / utilized?<br>

  Yes

  No

  N/A

• 4b. Appropriate training in safe use, clean-up and inspection of PPE?

  Yes

  No

  N/A

5. Fall / Perimeter Protection

• 5a. Guard rails at required height?

  Yes

  No

  N/A

• 5b. Holes greater than 2" covered, secured, and clearly marked?

  Yes

  No

  N/A

• 5c. Fall arrest plan, equipment, & personnel properly trained?

  Yes

  No

  N/A

6. Lifting Equipment

• 6a. Hoisting Equipment adequate for task at hand? (Right machine for the task?)

  Yes

  No

  N/A

• 6b. All workers, and operators aware of hoisting loads over head and near power lines, practices and procedures according to company policy and OSHA Standards?

  Yes

  No

  N/A

• 6c. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks removed from service?

  Yes

  No

  N/A

7. Work Environment

• 7a. Sufficient lighting?

  Yes

  No

  N/A

• 7b. Adequate housekeeping?

  Yes

  No

  N/A

8. incidents, Accident, Injury, Near Miss

• 8a. Detailed Information Photo's

  Media

• 8b. Detailed information narrative?

9. Electrical Hazards

• 9a. GFCI outlets inspected regularly?

  Yes

  No

  N/A

• 9b. Electrical equipment placed away from water?

  Yes

  No

  N/A

• 9c. Extension cords inspected prior to use?

  Yes

  No

  N/A

• 9d. Electrical equipment at safe distance from flammables?

  Yes

  No

  N/A

• 9e. Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Yes

  No

  N/A

10.Excavation

• 10a. Has an excavator corporate safety program been submitted to Project Superintendent?

  Yes

  No

  N/A

• 10b. Is there a competent excavator person?

  Yes

  No

  N/A

• 10c. Has a review of the subcontractor excavation permit and dig number requirements been accomplished?

  Yes

  No

  N/A

• 10d. Are backup alarms and safety belts being used?

  Yes

  No

  N/A

• 10e. Are traffic control and flagging procedures/practices implemented?

  Yes

  No

  N/A

• 10f. Have open excavations been protected?

  Yes

  No

  N/A

• 10g. Is shoring designed by a Structural Engineer?

  Yes

  No

  N/A

• 10h. Is contaminated material being handled in accordance to the work?

  Yes

  No

  N/A

• 10I. Is erosion control being used :(silt fences, construction entrances, sweeping, protection of existing and new storm sever)?

  Yes

  No

  N/A

• 10j. Have trenches/excavations been inspected by a competent person prior to entering them ?

  Yes

  No

  N/A

• 10k. Have precautionary measures been implemented for dewatering trenches, etc.?

  Yes

  No

  N/A

• 10l. Is there an excavation/trenching permit process?

  Yes

  No

  N/A

• 10m. Has a competent person identified the soil classification?

  Yes

  No

  N/A

• 10n. Is sloping, shielding and shoring required?

  Yes

  No

  N/A

• 10o. Is any special insurance required? (RR Prospective, etc.)

  Yes

  No

  N/A

• 10p. Is dust control and street sweeping being maintained?

  Yes

  No

  N/A

• 10q. Is there a toxic fume hazard?

  Yes

  No

  N/A

• 10r. Is there an oxygen deficiency hazard.

  Yes

  No

  N/A

• 10s. Is there adequate access/egress?

  Yes

  No

  N/A

• 10t. Is there a hazard of mobile equipment?

  Yes

  No

  N/A

11. Corrective Actions

• 11a. Enter any corrective actions that will be undertaken

• Add media

  Media

Sign Off

• Auditor's signature

  Sign