JE Richards Safety Audit v17.9

• Audit Title

• Project Number

  Yes

  No

  N/A

• Foreman

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Project Manager

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Conducted on

  Date

• Prepared by

• Location
  Address

Administrative

• Has the previous audit been reviewed?

  Yes

  No

  N/A

• Are there any outstanding items

  No

  Yes

Review Pre-Task Plan

• Tasks Identified

  Pass

  Fail

  N/A

• Hazards Identified

  Pass

  Fail

  N/A

• Controls Identified

  Pass

  Fail

  N/A

• Employees understand tasks

  Pass

  Fail

  N/A

• Employees name specific hazards

  Pass

  Fail

  N/A

• Employees signed PTP

  Pass

  Fail

  N/A

• PTP comments...

• Add media

  Media

• Site information sheet posted?

  Yes

  No

  N/A

• First aid kit available?

  Yes

  No

  N/A

New Employees/Red Hats

• New employees/red hats on site?

  Pass

  Fail

  N/A

Personal Protective Equipment

• Hard Hat

  Safe

  At Risk

  N/A

• Safety Glasses

  Safe

  At Risk

  N/A

• Gloves

  Safe

  At Risk

  N/A

• High-Visibility Vest

  Safe

  At Risk

  N/A

• Avg noise level (dBa)

Material Handling & Ergonomics

• Material handling aids

  Safe

  At Risk

  N/A

• Forklifts used today?

  Pass

  Fail

  N/A

Tools

• Shotguns used today?

  Pass

  Fail

  N/A

• Knives used today?

  Pass

  Fail

  N/A

• Observed tool usage

  Safe

  At Risk

  N/A

Electrical

• GFCI testing logs current

  Yes

  No

  N/A

• Enclosures intact

  Yes

  No

  N/A

• Cord & cable condition

  Safe

  At Risk

  N/A

• Temporary lighting

  Safe

  At Risk

  N/A

• Lockout/Tagout & electrical safe work practices

  Safe

  At Risk

  N/A

Walking and working surfaces

• Housekeeping

  Safe

  At Risk

  N/A

• Access/egress

  Safe

  At Risk

  N/A

• Slip/trip/fall hazards

  Safe

  At Risk

  N/A

• Impalement hazards protected

  Yes

  No

  N/A

Security

• JER office secured

  Yes

  No

  N/A

• Materials secured

  Yes

  No

  N/A

• Tools secured/safely stored

  Yes

  No

  N/A

Working at Heights

• Stepladders

  Pass

  Fail

  N/A

• Extension/straight ladders

  Pass

  Fail

  N/A

• Aerial lifts

  Pass

  Fail

  N/A

Fall protection

• Guardrails

  Safe

  At Risk

  N/A

• Holes covered

  Yes

  No

  N/A

• Personal fall arrest system

  Safe

  At Risk

  N/A

Fire protection

• Fire extinguishers

  Safe

  At Risk

  N/A

• Hot work procedures

  Safe

  At Risk

  N/A

Employee health

• Dust hazard

  Pass

  Fail

  N/A

• Sanitation

  Safe

  At Risk

  N/A

Other

• Scaffolding used on site?

  Pass

  Fail

  N/A

• Excavation work on site?

  Pass

  Fail

  N/A

• Cranes used today?

  Pass

  Fail

  N/A

Summary

• Additional comments

• Additional photos

  Media

• Safety auditor signature

  Sign