Information
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Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
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Superintendent
- Marcus Bryant
- Eric Hargreaves
- Melvin Harris
- Ray Knapp
- Adan Molina
- Bill Tarasi
-
Project Manager
Excavations
-
Are the excavations benched, sloped, or shored properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is proper access and egress provided for the excavation?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are there any other hazards associated with working in excavations that need to be addressed? ( water, storage of spoils, operation of excavation equipment, ...)
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Fall Prevention Program
-
Are proper anchorage points being used?<br>
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are guardrails installed properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is the leading edge control zone established with signs?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are floor openings covered and marked properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is fall arrest equipment being used properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are swing hazards being protected against?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is fall arrest equipment being stored properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Equipment and Tools
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Are all tools being properly used?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are tools being stored in a safe manner?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are damaged tools and equipment being taken out of service?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are tools being kept in proper working condition?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is equipment (forklifts) being kept in proper working condition?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are electrical hazards being protected against? (Cords in good condition and plugged into GFCI)
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are crane operations being performed in a safe manner?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is the rigging in proper working condition?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Corrective Action Notices
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Have corrective action notices been issued?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Was the Safety Director notified of any corrective action notices that were issued?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Was the Team Member given further training/instruction to correct the issue?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Inspections and Housekeeping
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Are there slip/trip hazards protected against?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are the sanitation facilities clean?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are hazard signs properly posted?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are there clear paths to work areas?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are materials being stored properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are all impalement hazards Properly covered?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are fire extinguishers in proper working condition with updated inspections?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are all secondary chemical containers properly labeled?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Ladders/Scaffold/Access
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Is proper access and egress provided to work areas?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are access ladders secured from accidental displacement?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are task ladders being properly used?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are ladders in proper working condition?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are proper signs and/or stickers properly secured to ladders?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Accident Investigation
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Are report forms being completed properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Where photos taken of the accident and surrounding area?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Was the Safety Director notified immediately?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Was the General Contractor notified?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Pre-Task Planning
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Are pre-task planning meetings being held?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are Team Members participating in the meetings?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are pre-task planning meetings being documented on daily reports?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
General Management Items
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Is all safety paperwork completed and turned in to the office?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are new hire orientations completed properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are the proper binders and posters displayed in the trailer where they are accessible by all of the Team Members?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is the trailer organized?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are new Team Members being strategically positioned amongst the rest of the crew?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are subcontractors being monitored for safe operations?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Overall Safety Attitude
-
Overall, where safe work habits observed?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Did the crew have an overall good attitude with regards to safety?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Training
-
Are the Team Members trained in the correct JHA's for the tasks being performed?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are forklift operators current with their certification?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is the first aid/CPR training up to date for the project?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are all finishers current with their fit test/medical evaluation?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Has a fall demo been scheduled?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Do all Team Members know where the MSDS are located?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Injury Prevention
-
Are Team Members stretching daily?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are Team Members using proper lifting techniques?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Is water, cup, trash can, and shade provided for the Team Members?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
Personal Protective Equipment
-
Are hard hats being used properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are safety glasses being used properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are respirators being used properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are safety vests being used ?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are gloves being used properly?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are face shields being used?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are ear plugs being used when needed?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected
-
Are long sleeves being used when placing concrete?
-
Grade
- 5
- 4.5
- 4
- 3.5
- 3
- 2.5
- 2
- 1.5
- 1
- .5
- N/A
- Not Inspected