Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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EP Job Name
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EP Job #
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EP Foreman
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EP Project Manager
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IS THIS A PRELIMINARY OR FOLLOW UP INSPECTION?
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WILL EP EMPLOYEES BE USING AERIAL WORK PLATFORMS ONSITE?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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EP HAS SDS BINDER ONSITE AND ALL EMPLOYEES KNOW WHERE IT IS LOCATED?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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DOES EP HAVE COMPRESSED AIR OR GAS CYLINDERS PRESENT ONSITE?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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ALL EP EMPLOYEES ONSITE AWARE OF THE ZERO TOLERANCE POLICY FOR WORKING ON/IN ENERGIZED EQUIPMENT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP PERFORM CONFINED SPACE WORK ON THIS SITE?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS EP PERFORMING LOTO AS REQUIRED BY THE NFPA-70E?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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ALL EXTENSION CORDS OUT OF PATHWAYS?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS ALL EP TEMPORARY POWER INSTALLED PER NEC ART. 590?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS EP USING GFCI'S PER OSHA STANDARDS ?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS EP TEMPORARY BEING MAINTAINED SO THAT IT DOES NOT POSE A SAFETY HAZARD?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS EP FALL PROTECTION PLAN BEING FOLLOWED?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS EP PERFORMING ROOF WORK DURING THIS PROJECT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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DOES EP HAVE AN EP EXTINGUISHER ACCESSIBLE WITHIN 3000 SQ FT. OF THEIR WORK AREA?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP BE USING A FORK TRUCK DURING THIS PROJECT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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ARE EP EMPLOYEES USING SAFE WORK PRACTICES?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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ARE EP EMPLOYEES USING THE RIGHT TOOLS FOR THE RIGHT JOB SAFELY?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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EP EMPLOYEES ARE AVOIDING AREAS THAT KNOWN HAZARDOUS MATERIALS ARE LOCATED?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP REQUIRE CRANE OPERATION ONSITE?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP WORK REQUIRE THE USE OF HEAVY EQUIPMENT ON THIS PROJECT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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ARE EP EMPLOYEES PRACTICING GOOD HOUSEKEEPING?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS THERE AN EP FIRST-AID/CPR TRAINED PERSON ONSITE?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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DOES EP HAVE AN APPROPRIATE QUANTITY AND FULLY STOCKED FIRST AID AND BLOOD BORNE PATHOGEN KITS ONSITE?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP USE POWDER ACTUATED TOOLS ON THIS PROJECT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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IS ALL EP PPE CLEAN, INSPECTED DAILY & IN GOOD CONDITION?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP EMPLOYEES OR THEIR SUBCONTRACTORS PERFORM ANY TRENCHING OR EXCAVATING ON THIS PROJECT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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WILL EP PERFORM WELDING OR CUTTING ON THIS PROJECT?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
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ARE OTHER TRADES AFFECTING THE SAFETY OF EP EMPLOYEES?
- Satisfactory
- Unsatisfactory
- Needs Addressed
- No Further Action Required or NA
Comments
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Any additional comment or recommedations?
Acknowledgement
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I HAVE REVIEWED THIS SAFETY AUDIT WITH THE EP SAFETY INSPECTOR AND AGREE TO ADDRESS ANY SAFETY CONCERNS AS SOON AS POSSIBLE.
