Job Site Safety Acessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add location
  Address

• Select date

  Date

Previous Inspection

• Has the previous inspection been corrected and reviewed.

  Yes

  No

  N/A

Weather Conditions

• Add media

  Media

Employee Observation / Personal Protective Equipment

• Hard Hats (mandatory)

  Safe

  At Risk

  N/A

• Eye / Face Protection (mandatory)

  Safe

  At Risk

  N/A

• Ear Protection

  Safe

  At Risk

  N/A

• Dust Masks / Respirators

  Safe

  At Risk

  N/A

• Safe Lifting Practices / Back Belts

  Safe

  At Risk

  N/A

• Clothing / Knee Pads / Class 2/3 Vests

  Safe

  At Risk

  N/A

• Footwear / Foot Protection

  Safe

  At Risk

  N/A

• Gloves / Hand Protection

  Safe

  At Risk

  N/A

• Personal Fall Arrest / Restraint Equipment

  Safe

  At Risk

  N/A

• Add media

  Media

Material Handling

• Inspected Movement Path

  Safe

  At Risk

  N/A

• Spotter

  Yes

  No

  N/A

• Laydown Area Established

  Yes

  No

  N/A

• Identified Moving Equipment

  Yes

  No

  N/A

• Wheels Chocked

  Yes

  No

  N/A

Housekeeping

• Exits / Stairs / Walkways Clear

  Safe

  At Risk

  N/A

• Piling & Stacking

  Safe

  At Risk

  N/A

• Debris Removal

  Safe

  At Risk

  N/A

• Nails Bent or Removed

  Safe

  At Risk

  N/A

• Add media

  Media

Ladders & Stairs

• Ladder Condition / Use

  Safe

  At Risk

  N/A

• Ladder Tied Off / 3' Above Landing

  Safe

  At Risk

  N/A

• Stairs & Ramps

  Safe

  At Risk

  N/A

• Add media

  Media

Railings / Covers / Cables

• Perimeter / Stairs

  Safe

  At Risk

  N/A

• Floor / Wall Openings

  Safe

  At Risk

  N/A

• Painted / Sticker installed

  Yes

  No

  N/A

• Walk ways

  Safe

  At Risk

  N/A

• Cables secured (fall protection) 3 clips

  Safe

  At Risk

  N/A

• Add media

  Media

Scaffolding

• Competent person inspected before crews started

  Yes

  No

  N/A

• Condition tags in place

  Yes

  No

  N/A

• Railings

  Yes

  No

  N/A

• Tied to Building

  Safe

  At Risk

  N/A

• Footing adequate

  Yes

  No

  N/A

• Planks & Platforms

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

• Toe boards in place at access points into building

  Yes

  No

  N/A

• Add media

  Media

Fire Protection

• Hot work permit

  Yes

  No

  N/A

• Extinguisher

  Safe

  At Risk

  N/A

• Extinguisher free of obstruction and path clear

  Yes

  No

  N/A

• Flammable Materials Storage

  Safe

  At Risk

  N/A

• Welding / Cutting Equipment

  Safe

  At Risk

  N/A

• Fire watch required?

  Safe

  At Risk

  N/A

• Add media

  Media

First Aid / Sanitation

• Kits & Supplies

  Safe

  At Risk

  N/A

• Sanitation / Hand Washing

  Safe

  At Risk

  N/A

• Clean Cool Water / Shade

  Safe

  At Risk

  N/A

• Add media

  Media

Electrical

• Lighting / Covers

  Safe

  At Risk

  N/A

• Grounding (generators)

  Safe

  At Risk

  N/A

• Power Cords, Plugs & Receptacles

  Safe

  At Risk

  N/A

• Temp Power Boxes / GFI

  Safe

  At Risk

  N/A

• Add media

  Media

Tools

• Condition

  Safe

  At Risk

  N/A

• Guarded / Handel if equipped & Power Cords in good conditions

  Yes

  No

  N/A

• PAT Signs & Training Cards

  Safe

  At Risk

  N/A

• Air Hose & Whip Check

  Safe

  At Risk

  N/A

• Add media

  Media

Site / Public & Environmental Protection

• Excavations / Trenches

  Safe

  At Risk

  N/A

• Competent Person

  Safe

  At Risk

  N/A

• Earthmoving Equipment - Alarms / S.B. ' s

  Safe

  At Risk

  N/A

• Forklifts / Cranes / Compentent Rigger

  Safe

  At Risk

  N/A

• Trench Plates - In Place & Safe Off

  Safe

  At Risk

  N/A

• Lighting / Fences

  Safe

  At Risk

  N/A

• Posting Requirements / Signs

  Safe

  At Risk

  N/A

• Rebar Protection / Barricades

  Safe

  At Risk

  N/A

• Double Containment

  Safe

  At Risk

  N/A

• Environmental / Storm Water

  Safe

  At Risk

  N/A

• Add media

  Media

Programs / Information

• Orientation: New Employee

  Safe

  At Risk

  N/A

• HEAT ILLNESS

  Safe

  At Risk

  N/A

• SWPPP

  Safe

  At Risk

  N/A

• Jobsite Safety Meeting

  Safe

  At Risk

  N/A

• Pre-Task Meetings

  Safe

  At Risk

  N/A

• Fall Protection Plans

  Safe

  At Risk

  N/A

• Foreman Safety Talks / Crew Rotation

  Safe

  At Risk

  N/A

• Stretch & Flex

  Yes

  No

  N/A

• Rest Periods

  Safe

  At Risk

  N/A

• Add media

  Media

SSP Program

• Signature Sheets

  Safe

  At Risk

  N/A

• Safety Coordinator Named / OSHA 10

  Safe

  At Risk

  N/A

• Sub Safety Inspections

  Safe

  At Risk

  N/A

• Sub Safety Paperwork Reviewed

  Safe

  At Risk

  N/A

• Add media

  Media

Lifts (condition of & proper use of)

• Scissors

  Safe

  At Risk

  N/A

• AERIAL LIFTS ( Fall Protection)

  Safe

  At Risk

  N/A

• Add media

  Media

First Aid / Jobsite Injury

• Did you call On Site ?

  Yes

  No

  N/A

• Did you take injured worker to doctor?

  Yes

  No

  N/A

• COMMENTS:

  Yes

  No

  N/A

• Foreman Signature

  Sign