Information
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Audit title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Days Worked / Job board
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Select date
Previous Inspection
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Has the previous inspection been corrected and reviewed.
Weather Conditions
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Employee Observation / Personal Protective Equipment
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Hard Hats (mandatory)
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Eye / Face Protection (mandatory)
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Ear Protection
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Dust Masks / Respirators
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Safe Lifting Practices / Back Belts
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Clothing / Knee Pads / Class 2/3 Vests
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Footwear / Foot Protection
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Gloves / Hand Protection
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Personal Fall Arrest / Restraint Equipment
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Material Handling
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Inspected Movement Path
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Spotter
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Laydown Area Established
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Identified Moving Equipment
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Wheels Chocked
Housekeeping
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Exits / Stairs / Walkways Clear
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Piling & Stacking
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Debris Removal
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Nails Bent or Removed
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Ladders & Stairs
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Ladder Condition / Use
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Ladder Tied Off / 3' Above Landing
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Stairs & Ramps
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Utilities / Pressurized Pipe
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Utilities Marked
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Utilities LOTO / Barricaded <br>
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Pressurized Pipe / System
Railings / Covers / Cables
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Perimeter / Stairs
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Floor / Wall Openings
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Painted / Sticker installed
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Walk ways
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Cables secured (fall protection) 3 clips
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Scaffolding
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Competent person inspected before crews started
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Condition tags in place
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Railings
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Tied to Building
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Footing adequate
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Planks & Platforms
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Access
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Toe boards in place at access points into building
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Fire Protection
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Hot work permit
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Extinguisher
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Extinguisher free of obstruction and path clear
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Flammable Materials Storage
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Welding / Cutting Equipment
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Fire watch required?
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First Aid / Sanitation
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Kits & Supplies
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Sanitation / Hand Washing
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Clean Cool Water / Shade
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Electrical
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Lighting / Covers
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Grounding (generators)
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Power Cords, Plugs & Receptacles
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Temp Power Boxes / GFI
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Electrical safe off/ Hot Work/ LOTO
Tools
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Condition
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Guarded / Handel if equipped & Power Cords in good conditions
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PAT Signs & Training Cards
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Air Hose & Whip Check
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Site / Public & Environmental Protection
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Excavations / Trenches
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Competent Person
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Earthmoving Equipment - Alarms / S.B. ' s
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Forklifts / Cranes / Compentent Rigger
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Trench Plates - In Place & Safe Off
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Lighting / Fences
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Posting Requirements / Signs
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Rebar Protection / Barricades
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Double Containment
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Environmental / Storm Water
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Programs / Information
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Orientation: New Employee
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HEAT ILLNESS
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SWPPP
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Jobsite Safety Meeting
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Pre-Task Meetings
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Fall Protection Plans
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Foreman Safety Talks / Crew Rotation
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Stretch & Flex
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Rest Periods
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SiP Program
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Signature Sheets
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Safety Coordinator Named / OSHA 10
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Sub Safety Inspections
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Sub Safety Paperwork Reviewed
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Lifts (condition of & proper use of)
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Scissors
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AERIAL LIFTS ( Fall Protection)
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First Aid / Jobsite Injury
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Did you call On Site ?yes
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Did you take injured worker to doctor?
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COMMENTS:
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Regional Safety Signature
