JOB SITE SAFETY AUDIT

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PRE-TASK PLANNING and BBS

• Pre-task plan completed and discussed with all crew members

  Yes

  No

  N/A

• Pre-task plan updated if scope of work changes

  Yes

  No

  N/A

• Site specific safety plan reviewed

  Yes

  No

  N/A

• JHAs reviewed and signed

  Yes

  No

  N/A

• BBS Card/s assigned

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (BPM ALL)

• Hardhats worn at all times (SM 9.4)<br>

  Yes

  No

  N/A

• Proper hand/arm protection

  Yes

  No

  N/A

• Hearing protection used when required (SM 9.12)

  Yes

  No

  N/A

• Face shields when there is potential for flying objects or working overhead (SM 9.5)

  Yes

  No

  N/A

• Safety Glasses with Side-shields (SM 9.5)

  Yes

  No

  N/A

• Full Body Harness w/ Lanyard or Retractable where needed (SM 9.10)

  Yes

  No

  N/A

HOT WORK (BPM 5, 7, 10 & 28)

• Hot Work permit filled out, signed and posted

  Yes

  No

  N/A

• Fire Protection (extinguishers / fire blankets) (SM 12.2)

  Yes

  No

  N/A

• Fire extinguishers inspected and tagged (SM 12.3)

  Yes

  No

  N/A

• Welding shields in use

  Yes

  No

  N/A

• Cylinders secured and capped when not in use

  Yes

  No

  N/A

• Leads and Hoses in good condition (SM 12.6)

  Yes

  No

  N/A

WALKING / WORKING SURFACES (BPM 3 & 31)

• All floor openings and holes greater than 2" covered (SM 9.11.2)

  Yes

  No

  N/A

• Aisle ways are clear of tripping hazards such as ext. cords, welding leads and stored material

  Yes

  No

  N/A

• All leading edges with falls greater than 6' protected (SM 9.11)

  Yes

  No

  N/A

• Weld rods / all-thread stubs are placed in buckets or trash containers (SM 12.5)

  Yes

  No

  N/A

• Work area properly illuminated (SM 18.5)

  Yes

  No

  N/A

• Roof top work has proper fall protection system (SM 9.11)

  Yes

  No

  N/A

MATERIAL LIFTING / HANDLING (BPM 12, 14, 26 & 30)

• Employees are using proper lifting techniques

  Yes

  No

  N/A

• Slings and chokers in good condition

  Yes

  No

  N/A

• Shackles are used on multi-leg picks

  Yes

  No

  N/A

• Cranes, chain falls, come-alongs and air tuggers are properly sized and used correctly

  Yes

  No

  N/A

SCAFFOLDS AND MAN-LIFTS (BPM 2, 20 & 11)

• Handrails and toe-boards in place (SM 16.3)

  Yes

  No

  N/A

• Scaffolds have proper access and are tagged, dated and inspected by a competent person (SM 16.2, 16.4, 16.6)

  Yes

  No

  N/A

• Fall protection used in boom-lifts (SM 9.10)

  Yes

  No

  N/A

• Fall protection requirements for scissor lifts are being met (SM 9.10)

  Yes

  No

  N/A

EXCAVATIONS (BPM 24)

• 5 feet or more in depth - shored, sloped or benched (SM 7.14)

  Yes

  No

  N/A

• Spoils are a minimum of 2' from edge of the excavation (SM 7.9)

  Yes

  No

  N/A

• Excavations are inspected daily for any changes in working conditions (SM 7.10)

  Yes

  No

  N/A

• Entry permits are filled out and posted for excavations greater than 5 feet (SM 7.10)

  Yes

  No

  N/A

• Proper access / egress is provided (SM 7.4)

  Yes

  No

  N/A

LADDERS (BPM 1)

• All ladders are free of defects (SM 10.3)

  Yes

  No

  N/A

• Stepladders used only in the open and locked position ( SM 10.4)

  Yes

  No

  N/A

• Straight ladders are being used at proper angle (SM 10.4)

  Yes

  No

  N/A

• Straight ladders are equipped with safety feet and are secured to avoid displacement (SM 10.4)

  Yes

  No

  N/A

• Access to ladders free of debris and/or obstructions (SM 10.4)

  Yes

  No

  N/A

POWER TOOLS (BPM 3, 4, 6, 8, 9, 23, 27, 34, 35 & 36)

• Power cords in good condition (SM 18.3)

  Yes

  No

  N/A

• Guards and handles in place (SM 11.5)

  Yes

  No

  N/A

• Ground-fault interruption protection in place (SM 18.4)

  Yes

  No

  N/A

Comments and Action Items

• Comments

• Action Items

SIGNATURES

• SITE REPRESENTATIVE

  Sign

• AUDITOR

  Sign