Jobsite Audit - Draft 2

• Client / Site

• Date & Time

  Date

• Prepared by

• Location
  Address

• Personnel

SITE LOGISTICS / DOCUMENTATION

• OSHA Postings <br> (Posted on site or in an accessible packet)

  Yes

  No

  N/A

• Safety Manual available - (hard copy or electronic)

  Yes

  No

  N/A

• MSDS List available - (hard copy or electronic)

  Yes

  No

  N/A

• Pretask Planning log available - (each trade)

  Yes

  No

  N/A

~> Emergency Management Information

• Emergency numbers / Sub contact list posted

  Yes

  No

  N/A

• Medical Map posted <br> (multiple copies hanging so employees can take one when they leave)

  Yes

  No

  N/A

• Site Specific Emergency Action Plan (EAP) Available

  Yes

  No

  N/A

~> Subcontractor Safety

• Sub Office Contact / Safety Person Contact listed<br>

  Yes

  No

  N/A

• Sub Safety Manual available - (hard copy or electronic)

  Yes

  No

  N/A

• Sub MSDS manual available - (hard copy or electronic)

  Yes

  No

  N/A

HOUSEKEEPING

• Fire extinguishers <br> (on site, dispersed adequately, in clearly marked stands, Annual Certifications, Monthly Inspections)

  Yes

  No

  N/A

• First Aid Kits - (on site, dispersed, filled appropriately)

  Yes

  No

  N/A

• Adequate Lighting

  Safe

  At Risk

  N/A

• Job site free of slips, trips and fall hazards

  Safe

  At Risk

  N/A

• Stairways / walkways clear

  Safe

  At Risk

  N/A

• Trash picked up

  Yes

  No

  N/A

• Break areas orderly - (Food is in covered waste containers)

  Yes

  No

  N/A

• Floor openings - covered, fastened, labeled

  Safe

  At Risk

  N/A

ELECTRICAL / UTILITY

• Insulation intact on cords and wiring / Grounds on cords

  Safe

  At Risk

  N/A

• Temporary lighting guarded

  Safe

  At Risk

  N/A

• Electrical panels labeled and covered

  Safe

  At Risk

  N/A

• GFCI protection utilized

  Safe

  At Risk

  N/A

• Lockout / tagout procedures utilized

  Safe

  At Risk

  N/A

HAND AND POWER TOOLS

• Hand tools in good working order

  Safe

  At Risk

  N/A

• Electrical cords in good working order

  Safe

  At Risk

  N/A

• All mechanical safeguards in use

  Safe

  At Risk

  N/A

• Proper PPE while in use

  Safe

  At Risk

  N/A

EQUIPMENT

• Brakes, lights, signals, and alarms operative

  Safe

  At Risk

  N/A

• Daily inspections filled out

  Safe

  At Risk

  N/A

• Seat belts worn - All equipment

  Safe

  At Risk

  N/A

• Lifts - 100% tie off

  Safe

  At Risk

  N/A

• Cranes - proper setup including distance to power lines

  Safe

  At Risk

  N/A

• Cranes - ground conditions verified and safe for operation (underground wells, vaults, etc.)

  Safe

  At Risk

  N/A

• Cranes- swing radius protected - level

  Safe

  At Risk

  N/A

• Rigging equipment inspected - tag showing

  Safe

  At Risk

  N/A

BARRICADES

• Barricades affixed with proper signage

  Safe

  At Risk

  N/A

• Floor openings planked or barricaded

  Safe

  At Risk

  N/A

• Wall, roof openings covered or barricaded

  Safe

  At Risk

  N/A

• Rooftops/edges protected - (100% guardrail or personal fall protection)

  Safe

  At Risk

  N/A

EXCAVATION

• Underground utilities located (Once Call completed and lines located)

  Yes

  No

  N/A

• Is there an excavation more than 4ft?

  Yes

  No

  N/A

• Is there an excavation more than 20ft?

  Yes

  No

  N/A

• Competent Person on site and inspections documented

  Yes

  No

  N/A

• Proper sloping, shielding or shoring as required<br> (Type C - 1.5/1, Type B - 1/1, Type A - .5/1)

  Safe

  At Risk

  N/A

• Access and egress means provided<br> (no further than 20 feet from any employee in the excavation))

  Safe

  At Risk

  N/A

• Spoil set back at least 2 feet

  Safe

  At Risk

  N/A

LADDERS

• Ladders in good condition<br> (stickers, rungs, feet, spreaders, rivets, fiberglass...)

  Safe

  At Risk

  N/A

• Side rails extend 36 inches above landing for access to a level

  Safe

  At Risk

  N/A

• Proper for job and secure

  Safe

  At Risk

  N/A

• Step ladders fully open when in use

  Safe

  At Risk

  N/A

• Placement of ladder safe<br>(tied off if necessary, clean/dry surface...)

  Safe

  At Risk

  N/A

• Use of the ladder properly<br> (standing on the correct rungs, not leaned up stepladders, facing the correct way between the uprights...)

  Safe

  At Risk

  N/A

SCAFFOLDING

• All scaffolds plumb and level

  Safe

  At Risk

  N/A

• Are adequate sills and base plates being used

  Safe

  At Risk

  N/A

• Scaffold Tags present and completed

  Safe

  At Risk

  N/A

• Are wooden scaffold planks installed past their end supports no less than 6 inches and no more than 12 inches

  Yes

  No

  N/A

• Are guardrails including top and mid rail in place

  Safe

  At Risk

  N/A

• To protect from falling objects, are toe boards or area barricaded below

  Safe

  At Risk

  N/A

• Is fall protection being used in areas where required

  Safe

  At Risk

  N/A

• Is there a scaffold tag and has it been inspected

  Yes

  No

  N/A

• Is their a safe access ladder, steps or equivalent means for safe access to the scaffold<br> (Step no greater than 24")

  Safe

  At Risk

  N/A

• Is the scaffold rated for the proper weight capacity

  Safe

  At Risk

  N/A

FIRE PREVENTION

• Are hot work permits in order

  Yes

  No

  N/A

• Fire extinguishers immediately available and inspection tags current<br> (Annually certified and monthly inspected)

  Safe

  At Risk

  N/A

• Is a fire watch monitoring the area

  Safe

  At Risk

  N/A

• Safety Fuel Cans being used with fire extinguishers at proper distance

  Safe

  At Risk

  N/A

• Compressed gas cylinders secured- upright- protected from damage

  Safe

  At Risk

  N/A

PPE

• Hard hats worn

  Safe

  At Risk

  N/A

• Gloves being worn and adequate for the work activity

  Safe

  At Risk

  N/A

• Face shields being used where required

  Safe

  At Risk

  N/A

• Welding hoods being worn in conjunction with safety glasses

  Safe

  At Risk

  N/A

• Eye protection being worn and adequate for the work activity

  Safe

  At Risk

  N/A

• Respirators and masks utilized, when needed

  Safe

  At Risk

  N/A

• High visible clothing in use, when needed

  Safe

  At Risk

  N/A

• Safety harness and lanyards utilized with adequate anchorage points

  Safe

  At Risk

  N/A

Additional Potential Hazards

• Confined Space

  Safe

  At Risk

  N/A

• Air Quality

  Safe

  At Risk

  N/A

• Atmosphere tested and results documented

  Safe

  At Risk

  N/A

• Site survey - (Asbestos, mold, lead)

  Yes

  No

  N/A

Conco Internal Notes

• Specific requests

  Yes

  No

  N/A

• Injuries or losses since last audit

  Yes

  No

  N/A

SUBCONTRACTOR NOTES

• Specific requests

  Yes

  No

  N/A

• Injuries or losses since last audit

  Yes

  No

  N/A