Title Page
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Site inspected
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Conducted on
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Prepared by
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Location
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Weather Conditions
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Project Manager or Superintendent
Instructions
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Select Yes, No or N/A for each question.
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Provide photos for good catches or other positive observations.
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Provide a photo for each "No" answer.
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Provide notes for each question as appropriate.
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Add action for each "No" answer.
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Send a copy of the audit to the Safety Manager and PM/Superintendent.
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Save a copy of the completed audit in sharepoint.
Site Conditions
Site Conditions
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Posters Displayed?
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First Aid Kits Stocked?
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JSA filled out and signed?
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SDS files readily accessible
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Housekeeping adequate?
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Weekly toolbox meeting file current
PPE
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Hard hats being worn?
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Is hi-visibility clothing being worn?
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Safety glasses being worn?
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Face shields used when required?
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Gloves being worn?
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Respirators being used?
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Do we have fit test?
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Safety toed boots being worn?
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Is PPE in good condition?
Hand Tools
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Power tools have proper guards installed
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Electric power tools properly grounded
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PPE being worn
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Safety clips and retainers on air hoses
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Hand tools in good condition
Vehicles and Equipment
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Windows and Exterior clean
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Floor boards clear of trash and debris
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Pre-operation checks completed
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Tires/Tracks in good order
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Lights and signals operating correctly
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Deficiencies being reported
Continued Instructions
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A minimum of one of the following inspection topics must be completed.
Fall Protection
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Do Fall Hazards Exist?
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Top rail on guard rails 42 inches (+ or - 3 inches)
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Midrail in place
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Vertical members of guard rail spaced no more than 8 feet apart
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Body harness being used and worn properly
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Climbing hooks being used when needed
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Harnesses and fall protection equipment inspected
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Holes larger than 2 inches have marked covers
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Housekeeping adequate to prevent trips
Fire Protection
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Do fire hazards exist?
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No Smoking signs posted where needed
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Portable extinguishers placed as required
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Portable extinguishers inspected as required
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Fuel (5 gal. or less) stored in DOT approved containers
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LP containers secured on firm level ground
Excavation
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Are there excavations?
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Correct protective system used for soil type
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Protective system installed correctly
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Spoils piles minimum 2 feet from edge of excavation
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Open excavations marked by barricades or other means
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Inspection made as required of excavation prior to entry by competent person
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Adequate ingress and egress provided and equally spaced
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Hazardous atmosphere identified and tested
Concrete / Masonry
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Is there concrete/masonry work being performed?
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Rebar capped or covered to prevent impalement
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Forms properly braced
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100% fall protection used when climbing forms
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Form scaffold properly installed
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Guard rails on form scaffold installed properly
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Controlled access zone for masons identified
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Masonry saw has guard installed
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Proper PPE used for concrete & masonry work
Confined Space
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Is ther confined space work being performed?
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Signs posted for permit required confined space
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Atmosphere tested prior to entering confined space
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Rescue equipment readily available
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Adequate ventilation and air supply provided
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Permit required policies and training being followed
Electrical
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Are there electrical hazards present?
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All power sources are GFCI protected
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Extension cords in good condition no tears or cuts
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Junction boxes of approved type for construction
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Temporary lighting cord not in contact with conductive material
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Temporary lighting in good condition no broken bulbs, wire or cages
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Energized panels secured to restrict access
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Energized receptacles have cover plates
Scaffolding
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Are there scaffolds on the project?
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Scaffolds inspected by competent person daily
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Scaffolds plumb
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Each working level fully planked
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Proper overlap on all planks
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Planking in good condition no cracks or splits more than 12 inches
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Platforms and walkways at least 18 inches wide
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Base plates and mud sills level on firm foundation
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Scaffolding secured from tipping at 4 : 1 ratio by approved means
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Toe boards installed on all working levels (minimum 1"X4")
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Appropriate ingress and egress provided
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Front of scaffold no more than 14 inches from building unless guardrails used
Welding and Cutting
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Are welding and/or cutting tasks being performed?
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Oxygen/Acetylene bottles properly secured and stored
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Gauges removed and caps on bottles when not in use
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Gauges, hoses and tips in good condition
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Welding cables in good condition and free of defects
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Adequate ventilation provided
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Proper eye, face and body protection worn
Cranes
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Are cranes being used on the project?
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Inspected prior to use and load charts posted
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Crane operator certified
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Swing radius marked with tape or barricades erected
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Rented cranes inspected for any deficiency prior to use
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Tag lines used with all lifts
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Picks preplanned
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Loads properly rigged
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Outriggers fully extended and mats used
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Critical lift documentation complete
Ladders
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Are ladders being used?
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Ladders in good condition and no damaged parts
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Ladders extend 3 feet above landing
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Ladders secured
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Ladder rungs and stair steps free of grease, oil, debris and other hazards
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Extension ladders place at proper angle to structure (4 to 1)
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Step ladders have locking device engaged
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Top two steps of ladder not used or straddled
Steel Erection
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Are steel erection tasks being performed?
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Proper access provided
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Picks and routes preplanned for all lifts
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All loads rigged by qualified rigger
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Tag lines used on all lifts
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Beams and columns supported prior to release
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Floor openings are covered or barricaded
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100% Fall protection used over 6 feet
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Controlled access zone identified
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Controlled decking zone established for decking work
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Guard rail system properly installed
Energy Isolation (LOTOTO)
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Is there any work on live or potentially energized systems/equipment?
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Have personnel received training for LOTOTO
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Has the LOTOTO procedure been reviewed with all affected personnel
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Has a LOTO permit been filled out
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Have all isolation points been identified and locked to prevent release
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Have all affected personnel locked out correctly
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Has the energy source been tested after isolation (Try Out)