Information
-
Report No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
GENERAL ACTIVITIES
POSTINGS & RECORDKEEPING
-
TPC Safety Manual on site
-
Safety manuals for all subcontractors on site
-
Safety Training Session held weekly and documented
-
Documentation of Claims / Injuries
-
Required OSHA Materials Posted
-
Current MSDS log & MSDS for each chemical on site
-
Emergency phone numbers posted
HOUSEKEEPING
-
General neatness of working areas
-
Regular disposal of waste & trash
-
Passageways & walkways clear
-
Adequate temporary lighting
-
Oil & grease removed
-
Sanitary facilities clean
-
Adequate supply of water, cups & trash receptacles
-
Materials stored properly
FIRST AID
-
First Aid kit available and adequately stocked
PERSONAL PROTECTIVE EQUIPMENT
-
Eye & face protection being worn
-
Hearing protection being used when applicable
-
Safety vests being worn
-
Respirators & masks being used when applicable
-
Helmets, hoods, head protection in use
-
Gloves, aprons & sleeves in use
-
Safety harness, lifelines & lanyards worn when needed/required? Inspected before each use?
FIRE PREVENTION
-
Fire instructions & protection program
-
Phone number of Fire Department posted
-
Hydrants clear, access to public thoroughfare
-
Flammable materials identified & stored in approved container
-
Fuel tanks protected and stored minimum of 20ft from building
FIRE PROTECTION
-
Proper number of fire extinguishers
-
Well located & visible
-
Fire extinguishers charged & inspected
FALL PROTECTION
-
Floor openings covered/ guard rails in place
-
Roof edge adequately guarded
-
All horizontal lifelines engineered
-
Leading edge protection & signage utilized where required
EXCAVATION & SHORING
-
Underground utility locate performed prior to digging
-
Banks shored, sloped or benched
-
Open areas barricaded
-
Spoil material stockpiled away from excavation
-
Ladders provided within 25ft
-
No material stored in trench
BARRICADES
-
Floor & wall openings protected
-
Roadways & sidewalks effectively protected
-
Traffic controlled
-
Perimeter barriers at floor & platforms above 6ft
SCAFFOLDING
-
Scaffolding properly checked
-
Scaffolding tied to structure
-
Working areas free of debris
-
Foot & mud sills provided
-
Workers protected from falling objects
-
Guard, intermediate rails, toe boards & braces installed
-
Ropes, cables & equipment in good condition
-
Scaffold tightly planked for the full width & secured in place
-
Maximum height = four (4) times minimum base dimension.
LADDERS & STAIRWAYS
-
Secured at top & bottom
-
Extends 36 inches above the landing
-
Rails & rungs in good repair
-
Step ladder in good repair
-
All safety & warning labels present and legible
-
Stairways clear from tripping hazards
-
Metal pan stairs poured, filled or barricaded from use?
-
Handrails installed on stairways and landings
POWER/HAND TOOLS
-
Good housekeeping where tools used
-
Tools & cords in good condition
-
Proper grounding
-
Proper instruction in use
-
All safeguards in place
-
Tools stored nearly when not in use
-
Safety glasses or faceshields being worn when required
POWDER-ACTUATED TOOLS
-
Local laws & ordinance complied with
-
Operators properly instructed & qualified
-
Tools, charges protected from unauthorized use
-
Tools checked daily and in good working order
-
Tools not used on anything but recommended materials
-
Safety glasses or faceshields being worn when required
TEMPORARY ELECTRICAL
-
GFCI or Assured Grounding System checked
-
All cords inspected daily & free from damage
ELECTRICAL INSTALLATIONS
-
Adequate wiring, well insulated
-
Ground fault installed / fuses provided
-
Lock out / tag out procedures in place
-
Electrical dangers & warnings posted
-
Terminal boxes equipped with covers
AERIAL MANLIFTS / SCISSOR LIFTS
-
All personnel tied off?
-
Safety chains in place on scissor lifts
-
Employee training verified?
HOISTS & CRANES
-
Slings & chains, hooks & eyes in good condition and tagged/marked
-
Outriggers fully extended and proper cribbing in place
-
Power lines inactive, removed or at a safe distance
-
Inspection & maintenance logs maintained/current
-
Signalmen used where needed? Proper hand/verbal signals being used and understood?
-
Load charts posted in cab
-
Hoist operator trained
-
Fire extinguisher installed (cranes & hoists)
HEAVY EQUIPMENT
-
Lights, brakes, horn & backup alarm operative
-
Inspection & maintenance logs maintained/current
-
Fire extinguisher installed
-
Seat belts being worn
STEEL ERECTION
-
Erection floor solidly planked or decked
-
Safety railing ( 1/2" wire rope) at perimeter
-
Cable guard rails has no more than 3 inches of deflection and flagged every 6ft
-
Other trades protected from overheads hazards
-
Tag lines used
CONCRETE & MASONRY WORK
-
Vertically protruding rebar capped
-
Forms properly installed & braced
-
Route planned for concrete trucks
-
Controls in place to limit silica exposure - water, vacuum tools, etc.
-
Masonry walls over 8ft adequately braced
-
No dry cutting concrete or masonry block
-
Have confined spaces been identified?
-
Permit required? Completed?
-
Atmosphere tested?
-
Ventilation needed?
-
Retrieval devices required?
ADDITIONAL COMMENTS
-
Item #1
-
Attachment #1
-
Item #2
-
Attachment #1
-
Item #3
-
Attachment #2
-
Item #3
-
Attachment #3
-
Item #4
-
Attachment #4
-
Item #5
-
Attachment #5
-
Item #6
-
Attachment #6
-
Item #7
-
Attachment #7
-
Item #8
-
Attachment #8
-
Item #9
-
Attachment #9
-
Item #10
-
Attachment #10
CERTIFICATIONS OF INSPECTOR
-
Competent Person Steel Erection
-
Competent Person Scaffolding
-
Competent Person Fall Protection
-
Competent Person CPR / First Aid
-
Competent Person OSHA 10 Hour
-
Competent Person OSHA 30 Hour
-
Competent Person GSWCC
-
Competent Person Trenching
-
PM Signature
-
Superintendent Signature
