Information
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Project name:
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Conducted on:
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Prepared by: Name(s) + Company
HOUSEKEEPING
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Emergency Action Plan, Medical Map posted and communicated
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Fire extinguishers (Distributed every 100' or 3000 sq ft, in stands, inspected monthly)<br>(pressure, pin, tamper/pin-holder, hose, physical damage)
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First aid kits (Distributed, Filled adequately)
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Adequate lighting (Common areas lit, utilizing task lighting where needed)
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CO monitoring - heated spaces, indoor fork lifts, idling vehicles
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Job site free of slips, trips and fall hazards (cords, steps, holes, rebar, frost, wet, etc.)
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Stairways / walkways clear (cords, material, equipment off to the side or removed)
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Debris cleared (dump carts used and emptied, etc)
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Break areas orderly<br> (Food is in covered, lined containers)
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Floor openings (covered, fastened, labeled)
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Sprinkler/Natural Gas/Other Utility shutoff located/labeled/accessable
ELECTRICAL / UTILITY
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Good Cords (look for knicks, cuts, grounds, strain relief, water resistance)
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Cords protected (non-metallic hangers, lift/cart/walkway traffic, sharp edges)
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Temporary lighting guarded (light cages, non-metallic hangers)
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Temporary Electrical panels labeled and covered (checked monthly)
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GFCI protection utilized on house power
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Temporary electrical (de-energized, covered, and/or above 8')
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Electrical Utilities - overhead or buried hazards
HAND AND POWER TOOLS
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Hand tools in good working order (good condition, good cords, etc)
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All mechanical safeguards in use (equipment guards)
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"Line of Fire" considerations (path of tool, material, debris)
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Tool drop protection used when working above people
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Proper PPE while in use
MOBILE EQUIPMENT
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Brakes, lights, signals, and alarms operative
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Daily inspections filled out
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Seat belts worn - LULLS, FORK TRUCKS, ETC.
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Lifts - 100% tie-off (aerial boom), chain/gate secured
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Crane - protecting people from overhead loads (trained riggers, fly paths)
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Rigging equipment inspected - tag showing
BARRICADES / GUARDRAILS
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Guardrails 100% protecting the area where people are not tied off and is above 6'
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Barricades affixed with proper signage
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Floor openings planked or barricaded
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Wall, roof openings covered or barricaded
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Rooftops/edges protected<br> (100% guardrail, nets, or personal fall protection... signage)
LADDERS
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Ladders in good condition<br> (stickers, rungs, feet, spreaders, rivets, fiberglass...)
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Side rails extend 36 inches above landing for access to a level
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Ladder not being used too close to the edge of a deck or opening (Height of the ladder +4')
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Proper for job and secure (not on top two correct rungs, not leaning step ladders, facing the correct way between the uprights...) Better alternatives?
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Step ladders fully open when in use
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Safe Placement of Ladders (clean/dry surface, placed to prevent leaning, reaching "outside belt buckle")
Excavations and Trenching (4' to 20' depths)
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Locate underground lines and utilities, traffic control/barricades, proximity to structures and reinforcement
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Protective systems (Stable Rock, Type A 3/4:1, Type B 1:1, Type C 1.5:1) 2' set-back of spoil piles, trench box above
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Daily Inspection by competent person for: soil conditions (water accumulation, sloughing, fissures, vehicles/equipment/weight near edge)
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Restricted access - preventing falls, unnecessary exposure to area (barricades/fencing), vehicles/equipment away
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Gas monitoring - gasoline/diesel engines, hazardous/toxic fumes, leaking lines or tanks - ventilation or respirators
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Safe access and egress - every 25' ladders or ramps easily walked with hands in pockets
SCAFFOLDING
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All scaffolds plumb and level
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Are adequate sills and base plates being used
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Are metal scaffold planks installed and sized correctly (extending past end supports or allowing gaps)
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Wooden scaffold planks (OSHA grade, 6" to 12", secured)
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Are gates and guardrails including top and mid rail in place
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To protect from falling objects, are toe boards or area barricaded below
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Is there a scaffold tag and has it been inspected daily
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Is there a safe access ladder, steps or equivalent means for safe access to the scaffold<br> (no greater than 24")
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Is the scaffold rated for the proper weight capacity
FIRE PREVENTION
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Are hot work permits in order if necessary
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Is a fire watch monitoring the area (fire extinguisher for task nearby)
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Control of sparks/slag produced
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Propane tanks outside - barricaded from vehicles - labeled (flammable, no smoking, fuel type)
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Compressed gas cylinders (secured, upright, protected from damage, 20' separation or 5' vertical barrier)
PPE
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Class II High visible clothing in use when needed (around mobile equipment) - what % of workers?
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Eye protection (worn and adequate for the work activity) - what % of workers?
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Gloves (worn and adequate for the work activity) - what % of workers?
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Hard hats worn 100% ?
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Face shields (used where required)
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Welding hoods being worn in conjunction with hardhats safety glasses
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Respirators and masks utilized for appropriate tasks (fit, training, proper use/protection, storage/cleaning)
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Safety harness and lanyards utilized properly with adequate anchorage points (5000 lbs)
NOTES
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Upcoming work planning (cranes, excavating/trenching, fall protection, roof planning, hot work, )
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Specific requests
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Injuries or losses since last audit
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Topics for next safety meeting...
