JT Murphy Boatswain Chair Safety Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

Fall Hazards

• Is there a potential for a fall?

  Safe

  At Risk

  N/A

• Is fall protection in use?

  Yes

  No

  N/A

• Is fall protection worn properly?

  Safe

  At Risk

  N/A

• Is the fall protection anchored properly?

  Yes

  No

  N/A

• Has all equipment been inspected prior to use today?

  Yes

  No

  N/A

• Has PFAS been annually inspected and documented?

  Yes

  No

  N/A

• Have employees been trained in choosing adequate anchor points?

  Yes

  No

  N/A

• Is there a monitor in place checking ropes, grabs and general safety conditions?

  Yes

  No

  N/A

• Have all exposed employees been fully trained?

  Yes

  No

  N/A

• Is there a barricade installed under the overhead work areas?

  Safe

  At Risk

  N/A

• Has a secondary check of life lines, anchor points and attachments been made?

  Yes

  No

  N/A

Pre Work Area inspection

• Does the pretask identify all associated hazards?

  Yes

  No

  N/A

• Are other trades working in the area aware of the work you are doing and their exposure?

  Safe

  At Risk

  N/A

• Is area organized and are all materials off the floor?

  Safe

  At Risk

  N/A

• Are there any trip hazards that need addressing?

  Safe

  At Risk

  N/A

• Is there any equipment that needs relocating?

  Safe

  At Risk

  N/A

• Should there be a traffic pattern for people or equipment through the area?

  Yes

  No

  N/A

• Is good house keeping in place?

  Yes

  No

  N/A

• Is there any hazard that the General contractor can assist with?

  Yes

  No

  N/A

• Are safety incidents being reported in a timely manner?

  Yes

  No

  N/A

What correction action was taken?

• Is there any follow up that needs done?

  Yes

  No

  N/A

Signature of who filled out report

• Add signature

  Sign