Kbs template

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Jobsite information

• Has each prime subcontractor been given and signed a Jobsite orientation form?

  Yes

  No

  N/A

• Is the labor law, evacuation plan, emergency phone number and emergency response posters displayed in a prominent place?

  Yes

  No

  N/A

• Have safety data sheets (SDS's) been provided for each chemical in use?

  Yes

  No

  N/A

• Has a sufficiently stocked first aid kit available?

  Yes

  No

  N/A

• Jobsite information other:

  Yes

  No

  N/A

Housekeeping

• Are work areas neat and tidy?

  Yes

  No

  N/A

• Have projecting nails been removed or bent over?

  Yes

  No

  N/A

• Are waste containers provided and used?

  Yes

  No

  N/A

• Are aisles and walkways kept clear?

  Yes

  No

  N/A

• Housekeeping other:

  Yes

  No

  N/A

Fire prevention

• Have an adequate number of fire extinguishers been provided and inspected monthly?

  Yes

  No

  N/A

• Is the "No Smoking" requirement posted and enforced?

  Yes

  No

  N/A

• Are flammable and/or combustible materials removed from the work area at frequent intervals?

  Yes

  No

  N/A

• Fire prevention other:

  Yes

  No

  N/A

Electrical

• Are all cords properly grounded and defective cords removed from the work area?

  Yes

  No

  N/A

• Are cords and leads adequately elevated above the floor?

  Yes

  No

  N/A

• Electrical other:

  Yes

  No

  N/A

Hand, power and powder actuated tools

• Are hand tools in good condition?

  Yes

  No

  N/A

• Are all guards in place?

  Yes

  No

  N/A

• Are GFCI's used on all temporary sources of power?

  Yes

  No

  N/A

• Hand, power and powder actuated tools other:

  Yes

  No

  N/A

Fall protection

• Roof edges properly barricaded and/or wire rope flagged at 6' intervals?

  Yes

  No

  N/A

• Is all perimeter protection in place?

  Yes

  No

  N/A

• Is fall protective equipment in use and properly worn?

  Yes

  No

  N/A

• Fall protection other:

  Yes

  No

  N/A

Ladders

• Do ladders extend 3' above the landing?

  Yes

  No

  N/A

• Are ladders secured?

  Yes

  No

  N/A

• Is the ladder being used according to the Manufacturer's recommendations?

  Yes

  No

  N/A

• Are stepladders used in the fully open position only?

  Yes

  No

  N/A

• Ladders other:

  Yes

  No

  N/A

Masonry

• Have form pins with mushroomed heads been removed from service?

  Yes

  No

  N/A

• Have all potential implement hazards been capped or covered?

  Yes

  No

  N/A

• Masonry other:

  Yes

  No

  N/A

Scaffolding

• Is planking in good condition and free from cracks?

  Yes

  No

  N/A

• Erected on and secured to stable footing?

  Yes

  No

  N/A

• No gaps in planking >1"?

  Yes

  No

  N/A

• Top rails (39"-45"), mid rails (~21") and toe boards (3.5") in place?

  Yes

  No

  N/A

• Have the ends been protected the same as the work platform?

  Yes

  No

  N/A

• Has proper access been provided?

  Yes

  No

  N/A

• Scaffold other:

  Yes

  No

  N/A

Floor and wall protection

• All floor opening planked over or barricaded?

  Yes

  No

  N/A

• Wall parapets <39" adequately protected?

  Yes

  No

  N/A

• Holes >2" in dimension covered and marked "hole" or "cover?"

  Yes

  No

  N/A

• Floor and wall opening other:

  Yes

  No

  N/A

Trenching and excavations

• Trenches dug under the supervision of a competent person?

  Yes

  No

  N/A

• Trenches sloped or shored at depths >5'?

  Yes

  No

  N/A

• Spoils and other materials stored at least 2' from the edge?

  Yes

  No

  N/A

• Have access/egress ladders provided within 25' of employees in the trench?

  Yes

  No

  N/A

• Trenching and excavations other:

  Yes

  No

  N/A

Material handling

• Are materials and containers properly stored or stacked with proper warning labels visible and legible?

  Yes

  No

  N/A

• Material handling other:

  Yes

  No

  N/A

Welding and burning

• Compressed gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Proper separating between fuels and oxygen?

  Yes

  No

  N/A

• Is a fire extinguisher nearby and on the same working level?

  Yes

  No

  N/A

• Welding and burning other:

  Yes

  No

  N/A

Cranes, aerial lifts and forklifts

• Outriggers fully extended and swing radius barricaded?

  Yes

  No

  N/A

• "Danger, High Voltage" act stickers on the boom of lifting equipment?

  Yes

  No

  N/A

• Personnel remaining standing on the floor of the basket?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Cranes, aerial lifts and forklifts other:

  Yes

  No

  N/A

Personal protective equipment

• Hard hats worn properly?

  Yes

  No

  N/A

• Safety glasses worn where required?

  Yes

  No

  N/A

• Respiratory and hearing protection worn where required?

  Yes

  No

  N/A

• PPE other:

  Yes

  No

  N/A