Title Page

  • Audit Title

  • Prepared by

  • Personnel on site walk

    Safety Observations
  • Regulatory, DOL, OSHA, MPN, Emerg Contacts, Emerg Evac, HIPP, Hosp Map

  • First Glance Site Appearance

  • Haz Assessment Thoroughly Completed - Does it reflect ALL risks?

Public

  • Pedestrian / Public Protection / Any Risks?

Safety Data Sheets

  • PPE Adherence to SDS

Fall Protection/Prevention

  • Scissor / Boom Lift Safety and Compliance

  • Fall protection if exposed to a free fall six feet or more

Scaffold Compliance

  • Rolling Scaffold Plan

  • Scaffold Safety-plan, Comp Person, base plates, mudsills, access, ladder, toe board guard rails & green tag

Trenching Excavation

  • Trenching Safety - Soil Testing, OSHA Annual Permit, Access/Egress, KDC Plan, Tab Data Sheets, Cave In Protection

Electrical / Tools / Equipment

  • Tool Safety - PAT, Saws, Grinders, Roto Hammers etc..

  • Equipment Safety - Forklift, Excavator, Backhoe, Skid Steer etc...

  • Electrical Safety - GFCI, Temp Power, Cords, Open Panels, Adapters, LOTO, Warning Signs

Ladders

  • Ladder Safety-inspection, usage & manufacturing labels

Housekeeping

  • Interior and Exterior

  • Water in compliance with HIPP

  • Caught In-between/Struck By

  • Any trip and fall hazards

  • Impalement Protection

Safety Plans - Required Permits

  • KDC Required Plans - Scaffold, Excavation, Hot Work, LOTO, Silica Management, Demo etc...

PPE

  • PPE Compliance - Head, Face, Ears, Eyes, Footwear, Body, Res Protection, Hands

Sanitation

  • External Wash Station, Clean with supplies, trash recepticle, portable toilet<br>

  • SWPPP

Notes

  • Notes/Comments/Suggestions

Signature

  • Add signature

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