Title Page
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Audit Title
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Prepared by
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Personnel on site walk
- Safety Observations
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Regulatory, DOL, OSHA, MPN, Emerg Contacts, Emerg Evac, HIPP, Hosp Map
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First Glance Site Appearance
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Haz Assessment Thoroughly Completed - Does it reflect ALL risks?
Public
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Pedestrian / Public Protection / Any Risks?
Safety Data Sheets
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PPE Adherence to SDS
Fall Protection/Prevention
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Scissor / Boom Lift Safety and Compliance
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Fall protection if exposed to a free fall six feet or more
Scaffold Compliance
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Rolling Scaffold Plan
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Scaffold Safety-plan, Comp Person, base plates, mudsills, access, ladder, toe board guard rails & green tag
Trenching Excavation
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Trenching Safety - Soil Testing, OSHA Annual Permit, Access/Egress, KDC Plan, Tab Data Sheets, Cave In Protection
Electrical / Tools / Equipment
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Tool Safety - PAT, Saws, Grinders, Roto Hammers etc..
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Equipment Safety - Forklift, Excavator, Backhoe, Skid Steer etc...
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Electrical Safety - GFCI, Temp Power, Cords, Open Panels, Adapters, LOTO, Warning Signs
Ladders
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Ladder Safety-inspection, usage & manufacturing labels
Housekeeping
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Interior and Exterior
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Water in compliance with HIPP
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Caught In-between/Struck By
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Any trip and fall hazards
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Impalement Protection
Safety Plans - Required Permits
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KDC Required Plans - Scaffold, Excavation, Hot Work, LOTO, Silica Management, Demo etc...
PPE
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PPE Compliance - Head, Face, Ears, Eyes, Footwear, Body, Res Protection, Hands
Sanitation
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External Wash Station, Clean with supplies, trash recepticle, portable toilet<br>
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SWPPP
Notes
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Notes/Comments/Suggestions
Signature
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Add signature
