KDC CONSTRUCTION SAFETY REPORT 2021 Weighted

• Audit Title

• Client / Site

• Prepared by

• Personnel

SIGNAGE and COVID19 Controls

• First Glance Site Appearance

• COVID19 Prevention

  Pass

  Fail

  N/A

• Warning Signs

  Good

  Fair

  Poor

  N/A

• Laser Sign if needed

  Good

  Fair

  Poor

  N/A

• Silica Sign if risk present

  Good

  Fair

  Poor

  N/A

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

• Sign In

  Yes

  No

  N/A

• DOL Poster

  Safe

  At Risk

  N/A

• Cal OSHA Safety Poster

  Safe

  At Risk

  N/A

• KDC rules posted

  Safe

  At Risk

  N/A

• MPN and map posted

  Safe

  At Risk

  N/A

• Incident Reporting instructions posted

  Safe

  At Risk

  N/A

• Emergency Evac

  Safe

  At Risk

  N/A

• Fire Extg

  Safe

  At Risk

  N/A

Public

• Pedestrian / Public Protection Plan

  Safe

  At Risk

  N/A

• Any trip hazards for public

  Safe

  At Risk

  N/A

Fall Protection/Prevention

• Correctly Used

  Compliant

  Non-Compliant

  N/A

• Scissor lift safety and compliance

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Scaffold Compliance

• Rolling Scaffold Plan

  Good

  Fair

  Poor

  N/A

• Scaffold Safety

  Safe

  At Risk

  N/A

Trenching Excavation

• Soil Testing

  Good

  Fair

  Poor

  N/A

• Annual Trench Permit from OSHA

  Good

  Fair

  Poor

  N/A

• Permit

  Safe

  At Risk

  N/A

• Access Egress 4ft or >

  Safe

  At Risk

  N/A

• Cave In Protection

  Safe

  At Risk

  N/A

• Fall Protection 6ft or >

  Yes

  No

  N/A

• Tabulated Data Sheets

  Yes

  No

  N/A

Electrical / Tools

• Tool safety

  Safe

  At Risk

  N/A

• Equipment safety

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Ladders

• Ladder Safety including manufacturing labels

  Safe

  At Risk

  N/A

• Ladder usage and set up

  Safe

  At Risk

  N/A

Housekeeping

• Select from range

• Housekeeping [Interior & Exterior]

  Safe

  At Risk

  N/A

• Water in compliance with HIPP

  Safe

  At Risk

  N/A

• Caught In-between/Struck By

  Safe

  At Risk

  N/A

• Any trip and fall hazards

  Safe

  At Risk

  N/A

• Impalement Protection

  Safe

  At Risk

  N/A

Safety Plans - Required Permits

• Silica Mngt Plan

  Safe

  At Risk

  N/A

• Demo Plan

  Safe

  At Risk

  N/A

• Hot Work Permit

  Safe

  At Risk

  N/A

• Scaffold Plan

  Safe

  At Risk

  N/A

• Pedestrian Protection Plan (Signed)

  Safe

  At Risk

  N/A

• Crane Plan

  Safe

  At Risk

  N/A

• Lock Out Tag Out Plan

  Safe

  At Risk

  N/A

• Fork/Boom Lift Certs

  Safe

  At Risk

  N/A

• Powder Actuated Tool Lic

  Safe

  At Risk

  N/A

PPE

• PPE Compliance - Z87.1, N95, N100, Hardhats, Gloves, Hearing P, Class II Vests or apparel

• SWPPP ISSUES?

  Safe

  At Risk

  N/A

Sanitation

• External Wash Station

  Good

  Fair

  Poor

  N/A

• Clean with supplies

  Safe

  At Risk

  N/A

Notes

• Notes/Comments/Suggestions

Signature

• Add signature

  Sign