Title Page

  • Audit Title

  • Prepared by

  • Superintendent

SIGNAGE and COVID19 Controls

  • First Glance Site

  • COVID19 Prevention

  • Warning Signs

  • Laser Sign if needed

  • Silica Sign if risk present

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

  • Sign In

  • DOL Poster

  • Cal OSHA Safety Poster

  • KDC rules posted

  • MPN and map posted

  • Incident Reporting instructions posted

  • Emergency Evac

  • Fire Extg Inspection

  • If applicable organization and cleanliness of job trailer

  • Computer and Printer

Public

  • Pedestrian / Public Protection Plan

  • Any trip hazards for public

Fall Protection/Prevention

  • Potential of 6ft fall or more

  • PFAS Correctly Used & Inspected

  • Scissor lift safety and compliance

  • Boom Lift Safety Compliance

Scaffold Compliance

  • Rolling Scaffold Plan

  • Scaffold Safety Plan

  • Condition of planking, spacing etc

  • Base Plate and Sills

  • Guard Rails

  • Access Ladder

  • Daily Inspection & Signed Green Tag

Trenching Excavation

  • Soil Testing (A , B or C)

  • Comp Person on site

  • Annual Trench Permit from OSHA

  • KDC Plan

  • Access Egress 4ft or >

  • Egress within 25ft of workers

  • Cave In Protection 5ft or >

  • Spoil Piles 2ft Back

  • Fall Protection 6ft or >

  • For speed shoring Tabulated Data Sheets

  • Signage and Trench Protection

Electrical / Tools / Equipment

  • Tool safety

  • Powder Actuated Tool Cert

  • Equipment safety

  • Aerial Lift Cert

  • Forklift Cert

  • Shock/Arc Energized Exposure

  • Temp Power

  • Extension Cords

  • LOTO and Plan

  • GFCI

Ladders

  • Ladder Safety including manufacturing labels

  • Ladder usage and set up

Housekeeping

  • Housekeeping [Interior & Exterior]

  • Water in compliance with HIPP

  • Caught In-Between

  • Struck By

  • Trip and Fall Risks(non-public)

  • Impalement Protection

  • Impalement Warning Signs

  • Fencing and Signage

KDC Safety Plans Completed

  • Silica Mngt Plan

  • Demo Plan

  • Hot Work Permit

  • Crane Plan

PPE

  • Class II Vests or apparel

  • Hard Hats

  • Safety Glasses

  • Face Protection

  • Foot Protection

  • Hearing Protection

  • Respiratory Protection

  • Hand Protection

Sanitation

  • External Wash Station

  • Clean with supplies

  • Trash Container

SWPPP

  • Strom Drains Protected

  • Track Out

  • Fiber Rolls Installed Correctly

  • Dust Control

  • Erosion Control

  • Trash and Debris

  • SWPPP / ECP Followed

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Notes

  • Notes/Comments/Suggestions

Training or Follow Up

  • Suggested training

  • Staff member to follow up

Signature

  • Safety Inspector & Superintendent

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