Title Page
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Audit Title
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Client / Site
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Prepared by
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Personnel
SIGNAGE and COVID19 Controls
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First Glance Site Appearance
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COVID19 Prevention
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Warning Signs
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Laser Sign if needed
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Silica Sign if risk present
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Sign In
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DOL Poster
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Cal OSHA Safety Poster
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KDC rules posted
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MPN and map posted
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Incident Reporting instructions posted
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Emergency Evac
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Fire Extg
Public
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Pedestrian / Public Protection Plan
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Any trip hazards for public
Fall Protection/Prevention
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Correctly Used
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Scissor lift safety and compliance
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Fall protection if exposed to a free fall six feet or more
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PFAS Inspected
Scaffold Compliance
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Rolling Scaffold Plan
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Scaffold Safety Plan
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Base Plate and Sills
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Guard Rails
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Access Ladder
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Green Tag
Trenching Excavation
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Soil Testing
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Annual Trench Permit from OSHA
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KDC Permit
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Access Egress 4ft or >
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Cave In Protection
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Fall Protection 6ft or >
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Tabulated Data Sheets
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Signage and Trench Protection
Electrical / Tools
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Tool safety
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Equipment safety
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Open Panels
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Temp Power
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Extension Cords
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LOTO and Plan
Ladders
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Ladder Safety including manufacturing labels
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Ladder usage and set up
Housekeeping
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Housekeeping [Interior & Exterior]
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Water in compliance with HIPP
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Caught In-between/Struck By
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Trip and Fall Risks(non-public)
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Impalement Protection
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Impalement Warning Signs
Safety Plans - Required Permits
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Silica Mngt Plan
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Demo Plan
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Hot Work Permit
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Crane Plan
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Fork Lift Certs
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Aerial Lift Certs(Boom)
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Powder Actuated Tool Lic
PPE
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Hard Hats
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Safety Glasses
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Face Protection
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Foot Protection
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Hearing Protection
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Respiratory Protection
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Hand Protection
Sanitation
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External Wash Station
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Clean with supplies
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Trash Container
SWPPP
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Track Out
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Fiber Rolls Installed Correctly
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Dust Control
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Erosion Control
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Trash and Debris
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SWPPP / ECP Followed
Notes
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Notes/Comments/Suggestions
Training or Follow Up
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Suggested training
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Staff member to follow up
Signature
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Safety Inspector & Superintendent
