KDC Safety Inspection 2020.1

• Audit Title

• Client / Site

• Prepared by

• Personnel

SIGNAGE

• KDC Banner Posted Correctly

  Good

  Fair

  Poor

  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?

  Safe

  At Risk

  N/A

• Sign In

  Yes

  No

  N/A

• Sign Out

  Yes

  No

  N/A

• DOL 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

• Fencing

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

Fall Protection/Prevention

• Equipment inspected and used correctly

  Good

  Fair

  Poor

  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 Signed by Safety

  Good

  Fair

  Poor

  N/A

• Scaffold Safety-guardrails tied correctly toe boards mudsills base plates planking

  Safe

  At Risk

  N/A

• Scaffold Permit

  Safe

  At Risk

  N/A

Trenching Excavation

• Soil Testing

  Good

  Fair

  Poor

  N/A

• Annual Trench Permit from OSHA

  Good

  Fair

  Poor

  N/A

• 811 Called Ticket No

  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

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

• 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

• Hot Work Permit

  Safe

  At Risk

  N/A

• LOTO Plan

  Safe

  At Risk

  N/A

• Fall Protection Plan 15 or>

  Yes

  No

  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

• 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

  Safe

  At Risk

  N/A

• SWPPP ISSUES?

  Safe

  At Risk

  N/A

• Dust Control

  Safe

  At Risk

  N/A

Sanitation

• External Wash Station

  Compliant

  Non-Compliant

  N/A

• Clean Inside including graffiti

  Compliant

  Non-Compliant

  N/A

• Suitable Trash Area

  Compliant

  Non-Compliant

  N/A

• Wash Towels

  Compliant

  Non-Compliant

  N/A

Signature of Safety & Superintendent

• Add signature

  Sign