Keller Inc. Jobsite Safety Audit

• job Number

• Job Name

• Conducted on

  Date

• Prepared by

• Competent Person

• Weather Conditions

1. Job Set Up

• Is there Keller signage on site?

  Safe

  At Risk

  N/A

• Do employees have knowledge of the Health care facility location and how to get there?

  Safe

  At Risk

  N/A

• Are emergency phone numbers posted?

  Safe

  At Risk

  N/A

• Are first aid kits available?

  Safe

  At Risk

  N/A

• Are there first aid trained personnel on site?

  Safe

  At Risk

  N/A

2. General Requirements

• Jobsite safety plan is on site and has been reviewed by all employees?

  Safe

  At Risk

  N/A

• Is the Keller Safety Program available?

  Safe

  At Risk

  N/A

• Are MSDS sheets available?

  Safe

  At Risk

  N/A

• Pre-shift safety talks are being performed, subject?

  Safe

  At Risk

  N/A

• Operation of equipment/machinery is by qualified employees only?

  Safe

  At Risk

  N/A

• Employees have been trained in handling flammables and compressed gas?

  Safe

  At Risk

  N/A

• Employees have been instructed in hazard recognition?

  Safe

  At Risk

  N/A

• Employees have received HAZCOM training?

  Safe

  At Risk

  N/A

3. Personal Protective Equipment

• Keller required hard hats and eye protection being used?

  Safe

  At Risk

  N/A

• Face shields being worn as required (Grinding)

  Safe

  At Risk

  N/A

• Hearing protection being used above 85db?

  Safe

  At Risk

  N/A

• Proper clothing being worn?

  Safe

  At Risk

  N/A

• Keller required foot and hand protection being worn?

  Safe

  At Risk

  N/A

• PFAS provided and properly used when required?

  Safe

  At Risk

  N/A

• Respiration equipment used as required?

  Safe

  At Risk

  N/A

4. Fall Protection

• Restraint is used such as retractable lifelines before fall protection is used?

  Safe

  At Risk

  N/A

• Proper training in the use of fall protection has been provided and it is worn properly?

  Safe

  At Risk

  N/A

• Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• Incompatible hooks/equipment?

  Safe

  At Risk

  N/A

• Unlabelled or does not meet ANSI Standards?

  Safe

  At Risk

  N/A

• Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• Lack of inspection protocol for equipment, pre-use is required?

  Safe

  At Risk

  N/A

5. Ladders

• Step ladders are fully open and locked, load limits are followed?

  Safe

  At Risk

  N/A

• 4:1 vertical to horizontal ratio for extension ladder set up?

  Safe

  At Risk

  N/A

• Unsafe or damaged ladders, cracked rails, loose feet, missing rivets?

  Safe

  At Risk

  N/A

• Unsafe positioning of ladders? Extends 36" above exit level?

  Safe

  At Risk

  N/A

• Ladder not properly secured?

  Safe

  At Risk

  N/A

• Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

6. Scaffolding

• Safety factor of "4" is met?

  Safe

  At Risk

  N/A

• Scaffold grade material is used for all working surfaces, decked from front to back 18" min.

  Safe

  At Risk

  N/A

• Scaffold is on a solid foundation and mud sills if needed are secured?

  Safe

  At Risk

  N/A

• Guard rails are erected on all scaffold over 10' above a lower level, are toe boards required?

  Safe

  At Risk

  N/A

• Wheels are locked/ chocked to avoid movement?

  Safe

  At Risk

  N/A

• Scaffolding is secure, pinned together and properly braced and to the building as required?

  Safe

  At Risk

  N/A

7. Guarding

• Are all warning lines installed and flagged for visibility?

  Safe

  At Risk

  N/A

• Elevation changes of 19" or more has an access route, ladder, ramp etc. ( no jumping up and down)?

  Safe

  At Risk

  N/A

• Is all rebar and plumbing protected?

  Safe

  At Risk

  N/A

• Stairs, temp rails needed at all stairs with a 30" rise or with 4 or more threads?

  Safe

  At Risk

  N/A

• Floor and wall openings, covers secured and labeled "HOLE"?

  Safe

  At Risk

  N/A

• Guard rails when more than 6' above a lower level?

  Safe

  At Risk

  N/A

8. Electrical

• Are overhead or underground power lines a concern?

  Safe

  At Risk

  N/A

• Temporary lighting is hung correctly, not by the cord and all bulbs are protected?

  Safe

  At Risk

  N/A

• Cords are hard or extra hard usage rated? S,,ST, SO, STO etc. 12gage or larger.

  Safe

  At Risk

  N/A

• GFCI - testing/ taping is in place? All tools are grounded or double insulated?

  Safe

  At Risk

  N/A

• Cords are routed to avoid damage to them, prefrebly overhead

  Yes

  No

  N/A

• All access holes to the power panel are plugged or used?

  Safe

  At Risk

  N/A

• All power panels are covered with proper cover, not cardboard?

  Safe

  At Risk

  N/A

9. Housekeeping

• Material is organized and stacked safely and protected from damage and weather?

  Safe

  At Risk

  N/A

• Tools are organized and stored to avoid damage?

  Safe

  At Risk

  N/A

• Work areas and walkways are free of clutter and debris?

  Safe

  At Risk

  N/A

• Container for scrap is provided?

  Safe

  At Risk

  N/A

• All potential hazards are addressed such as nails removed from lumber, sharp items and rough edges?

  Safe

  At Risk

  N/A

10. Work Environment

• Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• Does the site prep create a hazard due to inadequate backfill or rough grade?

  Safe

  At Risk

  N/A

• Does scheduling cause hazards for Keller or our subs? Are we working over others or vice versa?

  Safe

  At Risk

  N/A

11. Jobsite Security

• Is the site fenced in?

  Safe

  At Risk

  N/A

• Are all warning signs in place?

  Safe

  At Risk

  N/A

• Are security lights in place?

  Safe

  At Risk

  N/A

• Is access barricaded when Keller is not present?

  Safe

  At Risk

  N/A

12. Welding and cutting

• Is a hot work permit used?

  Safe

  At Risk

  N/A

• Welding is performed by a qualified person?

  Safe

  At Risk

  N/A

• Compressed gas secured in a upright position?

  Safe

  At Risk

  N/A

• Fire extinguisher available?

  Safe

  At Risk

  N/A

• Area clear of flammables?

  Safe

  At Risk

  N/A

• Equipment being used as designed, (friction lighter)

  Safe

  At Risk

  N/A

13. Fire protection

• All flammables such as fuel are stored away from buildings, ignition sources, and water?

  Safe

  At Risk

  N/A

• Storage of all flammable material such as lumber and paper products is safe?

  Safe

  At Risk

  N/A

• Fire extinguishers are provided? One for every 3000 sq ft or 100 feet of travel?

  Safe

  At Risk

  N/A

14. Aerial lifts and Scissors lifts

• Equipment is being used as designed?

  Safe

  At Risk

  N/A

• All safety measures are in place such as gates closed, fall restraint is worn as required?

  Safe

  At Risk

  N/A

• Pre-shift inspections have been performed?

  Yes

  No

  N/A

• Operated by a certified/ trained individual?

  Safe

  At Risk

  N/A

15. Cranes

• Operator is trained and certified?

  Safe

  At Risk

  N/A

• Are overhead power lines a hazard?

  Safe

  At Risk

  N/A

• Hand signals and warning labels are posted?

  Safe

  At Risk

  N/A

• Swing radius is protected?

  Safe

  At Risk

  N/A

• All operating features are in working order and available, load capacity, boom angle, LMI, anti- two block etc.

  Safe

  At Risk

  N/A

• All guards are in place?

  Safe

  At Risk

  N/A

• Wire rope and rigging is used according to standards?

  Safe

  At Risk

  N/A

• Windows are free of cracks and clean?

  Safe

  At Risk

  N/A

• All lifting components, chains, slings, hooks etc. have been inspected before use and removed if defective?

  Safe

  At Risk

  N/A

• Daily and annual inspections are current?

  Safe

  At Risk

  N/A

16. Equipment-forklifts-skid steer-auger truck- backhoe etc.

• Used within design and load limits for intended purpose?

  Safe

  At Risk

  N/A

• Potential hazards have been identified?

  Safe

  At Risk

  N/A

• Daily inspections have been completed?

  Safe

  At Risk

  N/A

• Trained/certified operator?

  Safe

  At Risk

  N/A

17. Trenching and excavating

• Daily inspections are performed by contractor?

  Safe

  At Risk

  N/A

• Competent person has classified soil as? Rock. A. B. C

  Safe

  At Risk

  N/A

• Structures and utilities are secured?

  Safe

  At Risk

  N/A

• Protection is provided over 5'? Slip Box, slope, or shoring?

  Safe

  At Risk

  N/A

• Traffic is controlled?

  Safe

  At Risk

  N/A

• Area is properly barricaded?

  Safe

  At Risk

  N/A

18. Specialty

• Are operators of tools and equipment trained and certified in their use such as Powder actuated tools?

  Safe

  At Risk

  N/A

• Is special training needed?

  Safe

  At Risk

  N/A

• Site specific requirements?

  Safe

  At Risk

  N/A

• Confined space procedures followed if needed?

  Safe

  At Risk

  N/A

Comments and Corrective measures.

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign

• Construction Manager

  Sign

• Supervisor

  Sign

• Safety Training & Quality Control Services

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