KMC Safety Solutions Construction Hazard Identification and Risk Assessment - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Working at Heights

• 1.1. Fall risks of 3m or more? (including voids, pits, and trenches)

  Safe

  At Risk

  N/A

• Add media

  Media

• 1.2. Lack of edge protection?

  Safe

  At Risk

  N/A

• Add media

  Media

• 1.3. Unsafe or incomplete edge protection?

  Safe

  At Risk

  N/A

• Add media

  Media

• 1.4 Is there other appropriate methods of fall protection in place?<br>

  Yes

  No

  N/A

• Add media

  Media

• 1.5.Has fall protection equipment had it's annual inspection?

  Yes

  No

  N/A

• 1.6.Are all required workers trained and competent in fall protection?

  Yes

  No

  N/A

• Add media

  Media

• 1.7. Have all floor openings being protected against falls?

  Yes

  No

  N/A

• Add media

  Media

2. Ladders

• 2.1 If ladders are used as a work platform has a risk assessment being done?

  Yes

  No

  N/A

• 2.2 Are ladders properly maintained?

  Safe

  At Risk

  N/A

• Add media

  Media

• 2.3 Are ladders properly secured?

  Yes

  No

  N/A

• Add media

  Media

• 2.4 Is three point contact being maintained on the ladder?

  Yes

  No

  N/A

• Add media

  Media

• 2.5 Are workers properly trained in the safe use of ladders?

  Yes

  No

  N/A

• Add media

  Media

3. Scaffolds

• 3.1 Is the scaffolding certified by a P.Eng?

  Yes

  No

  N/A

• 3.2. Has the scaffold being inspected by a competent person?

  Yes

  No

  N/A

• 3.3. Is there appropriate access and egress to the scaffolding?

  Safe

  At Risk

  N/A

• Add media

  Media

• 3.4. Is scaffolding at least 450 mm wide and fully decked at or above 2.4 m high?

  Safe

  At Risk

  N/A

• Add media

  Media

4. PPE

• 4.1 Proper head protection?

  Yes

  No

  N/A

• Add media

  Media

• 4.2 Proper foot protect

  Yes

  No

  N/A

• Add media

  Media

• 4.3. Proper eye protection?

  Yes

  No

  N/A

• Add media

  Media

• 4.6. Proper respiratory protection?

  Yes

  No

  N/A

• Add media

  Media

5.Elevating Work Platforms

• 5.1.Has a pre-use inspection being done by the operator

  Yes

  No

  N/A

• Add media

  Media

• 5.2. Have workers being trained to operate the platform?

  Yes

  No

  N/A

• 5.3. Are the operators tied off to the appropriate anchor point?

  Yes

  No

  N/A

• Add media

  Media

6. Hazardous Material

• 6.1. Are hazardous material stored properly? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Yes

  No

  N/A

• Add media

  Media

• 6.2. Is there adequate spill containment equipment?

  Yes

  No

  N/A

• Add media

  Media

• 6.3. Are MSDS sheets accessible?

  Yes

  No

  N/A

• Add media

  Media

• 6.4. Is there emergency procedures for spills?

  Yes

  No

  N/A

• 6.5. Is there excessive quantities stored on site or in vehicles?

  Yes

  No

  N/A

• 6.7. Is there suitable storage containers?

  Yes

  No

  N/A

• Add media

  Media

7.Emergency Response

• 7.1. Is there written emergency response procedures in place?

  Yes

  No

  N/A

• 7.2. Is the Emergency Procedure Posted?

  Yes

  No

  N/A

• Add media

  Media

• 7.3. Are employes trained to the procedures?

  Yes

  No

  N/A

• 7.4. Is there adequate first aid kits aid equipment on site?

  Yes

  No

  N/A

• 7.5. Is there sufficient number of First Aiders for all shifts?

  Yes

  No

  N/A

• 7.6. Is there adequate communication equipment on site?

  Yes

  No

  N/A

• Yes

  No

  N/A

8 Work Environment

• 8.1. Is there adequate amenities on site?

  Yes

  No

  N/A

• Add media

  Media

• 8.2. Is there adequate lighting on site?

  Yes

  No

  N/A

• 8.3. Is the house keeping sufficient?

  Yes

  No

  N/A

• Add media

  Media

9 Electrical Hazards

• 9.1. Is there a lock out tag out procedure ?

  Yes

  No

  N/A

• Add media

  Media

• 9.2. Is there procedures is place to work on Energized Systems?

  Yes

  No

  N/A

• 9.3. Are procedures is place for incidental power line contact?

  Yes

  No

  N/A

• 9.4.Electrical equipment near water?

  Yes

  No

  N/A

Trenching

• Is there proper sloping for the type of soil<br>

  Yes

  No

  N/A

• Is shoring or trench boxes required?

  Yes

  No

  N/A

Machines and Equipment

• Has operator pre inspection being done on equipment

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

10 Administrative Procedures

• 10.1 Is there a JHSC committee or Safety Rep?

  Yes

  No

  N/A

• 10.2. Is there a posted copy of the Act and Regulations?

  Yes

  No

  N/A

• 10.3. Is there a MOL notice of project posted?

  Yes

  No

  N/A

• 10.3. Is the WSIB form 82 and MOL poster posted?

  Yes

  No

  N/A

• 10.4. Is there a Health and Safety and Violence in the Workplace policy posted?

  Yes

  No

  N/A

• 10.5 Is there the MOL poster posted?

  Yes

  No

  N/A

Other

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign

• Yes

  No

  N/A