KMC Site Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Address
  Address

• Date & Time

  Date

• Subcontractors on site (list name and trade):

Project Information

• OSHA 300 forms available, complete and posted in February?

  Yes

  No

  N/A

• OSHA poster(s) posted?

  Yes

  No

  N/A

• Emergency phone numbers posted for nearest medical center, fire, police, hospitals, etc.? Do they have map/ directions to clinic?

  Yes

  No

  N/A

• Safety "Tool-Box" meetings up to date?

  Yes

  No

  N/A

• Subcontractor Safety Programs and Haz-Com Programs received and reviewed?

  Yes

  No

  N/A

• Safety Data Sheets (SDS) in binder, with index and up to date.

  Yes

  No

  N/A

• Adequate First Aid kit(s) & supplies on site?

  Yes

  No

  N/A

• Emergency action plan in place ( ie, evacuation plan, stretcher, etc)?

  Yes

  No

  N/A

• Certified CPR/ First Aid person on site?

  Yes

  No

  N/A

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

• Potable water and toilet facilities provided?

  Yes

  No

  N/A

Housekeeping; Subpart C

• Material storage and staging neat and not a hazard?

  Yes

  No

  N/A

• General neatness of work area?

  Yes

  No

  N/A

• Projecting nails removed or bent over?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Passageways, walkways, stairs and floor clear?

  Yes

  No

  N/A

• Adequate ventilation in work area?

  Yes

  No

  N/A

• Adequate lighting in the work area?

  Yes

  No

  N/A

• Electrical cords and welding leads off the floor?

  Yes

  No

  N/A

Fire Prevention; Subpart F

• Flammable liquid containers properly labeled?

  Yes

  No

  N/A

• Storage tanks properly vented?

  Yes

  No

  N/A

• Flammable/Combustible material spills cleaned up immediately?

  Yes

  No

  N/A

• Flammable storage tanks grounded/bonded?

  Yes

  No

  N/A

• Propane/Butane tanks properly barricaded and installed?

  Yes

  No

  N/A

• Temporary heating devices installed properly & checked periodically?

  Yes

  No

  N/A

• Adequate clearance to combustible material?

  Yes

  No

  N/A

• Approved safety cans used?

  Yes

  No

  N/A

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

• " No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

Electrical; Subpart K

• Ground fault circuit interrupters being used?

  Yes

  No

  N/A

• Electrical rooms/panels properly secured & labeled when energized?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

• Laser warning signs posted?

  Yes

  No

  N/A

Hand, Power & Powder Actuated Tools; Subpart I

• Operators of powder actuated tools are licensed?

  Yes

  No

  N/A

• Tools inspected periodically for defects and taken out of service?

  Yes

  No

  N/A

• Guards in place on grinders and tools?

  Yes

  No

  N/A

• Hand tools inspected regularly?

  Yes

  No

  N/A

• Right tool being used for job at hand?

  Yes

  No

  N/A

Fall Protection; Subpart M

• Floor hole(s), window opening (s) & exposed edges are protected?

  Yes

  No

  N/A

• Guard rails and cables are in place and secured properly?

  Yes

  No

  N/A

• Employees exposed to 6 foot fall hazards are tied off?

  Yes

  No

  N/A

• Employees have safety harness and used correctly?

  Yes

  No

  N/A

• Employees below are protected from falling objects?

  Yes

  No

  N/A

• If using a Fall Protection Plan for leading edge work is it being used properly (I.e., safety monitor, authorized workers, etc.)?

  Yes

  No

  N/A

Ladders; Subpart X

• Ladders extend 36" above the landing?

  Yes

  No

  N/A

• Ladders are secured to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Ladders with split or missing rungs are taken out of service?

  Yes

  No

  N/A

• Job built ladders built adequately and checked for defects?

  Yes

  No

  N/A

• No employee stepping on the top two rungs of stepladder?

  Yes

  No

  N/A

• Adequate number of access/egress ladders for the number of personnel on a high rise project?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

Scaffolding; Subpart L

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

• Erected on sound rigid footing and base plates used?

  Yes

  No

  N/A

• Guard rails, intermediate rails, toe-boards and screens in place?

  Yes

  No

  N/A

• Platform fully decked and planking is sound and sturdy?

  Yes

  No

  N/A

• Platforms solidly, fully planked over?

  Yes

  No

  N/A

• Supports plumb, adequate cross braces provided?

  Yes

  No

  N/A

• Planking is scaffold grade lumber of at least 1,500 fsg?

  Yes

  No

  N/A

• Planking is solid, sturdy & secured from being dislodged?

  Yes

  No

  N/A

• Wheels on rolling towers are locked when being used?

  Yes

  No

  N/A

• Proper access ladder provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• Mud sills being used under base plates on soft soil?

  Yes

  No

  N/A

9. Floor & Wall Openings: 1910.23. Walking & Working Surfaces

• All floor or deck holes are covered or barricaded and marked?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Hole or deck covers are secured?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

10. Trenches, Excavation & Shoring; Subpart P

• Competent person on hand and inspects trench daily?

  Yes

  No

  N/A

• Excavations are shored, benched, or sloped back?

  Yes

  No

  N/A

• Material/spoil pile stored at least 2 feet from trench?

  Yes

  No

  N/A

• Ladders provided every 25 feet in trench?

  Yes

  No

  N/A

• Excavations over 20 feet in depth have engineer approval?

  Yes

  No

  N/A

• Equipment is a safe distance from edge of trench or excavation?

  Yes

  No

  N/A

• Walkways over trenches adequate and secure?

  Yes

  No

  N/A

• Trenches barricaded or identified?

  Yes

  No

  N/A

• Shoring and sheeting as needed for soil classification and depth?

  Yes

  No

  N/A

11. Material Handling; Subpart H

• Materials are properly stored or stacked?

  Yes

  No

  N/A

• Employees are using proper lifting methods?

  Yes

  No

  N/A

• Tag lines are used to guide loads?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

12. Welding & Burning; Subpart J

• Gas cylinders stored upright?

  Yes

  No

  N/A

• Proper 20 foot separating distance between fuels and oxygen?

  Yes

  No

  N/A

• Shielding utilized to protect passerby's from flash burns?

  Yes

  No

  N/A

• Welders wearing protective leather gear to prevent burns?

  Yes

  No

  N/A

• Burning/welding goggles or shields are used?

  Yes

  No

  N/A

• Fire extinguishers are nearby?

  Yes

  No

  N/A

• Hoses are in good condition?

  Yes

  No

  N/A

• Welding gas cylinders capped when not in use?

  Yes

  No

  N/A

• Carts provided for moving cylinders?

  Yes

  No

  N/A

• Appropriate safeguards against hazards caused by welding, cutting or heating?

  Yes

  No

  N/A

13. Cranes; Subpart N

• Is the crane's annual and/or quadrennial inspection up to date?

  Yes

  No

  N/A

• Operator, Superintendent, and Rigger know the weight of the load to be lifted?

  Yes

  No

  N/A

• Outriggers are extended and swing radius barricade in place?

  Yes

  No

  N/A

• Crane set up level and solid pads under outriggers?

  Yes

  No

  N/A

• Operator is familiar with load charts?

  Yes

  No

  N/A

• Hand signal charts are on crane?

  Yes

  No

  N/A

• Crane Operator's daily inspection logs are up to date?

  Yes

  No

  N/A

• Boom stops provided and adequate?

  Yes

  No

  N/A

• Boom tip painted a contrasting color?

  Yes

  No

  N/A

• Handholds, steps, and anti-skid pads provided for access/egress?

  Yes

  No

  N/A

• Safety latch provided and working properly on the hook?

  Yes

  No

  N/A

• Signalman used when needed?

  Yes

  No

  N/A

• All glass and windows clean and free of cracks?

  Yes

  No

  N/A

• All equipment properly maintained?

  Yes

  No

  N/A

• Employee kept from under suspended loads?

  Yes

  No

  N/A

• Is the crane on a barge? If so, is a 'List' chart on site?

  Yes

  No

  N/A

• Is the crane positively secured to the barge as required?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

14. Concrete Construction; Subpart Q

• All trucks equipped with back up alarms?

  Yes

  No

  N/A

• Respiratory protection program in place and followed?

  Yes

  No

  N/A

• Employees are protected from cement dust?

  Yes

  No

  N/A

• Employees wearing eye protection?

  Yes

  No

  N/A

• Exposed skin is covered?

  Yes

  No

  N/A

• Pump truck set up level, properly and clear of power lines?

  Yes

  No

  N/A

• All reinforcing steel protected by approved caps or troughs?

  Yes

  No

  N/A

• Runways are adequate?

  Yes

  No

  N/A

15. Personal Protective Equipment; Subpart E

• Dust control measured in place on the project?

  Yes

  No

  N/A

• Adequate footwear being worn?

  Yes

  No

  N/A

• Indoor air quality checked?

  Yes

  No

  N/A

• Effective air pollution controls?

  Yes

  No

  N/A

• Hard Hats being worn?

  Yes

  No

  N/A

• Safety glasses are being worn?

  Yes

  No

  N/A

• Respirators are used when required?

  Yes

  No

  N/A

• Hearing protection being worn when required?

  Yes

  No

  N/A

• Life jackets, safety harnesses , lifelines, and lanyards being used when required?

  Yes

  No

  N/A

• High-Viz/ traffic vests being worn when required?

  Yes

  No

  N/A

16. Unsafe Acts or Practices Observed (list):

Additional Information

• Superintendent Signature

  Sign

• Auditor Signature

  Sign