KNS Job Site Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Have you checked in with customer contact/security/safety office and informed them of your where you will be?

  Yes

  No

  N/A

• Have you reviewed customer specific safety procedures and emergency response procedures? (If applicable)

  Yes

  No

  N/A

Slips, trips, and falls

• Are walking and working surfaces clear and free of debris?

  Yes

  No

  N/A

• Are waste and trash containers provided, and used?

  Yes

  No

  N/A

• Is there regular removal of waste and trash from the containers?

  Yes

  No

  N/A

• Please remove your trash when you complete work for the day

• Is adequate temporary lighting provided?

  Yes

  No

  N/A

• Is temporary storage of materials and supplies done in an organized fashion?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Do you have required PPE? (Gloves, boots, hard hats, eye/face protection where required)

  Yes

  No

  N/A

• Is hearing protection available for personnel that may be exposed to noisy conditions?

  Yes

  No

  N/A

• Is respiratory protection available to personnel and being used when conditions require them?

  Yes

  No

  N/A

• Are safety harnesses, lifelines, and shock absorbing lanyards available and being used?

  Yes

  No

  N/A

• A s personnel using gloves when handling sharp or rough material?

  Yes

  No

  N/A

• Where required, are rubber gloves with protectors-insulators being used?

  Yes

  No

  N/A

Fire Protection and Prevention

• Are evacuation routes posted and clearly marked?

  Yes

  No

  N/A

• Are extinguishers readily available and regularly serviced?

  Yes

  No

  N/A

• Are hydrants clear and accessible for fire department personnel?

  Yes

  No

  N/A

• Have gas cylinders been chained upright with valve caps securely fastened?

  Yes

  No

  N/A

Manual Material Handling

• Are mechanical devices being used in place of manual handling of material?

  Yes

  No

  N/A

• Are ropes, slings, chains, hooks, cables, and chokers in good condition?

  Yes

  No

  N/A

• Have materials been properly staged to minimize lifting and carrying?

  Yes

  No

  N/A

• Has rigging equipment been inspected and found to be in good condition?

  Yes

  No

  N/A

• Is the handling of bagged material limited to 50lbs or less?

  Yes

  No

  N/A

• Are lifting handles being used when a single worker is carrying sheeted material?

  Yes

  No

  N/A

Electrical

• Are switches, panels, and devices that are energized marked and guarded?

  Yes

  No

  N/A

• Lockout devices are available/used in circuits that could become energized during work?

  Yes

  No

  N/A

• Are all temporary circuits properly guarded and grounded?

  Yes

  No

  N/A

• Are extension cords in continuous length without splices?

  Yes

  No

  N/A

• A s GFCI's and/or Assured Equipment Grounding Conductor Program Being used?

  Yes

  No

  N/A

• If temporary lighting is provided, are bulbs protected against accidental breakage?

  Yes

  No

  N/A

• Are working surfaces clear of cords so not to create a tripping hazard?

  Yes

  No

  N/A

• Are there a sufficient amount of outlets on site?

  Yes

  No

  N/A

• Are there any visual signs of outlet overloading?

  Yes

  No

  N/A

Hazard Communications

• Material Safety Data Sheets (MSDS) present or available?

  Yes

  No

  N/A

• Have employees been trained on any materials specific hazards?

  Yes

  No

  N/A

• Have you informed other contractors working in the area of any safety requirements of constraints?

  Yes

  No

  N/A

• Have you posted and required notifications for use of restricted products or area dangers?

  Yes

  No

  N/A

Excavation/Trenching

• Have utility companies been notified of proposed excavation work?

  Yes

  No

  N/A

• Are tools, equipment, and shoring materials readily available prior to job start up?

  Yes

  No

  N/A

• Are overhead utility lines noted and precautions taken to avoid contact with equipment?

  Yes

  No

  N/A

• Is the spoil pile at least two feet from the edge of the excavation?

  Yes

  No

  N/A

• Is the excavation inspected daily or more frequently when conditions could affect the soil?

  Yes

  No

  N/A

• If needed, are barricades, stop logs, properly placed?

  Yes

  No

  N/A

• Hs soil classification been made by a competent person?

  Yes

  No

  N/A

• Are excavations five feet or deeper correct sloped, benched, shored, or is a trench box used?

  Yes

  No

  N/A

• Is a ladder or other means of egress provided in trenches or excavations six feet or deeper?

  Yes

  No

  N/A

• Wen ladders are used, do the extend three feet above the surface and are they secured?

  Yes

  No

  N/A

• Are shoring and shielding systems inspected by a competent person?

  Yes

  No

  N/A

• Is the trench back filled as soon as work is completed?

  Yes

  No

  N/A

Barricading

• Are floor openings planked and secured or barricaded?

  Yes

  No

  N/A

• Are direction signs used to inform the public of upcoming constriction work?

  Yes

  No

  N/A

• Is the sidewalk protection effective?

  Yes

  No

  N/A

• Is a flag person provided to direct traffic when needed?

  Yes

  No

  N/A

• Has that person been trained oh how to direct traffic and the public?

  Yes

  No

  N/A

• Are open excavation, road drop offs, manholes, and uneven surfaces barricaded?

  Yes

  No

  N/A

Ladders

• Is the proper ladder for the job being used?

  Yes

  No

  N/A

• Ae ladders in good condition?

  Yes

  No

  N/A

• Are there safety shoes/cleats at the bottom of the ladder if needed?

  Yes

  No

  N/A

• Are non conductive ladders available for use near live wiring?

  Yes

  No

  N/A

• Are ladders tied off at the top or otherwise secured?

  Yes

  No

  N/A

• Do side rails extend at least 36 inches above top of landing?

  Yes

  No

  N/A

• Are the rungs or cleats uniformly spaced and 10-14 inches apart?

  Yes

  No

  N/A

• Are setup ladders fully open when in use?

  Yes

  No

  N/A

Scaffolding

• Are scaffold components visibly free of any physical damage?

  Yes

  No

  N/A

• Is scaffold properly erected with all pins and braces in place and properly locked?

  Yes

  No

  N/A

• Are rolling scaffolds equipped with locking wheels?

  Yes

  No

  N/A

• Are wheels locked when scaffold is in use?

  Yes

  No

  N/A

• Is scaffold erected on a firm and substantial surface?

  Yes

  No

  N/A

• Is planking of a scaffold grade?

  Yes

  No

  N/A

• Is planking in good condition and properly installed?

  Yes

  No

  N/A

• Are toe board and guardrails in place in scaffolds over 10 feet?

  Yes

  No

  N/A

• Are workers on scaffolding protected from falling objects if an overhead hazard exists?

  Yes

  No

  N/A

• Is a ladder provided for access to scaffold work platform?

  Yes

  No

  N/A

Medical

• Are first aid kits available and properly stocked?

  Yes

  No

  N/A

• Are all emergency phone numbers posted?

  Yes

  No

  N/A

• Ae employees aware of the address of the site and capable of giving directions to an emergency crew?

  Yes

  No

  N/A
• Find address
  Address

• Is anyone trained in first aid and CPR?

  Yes

  No

  N/A

Hoists Cranes and Derricks

• Will this job require any hoists, cranes, derricks, or other cable lifting equipment?

  No

  Yes

• Please note: KNS Personnel are NOT authorized to operate hoist machinery, however the safety of your subcontract is our responsibility. Please ensure with the operator or supervisor that the following items have been inspected:

• Are cables and sheaves checked?

  Yes

  No

  N/A

• Are slings, hooks, eyelets, and chokes inspected?

  Yes

  No

  N/A

• Are load capacities posted in the cab or on the equipment?

  Yes

  No

  N/A

• Are power lines at a safe distance?

  Yes

  No

  N/A

• Are there proper barricades around the equipment swing radius and under the load to be lifted?

  Yes

  No

  N/A

• Are the inspection logs with the equipment?

  Yes

  No

  N/A

Floors, Wall Openings, and Stairways

• Are floor and roof openings guarded by guardrails and toe boards or a secured cover?

  Yes

  No

  N/A

• Are open sided floors/platforms six feet or higher guarded with railings, toe boards, or equivalent?

  Yes

  No

  N/A

• Are stairs with four or more risers equipped with standard handrail protection?

  Yes

  No

  N/A

• Are runways four or more feet off the ground properly guarded?

  Yes

  No

  N/A

• Are anchor posts and framing capable of withstanding 200lb load in any direction?

  Yes

  No

  N/A

Structural Steel

• Are employees using proper fall protection equipment?

  Yes

  No

  N/A

• Is a company approved fall protection program in place?

  Yes

  No

  N/A

• Is the danger zone beneath the steel erection designated to limit unauthorized people?

  Yes

  No

  N/A

• Is hoisting equipment and accessories inspected as required?

  Yes

  No

  N/A

• Are tag lines used to control the load?

  Yes

  No

  N/A

• Are ladders, stairways, approved personnel lifts or other safe means of access provided to work area?

  Yes

  No

  N/A

Aerial Lifts

• Are employees using aerial lifts trained and authorized?

  Yes

  No

  N/A

• Are the manufacturers operation and safety rules obeyed?

  Yes

  No

  N/A

• Has the unit safety been inspected and all controls tested prior to each days use?

  Yes

  No

  N/A

• Is the unit positioned on solid, level ground?

  Yes

  No

  N/A

• Are the boom and basket loads within the manufacturers specifications?

  Yes

  No

  N/A

• Is everyone in the lift basket standing firmly on the floor, and wearing fall prevention or protection equipment?

  Yes

  No

  N/A

• Are brakes set and outriggers and wheel chicks positioned as required?

  Yes

  No

  N/A

• By signing this form I attest that all the information contained within this report is true and accurate to the best of my knowledge at the time of signing. Furthermore, I attest that if circumstances change that would require the content of this form being changed that I will update it dutifully in a timely manner to maintain the safety of all personnel on this job site.

• Time and date of signing:

  Date

• Signed

  Sign