Lake Erie Electric Safety Audit - Cleveland

• Client / Site

• Location
  Address

• Conducted on

  Date

• Construction Manager:

• Number of employees on site

• Prepared by

• Foreman / Onsite representative

• Project Manager

Forms & Paperwork / Subpart C

• Is there a copy of the corporate safety manual and SDS on site?

  Yes

  No

  N/A

  Controlled By Others

• Is the site emergency action plan posted LE S-15-1?<br>Subpart C-1926.35(b)

  Yes

  No

  N/A

  Controlled By Others

• Is the daily Foreman's task plan completed LE S-20?

  Yes

  No

  N/A

  Controlled By Others

• Are the employees able to recall the hazards and controls listed on their task plan LE S-20?<br>

  Yes

  No

  N/A

  Controlled By Others

• Has the weekly toolbox talk been completed and documented?

  Yes

  No

  N/A

  Controlled By Others

• Is the lockout log posted LE S-18?

  Yes

  No

  N/A

  Controlled By Others

• Is the job site first aid log posted and updated LE S-2-1?

  Yes

  No

  N/A

  Controlled By Others

Housekeeping & General Conditions/ Subpart D

• All debris is kept clear of work areas passageways and stairs?<br>Subpart C-1926.25 (a)

  Yes

  No

  N/A

  Controlled By Others

• Combustible scrap and debris is removed from the work area?<br>Subpart C-1926(b)

  Yes

  No

  N/A

  Controlled By Others

• First Aid services and/or provisions for medical care are available?<br>Subpart C-1926.23

  Yes

  No

  N/A

  Controlled By Others

• Is drinking water provided?<br>Subpart D-1926.51

  Yes

  No

  N/A

  Controlled By Others

• Are sanitary facilities adequate and clean?<br>Subpart D-1926.51(c)

  Yes

  No

  N/A

  Controlled By Others

Personal Protection Equipment

• All PPE has been inspected before use?

  Yes

  No

  N/A

  Controlled By Others

• Hard hats being worn brim forward except where the task mandates otherwise?<br>Subpart C-1926.100<br>Lake Erie Electric SP120-4.1

  Yes

  No

  N/A

  Controlled By Others

• Safety glasses being worn?<br>Subpart C-1926.102<br>Lake Erie Electric SP120-4.2

  Yes

  No

  N/A

  Controlled By Others

• Is hand protection being worn appropriate for the task?<br>Lake Erie Electric SP120-4.3

  Yes

  No

  N/A

  Controlled By Others

• Hearing protection being used where it is needed?<br>Subpart C-1926.101<br>Lake Erie Electric SP230-4.3

  Yes

  No

  N/A

  Controlled By Others

• Additional PPE is being used when needed (face shield, goggles, etc.)?

  Yes

  No

  N/A

  Controlled By Others
Electrical / Subpart K / SP130

• Live electrical equipment is guarded against accidental contact?<br>Subpart K-1926.403(i)2)(1)

  Yes

  No

  N/A

  Controlled By Others

• All junction boxes and fittings have covers? <br>Subpart K-1926.405(b)(2)

  Yes

  No

  N/A

  Controlled By Others

• Electrical panels are locked to prevent unauthorized access? <br>Subpart K-1926.403(j)(2)

  Yes

  No

  N/A

  Controlled By Others

• Conductors are spliced correctly? <br>Subpart K-1926.403(e)

  Yes

  No

  N/A

  Controlled By Others

• GFCI's are located at the source of power for tools and equipment? <br>Subpart K-1926.404(b)(1)(i) & (ii)<br>Lake Erie Electric SP130-4.3

  Yes

  No

  N/A

  Controlled By Others

• GFCI's have been tested?<br>Subpart K-1926.404(b)(1)(iii)(d)(2)<br>Lake Erie Electric SP130-4.2.2

  Yes

  No

  N/A

  Controlled By Others

• Electrical cords are in good condition. <br>Subpart K-1926.404(b)(1)(iii)(c)<br>Lake Erie Electric SP130-4.4.1.1

  Yes

  No

  N/A

  Controlled By Others

• Temporary wiring is protected from physical damage and supported properly? <br>Subpart K-1926.405(a)(2)(ii)(b)

  Yes

  No

  N/A

  Controlled By Others

• Temporary lighting is supported properly? <br>Subpart K-1926.405(a)(2)(ii)(f)

  Yes

  No

  N/A

  Controlled By Others
Tools / Subpart I / SP220

• Proper tool being used for the task?<br>Lake Erie Electric SP220-3.2.1

  Yes

  No

  N/A

  Controlled By Others

• All hand and power tools are maintained in a safe condition?<br>Subpart I-1926.300(a)<br>Lake Erie Electric SP220-3.1.1

  Yes

  No

  N/A

  Controlled By Others

• All guards are in place? <br>Subpart I-1926.300(b)<br>Lake Erie Electric SP220-3.1.2

  Yes

  No

  N/A

  Controlled By Others

• Tools that are defective have been tagged and removed from service?<br>Lake Erie SP220-3.2.2<br><br>

  Yes

  No

  N/A

  Controlled By Others
Lock-out Tag-out Subpart J (1910) / SP110

• Are all potential sources of energy locked out?<br>Subpart J-1910.147(c)(2)(ii)<br>Lake Erie Electric SP110-4.1

  Yes

  No

  N/A

  Controlled By Others

• Each person working on the task has his/her own lock?<br>Lake Erie Electric SP110-4.2.5

  Yes

  No

  N/A

  Controlled By Others

• Are all lock-out/tag-out devices identified with company name, employee name, and phone number?<br>Subpart J-1910.147(c)(5)(ii)(D)<br>Lake Erie Electric SP110-3.1.5

  Yes

  No

  N/A

  Controlled By Others
Energized Work SP100

• Energized Electrical Work Permit LE S-14-1 completed?<br>Lake Erie Electric SP100 4.17

  Yes

  No

  N/A

  Controlled By Others

• The job site supervisor has given consideration to environmental conditions, damp or wet conditions, proper clearances, work space, etc.?<br>Lake Erie Electric SP100-4.5

  Yes

  No

  N/A

  Controlled By Others

• 2 or more qualified persons are assigned to the task on construction sites?<br>Lake Erie Electric SP100-4.2

  Yes

  No

  N/A

  Controlled By Others

• Means to limit unauthorized access are being used?<br>Lake Erie Electric SP100-4.12

  Yes

  No

  N/A

  Controlled By Others

• Work area is properly illuminated?<br>Lake Erie Electric SP100-4.10

  Yes

  No

  N/A

  Controlled By Others

• Proper PPE and insulated tools are being used?<br>Lake Erie Electric SP100-4.7

  Yes

  No

  N/A

  Controlled By Others
Ladders Subpart X / SP140

• Ladders have been inspected for visual defects before use?<br>Lake Erie Electric SP140-4.12.1

  Yes

  No

  N/A

  Controlled By Others

• Ladders are free or oil, grease, and other slipping hazards?<br>Subpart X 1926.1053(b)(2)<br>Lake Erie Electric SP140-4.12.18<br>

  Yes

  No

  N/A

  Controlled By Others

• Ladders are positioned correctly?<br>Subpart X 1926.1053(a)(2)<br>Lake Erie Electric SP140-4.12.7

  Yes

  No

  N/A

  Controlled By Others

• Ladders extend 3' minimum beyond the landing surface?<br>Subpart X 1926.1053(b)(1)<br>Lake Erie Electric SP140-4.12.6

  Yes

  No

  N/A

  Controlled By Others

• Fall protection is being used when above 6' where feasible?<br>Lake Erie Electric SP140-4.12.11

  Yes

  No

  N/A

  Controlled By Others
Aerial Lifts SP240

• Lift inspection sheet LE S-22 has been completed?<br>Lake Erie Electric SP240-4.1.1.4

  Yes

  No

  N/A

  Controlled By Others

• Is the employee trained in the use of the aerial lift?<br>Lake Erie Electric SP240-4.1.1.1

  Yes

  No

  N/A

  Controlled By Others

• Operators manual on the unit?

  Yes

  No

  N/A

  Controlled By Others

• All guards, gates, doors, and latches are secured?

  Yes

  No

  N/A

  Controlled By Others

• Full body harness(s) and lanyard are being used while occupying the aerial lift?<br>Lake Erie Electric SP240-4.1.1.7

  Yes

  No

  N/A

  Controlled By Others
Fall Protection / Subpart M / SP140

• The walking surfaces have adequate strength and structural integrity to support employee's safely. <br>Subpart M-1926.501(a)(2) Lake Erie Electric SP140-4.2.1

  Yes

  No

  N/A

  Controlled By Others

• Anchorage points for personal fall arrest equipment are independent of any anchorage being used to support or suspend platforms, and capable of supporting at least 5000 lbs per employee attached?<br>1926.502 (d) (15)

  Yes

  No

  N/A

  Controlled By Others

• Use of self retracting lanyard when exposed to a fall below 17'?<br>Lake Erie Electric SP140-4.8.4

  Yes

  No

  N/A

  Controlled By Others

• Employees are protected from falls while working from surfaces 6' or more above a lower level? <br>Subpart M-1926.501(b)(1) / Lake Erie Electric SP140-4.1.1

  Yes

  No

  N/A

  Controlled By Others
Fire Protection and Prevention / Subpart F / SP220/ SP270

• Fire extinguisher is inspected and in good working condition. <br>Subpart F-1926.150(a)(4) / Subpart F-1926.150(c)(1)(viii)<br>Lake Erie Electric SP270-3.3.4 & 3.3.5

  Yes

  No

  N/A

  Controlled By Others

• Fire extinguisher is readily available for use. <br>Subpart F-1926.150(a)(1)<br>Lake Erie Electric SP270-3.3.1

  Yes

  No

  N/A

  Controlled By Others

• Flammable liquids are properly stored either in flammable storage area, or outside at least 20' from a building?<br>Lake Erie Electric SP270-4.4.2

  Yes

  No

  N/A

  Controlled By Others

• Are flammable liquid containers properly labeled?<br>1926.152(a)(1)<br>

  Yes

  No

  N/A

  Controlled By Others

• Are storage areas free of debris and other combustible materials?<br><br>1926.152(c)(5)<br>

  Yes

  No

  N/A

  Controlled By Others

• All open flames and ignition sources are removed from dispensing / refueling areas?<br><br>1926.152(g)(8) / LEE 3.3.1<br>

  Yes

  No

  N/A

  Controlled By Others
Welding and Cutting / Subpart J / SP250

• Is employee wearing flame retardant outerwear?

  Yes

  No

  N/A

  Controlled By Others

• Cylinders are secured properly? <br>Subpart J-1926.350(a)(9)<br>Lake Erie Electric SP250-3.1.1 & 3.1.9

  Yes

  No

  N/A

  Controlled By Others

• Cylinders are transported correctly? <br>Subpart J-1926.350(a)(3)<br>Lake Erie Electric SP250-3.1.1 & 3.1.3

  Yes

  No

  N/A

  Controlled By Others

• Proper ventilation?<br>Lake Erie Electric SP250-3.11.1

  Yes

  No

  N/A

  Controlled By Others

• Barricades are erected, or covers are in place, to protect other employees from sparks and flying debris?

  Yes

  No

  N/A

  Controlled By Others
Silica Exposure Subpart Z / SP170

• Are proper control methods implemented to control exposure?<br>Subpart Z-1926.1153 (table 1)

  Yes

  No

  N/A

  Controlled By Others
Confined Space / Subpart AA / SP150 / SP160

• Has the Competent Person been identified?<br>Subpart AA-1926.1202

  Yes

  No

  N/A

  Controlled By Others

• Has the space been tested for atmospheric hazards ?<br>SP 150 (4.3.1)

  Yes

  No

  N/A

  Controlled By Others

• Has the confined space permit LE S-9-2 been completed and covered with all employees working on the task?<br>Subpart AA-1926.1203(D)

  Yes

  No

  N/A

  Controlled By Others
Permit Required Confined Space SP 150

• Procedure for summoning emergency services have been identified?<br>Subpart AA-1926.1204(f)(i)

  Yes

  No

  N/A

  Controlled By Others

• Have the hazards been identified and evaluated prior to entry?<br>Subpart AA-1926.1204(B)

  Yes

  No

  N/A

  Controlled By Others

• Are measures in place to prevent unauthorized entry?<br>Subpart AA-1926.1204(a) / SP 150 (4.7)

  Yes

  No

  N/A

  Controlled By Others

• Provide and use properly maintained equipment (testing and monitoring equipment, ventilation equipment, communications equipment, PPE, lighting equipment, barriers, proper means of access and egress, rescue equipment, and any other equipment necessary?<br>Subpart AA-1926.1204(D)

  Yes

  No

  N/A

  Controlled By Others

• Conditions in the space are continuously being monitored ?

  Yes

  No

  N/A

  Controlled By Others

• Attendant(s) are outside the permit space?<br>Subpart AA-1926.1204(f)

  Yes

  No

  N/A

  Controlled By Others
Excavation / Subpart P / SP180

• Has the O.U.P.S Locate Work Order form been completed (LE S 24-1)?<br>SP 180

  Yes

  No

  N/A

  Controlled By Others

• Has the location of utilities been marked?<br>SP180 (5.1.1)

  Yes

  No

  N/A

  Controlled By Others

• Has the Competent Person been identified?<br>Subpart P-1926.650(b) / SP 180 (5.3.1)

  Yes

  No

  N/A

  Controlled By Others

• Are employees protected while working in the excavation?

  Yes

  No

  N/A

  Controlled By Others

• Spoils are kept 2' minimum from the edge of the trench?<br>Subpart P-1926.651(j)(2) / SP180 (5.3.11)

  Yes

  No

  N/A

  Controlled By Others

• Proper access and egress at 4' or deeper? <br>Subpart P-1926.651(c) / SP 180 (5.3.7)

  Yes

  No

  N/A

  Controlled By Others

• Proper PPE when working in roadways or right-of-ways? <br>Subpart P-1926.651(d)

  Yes

  No

  N/A

  Controlled By Others

• Employees are protected from falling loads? <br>Subpart P-1926.651(e)

  Yes

  No

  N/A

  Controlled By Others

• Trench is free of accumulated water, or is being controlled?<br>Subpart P-1926.651(h)(1) & (h)(2)

  Yes

  No

  N/A

  Controlled By Others

• Air is being monitored for hazardous atmospheric conditions when applicable?<br>Subpart P-1926.651(g)

  Yes

  No

  N/A

  Controlled By Others
Scaffolding / Subpart L / SP140

• Has the Competent Person been identified?<br>Subpart L-1926.450(b)

  Yes

  No

  N/A

  Controlled By Others

• Scaffold is inspected and tagged for use?<br>Lake Erie Electric SP140-4.10.3

  Yes

  No

  N/A

  Controlled By Others

• Has proper access and egress means?<br>Subpart L-1926.451(e)(1)<br>Lake Erie Electric SP140-4.10.7

  Yes

  No

  N/A

  Controlled By Others

• Scaffolds are free of snow, ice, and other slippery materials? <br>Subpart L-1926.451(f)(8)

  Yes

  No

  N/A

  Controlled By Others

• Person conducting the audit:

  Sign

• Company representative/ foreman:

  Sign