Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General
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Was Stretch n Flex conducted as a group before the work shift?
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Was a JHA (Job Hazard Analysis) performed before a task was started?
COVID 19
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Are all employees wearing face coverings when and if required?
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Is an employee on site sick or been exposed to the COVID virus? If so, employee must leave site immediately.
PPE - Personal Protective Equipment
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All employees are wearing safety glasses?
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All employees are wearing their hard hats?
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All employees are wearing work boots? No gym shoes.
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All employees are using the proper respirator protection when applicable? Full, 1/2, particle mask respirators.
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All employees bodies are protected when spraying? Tyvek suits, gloves, head sock, etc..
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Reflective vests are being worn where required and when working with the general public?
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Hearing protection is utilized when needed?
Fall Protection
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Employees working above 6' are utilizing fall protection?
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Employees working on boom lifts are utilizing a harness and retractable lanyard?
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Anchor points are capable of supporting 5000 lbs?
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Warning lines are flagged and placed a minimum of 6' from leading edge?
Powered Industrial Equipment
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Forklift, scissor lift, boom lift and lull lift are operated by trained/certified employees?
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Scissor lift chain is connected or door is closed when in use?
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Does GC require “tie off” straps on a scissor lift?
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Employees on scissor lifts are standing in base of lift? No standing on the rails.
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Terrain was inspected before any lift is used in that area?
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Did you inspect your lift before every use and when delivered or when called off?
Step Ladders
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Are platform ladders required by the GC?
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Employees are not to be standing on or above the last 2 steps.
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Employees are not to lean step ladders during use.
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Are spreaders fully opened on step ladder?
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Employees are not over reaching to one side losing 3 points of contact.
Baker Scaffolding
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Safety rails and outriggers are installed when using scaffold above 6'.
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Are wheels locked during use?
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Scaffold is not being moved with employee on baker scaffold? No "surfing".
Hand and Power Tools
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Power tools and hand tools are free from damage? (Switches, cords, guards, etc..)
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Pumps and generators are inspected before use? Fuel is added with equipment not running?
Electrical
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Extension cords are inspected and in good condition?
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GFCI'S are being used on all cords and equipment?
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There are no open electrical panels in our work area?
Housekeeping/Site Conditions
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Is work site clean and free of debris?
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Storage yard/area/trailer is clean and organized?
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Spray pumps are cleaned and maintained every shift?
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Site has adequate lighting?
Silica
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Are water controls, Heppa vacuum controls or respiratory controls used during the presence of Silica Dust?
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Are all workers out of the Silica Dust Work Area? If not, other workers must follow control procedures (respirator).
Hazard Communication/GHS
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Have all employees had their Hazard Communication/GHS training?
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Product labels and pictograms have not been removed from manufacturers containers?
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Any materials transferred to portable containers have been labeled with product name and type.
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Are SDS sheets available electronically or as hard copies on job site?
First Aid
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First aid kit is on site and accessible to all employees?
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Fire extinguisher is available on site for emergency use?
General Notes
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Signature
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Lankford Management Signature