Liberty Daily Safety Audit

• Date (yyyymmdd Format)

• Job Number:

• Job Name:

• Site Supervision:

• Site Safety Manager:

• Weather Conditions:

• Location
  Address

1. Site Administration

• 1a. Have all employees, subcontractor employees, and visitors completed the site orientation process and been issued a orientation sticker/badge?

  YES

  NO

• Corrective Action Taken:

• 1b. Are all required Job Posters (OSHA, FDOT, etc), Ethics Notifications, and Emergency Numbers conspicuously posted?

  YES

  NO

• Corrective Action Taken:

• 1c. Are the Site Safety Manual and SDS current and readily available?

  YES

  NO

• Corrective Action Taken:

• 1d. Are First-Aid Kits readily available, stocked, and contents not expired?

  YES

  NO

• Corrective Action Taken:

• 1e. Are First-Aid/CPR trained personnel available on-site?

  YES

  NO

• Corrective Action Taken:

• 1f. Are Pre-Task Plans and Take-5 cards being used/completed on a daily and as necessary basis?

  YES

  NO

• Corrective Action Taken:

• 1g. Are weekly Toolbox Talks/Safety Trainings being held and documented?

  YES

  NO

• Corrective Action Taken:

• 1h. Are stretch and flex exercises being performed prior to the start of work and as necessary daily?

  Yes

  No

  N/A

• Corrective Action Taken:

• 1i. Is the site entrance/exit clearly identified and all informational signage(i.e. No Trespassing, PPE requirements, Office Location, etc.) in place?

  YES

  NO

• Corrective Action Taken:

• 1j. Is required informational and warning signage in place throughout the project? (i.e. EXIT, NO EXIT, Fire Extinguisher, Floor Numbers, etc)

  YES

  NO

• Corrective Action Taken:

2. Personal Protective Equipment

• 2a. Is all required company supplied PPE stocked on-site and readily available?

  YES

  NO

• Corrective Action Taken:

• 2b. Were all observed personnel wearing the required PPE at time of audit?

  YES

  NO

• Corrective Action Taken:

3. Fall Protection

• 3a. Have all identified falls from height hazards been controlled?

  YES

  NO

• Corrective Action Taken:

• 3b. Was all observed fall arrest equipment, such as, harnesses, SRLs, lanyards, and anchorages free from obvious damage and appear to be in working order?

  YES

  NO

• Corrective Action Taken:

• 3c. Were all observed guard rails (wood or cable) in place, built, and maintained according to standards?

  YES

  NO

• Corrective Action Taken:

• 3d. Were all observed holes 2" or greater in their smallest dimension securely covered and clearly marked "HOLE"?

  YES

  NO

• Corrective Action Taken:

• 3e. Are Outrigger Platforms being utilized on this site?

  YES

  N/A

• 3e-1. Have all structural installation plans been reviewed, approved, and followed for outrigger installation?

  YES

  NO

• Corrective Action Taken:

• 3e-2. Has the Look-out been maintained in accordance with Liberty policy?<br> 1. All guard rails, toe boards, and netting are in place<br> 2. SRL's are in place<br> 3. Warning, Capacity, and Allowable Access signs are posted secured and in good condition

  YES

  NO

• Corrective Action Taken:

• 3f. Were all observed impalement hazards both vertical and horizontal protected?<br> (rebar, conduit, pipe, nails, etc)

  Yes

  No

  N/A

• Corrective Action Taken:

4. Electrical

• 4a. Have all known exposures to high voltage been controlled?

  Yes

  No

  N/A

• Corrective Action Taken:

• 4b. Did all observed breaker boxes have secure doors and were clearly marked/labeled with voltage present?

  Yes

  No

  N/A

• Corrective Action Taken:

• 4c. Were all observed extension cords and power tools free from physical damage such as faults in insulation, missing grounds, missing guards, faulty triggers, etc?

  Yes

  No

  N/A

• Corrective Action Taken:

• 4d. Did all observed electrical boxes, switches, and receptacle have tight fitting cover or plates, have all "Knock Outs" or holes covered protected or sealed, and have weatherproofing where needed?

  Yes

  No

  N/A

• Corrective Action Taken:

• 4e. Were all observed electrical receptacles protected by GFCI?

  Yes

  No

  N/A

• Corrective Action Taken:

• 4g. Have measures been taken to prevent exposure to and contact with overhead power lines if present? (i.e. warning signs, markers, insulators)

  Yes

  No

  N/A

• Corrective Action Taken:

5. HOT Work (Welding, cutting, burning, torch)

• 5a. Was there any work requiring a "Hot Work Permit" being performed?

  YES

  N/A

• 5a-1. Were proper permits obtained before starting the work?

  YES

  NO

• Corrective Action Taken:

• 5a-2. Was the observed hot work being performed in accordance with the terms of the permit? (Permit posted, fire extinguishing meathod present, fire watch utilized, area clean and flammables protected if present)

  YES

  NO

• Corrective Action Taken:

6. Fire Prevention

• 6a. Were fire extinguishers on site clearly visible and being maintained?

  YES

  NO

• Corrective Action Taken:

• 6b. Were all observed flammable liquids in approved containers such as gas cans with spring loaded closures and flame arresters, and stored in an acceptable manner when not in use?

  Yes

  No

  N/A

• Corrective Action Taken:

• 6c. Were all observed compressed gas cylinder being stored, handled, used, and transported correctly?<br>

  Yes

  No

  N/A

• Corrective Action Taken:

7. Ladders and Scaffold

• 7a. Were any ladders observed to be in use or available for use on site?

  YES

  N/A

• 7a-1. Were ladders in use or available for use observed to be free of any obvious defects, damage, or excessive wear; have all warning, instruction and capacity labels visible and legible; and be positioned, used, secured, and stored correctly?

  YES

  NO

• Corrective Action Taken:

• 7a-2. Were any observed job built ladders built in accordance with ANSI standards?

  Yes

  No

  N/A

• Corrective Action Taken:

• 7a-3. Are ladder access and landing areas free from debris and other hazards?

  YES

  NO

• Corrective Action Taken:

• 7b. Was any supported or suspended scaffold observed to be in use or available for use on site?

  YES

  N/A

• 7b-1. Was the scaffold observed to be free of any obvious defects or deficiencies?

  YES

  NO

• Corrective Action Taken:

• 7b-2. Was the scaffold built by, being inspected by, and being used by qualified persons with valid scaffold certifications?

  YES

  NO

• Corrective Action Taken:

8. Housekeeping

• 8a. Were all walkways, stairways, ladder accesses, and work areas observed to be maintained in a clean and passable fashion?

  YES

  NO

• Corrective Action Taken:

• 8b. Were stored materials observed to be neat, orderly, and secured from displacement ?

  YES

  NO

• Corrective Action Taken:

• 8d. Have perimeter protection controls been put into place to prevent the dislodgment of materials, tools and debris?

  YES

  NO

• Corrective Action Taken:

• 8e. Are trash container readily available and maintained?

  YES

  NO

• Corrective Action Taken:

9. Cranes (Tower and Mobile)

• 9a. Were cranes observed to be in use on site?

  Select N/A Tower Mobile

  • N/A
  • Tower
  • Mobile

9a-1. Tower Crane

• 9a-1a. Have all crane planning and pre-assembly meetings taken place and been documented?

  YES

  NO

• Corrective Action Taken:

• 9a-1b. Was the crane assembled and inspected by competent and qualified personnel per governing regulations and guidelines?

  YES

  NO

• Corrective Action Taken:

• 9a-1c. Is the crane being inspected and maintenance being performed per manufacturers specification?(Daily, Periodic, Annual)

  YES

  NO

• Corrective Action Taken:

• 9a-1d. Are crane communications systems in use and functioning for all foreseen tasks?

  YES

  NO

• Corrective Action Taken:

• 9a-1e. Have security measure been taken to prevent unauthorized access and secure the crane when not in use?

  YES

  NO

• Corrective Action Taken:

9a-2. Mobile Crane

• 9a-2a. Have all crane planning and pre-assembly meetings taken place and been documented?

  YES

  NO

• Corrective Action Taken:

• 9a-2b. Was the crane assembled and inspected by competent and qualified personnel per governing regulations and guidelines?

  YES

  NO

• Corrective Action Taken:

• 9a-2c. Is the crane being inspected and maintenance being performed per manufacturers specification?(Daily, Periodic, Annual)

  YES

  NO

• Corrective Action Taken:

• 9a-2d. Are crane communications systems in use and functioning for all foreseen tasks?

  YES

  NO

• Corrective Action Taken:

• 9a-2e. Have security measure been taken to prevent unauthorized access and secure the crane when not in use?

  YES

  NO

• Corrective Action Taken:

• 9b. When observed did the crane appear to be in good operating condition and being operated in a safe manner with all safety devices in place and with due regard to personnel and surroundings?

  YES

  NO

• Corrective Action Taken:

• 9c. Are any critical lifts being performed?

  YES

  N/A

• 9c-1. Have all critical lift plans been submitted to and reviewed by all appropriate parties?

  YES

  NO

• Corrective Action Taken:

• 9c-2. Is the lift being performed in accordance with the submitted and reviewed plan?

  YES

  NO

• Corrective Action Taken:

10. Mobile and Heavy Equipment (Man Lifts, Telehandlers, Motorized Heavy Equipment)

• 10a. Was any mobile or heavy equipment observed in use on site today?

  YES

  N/A

• 10b. Is the equipment being inspected daily by a trained user/competent person and records of those inspections available?

  YES

  NO

• Corrective Action Taken:

• 10c. When observed did the equipment appear to be free from any obvious damage or defects, appear to operating correctly, and appear to be being operated with due regard to personnel and surroundings?

  YES

  NO

• Corrective Action Taken:

11. Confined Space

• 11a. Have all confined spaces on site been identified and their locations made known to all on site personnel?

  Yes

  No

  N/A

• Corrective Action Taken:

• 11b. Is any work requiring confined space entry being performed at this time?

  YES

  N/A

• 11b-1. Have all entry and other required permits been acquired prior to entry?

  YES

  NO

• Corrective Action Taken:

• 11b-2. Is the entry being performed in accordance with the terms and requirements of the permit?

  YES

  NO

• Corrective Action Taken:

12. Site Specific Conditions

13. General Duty Safety Observations

• 13a. Were other observations or miscellaneous findings that pose a potential hazard discovered during the audit process?

  YES

  N/A

• Note Observed Condition or Action:

• Corrective Action Taken:

14. Incidents

• 14a. Were there any near miss, property damage or personal injury incidents to report today?

  YES

  N/A

• Viewpoint Reference Number:

• Incident Description:

15. Preventative, Corrective, and Disciplinary Actions

• 15a. Were there any preventative, corrective, or disciplinary actions not previously noted taken today?

  YES

  N/A

• Description of Action Taken:

Audit Conducted By

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