L.R. Willson & Sons Inc

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety plans and records

• Haz-Com and SDS sheets available?

  Yes

  No

  N/A

• Spot check jobsite for chemicals not in inventory

  Yes

  No

  N/A

• Check containers for proper GHS labels

  Yes

  No

  N/A

• Fall protection plan?

  Yes

  No

  N/A

• Steel erection safety plan?

  Yes

  No

  N/A

• First-aid kit available?

  Yes

  No

  N/A

• Weekly toolbox training?

  Yes

  No

  N/A

• JSA Book Completed

  Yes

  No

  N/A

• Fire hazards identified?

  Yes

  No

  N/A

P.P.E.

• Hard hats worn at all times?

  Safe

  At Risk

  N/A

• Proper work boots and gloves as needed?

  Safe

  At Risk

  N/A

• Hi-visibility vests or clothing?

  Yes

  No

  N/A

• Safety glasses?

  Safe

  At Risk

  N/A

• Respirators, dust masks and ear plugs as needed?

  Safe

  At Risk

  N/A

Fall Protection

• Harness and lanyards in satisfactory condition?

  Safe

  At Risk

  N/A

• Personnel trained in proper fall protection procedures?

  Safe

  At Risk

  N/A

• Anchorage points acceptable?

  Safe

  At Risk

  N/A

• Guard rails and cables installed correctly?

  Safe

  At Risk

  N/A

• Holes covered and marked

  Safe

  At Risk

  N/A

Welding and cutting

• Hood, goggles and shields being worn?

  Safe

  At Risk

  N/A

• Leads with tape within 10' of stinger?

  Safe

  At Risk

  N/A

• No exposed copper on leads?

  Safe

  At Risk

  N/A

• Oxygen & acetylene bottles upright and secured?

  Safe

  At Risk

  N/A

• Fire extinguishers readily accessible?

  Safe

  At Risk

  N/A

• Fire watch?

  Yes

  No

  N/A

Equipment

• Do operators have proof of training?

  Safe

  At Risk

  N/A

• Equipment operating properly?

  Safe

  At Risk

  N/A

• Tires, hydraulics and safety features?

  Safe

  At Risk

  N/A

• Back up alarms operating?

  Safe

  At Risk

  N/A

• Extension Cords damage free?

  Yes

  No

  N/A

• Electric tools with cords damage free?

  Yes

  No

  N/A

Personnel Platforms

• Do operators have records of training?

  Safe

  At Risk

  N/A

• Scissor lifts?

  Safe

  At Risk

  N/A

• Boom lifts?

  Safe

  At Risk

  N/A

• Lifts being operated properly?

  Safe

  At Risk

  N/A

• Fall protection being used?

  Safe

  At Risk

  N/A

Cranes

• All inspections up to date?

  Safe

  At Risk

  N/A

• Operator manual and load charts on crane?

  Safe

  At Risk

  N/A

• Swing radius barricaded?

  Yes

  No

  N/A

• Boom angle indicator and anti two block working?

  Safe

  At Risk

  N/A

• Fire extinguishers charged and available?

  Yes

  No

  N/A

• Rigging Inspected? Any taken out of service?

  Yes

  No

  N/A

Environmental Concerns

• Spillage around bulk tanks?

  Yes

  No

  N/A

• Leaks of cranes?

  Yes

  No

  N/A

• Leaks of equipment (boom, scissor, fork lifts, ect.)?

  Yes

  No

  N/A

• Housekeeping?

  Yes

  No

  N/A

Action taken to correct deficiencies?

• Auditor's signature

  Sign

• Deficiencies corrected

NOTES

• Yes

  No

  N/A