LSU Safety Survey

• Client/Project Name

• Job Number

• Region

• Conducted on

  Date

• Prepared by

• Superintendent

• Project Manager

• Location
  Address

Project Planning and Education

• Grade

• B&G site specific safety plan, hazcom, msds present?

  Yes

  No

  N/A

• Safety orientation being done and up to date?

  Yes

  No

  N/A

• Bi-weekly PM/Supt safety walks up to date?

  Yes

  No

  N/A

• Daily JSA's completed? Quality? Entire crew attending?

  Yes

  No

  N/A

• Weekly safety meeting held/documented?

  Yes

  No

  N/A

• Training - OSHA 10/30 hour and specific equipment

  Yes

  No

  N/A

• Safety as a main topic in Schedule/Coordination meetings?

  Yes

  No

  N/A

• Safety notebook current?

  Yes

  No

  N/A

• Comments:

• Attachments

  Media

• Attachments

  Media

Subcontractor Management

• Grade

• Startup meetings completed and documented?

  Yes

  No

  N/A

• Safety documents current?

  Yes

  No

  N/A

• Participation in regular safety walks as required?

  Yes

  No

  N/A

• Sub supervision showing accountability for personnel in field?

  Yes

  No

  N/A

• B&G holding sub supervision accountable?

  Yes

  No

  N/A

• Following up on safety issues? Increasing accountability for repeat items?

  Yes

  No

  N/A

• Training - Adequate for scope of work being performed, including specific equipment?

  Yes

  No

  N/A

• Competent person, OSHA 10/30 for supervision is required?

  Yes

  No

  N/A

• Comments:

• Attachments

  Media

• Attachments

  Media

Injury/Accident/Incident Management

• Grade:

• Reported in a timely manner?

  Yes

  No

  N/A

• Accident/Incident report(s) complete?

  Yes

  No

  N/A

• Root cause reports complete?

  Yes

  No

  N/A

• Corrective actions implemented

  Yes

  No

  N/A

• Actively managing employee return to work, modified duty provided

  Yes

  No

  N/A

• Injury diary maintained for injured employee(s)

  Yes

  No

  N/A

• Injury log maintained job wide

  Yes

  No

  N/A

• Current Stats

• # of recordables

• # of lost time days

• # of first aids

• Comments:

• Attachments

  Media

• Attachments

  Media

Current Site Conditions/Behaviors

• Grade:

• Jobsite posting & documentations

  Yes

  No

  N/A

• Housekeeping/material storage/general appearance

  Safe

  At Risk

  N/A

• Building pad and surrounding areas

  Safe

  At Risk

  N/A

• Excavations

  Safe

  At Risk

  N/A

• Scaffolding

  Safe

  At Risk

  N/A

• Elevated floors

  Safe

  At Risk

  N/A

• Roof areas

  Safe

  At Risk

  N/A

• Personal protective equipment

  Yes

  No

  N/A

• Fuel storage

  Safe

  At Risk

  N/A

• Equipment

  Safe

  At Risk

  N/A

• Electrical including weekly GFCI inspections

  Yes

  No

  N/A

• Hand/power/powder actuated tools

  Safe

  At Risk

  N/A

• Foreman - performance in required level of supervision

  Yes

  No

  N/A

• Foreman - superintendent expectations communicated

  Yes

  No

  N/A

• Comments:

• Attachment

  Media

• Attachment

  Media

Safety Summary:

• Overall Grade:

• Project Manager Signature:

  Sign

• Superintendent Signature:

  Sign

• Safety Manager Signature:

  Sign