Lyles Services Co. Safety Department Monthly Site Audit Rev. 1

• Document No.

• Operating Company

• Project Name / Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Safety Program Administration

• Appropriate Signage in Place

  Yes

  No

  N/A

• Safety Policy & Standard Operating Procedure Manual Onsite & Updated

  Yes

  No

  N/A

• Site Specific MSDS Binder Onsite

  Yes

  No

  N/A

• Federal, State, OSHA, Company,Required Postings Posted

  Yes

  No

  N/A

• Toolbox Safety Training Performed Weekly

  Yes

  No

  N/A

• Foreman Daily Safety Huddles Completed

  Yes

  No

  N/A

• JSA Completed Prior to Hazardous Tasks

  Yes

  No

  N/A

• Mentor Program is in Effect (Yellow Hard Hat)

  Yes

  No

  N/A

• Site Specific Emergency Action Plan

  Yes

  No

  N/A

• Applicable Permits Onsite (Trench/Excavation, Scaffold/Falsework, etc.,)

  Yes

  No

  N/A

• Weekly Safety Inspections Performed

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

First Aid

• Trained Person(s) Onsite

  Yes

  No

  N/A

• First Aid Kit and Supplies Adequate in Size and Maintained

  Yes

  No

  N/A

• Eye Wash Station(s) in Place

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Portable Generators

• Guards in Place

  Yes

  No

  N/A

• Grounded System

  Yes

  No

  N/A

• GFCI Protection (Test Operation)

  Yes

  No

  N/A

• Damaged Outlets

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Air Compressors

• Belts and Pulleys Guarded

  Yes

  No

  N/A

• Pressure Gauge Working

  Yes

  No

  N/A

• Pressure Relief Valve Operational

  Yes

  No

  N/A

• Hose Connections Secured

  Yes

  No

  N/A

• Pressure Reduced at Operation

  Yes

  No

  N/A

• Hoses in Good Condition

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Fire Extinguishers

• Readily Accessible/Mounted

  Yes

  No

  N/A

• Proper Type and Size Available

  Yes

  No

  N/A

• Proper Maintenance/Tagged

  Yes

  No

  N/A

• Inspected Monthly/Annually

  Yes

  No

  N/A

• Employees Trained Annually on Usage

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Flammable Liquids (Gasoline) / Chemical Handling

• Stored in Approved Containers/Cabinets

  Yes

  No

  N/A

• Containers Properly Labeled (Identity, Hazard Warnings)

  Yes

  No

  N/A

• Spill Containment and Cleanup Supplies

  Yes

  No

  N/A

• Oxygen Cylinders Separated from Fuel Gas Cylinders or Combustible Materials (Min. 20' or 5' 1/2 Hr. Rated Fire Wall)

  Yes

  No

  N/A

• Fire Extinguisher Available Near Storage Areas w/in 25'

  Yes

  No

  N/A

• Hydrants are Clear and Access to Public Thoroughfare is Unobstructed

  Yes

  No

  N/A

• Signs Posted NO SMOKING "Flammable Materials"

  Yes

  No

  N/A

• Hazardous Chemicals in Secondary Containment, Proper Disposal

  Yes

  No

  N/A

• Storage Area Bermed for Spill (2 -1/2 Times Larger Than Tank)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Power Cords / Extension Cords / Electrical Hazards

• Grounding Pin Present

  Yes

  No

  N/A

• Damaged Insulation Exposed Wiring

  Yes

  No

  N/A

• Plug Ends & Insulation Connected

  Yes

  No

  N/A

• Proper Gage (12/3 or Better)

  Yes

  No

  N/A

• All Circuits are GFCI Protected

  Yes

  No

  N/A

• Breaker Boxes and Switches Labled

  Yes

  No

  N/A

• Electrical Dangers Identified & Labeled

  Yes

  No

  N/A

• Cords Protected From Damage

  Yes

  No

  N/A

• Lock Out / Tag Out Procedures In Place

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Powder Actuated Tools

• Tool and Loads Properly Stored and Maintained

  Yes

  No

  N/A

• Certified/Trained Operator

  Yes

  No

  N/A

• Appropriate Signage Posted w/in 50'

  Yes

  No

  N/A

• Load Strips Properly Disposed of

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Hand and Power Tools

• All Mechanical Safeguards In Place as per Manufacturer & Cal OSHA Regulations (Zero Tolerance Item)

  Yes

  No

  N/A

• User Properly Trained

  Yes

  No

  N/A

• Tools Are in Good Condition

  Yes

  No

  N/A

• Correct Tool Being Used For The Job

  Yes

  No

  N/A

• Tools are Stored Neatly When Not In Use

  Yes

  No

  N/A

• Materials Properly Supported

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Ladders and Stairways

• Ladders Inspected and Maintained

  Yes

  No

  N/A

• Ladders Proper Length & Secured to Prevent Slipping, Sliding or Falling - Tied Off

  Yes

  No

  N/A

• Extension Ladders Extend 36" Above Landing

  Yes

  No

  N/A

• Extension Ladder Base Positioned 1/4 of the Vertical Distance

  Yes

  No

  N/A

• Area Around Base and Top of Ladder Clear and Unobstructed

  Yes

  No

  N/A

• Proper Maintenance and Storage

  Yes

  No

  N/A

• Stepladders Fully Opened

  Yes

  No

  N/A

• Job Made Ladders Constructed as Per Cal OSHA Regulations

  Yes

  No

  N/A

• Metal Ladders Not Being Used Around Electrical Hazards

  Yes

  No

  N/A

• Evidence of Unsafe Use of Ladders (Zero Tolerance Item)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Material Handling & Storage

• Proper Lifting Techniques Being Used

  Yes

  No

  N/A

• Stacks on Firm Footing & Not Too High

  Yes

  No

  N/A

• Lay Down Areas Neat & Organized

  Yes

  No

  N/A

• Passage Ways are Clear

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Personal Protective Equipment

• Head Protection Hard Hat

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• Full Face Shield

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Appropriate Hand Protection (Abrasion, Cut, Puncture, Chemical)

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• ANSI Class II or III High Visibility Garment (Vest, Shirt, or Jacket)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Fall Protection

• Full Body Harness

  Yes

  No

  N/A

• Appropriate Connecting Device (Lanyard above 18', SRL below 18')

  Yes

  No

  N/A

• Appropriate Anchorage (5000 lb. Capacity)

  Yes

  No

  N/A

• Engineered Vertical or Horizontal Life Line

  Yes

  No

  N/A

• Guard Rails in Place and Secure, Top Rail 42"-45" Mid Rail at 1/2 the Distance

  Yes

  No

  N/A

• Controlled Access Zone Established

  Yes

  No

  N/A

• Warning Line Established

  Yes

  No

  N/A

• Competent Trained Person(s) Onsite

  Yes

  No

  N/A

• Employees Properly Trained

  Yes

  No

  N/A

• Equipment in Good Condition and Inspected Semi Annually

  Yes

  No

  N/A

• Rescue Plan In Place

  Yes

  No

  N/A

• All Personnel Protected Against Fall Height Greater Than 6' (Zero Tolerance Item)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Aerial Lifts

• Equipped with Outriggers

  Yes

  No

  N/A

• Guard Rails in Good Condition

  Yes

  No

  N/A

• Full Body Harness and Fall Restraint in Use

  Yes

  No

  N/A

• Safety Chain Present and Connected

  Yes

  No

  N/A

• Employees Properly Trained

  Yes

  No

  N/A

• Employees Standing on Floor of Lift

  Yes

  No

  N/A

• Documented Daily Inspection Completed

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Industrial Trucks (Tele-handler/Rough Terrain)

• Roll Over Protective System (ROPS)

  Yes

  No

  N/A

• Documented Daily Inspection Performed

  Yes

  No

  N/A

• Back-up Alarm and Horn Operational

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Operator Trained and Authorized to Use

  Yes

  No

  N/A

• Seatbelt Being Worn

  Yes

  No

  N/A

• Load Chart and Applicable Manuals on Lift

  Yes

  No

  N/A

• Lift being Operated in a Safe Manner

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Cranes / Boom Trucks

• Annual and Daily Inspections Complete

  Yes

  No

  N/A

• Fire Extinguisher in Cab & Inspected

  Yes

  No

  N/A

• Boom Angle Indicator and Load Charts Visible

  Yes

  No

  N/A

• Proper Hand Signals in Use & Posted

  Yes

  No

  N/A

• Swing Radius Barricaded

  Yes

  No

  N/A

• Rigging Inspected Prior to Use & in Good Condition, All Tags Legible & Attached

  Yes

  No

  N/A

• Rigging Properly Stored When Not In Use

  Yes

  No

  N/A

• Seat Belt Being Used

  Yes

  No

  N/A

• Qualified Rigger in Use

  Yes

  No

  N/A

• Qualified Signal Person in Use

  Yes

  No

  N/A

• Power Lines Deactivated, Removed or at a Minimum Safe Distance, Spotter in Use w/in 20'

  Yes

  No

  N/A

• Tag Line(s) in Use For Load Control

  Yes

  No

  N/A

• Equipment is Firmly Supported

  Yes

  No

  N/A

• OutRiggers In Use

  Yes

  No

  N/A

• Pre-Lift Meeting Conducted

  Yes

  No

  N/A

• Critical Lift Plan Reviewed

  Yes

  No

  N/A

• Operator Certified and Medical Card Current

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

General House Keeping

• Orderly Storage of Material

  Yes

  No

  N/A

• Orderly Storage of Equipmen

  Yes

  No

  N/A

• Trash and Debris Picked Up

  Yes

  No

  N/A

• Adequate Supply of Trash Receptacles

  Yes

  No

  N/A

• Banding Material and Wire

  Yes

  No

  N/A

• Protruding nails Removed or Bent Over

  Yes

  No

  N/A

• Restrooms Clean and Supplies Adequate

  Yes

  No

  N/A

• Hand Wash Stations Supplied & Stocked

  Yes

  No

  N/A

• Dust Protection Observed

  Yes

  No

  N/A

• Lighting is Adequate

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Heat Illness Prevention

• Cool Drinking Water Supplied & Nearby

  Yes

  No

  N/A

• Disposable Cups & Trash Receptacles Provided

  Yes

  No

  N/A

• Adequate Shade Provided & Comfortable Seating

  Yes

  No

  N/A

• Employees Properly Trained

  Yes

  No

  N/A

• High Heat Requirements In Effect (95 degrees +)

  Yes

  No

  N/A

• Un-acclimatized Employees Monitored

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Concrete Construction

• Forms Properly Installed and Braced

  Yes

  No

  N/A

• Post "Laser In Use" Signage When in Use

  Yes

  No

  N/A

• Employees Using Lasers Properly Trained & Carrying Card

  Yes

  No

  N/A

• All Rebar, Round Form Stakes and Similar Protrusions Protected

  Yes

  No

  N/A

• Concrete Clean Out Area Designated and Set Up Properly

  Yes

  No

  N/A

• Mixing Transport has Adequate Runways and Traffic Controlled

  Yes

  No

  N/A

• Long Sleeved Shirts or Barrier Cream Used

  Yes

  No

  N/A

• Eye Protection, Hand Protection, Rubber Boots in Use

  Yes

  No

  N/A

• Communication Between Pump Hopper and Operator Maintained

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Confined Space

• Permit Completed

  Yes

  No

  N/A

• Verify Atmospheric Monitor Onsite & Calibrated w/in Last 30 Days

  Yes

  No

  N/A

• Bump Test Performed Prior to Entry

  Yes

  No

  N/A

• Continuos Monitoring Required and Documented every 30 Minutes

  Yes

  No

  N/A

• Ventilation of Space Adequate

  Yes

  No

  N/A

• Retrieval System in Place (Required for Entries over 5')

  Yes

  No

  N/A

• Pre-Task JSA Completed and Reviewed Prior to Entry

  Yes

  No

  N/A

• Rescue Procedures in Place & Reviewed Prior to Entry

  Yes

  No

  N/A

• Evidence of Work in a Non-Compliant Confined Space (Zero Tolerance Item)

  Yes

  No

  N/A

• Employees Involved Trained on Responsibilities (Supervisor, Attendant, Entrant)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Trenching and Excavation

• Designated Competent Person Onsite

  Yes

  No

  N/A

• Documented Daily Inspection Performed

  Yes

  No

  N/A

• Proper Protective System for Soil Conditions in Place over 5'

  Yes

  No

  N/A

• Manufacturers Tabulated Data Available

  Yes

  No

  N/A

• Adjacent Structures Properly Supported

  Yes

  No

  N/A

• Adjacent Roads and Sidewalks Supported and Protected

  Yes

  No

  N/A

• Spoils Pile at Least 24" From Edge of Excavation

  Yes

  No

  N/A

• Excavation Adequately Barricaded

  Yes

  No

  N/A

• Equipment is Safe Distance from the Edge of Excavation

  Yes

  No

  N/A

• Extension Ladders Provided Where Needed - Within 25' of Workers

  Yes

  No

  N/A

• Equipment Ramps are Adequate

  Yes

  No

  N/A

• Evidence of Work In a Non-Compliant Excavation (Zero Tolerance Item)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Heavy Equipment and Vehicles

• Operator Trained on Equipment Being Used

  Yes

  No

  N/A

• Seatbelt Worn at All Times

  Yes

  No

  N/A

• Inspection and Maintenance Logs Completed

  Yes

  No

  N/A

• Safety Devices Functioning Properly (Brakes, Lights, Mirrors, Horn, Etc.,)

  Yes

  No

  N/A

• Back-up Alarm Installed and Audible

  Yes

  No

  N/A

• Wheels Chocked on All Mobile Equipment When Standing Alone

  Yes

  No

  N/A

• Fire Extinguisher Present and Inspection Tag Current

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Masonry (If Subcontractor Onsite)

• Limited Access Zone Created Around Work Area, Signs Posted

  Yes

  No

  N/A

• Masonry Saws are Properly Equipped and Dust Containment Provided

  Yes

  No

  N/A

• Safe Hoisting Equipment In Use

  Yes

  No

  N/A

• Proper Scaffolding In Use (See Scaffolding)

  Yes

  No

  N/A

• Loads Properly Placed on Scaffolding

  Yes

  No

  N/A

• Walls over 8' Properly Braced Until Permanent Supports Are in Place

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Scaffolding

• Erection and Dismantling Must Be Supervised By a Qualified Person

  Yes

  No

  N/A

• Employees Trained on the Safe Use Of Scaffolding

  Yes

  No

  N/A

• Scaffold Components are in Good Condition

  Yes

  No

  N/A

• Scaffold Inspected Daily by Competent Person

  Yes

  No

  N/A

• Safe and Unobstructed Means of Access and Egress to All Scaffold Platforms

  Yes

  No

  N/A

• Work Area Must be Fully Planked & Planks Secured When Required

  Yes

  No

  N/A

• Workers Below Below Are Protected From Falling Objects - Toe Boards

  Yes

  No

  N/A

• Scaffold is Plumb and Square, Adequate Bracing in Place

  Yes

  No

  N/A

• Guard Railing and End Rails in Place (Top Rail 42" - 45" Mid Rail 1/2 the Distance Between

  Yes

  No

  N/A

• Scaffold Legs Nailed to Base Plate To Prevent Horizontal Movement

  Yes

  No

  N/A

• Scaffold Secured to Structure When Required

  Yes

  No

  N/A

• Scaffold Deck Free of Debris and Materials Are Secured

  Yes

  No

  N/A

• Stored and Work In Progress Materials Are Organized

  Yes

  No

  N/A

• Evidence Of Work Being Performed On Unsafe Scaffold System (Zero Tolerance Item)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Steel Erection (If Subcontractor Onsite)

• Fall Protection Measures In Place

  Yes

  No

  N/A

• Temporary Periphery Cables at Each Floor Level

  Yes

  No

  N/A

• Tag Lines In Use To Control Load

  Yes

  No

  N/A

• Ladders, Stairs or Other Access Provided

  Yes

  No

  N/A

• Personal Fall Protection In Place as Per Cal OSHA Title 8 CCR 1710 (m)

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Traffic Control

• Cones / Delineators Used Around Work Site

  Yes

  No

  N/A

• Cones / Delineators Create Adequate Taper To Actual Work

  Yes

  No

  N/A

• Flaggers Are Trained & Wearing ANSI Class II or III High Visibility Garment

  Yes

  No

  N/A

• Workers Exposed To Vehicular Traffic Wearing ANSI Class II or III High Visibility Garment

  Yes

  No

  N/A

• Pre-Warning Signs In Place (Road Work Ahead, Flagger Ahead, Etc,.)

  Yes

  No

  N/A

• Sign Board(s) In Place To Warn of Lane Closure

  Yes

  No

  N/A

• Approved Traffic Plan In Place and Followed

  Yes

  No

  N/A

• Public Protected from Work

  Yes

  No

  N/A

• Spotter Used For Moving Of Equipment Near Or Through Traffic

  Yes

  No

  N/A

• Other;

  Yes

  No

  N/A

Welding and Cutting

• Equipment Is In Good Condition

  Yes

  No

  N/A

• Welders and Helpers Are Wearing Proper PPE

  Yes

  No

  N/A

• Adjacent Workers Protected By Screens or Shields

  Yes

  No

  N/A

• Electrical Equipment Is Grounded

  Yes

  No

  N/A

• All Cables Are Protected And In Good Condition

  Yes

  No

  N/A

• Fire Extinguisher Of Proper Type And Size In The Work Area

  Yes

  No

  N/A

• Flammable Materials Removed From Work Area Or Protected

  Yes

  No

  N/A

• Compressed Gas Cylinders Secured In Upright Position And Protective Caps In Place

  Yes

  No

  N/A

• Backflow Preventer On Leads From Oxygen and Acetylene Cylinders

  Yes

  No

  N/A

• Gas Lines Are Protected And In Good Condition

  Yes

  No

  N/A

• Hot Work Permit Completed When Required

  Yes

  No

  N/A

• Trained Fire Watch In Place (Min. Of 30 Minutes After Welding Task Completed)

  Yes

  No

  N/A

• Corrective Actions Taken / Summary

• Project Supervision:

  Sign

• Safety Specialist:

  Sign