Information
Results Summary
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Job Name / Site
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Job #
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Conducted on
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Prepared by
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Location
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Project Manager
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Superintendent
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Foreman
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Project Description
General
1. General
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1.1 Did company representative accompany auditor?
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Name of representative
Representative
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1.2 Is a copy of the HASP on site?
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1.3 Are Safety Data Sheets available on site?
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1.4 Are OSHA posters/emergency numbers posted?
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1.5 Are Toolbox Talk meetings held/documented?
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1.6 Are Morning Briefs held/documented?
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1.7 Are first aid kits available & properly stocked?
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1.8 Are fire extinguishers available/charged/inspected?
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1.9 Is a Hot Work Permit completed & posted when required?
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1.10 Is Gasoline stored in approved containers & properly labeled?
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1.11 Is Flammable material storage cabinet onsite?
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1.12 Are all rebar/pipe & other impalement hazards capped/protected?
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1.13 Are gas cylinders properly used & stored?
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1.14 Is housekeeping proper & enforced?
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1.15 Are there enough trash barrels available on the site?
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1.16 Are barricades/traffic control through & around site proper?
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1.17 Are laydown / material storage areas organized and neat? Are there walkways provided to access materials?
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1.18 Are locations with a change in elevation >19 inches provided with stairs, ladders or ramp?
Personal Protective Equipment
2. PPE
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2.1 Is supply of PPE available and adequate?
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2.2 Is respiratory protection proper for hazard?
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2.3 Is hearing protection used & proper?
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2.4 Is proper foot protection worn?
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2.5 Is proper head protection worn?
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2.6 Is proper eye protection worn?
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2.7 Is hand protection proper?
Heavy Equipment
3. Heavy Equipment
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3.1 Has a daily equipment inspection been documented?
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3.2 Are all guards in place & in good repair?
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3.3 Is all equipment properly maintained & inspected?
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3.4 Do backup alarms work?
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3.5 Are seatbelts operative & used?
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3.6 Is hook attachment available for use with forklift?
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3.7 Are spotters properly dressed, trained & posted?
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3.8 Is equipment working within 20ft of powerlines?
Electrical
4. Electrical
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4.1 Are GFCI's and/or AEG Program in use?
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4.2 Have all GFCI's been tested for functionality?
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4.3 Is temporary lighting used & proper?
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4.4 Are Lockout/Tagout procedures in place & used?
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4.5 Are extension cords properly used & maintained?
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4.6 Are extension cords elevated in walkways and protected from damage?
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4.7 Do all electrical boxes/panels have covers & are all circuits labeled?
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4.8 Are generators that provide power to a trailer / structure or hard wired to equipment properly grounded?
Fall Protection
5. Fall Protection
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5.1 Are fall protection plans required & in place?
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5.2 Is fall protection provided at heights over 6 feet?
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5.3 Is fall protection equipment inspected & maintained?
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5.4 Is fall protection worn correctly?
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5.5 Are all floors holes properly covered or protected?
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5.6 Are handrails complete and installed correctly?
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5.7 Are ladders free from damage?
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5.8 Are ladders tied off at top and cleated at bottom?
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5.9 Does ladder extend 3ft above level to be accessed?
Cranes and Rigging
6. Cranes and Rigging
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6.1 Has "Crane Use Checklist" been completed?
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6.2 Is crane setup proper?
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Dunnage made from hardwood
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No gaps between dunnage
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Crane is level
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6.3 Is crane properly maintained/copy of annual inspection available?
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6.4 Is a daily inspection performed and documented?
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6.5 Is rigging hardware inspected daily?
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6.6 Is all rigging properly tagged?
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6.7 Are loads properly rigged?
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6.8 Are tag lines being used?
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6.9 Are areas under suspended loads properly controlled?
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6.10 Are rigger & signalperson trained/qualified?
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6.11 Is swing radius barricaded?
Scaffolding
7. Scaffolding
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7.1 Are scaffolds being inspected daily by competent person?
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7.2 Are scaffold erection/disassembly procedures proper?
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7.3 Is fall protection provided for erectors/dismantlers?
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7.4 Are baseplates/mud sills stable & proper?
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7.5 Are all scaffold frames pinned together?
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7.6 Is scaffold tied to structure as required? (4x narrow base dimension or every 20`)
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7.9 Are scaffold frames/planks/parts free of damage & defects?
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7.10 Are scaffold planks properly installed?
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Overlap support min 3" not more than 18" without support.
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7.11 Are guardrails complete and adequate?
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7.12 Are toe boards/warning line properly installed & used?
Trenching/Excavating
8. Trenching/Excavating
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8.1 Is the trench/excavation inspected daily by a competent person?
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8.2 Has the trenching log been completed?
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8.3 What is the soil type?
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8.4 Is employee protection proper for soil type & depth?
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8.5 What type of employee protection is in place?
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8.6 Is tabulated data available?
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8.7 Is safe access/egress provided?
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Ladder or ramp every 25 feet.
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8.8 Are water removal procedures proper?
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8.9 Has the trench been evaluated as a confined space?
Hand and Portable Power Tools
9. Hand and Portable Power Tools
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9.1 Are all required guards in place and operable?
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9.2 Are cords on tools free from damage?
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9.3 Are all manufacturers stickers legible?
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9.4 Are tools stored properly?
Confined Space Entry
10. Permit Required Confined Spaces
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10.1 Has a permit been filled out for each confined space on the job site?
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10.2 Is the entrant and attendant identified on the permit?
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10.3 Is there rescue equipment located at the confined space?
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10.4 Is a Four Gas meter present and calibrated for use?
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10.5 Is there a need for mechanical ventilation?
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10.6 Is the employee(s) entering the confined space wearing all appropriate PPE? This may include a retrieval harness, Rubber Gloves, Rubber Boots, etc.
Aerial Lifts
11. Aerial Lifts
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11.1 Do all lifts have an annual inspection sticker or documentation present?
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11.2 Are all working platforms clear from debris?
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11.3 Are the outlets on the lift (if available) in good working order?
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Are covers attached to the outlets?
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Are GFCIs tested and working?
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Is all wiring leading to the outlet in good condition?
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11.4 Are all employees using approved anchorage points inside of the lifts?
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11.5 Are all guard rails on scissor lifts in good condition?
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Is the chain that acts as the mid rail at the entrance of the lift secured when the lift is occupied?
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11.6 Are all steps on the lift in good condition?
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11.7 Are employees in an aerial lift tied off using a Self Retracting Lifeline?
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11.8 Are all tires on the lift in good condition?
Other
12. Other
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Use area below to document any other issues
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Add audit item
Audit item
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Summary
12. Summary
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Comments
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Supervisor Signature
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Auditor Signature
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The overall rating for this audit is?