Information

Results Summary

  • Low

  • Medium

  • High

  • Repeat

  • Job Name / Site

  • Job #

  • Number of Employees on Site

  • Conducted on

  • Prepared by

  • Location
  • Project Manager

  • Superintendent

  • Foreman

  • Project Description

General

1. General

  • 1.1 Did company representative accompany auditor?

  • Name of representative

  • Representative
  • 1.2 Is a copy of the HASP on site?

  • 1.3 Are Safety Data Sheets available on site?

  • 1.4 Are OSHA posters/emergency numbers posted?

  • 1.5 Are Toolbox Talk meetings held/documented?

  • 1.6 Are Morning Briefs held/documented?

  • 1.7 Are first aid kits available & properly stocked?

  • 1.8 Are fire extinguishers available/charged/inspected?

  • 1.9 Is a Hot Work Permit completed & posted when required?

  • 1.10 Is Gasoline stored in approved containers & properly labeled?

  • No more than 25 gallons in the back of a pick up truck

  • Cans secured in the back of a pick up truck

  • 1.11 Is Flammable material storage cabinet onsite?

  • No more than 60 gallons of Class I or Class II liquids (Gasoline or Diesel)

  • 1.12 Are all rebar/pipe & other impalement hazards capped/protected?

  • 1.13 Are gas cylinders properly used & stored?

  • 1.14 Is housekeeping proper & enforced?

  • 1.15 Are there enough trash barrels available on the site?

  • 1.16 Are barricades/traffic control through & around site proper?

  • 1.17 Are laydown / material storage areas organized and neat? Are there walkways provided to access materials?

  • 1.18 Are locations with a change in elevation >19 inches provided with stairs, ladders or ramp?

  • Add Audit Item

  • Audit Item

Personal Protective Equipment

2. PPE

  • 2.1 Is supply of PPE available and adequate?

  • 2.2 Is respiratory protection proper for hazard?

  • All employees signed Appendix D

  • 2.3 Is hearing protection used & proper?

  • 2.4 Is proper foot protection worn?

  • 2.5 Is proper head protection worn?

  • 2.6 Is proper eye protection worn?

  • 2.7 Is hand protection proper?

Heavy Equipment

3. Heavy Equipment

  • 3.1 Has a daily equipment inspection been documented?

  • 3.2 Are all guards in place & in good repair?

  • 3.3 Is all equipment properly maintained & inspected?

  • 3.4 Do backup alarms work?

  • 3.5 Are seatbelts operative & used?

  • 3.6 Is hook attachment available for use with forklift?

  • 3.7 Are spotters properly dressed, trained & posted?

  • 3.8 Is equipment working within 20ft of powerlines?

  • 3.9 Is each machine equipped with an owners manual?

  • 3.10 Has the weekly inspection for each machine been completed?

  • 3.11 Has the annual inspection been completed for each piece of equipment on site?

  • 3.12 Is the equipment equipped with a fire extinguisher?

Electrical

4. Electrical

  • 4.1 Are GFCI's and/or AEG Program in use?

  • 4.2 Have all GFCI's been tested for functionality?

  • 4.3 Is temporary lighting used & proper?

  • 4.4 Are Lockout/Tagout procedures in place & used?

  • 4.5 Are extension cords properly used & maintained?

  • 4.6 Are extension cords elevated in walkways and protected from damage?

  • 4.7 Do all electrical boxes/panels have covers & are all circuits labeled?

  • 4.8 Are generators that provide power to a trailer / structure or hard wired to equipment properly grounded?

Fall Protection

5. Fall Protection

  • 5.1 Are fall protection plans required & in place?

  • 5.2 Is fall protection provided at heights over 6 feet?

  • 5.3 Is fall protection equipment inspected & maintained?

  • 5.4 Is fall protection worn correctly?

  • 5.5 Are all floors holes properly covered or protected?

  • The word "HOLE" or "COVER" painted on the hole cover

  • Secured or cleated as to not be freely moved to uncover the hole

  • Cover is of strength to support the expected loads on the floor

  • 5.6 Are handrails complete and installed correctly?

  • Top Rails 42" +/- 3"

  • Midrails installed halfway between top rail and floor (approximately 21")

  • Toe Boards at least 3 1/2" high, or higher to prevent objects from falling to lower levels

  • Wooden stanchions installed no more than 8' apart

  • No more than 3" deflection in cable guardrails

  • Crosby clips installed correctly? 3 Clips per end and never "saddle a dead horse"

  • 5.7 Are ladders free from damage?

  • 5.8 Are ladders tied off at top and cleated at bottom?

  • 5.9 Does ladder extend 3ft above level to be accessed?

  • 5.10 Horizontal lifelines installed correctly

  • No more than 2 employees allowed on the lifeline at one time.

  • 5.11 Are all hole openings covered or protected with guardrails?

  • 5.12 Are harnesses properly stored?

Cranes and Rigging

6. Cranes and Rigging

  • 6.1 Has "Crane Use Checklist" been completed?

  • 6.2 Is crane setup proper?

  • Dunnage made from hardwood

  • No gaps between dunnage

  • Crane is level

  • 6.3 Is crane properly maintained/copy of annual inspection available?

  • 6.4 Is a daily inspection performed and documented?

  • 6.5 Is rigging hardware inspected daily?

  • 6.6 Is all rigging properly tagged?

  • 6.7 Are loads properly rigged?

  • 6.8 Are tag lines being used?

  • 6.9 Are areas under suspended loads properly controlled?

  • Controlled Access Zone

  • Airhorns to notify of overhead lifting

  • 6.10 Are rigger & signalperson trained/qualified?

  • 6.11 Is swing radius (between outriggers) barricaded?

  • 6.12 Are signalman and operator communicating clearly and effectively?

  • Hand Signals

  • Radios

Scaffolding

7. Scaffolding

  • 7.1 Are scaffolds being inspected daily by competent person?

  • 7.2 Are scaffold erection/disassembly procedures proper?

  • 7.3 Is fall protection provided for erectors/dismantlers?

  • 7.4 Are baseplates/mud sills stable & proper?

  • 7.5 Are all scaffold frames pinned together?

  • 7.6 Is scaffold tied to structure as required? (4x narrow base dimension or every 20`)

  • 7.9 Are scaffold frames/planks/parts free of damage & defects?

  • 7.10 Are scaffold planks properly installed?

  • Overlap support min 3" not more than 18" without support.

  • 7.11 Are guardrails complete and adequate?

  • 7.12 Are toe boards/warning line properly installed & used?

Trenching/Excavating

8. Trenching/Excavating

  • 8.1 Is the trench/excavation inspected daily by a competent person?

  • 8.2 Has the trenching log been completed?

  • 8.3 What is the soil type?

  • 8.4 Is employee protection proper for soil type & depth?

  • 8.5 What type of employee protection is in place?

  • 8.6 Is tabulated data available?

  • 8.7 Is safe access/egress provided?

  • Ladder or ramp every 25 feet.

  • 8.8 Are water removal procedures proper?

  • 8.9 Has the trench been evaluated as a confined space?

Hand and Portable Power Tools

9. Hand and Portable Power Tools

  • 9.1 Are all required guards in place and operable?

  • 9.2 Are cords on tools free from damage?

  • 9.3 Are all manufacturers stickers legible?

  • 9.4 Are tools stored properly?

  • 9.5 Are chisels, punches and tools with mushroom heads or other damage removed from service to be repaired or replaced?

  • 9.6 Are operating controls and switches in good condition and operating properly?

  • 9.7 Are pneumatic and hydraulic hoses on power tools inspected and in good condition?

  • 9.8 Are powder actuated tools in use on the site?

  • 9.8.1 Powder actuated tools locked individually when not in use?

  • 9.8.2 Employees who operated powder actuated tools trained in their use and have proof of training?

  • 9.8.3 Tool left unloaded until ready for use?

Confined Space Entry

10. Permit Required Confined Spaces

  • 10.1 Has a permit been filled out for each confined space on the job site?

  • 10.2 Is the entrant and attendant identified on the permit?

  • 10.3 Is there rescue equipment located at the confined space?

  • 10.4 Is a Four Gas meter present and calibrated for use?

  • 10.5 Is there a need for mechanical ventilation?

  • 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.

  • 10.7 Is communication provided and adequate between entrant and attendant?

Aerial Lifts

11. Aerial Lifts

  • 11.1 Do all lifts have an annual inspection sticker or documentation present?

  • 11.2 Are all working platforms clear from debris?

  • 11.3 Are the outlets on the lift (if available) in good working order?

  • 11.3.1 Are covers attached to the outlets?

  • 11.3.2 Are GFCIs tested and working?

  • 11.3.3 Is all wiring leading to the outlet in good condition?

  • 11.4 Are all employees using approved anchorage points inside of the lifts?

  • 11.5 Are all guard rails on scissor lifts in good condition?

  • 11.5.1 Is the chain that acts as the mid rail at the entrance of the lift secured when the lift is occupied?

  • 11.6 Are all steps on the lift in good condition?

  • 11.7 Are employees in an aerial lift tied off using a Self Retracting Lifeline?

  • 11.8 Are all tires on the lift in good condition?

Work Zone Safety

12. Work Zone Safety

  • 12.1 Is the correct High Visibility clothing being worn? (Class II for <45mph or Class III for >45 mph or night work)

  • 12.2 Is The traffic pattern set up to meet MUTCD and/or DOT standards?

  • 12.2.1 Are all required signs posted?

  • 12.2.2 Is the taper of sufficient length? (40 mph or less: L = WS^2/60) (45 mph or greater: L = W x S)

  • 12.2.3 Is there the proper buffer space before the work zone? (45 mph = 220ft - 55 mph = 335 ft - 65 mph = 485 ft)

  • 12.2.4 Is there an "End Road Work" sign at the end of the pattern?

  • 12.3 Are the traffic cones the correct height with reflective stripes?

  • 12.4 Are strobe lights (if necessary) on all vehicles and equipment?

  • 12.5 Is a police detail and/or flagman utilized as needed/required?

  • 12.6 Is the traffic pattern setup and removed within the time requirements stated in the specifications?

Compressor Safety

13. Compressor Safety

  • 13.1 Does the compressor have it's wheels chocked as to not be freely movable?

  • 13.2 Is the compressor equipped with pressure relief valves and pressure gauges?

  • 13.3 Are safety devices on the compressor inspected daily?

  • 13.3.1 Whip checks or tie wire at every connection?

  • 13.4 When using compressed air for cleaning, is the nozzle reduced to 30 PSI?

  • 13.5 Is the appropriate PPE being worn while using the compressed air to clean? (Face Shield, Hearing Protection, etc.)

Storm Water Pollution Prevention Plan

14. Storm Water Pollution Prevention Plan

  • 14.1 Is a weekly SWPPP inspection being completed?

  • 14.2 Are catch basin silt sacks in place and in good condition?

  • 14.3 Is silt fence/hay bales in place and in good condition?

  • 14.4 Are tracking pads installed at all construction entrances and exits?

  • 14.4.1 Is the tracking pad of sufficient size?

  • 14.4.2 Is the gravel clean?

  • 14.4.3 Is sediment tracked onto the road?

  • 14.4.3.1 If Checked, is there a plan in place to clean the road?

  • 14.5 Does all traffic utilize the tracking pad(s) to enter/exit the site?

Asbestos

15. Asbestos

  • 15.1 Is the notification to the state filed and documentation on site?

  • 15.2 Do all Asbestos Workers/Supervisors on site have all current and required documentation?

  • 15.2.1 Asbestos Initial Training

  • 15.2.2 Asbestos Refresher (current within 1 year)

  • 15.2.3 Asbestos License (current within 1 year)

  • 15.2.4 Asbestos Physical (current within 1 year)

  • 15.2.5 Fit Test

  • 15.3 Is proper signage posted to delineate work areas?

  • 15.4 Are at least 25% of the workers wearing personal air monitoring pumps?

  • 15.5 Are containment logs completed accurately and up to date?

  • 15.6 Are bags of ACM being labelled and properly disposed of in a lined container?

  • 15.7 Are negative air machines sufficient for the required 4 air changes per hour?

  • 15.8 Is the Chain of Custody for the PCM cartridges being filled out correctly?

  • 15.9 Are the PCM cartridges properly sealed and protected before being sent to the lab?

AMTRAK

16. AMTRAK

  • 16.1 Have all employees on site gone through AMTRAK training and are current within 1 year?

  • 16.2 Is all unsecured material stored at least 25' away from the tracks?

  • 16.3 Is all equipment stored at least 10' away from the tracks?

  • 16.4 Are employees wearing appropriate vests (Orange with Reflective Stripes) as required?

  • 16.5 Is an AMTRAK watchman on site and present before and during any work activity?

  • 16.6 Is the AMTRAK daily briefing completed prior to starting work?

  • 16.7 Are equipment and materials grounded as required with the correct clamps on a clean surface?

Substation Work

17. Substation Work

  • 17.1 Is Fire Retardant (FR) clothing worn as required in live substation or per utility requirements?

  • 17.2 Is eye wash located in the battery room (if applicable)?

  • 17.3 Is equipment properly grounded with 4/O cable and correct grounding clamps?

  • 17.3.1 Flat surfaces = flat ground clamps

  • 17.3.2 Round surfaces = C clamps

  • 17.4 Is the minimum approach distance maintained to energized lines (per voltage of the lines)?

  • 17.5 Is a spotter utilized at all times while backing equipment on site?

  • 17.6 Are worker hand digging to locate utilities prior to excavating with equipment?

  • 17.6.1 If required by utility, is there a bar across the teeth of the bucket when excavating with equipment inside a live yard

  • 17.6.2 The surface of equipment/material being grounded must be clean with no dirt or paint to make a secure connection

  • 17.7 If applicable, are high voltage gloves being worn while hand digging in a live yard (National Grid requirement)?

  • 17.8 Is the site trailer and/or conex grounded with 4/O cable with the correct grounding clamps?

Concrete Work

18. Concrete Work

  • 18.1 Is the area properly lit for the pours? Early starts and late finishes.

  • 18.2 Is there proper egress to get to the pour?

  • 18.3 Is there an eye washing kit or station available at the pour?

  • 18.4 Are workers below the pour protected in the event of an overflow or spilling?

  • 18.4.1 Controlled Access Zone

  • 18.4.2 Safety Nets

  • 18.4.3 Other means of protection

  • 18.5 Is the concrete pump set up properly?

  • 18.5.1 Outriggers extended

  • 18.5.2 Traffic Plan for Mixers

  • 18.5.3 Wash Out Plan for Mixers

  • 18.5.4 Pump Location Plan

  • 18.6 Are all vertical pipe connections secured?

  • 18.6.1 Pins

  • 18.6.2 Straps

  • 18.7 Is there clear communication between the pump operator and the concrete lead laborer?

  • 18.8 Are all pan stairs barricaded from other trades when lumber is removed for pours?

Other

19. Other

  • Use area below to document any other issues

  • Add audit item

  • Audit item

Summary

20. Summary

  • Comments

  • Supervisor Signature

  • Auditor Signature

  • The overall rating for this audit is?

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