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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No more than 25 gallons in the back of a pick up truck
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Cans secured in the back of a pick up truck
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1.11 Is Flammable material storage cabinet onsite?
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No more than 60 gallons of Class I or Class II liquids (Gasoline or Diesel)
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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?
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Add Audit Item
Audit Item
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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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All employees signed Appendix D
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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?
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3.9 Is each machine equipped with an owners manual?
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3.10 Has the weekly inspection for each machine been completed?
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3.11 Has the annual inspection been completed for each piece of equipment on site?
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3.12 Is the equipment equipped with a fire extinguisher?
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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The word "HOLE" or "COVER" painted on the hole cover
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Secured or cleated as to not be freely moved to uncover the hole
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Cover is of strength to support the expected loads on the floor
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5.6 Are handrails complete and installed correctly?
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Top Rails 42" +/- 3"
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Midrails installed halfway between top rail and floor (approximately 21")
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Toe Boards at least 3 1/2" high, or higher to prevent objects from falling to lower levels
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Wooden stanchions installed no more than 8' apart
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No more than 3" deflection in cable guardrails
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Crosby clips installed correctly? 3 Clips per end and never "saddle a dead horse"
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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?
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5.10 Horizontal lifelines installed correctly
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No more than 2 employees allowed on the lifeline at one time.
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5.11 Are all hole openings covered or protected with guardrails?
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5.12 Are harnesses properly stored?
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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Controlled Access Zone
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Airhorns to notify of overhead lifting
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6.10 Are rigger & signalperson trained/qualified?
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6.11 Is swing radius (between outriggers) barricaded?
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6.12 Are signalman and operator communicating clearly and effectively?
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Hand Signals
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Radios
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?
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9.5 Are chisels, punches and tools with mushroom heads or other damage removed from service to be repaired or replaced?
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9.6 Are operating controls and switches in good condition and operating properly?
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9.7 Are pneumatic and hydraulic hoses on power tools inspected and in good condition?
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9.8 Are powder actuated tools in use on the site?
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9.8.1 Powder actuated tools locked individually when not in use?
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9.8.2 Employees who operated powder actuated tools trained in their use and have proof of training?
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9.8.3 Tool left unloaded until ready for use?
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.
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10.7 Is communication provided and adequate between entrant and attendant?
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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11.3.1 Are covers attached to the outlets?
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11.3.2 Are GFCIs tested and working?
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11.3.3 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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11.5.1 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?
Work Zone Safety
12. Work Zone Safety
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12.1 Is the correct High Visibility clothing being worn? (Class II for <45mph or Class III for >45 mph or night work)
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12.2 Is The traffic pattern set up to meet MUTCD and/or DOT standards?
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12.2.1 Are all required signs posted?
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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)
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12.2.3 Is there the proper buffer space before the work zone? (45 mph = 220ft - 55 mph = 335 ft - 65 mph = 485 ft)
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12.2.4 Is there an "End Road Work" sign at the end of the pattern?
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12.3 Are the traffic cones the correct height with reflective stripes?
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12.4 Are strobe lights (if necessary) on all vehicles and equipment?
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12.5 Is a police detail and/or flagman utilized as needed/required?
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12.6 Is the traffic pattern setup and removed within the time requirements stated in the specifications?
Compressor Safety
13. Compressor Safety
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13.1 Does the compressor have it's wheels chocked as to not be freely movable?
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13.2 Is the compressor equipped with pressure relief valves and pressure gauges?
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13.3 Are safety devices on the compressor inspected daily?
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13.3.1 Whip checks or tie wire at every connection?
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13.4 When using compressed air for cleaning, is the nozzle reduced to 30 PSI?
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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
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14.1 Is a weekly SWPPP inspection being completed?
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14.2 Are catch basin silt sacks in place and in good condition?
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14.3 Is silt fence/hay bales in place and in good condition?
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14.4 Are tracking pads installed at all construction entrances and exits?
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14.4.1 Is the tracking pad of sufficient size?
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14.4.2 Is the gravel clean?
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14.4.3 Is sediment tracked onto the road?
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14.4.3.1 If Checked, is there a plan in place to clean the road?
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14.5 Does all traffic utilize the tracking pad(s) to enter/exit the site?
Asbestos
15. Asbestos
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15.1 Is the notification to the state filed and documentation on site?
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15.2 Do all Asbestos Workers/Supervisors on site have all current and required documentation?
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15.2.1 Asbestos Initial Training
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15.2.2 Asbestos Refresher (current within 1 year)
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15.2.3 Asbestos License (current within 1 year)
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15.2.4 Asbestos Physical (current within 1 year)
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15.2.5 Fit Test
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15.3 Is proper signage posted to delineate work areas?
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15.4 Are at least 25% of the workers wearing personal air monitoring pumps?
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15.5 Are containment logs completed accurately and up to date?
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15.6 Are bags of ACM being labelled and properly disposed of in a lined container?
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15.7 Are negative air machines sufficient for the required 4 air changes per hour?
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15.8 Is the Chain of Custody for the PCM cartridges being filled out correctly?
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15.9 Are the PCM cartridges properly sealed and protected before being sent to the lab?
AMTRAK
16. AMTRAK
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16.1 Have all employees on site gone through AMTRAK training and are current within 1 year?
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16.2 Is all unsecured material stored at least 25' away from the tracks?
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16.3 Is all equipment stored at least 10' away from the tracks?
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16.4 Are employees wearing appropriate vests (Orange with Reflective Stripes) as required?
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16.5 Is an AMTRAK watchman on site and present before and during any work activity?
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16.6 Is the AMTRAK daily briefing completed prior to starting work?
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16.7 Are equipment and materials grounded as required with the correct clamps on a clean surface?
Substation Work
17. Substation Work
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17.1 Is Fire Retardant (FR) clothing worn as required in live substation or per utility requirements?
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17.2 Is eye wash located in the battery room (if applicable)?
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17.3 Is equipment properly grounded with 4/O cable and correct grounding clamps?
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17.3.1 Flat surfaces = flat ground clamps
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17.3.2 Round surfaces = C clamps
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17.4 Is the minimum approach distance maintained to energized lines (per voltage of the lines)?
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17.5 Is a spotter utilized at all times while backing equipment on site?
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17.6 Are worker hand digging to locate utilities prior to excavating with equipment?
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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
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17.6.2 The surface of equipment/material being grounded must be clean with no dirt or paint to make a secure connection
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17.7 If applicable, are high voltage gloves being worn while hand digging in a live yard (National Grid requirement)?
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17.8 Is the site trailer and/or conex grounded with 4/O cable with the correct grounding clamps?
Concrete Work
18. Concrete Work
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18.1 Is the area properly lit for the pours? Early starts and late finishes.
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18.2 Is there proper egress to get to the pour?
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18.3 Is there an eye washing kit or station available at the pour?
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18.4 Are workers below the pour protected in the event of an overflow or spilling?
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18.4.1 Controlled Access Zone
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18.4.2 Safety Nets
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18.4.3 Other means of protection
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18.5 Is the concrete pump set up properly?
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18.5.1 Outriggers extended
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18.5.2 Traffic Plan for Mixers
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18.5.3 Wash Out Plan for Mixers
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18.5.4 Pump Location Plan
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18.6 Are all vertical pipe connections secured?
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18.6.1 Pins
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18.6.2 Straps
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18.7 Is there clear communication between the pump operator and the concrete lead laborer?
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18.8 Are all pan stairs barricaded from other trades when lumber is removed for pours?
Other
19. 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
20. 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?