Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Housekeeping
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Project work area clean and free of excess trash and debris.
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Walkways and passageways clean?.
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Material and equipment properly strop
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Electrical cords, hoses, welding leads, etc... Protected to prevent trip hazards
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Scrap material free of protruding nail or other puncture hazards
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Trash receptacles are provided for work areas
2. Personal Protective Equipment
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2.1. Hard hats worn and maintained as required and MBJ3 stickers on them
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2.2. Are AOA, SIDA and ROCIP badges visible
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2.3. Hearing protection worn as required
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2.4. Eye protection safety classes worn in proper manner? Z87 type/or over tops
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2.5. Proper foot and boots for job performed?
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2.6. Face shield or goggles worn as required?
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2.7. Safety Vest worn and in good conduction?
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2.7. Dusk mask or respirators worn in proper manner?
3. Scaffolds and Ladders
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3.1. Unlicensed persons erecting scaffold?
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3.2. Unsafe or incomplete scaffold or ladder side information stickers not readable?
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3.3. Inspection tagged correctly with proper date protocol for scaffold?
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3.4. Incompatible scaffold components? Unlabelled or do not meet all requirement?
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3.5. Proper ladder for job performed, properly secured, angle and exceed that landing 3 ft. In used.
4. All Site Lifting and Material Type Equipment
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4.3. Lack of maintenance, testing and inspection forms/sheets.
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4.4. Lack of company, contractor, owner information with contact phone number displayed on equipment.
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4.5. Lack of daily inspection protocol?
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4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
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4.7. Equipment used properly with back-up horn or alarm and brakes.
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4.8. Unlicensed or certifications as required for operators?
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4.9. Seat belts provided and used.
5. Fall Protection
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5.1. Unsafe or damaged harness or equipment?
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5.2. Incompatible hooks lanyard /shock absorbing, are adequately secured to suitable anchorage.
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5.3. Body harness required and worn in proper manner
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5.4. Unsafe or uncertified anchor points, 100% tie off policy being used?
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5.5. Lack of inspection protocol for equipment?
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5.6. Lack of or inadequate formal training for operators?
6. Excavations
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6.1 Sloped or shored properly or certified trench box used.
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6.2. Access and egress provided every 25-ft properly secured or anchored.
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
7. Fire Protection
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7.1. Flammable stored properly?
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7.2. Containers labeled properly with content?
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7.3. Fire Extinguishers properly located and inspection?
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7.4. Flash arresters install in fuel cans?
8. Tools - Hand and Power
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8.1. Tools free of any obvious physical damage?
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8.2. Tools inspected for frayed or damaged cords?
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8.3. Tools and cords properly grounded?
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8.4. Double insulated tools marked in use and in good condition
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8.5. All handles on tools are installed and in good condition?
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8.6. All hoses on air or hydraulic tools and equipment in good condition?
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8.7. All shields and guards in place on the tools and in good working condition?
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8.8. Insufficient, or incorrect, PPE when using power toils?
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8.9. Power-Actuated tools being operated by certified, qualified person and stored properly.
9. Emergency Response
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9.1. Lack of, or no emergency plans for work area?
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9.2. Emergency procedures not displayed at site?
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9.3. Lack of training and rehearsal of emergency plans?
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9.4. Lack of, or inadequate first aid kits aid equipment for site?
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9.5. Insufficient access to formally trained First Aiders for all shifts?
10. Traffic Management
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10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
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10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)
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10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
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11.2. Equipment inspection done and checked?
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11.2. Equipment inspection done and checked?
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11.1. JHA completed before work and signed by all employees with ROCIP ID#
11 All Daily, Weekly Monthly Forms/Sheets
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11.1. JHA completed before work started and signed by all employees with full ROCIP #
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11.2. Weekly Work Site Safety Inspection.
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11.3. Sub-contractors monthly safety sheet turn in before the 5th of each month.
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11.4. Tool List (Personnel and Job Box) with (sheets inside of box)
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11.5. Equipment inspection done before use and checked? (A Tag on equipment with contractor name and contact phone)
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11.3. Weekly Tool Box Safety Talk (Signed by all employees)
12. Work Environment
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12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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12.2. Insufficient lighting?
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12.3. Inadequate housekeeping?
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12.4. Lack of, or inadequate noise/ vibration control?
13. Electrical Hazards
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13.1. Unsafe electrical leads? (damaged or untested)
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13.2. On/Off switch working properly?
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13.3. Extension cord protected?
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13.4. GFCI working properly?
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13.5. Fire Extinguisher located with equipment.
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13.6. Leads placed on ground or on metal structures?
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13.7. Electrical equipment near water?
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13.8. Electrical equipment near flammables?
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13.9. Electrical equipment near chemicals that could cause damage?
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13.10. Electrical leads that may be damaged from contact with moving machinery parts?
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13.11. Is the area properly ventilated?
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13.12. Lock-out/tag-out (LOTO) procedures devices available and properly tagged?
14. Welding and cutting
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14.1. Are non-combustible enclosures (screens/shield) exhaust system provided and used when welding?
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14.2. Welding goggles, gloves and proper clothing being used by welder?
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14.3. Is inspection for fire hazards after welding stops? (Fire Watch)
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14.4. Are flashback arrestor, gas cylinder, hoses, regulators, torches tips, welding carts in good condition?
15. Work Area Procedures
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15.1. Lack of/or inadequate Fire exit?
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15.2. Failure to obtain permits ( Hot Works, Confined Space etc)
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15.3. Lack of, or inadequate, induction for workers, contractors, visitors?
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15.4. Lack or, or inadequate, supervisory arrangements?
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15.5. Lack of/or inadequate training, licenses, skills, experience?
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15.6. Lack of/or inadequate (Work Safe) for high risk work?
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15.8. Lack of/or inadequate incident notification procedures?
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15.9. Lack of, or inadequate, routine inspections, monitoring, audits?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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Auditor's signature
