McPherson Job Site Safety Audit Version 1.3

• Project Name

• City /State
  Address

• Date

  Date

• Superintendent

1. Working at Heights

• 1.1 All edges with a 6 foot fall risk are protected with handrails at 42” to withstand 200lbs horizontally with 21” midrail and toeboard?

  Yes

  No

  N/A

• PHOTOS REQUIRED

  Media

• 1.1 Photos Required!

• 1.2 A fall protection system is being utilized while workers are exceeding heights of 6 feet. Specify which is used; PFAS, handrails, warning line, safety monitor, or controlled access zone?

  Safe

  At Risk

  N/A

• Additional Notes

2. Small Tools and Equipment

• 2.1 Laser Warning signs are displayed when lasers are in use?

  Yes

  No

  N/A

• 2.2 Workers operating powder actuated tools possess the proper training card for the equipment?

  Safe

  At Risk

  N/A

• Additional Notes

3. Scaffolds

• 3.1 The scaffolding erected is properly tagged with its current state; red, yellow, green?

  Yes

  No

  N/A

• PHOTOS REQUIRED

  Media

• 3. 1 Photos Required!

• 3.2 Green tagged scaffolding meets ALL requirements? <br>*Daily inspection is completed prior to workers getting on it <br>*Scaffold platform(s) fully planked and no gaps more than an inch wide between the planks or uprights<br>*Scaffolds and walkways at least 18” wide<br>*Platforms extend over the support a minimum of 6” or are cleated<br>*Supported scaffold(s) with more than 4:1 height to base ratio restrained from tipping<br>*Supported scaffold on adequate firm foundation and capable of supporting intended loads<br>*Supported scaffold is plumb and braced. <br>*Safe access to platform provided. Cross braces not used as means of access<br>*Fall protection provided on all scaffolds more than 6 feet above a lower level. <br>*Guardrail systems meet OSHA requirements and are installed prior to employees using the scaffold?

  Safe

  At Risk

  N/A

• Additional Notes

4. Lifting Equipment

• 4.1 Forklifts and cranes on the jobsite have undergone a written daily inspection prior to usage each day?

  Yes

  No

  N/A

• Additional Notes

5. Harness and Equipment

• 5.1 All PFAS have been inspected and are in good condition with no found discrepancies?

  Safe

  At Risk

  N/A

• Additional Notes

6. Ladders

• 6.1 Ladders are in good condition?

  Yes

  No

  N/A

• 6.2 Stepladders are used only in the fully opened position without standing on the top or the first rung below the top?

  Safe

  At Risk

  N/A

• 6.3 Straight ladders are set at the proper angle, extend 3 feet above the landing surface and are tied off at the top?

  Safe

  At Risk

  N/A

• Additional Notes

7. Hazardous Chemical (including fuel and oil)

• 7.1 Flammables are properly stored away from ignition sources or where spills could enter stormwater drains. etc?

  Safe

  At Risk

  N/A

• 7.2 Compressed gas cylinders are all secured. Flammable and non-flammable cylinders are stored a minimum of 20 feet from each other?

  Safe

  At Risk

  N/A

• 7.3 All containers on-site are properly labeled of their contents?

  Yes

  No

  N/A

• 7.4 Large propane tanks are protected by large visual cones; barricaded where adjacent to traffic?

  Safe

  At Risk

  N/A

• Additional Notes

8. Emergency Response

• 8.1 All workers have been trained on emergency procedures. Procedures are displayed. Emergency maps are displayed on each building level?

  Safe

  At Risk

  N/A

• 8.2 Adequate first aid kits available. An eye wash station is located on the jobsite?

  Safe

  At Risk

  N/A

• Additional Notes

9. Personal Protective Equipment (PPE)

• 9.1 Adequate PPE sun protection, hardhats, eye glasses, high visibility safety shirts or vests, long pants, masks, sturdy leather work boots; steel toe where required, and gloves are utilized by each worker or visitor on site?

  Safe

  At Risk

  N/A

• 9.2 Is fall Protection being monitored and used properly?

  Safe

  At Risk

  N/A

• PHOTOS REQUIRED

  Media

• Corrective Actions

  Select Recommeded for Training Verbal Warning Written Warning Removed from Job Site Other

  • Recommeded for Training
  • Verbal Warning
  • Written Warning
  • Removed from Job Site
  • Other

• Explain other corrective actions

• 9.2 Photos Required!

• Additional Notes

10. Work Environment

• 10.1 Adequate toilet facilities are provided and maintained?

  Safe

  At Risk

  N/A

• 10.2 Functioning temporary lighting is provided in all work areas, bulbs are protected, lights and cords are suspended at least 8 feet above the floor. Strings of lights get power from circuits not providing power to other uses?

  Safe

  At Risk

  N/A

• 10.3 Inside work areas are clean and organized?

  Yes

  No

  N/A

• PHOTOS REQUIRED

  Media

• 10.3 Photos Required!

• 10.4 Exterior site areas are clean and organized?

  Safe

  At Risk

  N/A

• PHOTOS REQUIRED

  Media

• 10.4 Photos Required!

• 10.5 Holes greater than 2” are properly covered, secured, marked and able to withstand 2x the intended load?

  Safe

  At Risk

  N/A

• Additional Notes

11. Electrical Hazards

• 11.1 Electrical cords are at least 12 gauge, contain proper grounding plugs and are undamaged?

  Safe

  At Risk

  N/A

• 11.2 ALL extension cords are protected with GFCI protection?

  Safe

  At Risk

  N/A

• 11.3 Overhead electrical lines are protected from accidental contact?

  Safe

  At Risk

  N/A

• 11.4 All temporary electrical panel boxes are current with their monthly GFCI inspections?

  Safe

  At Risk

  N/A

• 11.5 Electrical cords are protected from equipment being driven on them?

  Safe

  At Risk

  N/A

• Additional Notes

12. Environmental Hazards

• 12.1 An effective vehicle tracking pad is in place that prevents tracking mud or dirt onto public or private streets?

  Safe

  At Risk

  N/A

• 12.2 The erosion control log is up to date?

  Safe

  At Risk

  N/A

• 12.3 All storm water systems and devices are in place to prevent on-site contaminates from entering the storm water?

  Safe

  At Risk

  N/A

• Additional Notes

13. Job Site Record Book

• 13.1 "Toolbox talks" being discussed & signed?<br>

  Yes

  No

  N/A

• 13.2 Toolbox Topic for the Week

• 13.3 List Attendees (Take Picture of Signed "Toolbox Talk" )

  Media

• 13.4 All individual Daily Documents being filled out on job site daily? (Skid Loader, Scissor Lift, JLG, Cranes, Welding Machines, Rod Oven, Daily Sling Inspection, Scaffolding Inspection) <br>

  Yes

  No

  N/A

14. Welding

• 14.1 Fire Extinguisher in reach of ANY and all Hot Work?<br>

  Yes

  No

  N/A

• 14.2 Are fire extinguishers located a minimum of 1 per every 3000sf throughout project job site?

  Yes

  No

  N/A

• PHOTOS REQUIRED

  Media

• 14.2 Photos Required!

• 14.3 Spark Containment (Fire Blankets, Welding Screens)<br>

  Yes

  No

  N/A

• 14.4 Welding Leads in good Condition?<br>

  Yes

  No

  N/A

15. Potential Hazards for Upcoming Week

• 15.1 First time crew members on site?<br>

  No

  Yes

• Do they understand Scope of work, hazards, and procedures?<br>

  Yes

  No

  N/A

• Type name of Crew Member

• 15.2 Are there floor openings that require protection? (Greater than 2'x2')

  Yes

  No

• Type in Explanation

• 15.3 Potential Hazards for Upcoming Week? (Tap At right to select multiple options)

  Select Overhead Work Pinch Points Hot Stress Slips Trips Rigging Failure Inhalation Hot/Cold Surfaces Moving Equipment Falls Flammable/Combustible Civil Work with Shoring Other

  • Overhead Work
  • Pinch Points
  • Hot Stress
  • Slips Trips
  • Rigging Failure
  • Inhalation
  • Hot/Cold Surfaces
  • Moving Equipment
  • Falls
  • Flammable/Combustible
  • Civil Work with Shoring
  • Other

• Manually Enter "Other" potential hazards

Corrective Actions

• Enter any corrective actions that will be undertaken. Take pictures of some of the safe and at-risk items as part of this report.

• *Add Pictures Here*

  Media

Sign Off

• Type Auditor's Name

• Auditor's Signature

  Sign

• Name of anyone onsite that was notified of unsafe work practices as part of this audit.

• !!Don't forget to use the export feature when exporting this audit!!