Information
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Audit Title
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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. Working at Heights
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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?
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1.2 A fall protection system is being utilizing while workers are exceeding heights of 6 feet. Specify which is used; PFAS, handrails, warning line, safety monitor, or controlled access zone?
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Additional Notes
2. Small Tools and Equipment
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2.1 Laser Warning signs are displayed when lasers are in use?
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2.2 Workers operating powder actuated tools possess the proper training card for the equipment?
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Additional Notes
3. Scaffolds
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3.1 The scaffolding erected is properly tagged with its current state; red, yellow, green?
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3.2 Green tagged scaffolding meets ALL requirements? *Daily inspection is completed prior to workers getting on it? *Scaffold platform(s) fully planked and no gaps more than an inch wide between the planks or uprights.*Scaffolds and walkways at least 18” wide. *Platforms extend over the support a minimum of 6” or are cleated. *Supported scaffold(s) with more than 4:1 height to base ratio ratio restrained from tipping. *Supported scaffold on adequate firm foundation and capable of supporting intended loads. *Supported scaffold is plumb and braced. *Safe access to platform provided. Cross braces not used as means of access. *Fall protection provided on all scaffolds more than ten feet above a lower level. *Guardrail systems meet OSHA requirements and are installed prior to employees using the scaffold?
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Additional Notes
4. Lifting Equipment
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4.1 Forklifts and cranes on the jobsite have undergone a written daily inspection prior to usage each day?
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Additional Notes
5. Harness and Equipment
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5.1 All PFAS have been inspected and are in good condition with no found discrepancies?
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Additional Notes
6. Ladders
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6.1 Ladders are in good condition?
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6.2 Stepladders are used only in the fully opened position without standing on the top or the first rung below the top?
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6.3 Straight ladders are set at the proper angle, extend 3 feet above the landing surface and are tied off at the top?
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Additional Notes
7. Hazardous Chemical (including fuel and oil)
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7.1 Flammables are properly stored away from ignition sources or where spills could enter stormwater drains. etc)?
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7.2 Compressed gas cylinders are all secured. Flammable and non-flammable cylinders are stored a minimum of 20 feet from each other?
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7.3 All containers on-site are properly labeled of their contents?
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7.4 Large propane tanks are protected by large visual cones; barricaded where adjacent to traffic?
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Additional Notes
8. Emergency Response
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8.1 All workers have been trained on emergency procedures. Procedures are displayed. Emergency maps are displayed on each building level?
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8.2 Adequate first aid kits available. An eye wash station is located on the jobsite?
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Additional Notes
9. Personal Protective Equipment (PPE)
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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?
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Additional Notes
10. Work Environment
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10.1 Adequate toilet facilities are provided and maintained?
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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?
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10.3 Inside work areas are clean and organized?
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10.4 Exterior site areas are clean and organized?
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10.5 Holes greater than 2” are properly covered, secured, marked and able to withstand 2x the intended load?
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Additional Notes
11. Electrical Hazards
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11.1 Electrical cords are at least 12 gauge, contain proper grounding plugs and are undamaged?
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11.2 ALL extension cords are protected with GFCI protection?
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11.3 Overhead electrical lines are protected from accidental contact?
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11.4 All temporary electrical panel boxes are current with their monthly GFCI inspections?
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11.5 Electrical cords are protected from equipment being driven on them?
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Additional Notes
12. Environmental Hazards
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12.1 An effective vehicle tracking pad is in place that prevents tracking mud or dirt onto public or private streets?
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12.2 The erosion control log is up to date?
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12.3 All storm water systems and devices are in place to prevent on-site contaminates from entering the storm water?
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Additional Notes
Corrective Actions
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Enter any corrective actions that will be undertaken. Take pictures of some of the safe and at-risk items as part of this report.
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Additional Notes
Sign Off
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Name of anyone onsite that was notified of unsafe work practices as part of this audit.
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Auditor's signature
