Mid-Atlantic Steel Erectors Safety Audit

• Conducted on

  Date

• Site name

  Yes

  No

  N/A
• Location
  Address

• Prepared by

• Reflective vest worn consistently as required?

  Yes

  No

  N/A

• Protective safety eye-wear worn consistently as required?

  Yes

  No

  N/A

• Safety toed footwear adequate?

  Yes

  No

  N/A

Harness and Retractable Lanyards (ONLY RETRACTABLE LANYARDS MAY BE USED)

• Webbing: No tears, cuts/burns, or chemical exposures?

  Safe

  At Risk

  N/A

• Buckles and Rivets: No deformities, missing springs, or abnormal wear?

  Safe

  At Risk

  N/A

• D-Rings: No cracks, wear, or deformity?

  Safe

  At Risk

  N/A

• Stitching: Pulled or cut stitches?

  Safe

  At Risk

  N/A

• Harness: Fits properly?

  Safe

  At Risk

  N/A

• Lanyards: Grommets: No excessive wear of deformity

  Safe

  At Risk

  N/A

• Snap Hooks: Latch properly, no excessive wear / deformity ?

  Safe

  At Risk

  N/A

Fall Protection

• MASE, Inc. requires fall protection for all heights over 6 ft.

• Floor Openings Covered/Guardrails ?

  Safe

  At Risk

  N/A

• Roof Edge Guarded?

  Safe

  At Risk

  N/A

• Leading Edge Protection Utilized?

  Safe

  At Risk

  N/A

• Deceleration distance: This is the distance the lanyard stretches in order to arrest the fall. Deceleration distance must be no greater than 3.5 feet .Calculating Free Fall Distance.
  Calculating free fall distance based on D-ring location:
  
  D-ring ABOVE Anchor: Free fall distance = Lanyard length + Distance from D-ring to anchor
  
  D-ring BELOW anchor: Free fall distance=Lanyard length-Distance from D-ring to anchor
  
  D-ring LEVEL with anchor: Free fall distance=Lanyard length

• Fall protection clearance distance acceptable based on calculation?

  Yes

  No

  N/A

• 100% Tie Off for all heights above 6'-0" Man Lifts - All Personnel Tied Off?<br>

  Safe

  At Risk

  N/A

• Rope grab (with vertical lifeline) in use?<br><br>

  Yes

  No

  N/A

• Horizontal Lifeline in use?

  Yes

  No

  N/A

Aerial/Boom/Scissors Lift

• Is lift is parked on a level surface?<br>

  Safe

  At Risk

  N/A

• Operating and emergency controls: All safety devices free from defects or damage? All rails, toe-boards, and safety chains are in place?

  Safe

  At Risk

  N/A

• Loose cables or faulty wiring? All fittings tight?

  Safe

  At Risk

  N/A

• Are users tied-off as required for heights over 6 ft?

  Yes

  No

  N/A

Ladder Safety

• Ladders inspected and in good condition?

  Yes

  No

  N/A

• Properly secured to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Do siderails extend 36" above top of landing?

  Yes

  No

  N/A

• Metal ladders used around electrical hazards?

  Safe

  At Risk

  N/A

• Ladder(s) placed at 4:1 ratio?

  Yes

  No

  N/A

• Ladder area free from debris and trip hazards?

  Safe

  At Risk

  N/A

Welding and Cutting

• Goggles, gloves, proper clothing worn?

  Yes

  No

  N/A

• Are electric cords free of cuts/damage?

  Yes

  No

  N/A

• Electrical equipment grounded?

  Safe

  At Risk

  N/A

• Welding leads and gases hoses protected and in good condition?

  Safe

  At Risk

  N/A

• Fuel/torch cylinders at least 20 ft from oxygen bottle(s): (1) on cart with divider, (2) tied up or separated, (3) tied up or in use with gauges attached, (4) empty or spare bottles separated and securely tied ?

  Safe

  At Risk

  N/A

• Face-shield used while cutting?

  Yes

  No

  N/A

• Are guards on tools utilized?

  Yes

  No

  N/A

Cranes

• Is crane and radius sufficiently barricaded?

  Yes

  No

  N/A

• Is crane inspection log completed?

  Yes

  No

  N/A

Misc. Safety

• Housekeeping?

  Safe

  At Risk

  N/A

• Fire Extinguishers?

  Safe

  At Risk

  N/A

• Was there a previous safety inspection at this site where issues were noted?

  Yes

  No

  N/A

• Have issues been addressed and corrected from previous inspection?

  Yes

  No

  N/A

• If not, why not?

  Yes

  No

  N/A

Summmary

• Summary

  Safe

  At Risk

  N/A

Signature required

• Signature

  Sign