Information
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Superintendent / Job site / Score
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Site
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Conducted on
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Prepared by
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Location
1. Job Information
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1.3. Emergency information / phone numbers posted?
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1.4. First Aid supplies available?
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1.5. Someone on the job trained in First Aid & CPR?
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1.6. Did you conduct a weekly safety meeting?
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1.7. Safety Manual on site?
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1.8. Employees know location of Safety Manual & (M)SDS?
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1.9. Crisis Management Plan / contacts in place?
2. Housekeeping
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2.1. General neatness of work area?
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2.2. Is the work area free of trip and fall hazards?
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2.3. Projecting nails removed or bent? (or similar items)
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2.4. Waste containers?
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2.5. Passageways and walkways clear?
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2.6. Cords and leads off the floor / clear paths?
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2.7. Trucks and Trailers clean and maintained?
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2.8. Stairs to job trailers secured and proper railings?
3. Fire Prevention
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3.1 Adequate fire extinguishers, checked and accessible?
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3.2. "No Smoking" posted and enforced near flammables?
4. Electrical
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4.1. Extension cords with bare wires or missing grounds taken out of service?
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4.2. Ground fault circuit interrupters being used?
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4.3. Adequate wiring, well insulated, grounded, protected?
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4.4. Electrical panels clear?
5. Hand and Power Tools
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5.1. Guards in place on power tools?
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5.2. Right tool being used for job at hand?
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5.3 Tools operation properly?
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5.4. Tools and cords in good condition?
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5.5. Proper grounding of all tools (3 Prongs)?
6. Fall Protection / Arrest Equipment
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6.1. safety rails and cables secured properly?
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6.2. Is fall protection safety equipment available?
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6.3. Employees exposed to fall hazards are tied off or otherwise protected?
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6.4. Employees below protected from falling objects?
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6.5. Openings in Floors and Roofs covered properly or guarded?
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6.6 Covering material will hold 200 lbs.?
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6.7. Check body harnesses, lanyards, and snap hooks for problems?
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6.8. Check anchor connectors for holding strength (5,000 lbs.)?
7. Ladders
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7.1. Ladders checked and in good condition?
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7.2. Extension ladders extend at least 36" above the landing?
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7.3. Extension ladders are secured to prevent slip, sliding, falling?
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7.4. Stepladders used in full open position?
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7.5. No step at top two rungs of stepladder?
8. Scaffolding / Scissor & Aerial Lifts
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8.1 Inspected daily by competent person?
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8.2. Proper fall protection / rails in place?
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8.3. Employees below protected from fallings objects?
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8.4. 4:1 ratio height with securement every 20 feet?
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8.5. Stable footing / baseplates?
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8.6. structurally sound / unaltered?
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8.7. Adequate sound planking provided?
9. Material Handling
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9.1. Were safety stretches performed?
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9.2. Materials properly stored or stacked?
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9.3. Employees are using proper lifting methods?
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9.4. Proper number of workers for operation?
12. Work Methods / Safety Items
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12.5. Job hazards have been reviewed & discussed?
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12.6. Sanitary facilities and potable water available?
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12.8. Lighting adequate for all work tasks?
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13.2. Inspection and maintenance records current?
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13.6. Equipment is properly secured when not in use?
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13.7. Roll over protection devices in place?
15. Personal Protective Equipment
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15.1. Hard hats being worn?
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15.2. Safety glasses being worn (prescription safety glasses have side shields)?
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15.3. Hearing protection being worn when required?
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15.4. Gloves being worn when required?
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15.5. High Visibility vest apparel being worn?
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15.6. Proper PPE available if needed?
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15.7. Proper foot wear and clothing?
16. Welding and Cutting
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16.1. Equipment in safe operating condition?
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16.2. Power cables and hose protected and good repair?
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16.3. Fire extinguishers of proper type nearby?
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16.4. Surrounding area inspected for fire hazards and flammable materials protected or removed?
17. Other
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17.1. Hazardous Condition or Behavior.
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17.2. Hazardous Condition or Behavior.
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17.3. Hazardous Condition or Behavior.
18. Special
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18.1. Hazards not under your control are presenting imminent danger to employees.
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18.2. Employees are exposed to imminent danger.
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18.3. Was this hazardous condition / behavior corrected immediately?
19. Job site photographs
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19.1. Site photos
Safe behaviors observed-actions taken to encourage safe behavior.
Unsafe behaviors observed-action taken to correct and prevent recurrence.
Corrective Actions
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enter any corrective actions that will be undertaken.
Sign Off
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On site representative
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Auditor's signature
