Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Hazard Communication

  • MSDS on site and available for review

  • Containers are labeled appropriately

  • Personnel trained and documented

First Aid

  • First aid and blood borne kit available and stocked

  • Personnel, at least one on site, trained in First Aid/CPR

  • Hospital maps and Emergency Boards displayed

  • After hours emergency signs posted

Power Tools

  • Training documented (Hilti tools, etc.)

  • Assured grounding complete on power tools

  • All guards in place on saws, grinders, etc.

  • Damaged tools labeled "Do Not Use" and taken out of work area

  • Compressed air lines secured together

  • Tools used for intended purpose

Cutting/Welding/Hotwork

  • Cylinders upright and secured from tipping

  • Oxygen and acetylene stored 20 feet apart (or appropriate fire barrier)

  • Welding leads damage free

  • Hotwork permit in place with appointed Firewatch

  • Fire extinguishers or water source identified and readily available

  • Welding screens in place

  • Cylinders capped, gauges off, lines bled during storage

Project Site Postings

  • State and Federal labor law postings in place

  • Miron posters in place

  • Client has Superintendent and after hours emergency phone numbers

Environmental

  • Silt fence, sedimentation basins, tracking pads in place

  • Dust control measures in place

  • DNR erosion control reports being completed

  • Hazardous material survey (lead, asbestos, mercury) completed and abated

Concrete/Masonry

  • Wall bracing in place if over 8 feet

  • Limited access zones established, labeled and in good condition

  • Rebar caps in place

  • Silica hazards addressed (wet methods, vacuum, respiratory protection w/training and fit testing)

  • Proper scaffold construction and access

Traffic

  • Signs, barricades and lighting in place

  • High visibility clothing being worn

  • Flaggers used when needed

  • Employee parking established

PPE

  • Eye and face protection in use

  • Respiratory protection in use, proper training and/or medical surveillance and fit testing documented

  • Head, hand and hearing protection in use

  • Appropriate clothing in use

  • Safety toed footwear in use for Miron employees - sturdy footwear for subcontractors

Trenching/Excavation

  • Utilities marked - private and public

  • Excavation permit filled out daily and kept on site

  • Spoils, material and equipment set back 2 feet from edge

  • Proper access provided @ 4', and proper cave-in protection provided @ 5'

  • Properly barricaded when unattended

  • Rigid guard rails placed where exposed to a > 6' drop

  • Trench boxes used, ladders to access box are located inside box, no more than 2 feet of earth exposed below bottom of box

Housekeeping

  • Water, mud, snow and ice managed

  • Aisles, stairwells, passageways clear

  • Materials stacked properly, lumber is free of protruding nails

  • Chemical spill kits available

  • Project field office/break trailers clean

Facilities

  • Recycling system in place

  • Proper number of toilets provided, hand washing stations provided (lead demo, painting, food processing)

  • Tobacco free work site

  • Weapons free work environment

  • Client expectation being met ( hair nets, beard nets, hospital and food regulations )

  • Personal devices not used (cell phone, radios other entertainment devices)

Electrical

  • GFCI's and assured grounded in place on extension cords

  • Power cords elevated and protected from damage

  • Temp lighting adequate and able to be visually inspected/cages around bulbs

  • Compliance with NFPA 70E

  • Temp panel breakers labeled/breakers all in place or blanked

  • Panel covers in place, no open holes

  • Temp panels are self supporting or attached to a wall and inspected monthly

  • Proper clearance from power lines (scaffold, lifts, crane, ladder)

Crane/Rigging

  • Crane on level and firm ground

  • All crane inspections current and documented

  • Swing barriers and anti-two block in place

  • Rigging inspected and stored properly

  • Capacity lags in place and legible (rigging, spreaders, etc.)

  • Proper hand signals or radio communication being used

  • Critical lift plans documented

  • Safety latches in place on all hooks (crane, come-a-longs, chain falls)

Education

  • Daily pre-task and sign in sheets documented

  • Stretch and Flex being performed

  • Project safety orientations completed by all

  • On site training being held as needed

Ladders/Scaffolding

  • Ladders used in full open position

  • Set-ups secured and 36" past landing platform

  • Extension ladders at a 4:1 working angle

  • Hoist rope provided

  • Scaffold properly inspected and signed

  • Plumb, leveled, square and completely decked

  • Solid ground, base plates and mud sills used

  • Secured from tipping over at 4:1 height to base ratio

Air Quality - Medical and Food

  • Barrier walls in place and free from holes

  • Negative air pressure established and monitored

  • Water damage controls in place

  • Foot bath or walk off mats in place and clean

  • Dust control in place, HEPA filters in use and operating properly

  • Hai or beard nets used, smocks or foot covers used

Subcontractors

  • Insurance certificates in and up to date prior to working on site

  • Contracts signed before working on site

  • Pre-installation meetings held as needed

  • Documented meetings held with crew

  • Respirator

  • Other PPE being used properly (protective sleeves and cut resistant gloves during demo)

  • First Aid Kit/Blood Spill Kits in place and fully stocked

  • Hearing protection in place

Fall Protection/Prevention

  • 6' fall policy enforced...4' fall policy in place if required (general industry, owner policy, etc.)

  • Toe boards in place where needed

  • Warning lines installed correctly and maintained

  • Fall protection plan in place

  • Equipment in good shape and used correctly

  • Holes > 2" covered, marked and secured

Scaffolding

  • Set up & used properly

  • Inspected before use

  • Proper access

  • Secured/tied/guys in place @4:1

  • Fall protection in place all open sides and edges

  • Stairs equipped with handrails and/or guardrails

  • Slips, trip, fall hazards identified and addressed

  • Harnesses, lanyards, SRL's, and roof carts stored properly

Mobile Equipment

  • Seat belts being used

  • Back up alarms working

  • Inspected and documented daily

  • Cleaned and maintained properly

  • Operators have current, documented training on the equipment they are using

Material Handling

  • Proper lifting techniques being used

  • Loads not flown over people

  • Items secured during transport

  • Tag lines being used

Other

  • Mentor assigned to new employees

  • Monthly Project Manager stand down meeting being performed

  • Monthly Superintendent stand down meeting being performed

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.