Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Aerial/Scissors Lifts
-
Daily Inspection
-
Proper use, maintenance
-
Fall protection in place
Communication
-
Pre-task Planning
-
Stretch-N-Flex program in place
-
Stand-meetings being conducted
Concrete/Masonry
-
All impalement hazards addressed (rebar, conduit, pipe, steel pins)
-
Limited access zones in place
-
Wall bracing in place
-
Engineer controls in use (water, ventilation, vacuum)
Confined Space
-
Competent person evaluated permit and non-permit spaces
-
Air monitor on site (properly calibrated, properly used)
-
Atmosphere test results documented
-
Energy sources locked out
-
Adequate ventilation
-
Rescue plan in place
Cranes, Riggers, Signaling
-
Daily, Monthly, Annual Inspections
-
Qualified Rigger/Signal Person
-
Swing Radius Controlled
-
Critical lift worksheets
-
Rigging inspected, tags in place, damage free, stored properly
-
Crane Signals posted in the immediate work area
-
Overhead power line plan in place and training provided
Cylinders
-
Compressed gas cylinders stored and secured upright
-
Cylinders capped
-
Cylinders, hoses, gauges free of damage
Electrical
-
Quarterly assured grounding checks
-
Damaged equipment tagged/removed from service
-
GFCI in place
-
Good work practices (cords out of pathways, kept out of water, etc.)
-
NFPA 70 E work practices in place
Environmental
-
Erosion control plan in place
-
DNR reporting complete
Excavations
-
Overhead & Underground utilities located
-
Competent person inspection documented daily
-
Protective system
-
Access provided
-
Utilities protected/supported
-
Spoil piles, equipment and materials minimum of 2' from edge of excavation
Fall Protection
-
Proper fall protection at 6' or greater
-
Personnel below are protected from falling objects
-
Roof Fall Hazards addressed and Access Permit in place
-
Open sided floors or platforms 6' or more from ground equipped with proper guardrail
-
Openings properly barricaded or covered
-
Hole covers in place secured and marked appropriately
-
Stairs equipped with handrails
-
Slips/trips/fall issues addressed
-
Snow/ice/mud managed
Fire Protection & Housekeeping
-
Housekeeping maintained regularly
-
Aisles, stairwells, passageways clear
-
Flammable/combustibles stored and handled safely
-
Fire ext. properly located and inspected monthly
-
All vehicles & other mobile equipment provided with fire protection
-
LP cylinders stored outdoors
-
Project field office/break trailers clean
-
Materials stacked properly, lumber is free of protruding nails
General Items
-
Recycling system in place
-
Tobacco free work site
-
Weapons free work environment
-
Parking system in place
-
Client expectation being met ( hair nets, beard nets, hospital and food regulations )
-
Personal devises not used (cell phone, radios other entertainment devises)
Hand/Power Tools
-
Training conducted
-
Guards/ safety features in place
-
Compressed air lines secured
-
Proper tool for the job being used
Haz Com
-
Employees trained
-
Updated project SDS book on site
-
Containers properly labeled
-
Spills cleaned up appropriately
Haz-Mat
-
Hazardous materials survey conducted
-
Employee training in place
-
Silica
-
Lead
Hot Work/Cutting & Welding
-
Engineering controls in place (ventilation, fume eaters, fresh air)
-
Welding screens provided
-
PPE provided
-
Equipment in good repair, insulators, grounding, welding leads
-
Hot work permits in place
-
O2 and Acetylene stored properly
Ladders
-
Properly inspected
-
Properly Used
-
Hoist rope provided
Mobile Equipment/Material Handling
-
Back-up alarms
-
Daily inspections conducted and documented
-
Trained operators
-
Seat belts & rollover protection in place
-
Loads not flow over people
-
Tag lines used as necessary
PPE
-
Appropriate clothing in use (4" sleeves on shirts, work wise pants)
-
Hardhat, Safety Glasses, Work Gloves, Proper Boots
-
FR Clothing(welding jackets in use)
-
High Visibility Vest
-
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
Record-keeping, Posters
-
State & Federal postings are in place
-
OSHA Notice / 300 Log
-
Emergency Telephone #'s
-
1st Report of Incident & Medical Authorization forms on site
-
Emergency Maps to clinics & hospitals posted
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
Positive Insight
-
Comments
-
Add signature
-
Add signature