Miron Industrial Audit 2021

• Client / Site

• Select date

  Date

• Superintendent

• Prepared by

Communication

• Pre-Task Planning (Completed, Shared/Discussed/Understood & Signed by Employees

  Yes

  No

  N/A

• Work Strong Program Being Completed (Stretch-N-Flex)

  Yes

  No

  N/A

• Tip of Day Shared

  Yes

  No

  N/A

First Aid/Emergency

• Incident Report and Authorization for Medical Treatment Form READILY Available

  Yes

  No

  N/A

• After Hours Emergency Number and Hospital Information, (location, directions, contact number) displayed/known by all

  Yes

  No

  N/A

• First Aid & Blood Borne Kit Available

  Yes

  No

  N/A

• Personnel, at least one, Sup/Foreman) trained in 1st Aid CPR on Site

  Yes

  No

  N/A

PPE

• Safety Glasses (including side shields on prescription safety glasses) being worn by all

  Yes

  No

  N/A

• Miron Hardhat with individuals Name on Front, worn by all

  Yes

  No

  N/A

• Correct Gloves being worn by all, (example, cut resistant gloves for doctor blade changes, demo, ceiling grid work, working with utility knives,etc.

  Yes

  No

  N/A

• Safety Toed Shoes/Boots (steel or fiber toed) being worn by all

  Yes

  No

  N/A

• High Vis Clothing (and visible) being worn by ALL (NO COMPETITORS)

  Yes

  No

  N/A

• Other PPE Being Used (face shields while grinding, cut resistant sleeves for demo, chemical suits where required, etc.)

  Yes

  No

  N/A

LOTO

• Equipment Locked Out and Verified (restart completed)

  Yes

  No

  N/A

• ALL Individuals working on said Equipment, have Their Locks on

  Yes

  No

  N/A

• All Locks have Company and Personal name on lock tag

  Yes

  No

  N/A

Aerial/Scissors Lifts

• Inspected Daily and Documented

  Yes

  No

  N/A

• Employees Tied Off in Boom Lift with 6' Retractable

  Yes

  No

  N/A

• Employees trained to operate Aerial Lifts

  Yes

  No

  N/A

Fall Protection

• RESCUE PLAN IN PLACE, DISCUSSED, PRIOR TO PUTTING EMPLOYEES AT RISK OF FALLING

  Yes

  No

  N/A

• Employees Properly Tied off, (overhead, correct anchorage, enough clearance, limited swing radius)

  Yes

  No

  N/A

• Openings Properly Barricaded

  Yes

  No

  N/A

• Personnel Below Protected from Falling Objects

  Yes

  No

  N/A

• ROOF Fall Hazards Addressed with Proper Flagging, Barricading, and or Tying Off

  Yes

  No

  N/A

Inspections

• Monthly Fire Extinguisher Inspection Complete

  Yes

  No

  N/A

• Quarterly Ground Fault Inspection Complete

  Yes

  No

  N/A

• Quarterly Chain Fall Inspection Complete

  Yes

  No

  N/A

Confined Space

• Completed Permit in place and Discussed by ALL

  Yes

  No

  N/A

• Rescue plan in place

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

• Air Monitor in Continuous Use (current calibration, properly used)

  Yes

  No

  N/A

• Designated Attendant in Place, (their only assigned task)

  Yes

  No

  N/A

Cranes, Rigging, Signaling

• Rigging Inspected, Used Properly (chains not clipped back into themselves, correct capacity, legible tags, etc.)

  Yes

  No

  N/A

• Critical Lift Worksheets Complete

  Yes

  No

  N/A

• Qualified Rigger/Signal Person Conducting Work

  Yes

  No

  N/A

• Crane Signals posted in the immediate work area

  Yes

  No

  N/A

• Overhead Power Line Hazards Addressed

  Yes

  No

  N/A

Cutting/Welding/Hotwork

• Hot Work Permit In Place (filled out completely and correctly)

  Yes

  No

  N/A

• Fire Protection in Place

  Yes

  No

  N/A

• Welding Screens in Place

  Yes

  No

  N/A

• Cylinders Upright and Secured From Tipping

  Yes

  No

  N/A

• Cylinders Capped for Storage, Oxygen and Acetylene Stored 20' apart (or appropriate fire barrier in place)

  Yes

  No

  N/A

Electrical

• GFCI in place

  Yes

  No

  N/A

• Cords NOT being run over by Carts/Equipment, etc. (cords out of pathways, kept out of water, etc.)

  Yes

  No

  N/A

Excavations

• Overhead & Underground utilities located

  Yes

  No

  N/A

• Competent Person Inspecting and Documenting Daily

  Yes

  No

  N/A

• Proper Sloping and Access provided

  Yes

  No

  N/A

• Spoil piles, equipment and materials minimum of 2' from edge of excavation

  Yes

  No

  N/A

Concrete/Masonry

• All impalement hazards addressed (rebar, conduit, pipe, steel pins)

  Yes

  No

  N/A

• Engineer controls in use for Dust (water, ventilation, vacuum)

  Yes

  No

  N/A

General Items

• Tobacco Free Worksite, or Designated Smoking Areas be followed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Hand/Power Tools

• Guards/Safety Features in Place

  Yes

  No

  N/A

• Compressed Air Lines Secured

  Yes

  No

  N/A

Haz Com

• Employees Trained

  Yes

  No

  N/A

• SDS's Available to All

  Yes

  No

  N/A

• Containers Properly Labeled

  Yes

  No

  N/A

Ladders

• Properly Inspected

  Yes

  No

  N/A

• Properly Used (step ladders in open position, extension ladders tied off, 3 feet above landing, landing edge protected from damaging ladder)

  Yes

  No

  N/A

• Hoist Rope being used to lift items above, (Employees not allowed to carry items)

  Yes

  No

  N/A

Mobile Equipment/Material Handling

• Daily Inspections Completed and Documented

  Yes

  No

  N/A

• Operators Trained and Current

  Yes

  No

  N/A

• Seat Belts being Worn

  Yes

  No

  N/A

Scaffolding

• Set Up & Used Properly

  Yes

  No

  N/A

• Inspected Before Use

  Yes

  No

  N/A

• Proper Access

  Yes

  No

  N/A

Insight

• Site All Around Condition

  Good

  Fair

  Poor

  N/A

• Concerns

  Safe

  At Risk

  N/A