Morphy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job-site Access

• Job-site Entrance/Exit Easily Identifiable

  Safe

  At Risk

  N/A

• Emergency Procedures Posted/Communicated

  Yes

  No

  N/A

• Walking/Working Surface Suitable/Level

  Safe

  At Risk

  N/A

• Walkways & Driveways Identifiable

  Safe

  At Risk

  N/A

• Project Lay-Down Areas

  Safe

  At Risk

  N/A

• Emergency Exit Routes Defined

  Safe

  At Risk

  N/A

Personal Protective Equipment - General Requirements

• Hard Hats/Bump Cap

  Safe

  At Risk

  N/A

• Safety Glasses or Approved Prescription Glasses with Side-shields

  Safe

  At Risk

  N/A

• Proper Gloves for Task

  Safe

  At Risk

  N/A

• 1. Cloth - Minimum; 2. Leather - Hot Work; 3. Cut-Resistant - Sharp Edges; 4. Rubber - Chemicals

• Clothing Serviceable

  Safe

  At Risk

  N/A

• Proper Footwear

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• First-Aid Kits & Eye Washes - Adequate

  Yes

  No

  N/A

• Fire Extinguishers -Adequate

  Yes

  No

  N/A

Murphy Safety Activities

• Job-Site Posters & Emergency Contacts

  Yes

  No

  N/A

• Company Safety Manual, Best Practice Manual, and Material Safety Data Sheets Available

  Safe

  At Risk

  N/A

• Supervisory Weekly Safety Audits - Good Quality, Relevant, & Communicated

  Yes

  No

  N/A

• Daily Pre-task Planning Accurate & Effective

  Safe

  At Risk

  N/A

• PTP Card Knowledge

  1. Known by None

  2. Known by Some

  3. Known by All

• Behavioral Based Safety (BBS)

  Safe

  At Risk

  N/A

• BBS Observations Accomplished Weekly by All Journeymen & Apprentice Level Workers

  YES

  NO

• BBS Observation Card Content Good Quality & Relevant

  YES

  NO

• All BBS Observations Coached/Reviewed On Same Day

  YES

  NO

• Permitting (Hot-Work, Excavation, Confined Space, Work, etc.)

  Safe

  At Risk

  N/A

• Daily Equipment Inspections Completed & Documented (Vehicle, Lifts, Fire Extinguishers, etc.)

  Yes

  No

  N/A

• Training Accomplished (Competent Person, Equipment/Tool Use, MTST, etc.)

  Safe

  At Risk

  N/A

• Weekly Meetings Completed & Effective (Foreman, Safety, etc.)

  Safe

  At Risk

  N/A

• Proper Reporting (IWI, Incidents, Injury, Near-misses, etc.)

  Safe

  At Risk

  N/A

Work Area Environmental Conditions

• Proper Access & Egress

  Safe

  At Risk

  N/A

• Working Surface

  Safe

  At Risk

  N/A

• Lighting Adequate

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• All Hazards Removed/Mitigated

  YES

  NO

• Work Area Neat & Organized

  Yes

  No

  N/A

• Garbage/Waste Properly Disposed

  Yes

  No

  N/A

• Hazards Communicated to All Workers in Area

  Safe

  At Risk

  N/A

• Workers in Area Aware and/or Protected from Known Hazards

  Safe

  At Risk

  N/A

Tool & Equipment Use - General Requirements

• Inspected Prior to Use

  Safe

  At Risk

  N/A

• Correct Tool for Job

  Safe

  At Risk

  N/A

• Properly Used

  Safe

  At Risk

  N/A

• Guards Properly Installed/Used

  Safe

  At Risk

  N/A

• GFCI(s) Always In Use

  Yes

  No

  N/A

• Others Protected From Tool/Equipment Created Hazards

  Safe

  At Risk

  N/A

• Tools Removed from Service and Properly Tagged for Repair (When necessary)

  Yes

  No

  N/A

Personal Protective Equipment - Task Specific

• Personal Fall Protection (When necessary, inspected, properly worn, attached to approved tie-off point, etc.)

  Safe

  At Risk

  N/A

• Face-shield (flying debris, overhead drilling, chemical handling, etc.)

  Safe

  At Risk

  N/A

• Respirators or Dust-masks Needed/Used (Fit Tested if Required)

  Yes

  No

  N/A

• Long-Sleeves/Flame Retardant Clothing (Welding, grinding, etc.)

  Safe

  At Risk

  N/A

• Kevlar Gloves/Sleeves (Sharp Edges)

  Safe

  At Risk

  N/A

Body Positioning

• Proper Footing

  Yes

  No

  N/A

• Proper Hand Placement

  Safe

  At Risk

  N/A

• Protected from Pinch-points

  Safe

  At Risk

  N/A

• Aware of Line-of-Fire Hazards

  Safe

  At Risk

  N/A

• Over-Reaching Avoided

  Safe

  At Risk

  N/A

Material Handling

• Use of Mechanical Means When Possible

  Safe

  At Risk

  N/A

• Lifting Equipment Inspected Prior to Use

  Yes

  No

  N/A

• Properly Rated/Sized Equipment Used

  Yes

  No

  N/A

• Safe & Proper Use of Equipment

  Yes

  No

  N/A

• Shackles Used for Multi-Leg Picks

  Yes

  No

  N/A

• Tag lines and/or Push-pull Rods

  Safe

  At Risk

  N/A

• Proper Lifting Technique

  Safe

  At Risk

  N/A

• Yes

  No

  N/A

Hot Work/Fire Prevention

• Permit Completed & Posted

  Yes

  No

  N/A

• Fire Extinguisher Present & Inspected

  Yes

  No

  N/A

• Area Free of Flammable/Combustible Material

  Yes

  No

  N/A

• Equipment Inspected & In Good Condition

  Yes

  No

  N/A

• Others Protected from Task Hazards

  Yes

  No

  N/A

• Welding Screens Used

  Yes

  No

  N/A

Energy Control/Lock-Out Tag-Out (LOTO)

• Equipment Properly Isolated/De-energized (Locked-Out, Removed, Depressurized, Blocked, etc.)

  Yes

  No

  N/A

• Energy Isolation Communicated (Tagged)

  Yes

  No

  N/A

• Specialized PPE Needed/Utilized

  Yes

  No

  N/A

Elevated Work (Ladders, Lifts, Scaffolding, etc.)

• Documented Competent Person On Site

  Yes

  No

  N/A

• Workers Properly Trained Before Use

  Yes

  No

  N/A

• Equipment Inspected Before Use

  Yes

  No

  N/A

• Proper Access Maintained

  Yes

  No

  N/A

• Equipment installed Properly/Safely

  Yes

  No

  N/A

• Equipment Used Properly/Safely

  Yes

  No

  N/A

• Overhead Work Communicated to Workers Below (Signage, Ground-man, etc.)

  Yes

  No

  N/A

• Workers Below Protected From Dropped/Falling Objects (Toe-boards, "Danger" Tape, etc.)

  Yes

  No

  N/A

• Additional Fall Protection Required

  Yes

  No

  N/A

• Defective Equipment Promptly Removed from Service

  Yes

  No

  N/A

• Yes

  No

  N/A