Title Page
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Conducted on
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Prepared by
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Location
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Team Members also conducting Audit
- Dave Martinez
- Clint Abrams
- Brent HIcks
- Oliver Chua
- Tanya Padilla
- Jin Li
- Caleb Bonderer
- Miranda Anderson
- Emily Raymond
- Alex Burgess
- Kevin Belke
- Arturo Medrano
- Chester Armstrong
- Jil Stahl
- Vincent Govan
- Jim Shelly
- Julian Alcala
- Bob Shelly
- AJ Pfeifer
- Stacy Olson-Costello
- Paul Latimer
- Amhet Tekin
Administrative and Signage
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Is the SDS location identifiable by all employee's?
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Is the Emergency Action Plan displayed properly, Including Clinic location?
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Is the right to know board posted outside on the trailer, covered in Plexiglas, and visible to all?
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Is proper Signage in place?
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Are speed limits being followed on site?
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Does Signage Identify hazards?
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Are barricades in place, and are controlled areas properly designated?
Housekeeping
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Are Dumpsters available and emptied on a regular basis, as to keep trash/debris from blowing out?
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Is Micro trash picked up?
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Do Porta Potty's have toilet paper?
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Do Porta Potty's have paper towels to dry hands?
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Do crews have shade structures?
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Do we have enough water and ice?
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Do we have enough Sqwincher's?
Hand Tools & Small Tools
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Have tools been inspected?
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Have cords been inspected and are in good working condition?
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Have non-working tools been tagged and taken out of service?
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Are ladders in good working condition?
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Are ladders being used for designated use (A-Frame ladders opened up, etc.)?
Fire Prevention and Protection
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Are fire extinguishers located in the trailer and assessable?
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Are fire extinguishers inspected with proper tags initialed to verify monthly inspections?
PPE
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Do all crews have 100% PPE on?
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Does site have enough PPE to cover everyone?
Permits
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Are permits being closed out and turned in at the end of each day?
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Are permits being signed by a competent person?
Observations & Signature
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Observations
Temperature at time of Audit
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Signature
