MP Supervisor Audit

• Audit No.

• Conducted on

  Date

• Branch number - Job number

• Photo of Jobsite

  Media

• Job Site

• Location
  Address

• Prepared by :

• Lead Person

• Personnel

General

• Are all employees in Red collared shirts?

  compliant

  non compliant

• SDS sheets available to all employees?

  Yes

  No

  N/A

• First aid kit fully stocked and up to date ?

  Yes

  No

  N/A

• Is water available to all employees?

  Yes

  No

  N/A

• Daily JHA forms submitted via website to safety for review

  Yes

  No

  N/A

• Site safety reports available for review ?

  Yes

  No

  N/A

• Do employees have access to MetroPower safety handbook?

  Yes

  No

  N/A

• Do employees have job site access to mandated bulletin board?

  Yes

  No

  N/A

• Have all employees completed Introduction into MetroPower Safety Culture ? This includes Temporary Employee

  Yes

  No

  N/A

• Have all employees completed new hire safety orientation?

  Yes

  No

  Within 3 weeks

Housekeeping

• Are employees work areas clean?

  Yes

  No

  N/A

• Are employees using good housekeeping procedures?

  Yes

  No

  N/A

• Are waste receptacles provided?

  Yes

  No

  N/A

Personal Protective Equipment

• Are Employees wearing eye protection properly ?

  Yes

  No

  N/A

• Are Employees wearing proper hand protection?

  Yes

  No

  N/A

• Are employees wearing site specific PPE?

  Yes

  No

  N/A

• Do employees have access to hearing protection?

  Yes

  No

  N/A

• Are employees wearing site/task specific PPE?

  Yes

  No

  N/A

• Are Employees wearing hard hat properly?<br>

  Yes

  No

  N/A

• Do employees have access to dust masks or N95 respirators with a copy of 1910.134 app D ?

  Yes

  No

  N/A

Electrical

• Are employees using GFCI protection?

  Yes

  No

  N/A

• Are the temporary power/ GFCI logs current?

  Yes

  No

  N/A

• Is temporary power/lighting in good working condition ?

  Yes

  No

  N/A

• Are extension cords 12/3 and electrically sound?

  Yes

  No

  N/A

• Are we following MetroPower's Lock out Tag out policy?

  Yes

  No

  N/A

• Electrical panels and devices labeled and secure?

  Yes

  No

  N/A

Hand and Power Tools

• Power Tools free from defect?

  Yes

  No

  N/A

• Are the employees using the tools correctly ?

  Yes

  No

  N/A

• Hand tools free from damage?

  Yes

  No

  N/A

Excavations

• Adequately sloped or shored ?

  Yes

  No

  N/A

• Have utilities been located, documented and protected?

  Yes

  No

  N/A

• Means of egress every 25 ft of lateral travel?

  Yes

  No

  N/A

• Spoil piles, equipment and obstructions at least 2 feet from edge?

  Yes

  No

  N/A

• Documented daily inspection by a competent person available for review?

  Yes

  No

  N/A

Fall Protection

• Employees using anchor point capable of supporting 5000 pounds?

  Yes

  No

  N/A

• Employees working above 6 feet using fall protection?

  Yes

  No

  N/A

• All holes covered,secured and labeled?

  Yes

  No

  N/A

• Employees personal fall arrest system in good working order?

  Yes

  No

  N/A

Fire Protection

• Only NFPA approved containers used for fuel?

  Yes

  No

  N/A

• Adequate number of Fire Extinguishers in place?

  Yes

  No

  N/A

Ladders

• Are ladders in good condition/ labeled?

  Yes

  No

  N/A

• Are extension ladders secured if possible?

  Yes

  No

  N/A

• Are employees using ladders correctly?

  Yes

  No

  N/A

Powered Industrial Equipment

• Is the equipment in good working order?

  Yes

  No

  N/A

• Is employee's certification current?

  Yes

  No

  N/A

• If required, Is employee using the proper PFAS in the equipment ?

  Yes

  No

  N/A

• If equipped, is the back up alarm operational ?

  Yes

  No

  N/A

• If equipped, Is the operator wearing a seatbelt?

  Yes

  No

  N/A

• Are inspection forms complete on all PIE?

  Yes

  No

  N/A

Confined Space

• Confined space permit available for review?

  Yes

  No

  N/A

• Are employees current on confined Space training?

  Yes

  No

  N/A

• Are we using properly calibrated gas detector?

  Yes

  No

  N/A

• Are we using proper rescue equipment and barricades?

  Yes

  No

  N/A

Material Handling

• Are we using proper lifting techniques?

  Yes

  No

  N/A

• Are we following MetroPower's lifting policy?

  Yes

  No

  N/A

• Is material stored correctly?

  Yes

  No

  N/A

• Are we using proper Slings/ Hasps for powered equipment lifting?

  Yes

  No

  N/A

Welding/Cutting

• Are gas cylinders secured/stored correctly.

  Yes

  No

  N/A

• Are the regulator/gauges/torches operating correctly?

  Yes

  No

  N/A

• Are hoses in good condition.

  Yes

  No

  N/A

• Are the manual electrode holders, leads and machine in good working order?

  Yes

  No

  N/A

• Are employees wearing the proper PPE for the task?

  Yes

  No

  N/A

• Do we have a approved fire extinguisher for the task?

  Yes

  No

  N/A

General contractor information

• Has the General Contractor or other contractor exposed MetroPower employees to additional hazards?

  Yes

  No

  N/A

• Have we notified the general contractor of any hazards?

  Yes

  No

  N/A

Additional comments

• Do we have any additional comments?

  Yes

  No

Feedback

• Please name 3 Positive Safety observations on this job

  Yes

I have reviewed and understand this audit and will address the issues noted.

• I will take corrective actions

  Sign