Information
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HS-154 Program Audit
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Client / Customer Site
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Conducted on
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Prepared by
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Location
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Personnel on-site
Administration
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Is the Safety/Environmental Worksheet on site and accessible to all associates?
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Does the Safety/Environmental Worksheet accurately reflect site conditions and tasks?
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Have all the associates, temporary workers, subcontractors signed the S/E Worksheet?
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Are the Following documents posted in a prominent and accessible area?<br> "Commitment to Health and Safety"<br> Jobsite Safety Rules (GSP's)<br> Labor Law Posters (Federal and State)
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Is documentation of maintenance and calibration of air monitoring equipment available?<br> Bump Tests and Monthly Calibrations
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Have all the associates met applicable medical surveillance requirements?<br> Hearing Conservation, Hazwoper, asbestos, heavy metals, radiation
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Have all jobsite personnel fulfilled "Respirator Readiness" requirements?<br> Fit Testing, Training, medical clearence
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Have jobsite personnel received all required training?<br> New Hire, Recertification, Customer-Specific, Water Blasting, Wet/Dry Vacuuming
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Are JSA's for each current activity available?
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Have the crew members signed the JSA?
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Are Daily Toolbox Safety Meetings begin held and documented?
Environmental Factors
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Are all work areas adequately illuminated?
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Are adequate replenishment fluids available to prevent heat stress?
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Are workers provided adequate breaks to prevent heat stress?
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Are workers provided breaks in a warm environment to prevent cold stress?
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Is hearing protection provided when noise levels exceed 90 decibels?
Hazard Communication
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Have potential hazards been described to the associates on site?
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Are MSDS's for each hazardous chemical on site and available for review
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Do associates understand the effects of exposure from chemicals on site?
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Are all containers properly labeled as to the content, hazard and route of entry?<br> NFPA Labeling, HMIS Labeling
Power Source & Electrical Equipment
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Is electrical equipment and wiring properly guarded and maintained in good condition?
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Are extension cords kept out of wet areas?
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Are GFCI's being used for all 110Volt outlets?
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Are extension cords inspected daily for abrasions, burns, exposed wires and stress relief?<br> Quarterly Color Code Inspection
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Are extension cords kept out of walkways (elevated over 7ft or buried)
Hand & Power Tools
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Are defective hand and power tools tagged and taken out of service?
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Is eye protection available and used when operating power tools?<br> Face Shield for Bench Grinders
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Are guards and safety devices in place and on power tools?<br> Tool Rests on Bench Grinders
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Are power tools inspected before each use?
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Are non-sparking tools available when required?<br> Concealed drop lead lights when in some Permit Required Confined Spaces
Personal/Respiratory Protective Equipment
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Has the task-specific PPE/RPE been selected and being worn?
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Have PPE selection decision been communicated to the associates?<br> WTSR, JSA's, SOP's, Daily Toolbox Safety Meetings
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Does the PPE selected fit the associate properly?
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Does the minimum protection in the work area include leather steel-toed boots, safety glasses, hard hats, bump caps, work uniform?
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Are adequate supplies of PPE readily available?
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Is PPE/RPE inspected prior to use?
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Are respirators being cleaned and maintained properly?
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Are respirators being used properly?
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Are respirators being stored properly?
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Does the breathing air meet the CGA Grade "D" minimum?
First Aid and Hygiene
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Are first aid supplies available and in adequate quantities?
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Is an emergency eye wash available and accessible when exposure to splashed liquids or airborne particles are possible?
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Is an emergency shower available and accessible when corrosive materials are handled?
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Is smoking, eating, drinking and chewing prohibited in the work area?
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Is adequate hand washing facilities vailable?
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Are adequate toilet facilities available?
Fire Protection and Emergency Response
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Is the Emergency Action Plan (EAP) current and posted?<br> Have local authorities been indentified?<br> Have emergency escape routes been identified?<br> Have emergency evacuation drills been held/conducted?<br> Are associates familiar with the warning signals?
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Are Fire Extinguishers available and adequate?
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Are Fire Extinguishers Posted? Is there a sign visible from all areas of the trailer?
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Is access to the fire extinguishers unobstructed?
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Are job-site associates currently trained in the use of fire extinguishers?
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Have Fire Extinguishers been inspected by a qualified person annually?
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Have Fire Extinguishers been inspected by a competent person monthly?
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Are flammable liquids stored in metal containers equipped with flame arrestors and spring-loaded caps?
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Are all flammable liquids kept inside buildings stored in proper containers and cabinets?
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Is smoking prohibited in flammable storage areas? Is there a "No Smoking" sign posted?
Walking Working Surfaces
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Are work areas neat and orderly?
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Are stairs, ramps and ladders clear of ice, mud, grease or debris?
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Are Floor holes (1"-12") covered/guarded?<br> Are the covers secured in-place?<br> Are they labeled "Hole Cover"?
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Are Type I (Industrial Duty Grade) ladders utilized?
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Are Ladders properly used?<br> Are they Inspected prior to use?<br> Are the cross braces secured and locked?<br> Are they setup properly (4:1)(Up:Out), tied-off and extended 3ft above the landing?<br> Are the safety feet in place?<br> No metal ladders?
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Are we using Scaffolding that has been inspected and tagged accordingly?
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Are Aerial Work Platforms (AWP's), JLG's and/or scissor lifts inspected pre-shift?<br> Are the operators properly trained?
Decontamination
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Is contaminated clothing/PPE removed properly?<br> Donning and Doffing?
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Is reusable PPE cleaned and stored properly?
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Are vehicle/equipment decontaminated prior to leaving the job-site?
Material Handling
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Are Power Industrial Trucks (PIT's) operator properly trained?<br> An Authorized Operator?
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Is 60lbs or equal the maximum weight to be lifted by any one associate?
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Are associates following proper lift technics?
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Are door and body props or bracing used when performing maintenance on equipment?
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Are all slings (chains, cables, synthetic, come-a-longs) inspected and free of defects?<br> Are they rated for the intended use?<br> Are the tags lediglbe?
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Are all cranes and hoisting devices inspected daily and certified anually?
Vehicles & Equipment
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Are all vehicles inspected daily?<br> Pre-Trip?<br> Post-Trip?
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Are all personnel licensed for the equipment they are operating?<br> Authorized Operator?<br> Certified Operator?
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Are spotters being utilized for backing up operations?
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Are backup alarms installed on equipment?
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Are loads properly secured?
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Are operators utilizing the seatbelt?
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Is safety equipment in the vehicles?<br> Fire Extinguisher?<br> Wheel Chocks?<br> Roadside Triangles/flares?<br> First Aid Box?
Warning/Signaling Devices
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Are vehicles equipped with back up alarms?
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Is work area barricaded to restrict access by non-essential associates?
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Are appropriate hazard warning signs posted?<br> "Danger Water Blasting"<br> "Caution Load Noise"
Containers
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Are all compressed gas cylinders stored and secured upright?
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Are cylinder caps in place prior to being moved?
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Is fuel gas and oxygen compressed gas cylinders stored a minimum of 20ft apart?
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Are proper procedures followed when stacking or storing 55/45/35 gallon drums?
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Is a Spill Kit readily available and identified?
Hazardous Work
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Are MPW Confined Space Permits completed and retained on file for the current and past year?
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Has the Environmental/Safety Checklist been completed for the confined space?
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Has a pre-entry confined space entry briefing been held and signed by the associates?
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Has the confined space permit been completed correctly?
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Has a rescue plan been established and confirmed on the permit?
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Have all energy sources been LO/TO properly?
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Have all the energy sources been verified as de-engergized and de-pressurized?
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Are the GSP's being followed?
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Is a "Safety Tee" in place on all vacuum operations?
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Is the Vacuuming truck grounded?
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Are devices to allow the remote handling of the vacuum hoses being used?
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Has the water blast hose been inspected prior to use and marked accordingly to the quarterly color code?
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Are water jet lances marked at least 24in from the end of the nozzle?
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Are water blast guns correctly piped and are the connections tight?
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Are water blast guns at least 42in long?
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Is a starter rod used to prevent line-mole reversal?
Professional Appearence
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Are all associates in accordance to the No Facial Hair expectation?
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Are all associates in accordance to the No Jewlery expectation?
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Are all associates in accordance to the No Rolled Up Sleeves expectation?
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Are all associates in accordance to Leather Style Steel Toe work boots expectation?
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Are work stations in accordance to Neat and Tidy expectations?
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Comments
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Auditor signature
Opportunities For Improvments
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Current Opportunities:
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Follow-Up on Past Opportunities:
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Notes From Inspections: