Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
High risk activities?
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Identified?
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Mitigation plan established?
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Plan conveyed to all affected employees?
General Safety and Health Provisions - Subpart C - 1926.20
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Jobsite address posted in trailer and main entrance to site?
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Jobsite signage (OSHA, Emergency Numbers, etc...)?
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Jobsite properly fenced, signed, and secured?
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OSHA 300 posted (February - April)?
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Emergency action plan is on site?
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Adequate dumpsters for trash and recyclables?
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Housekeeping was in good condition. The jobsite was clean and safe?
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Exits were clear and unobstructed?
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Pre-task/Daily Safety Brief and/or Plans are being done regularly?
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Subcontractors on site conducting weekly tool box talks?
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Site safety inspections being conducted routinely by client.
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Other?
Occupational Health and Environmental Controls - Subpart D - 1926.50
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First aid kits available and stocked?
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Adequate supply of water and drinking containers?<br>
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Adequate Toilets available for employees on site?<br># of employees|# of toilets<br>< 20.................| 1<br>> 20.................| 1 toilet seat and 1 urinal/40 workers<br>> 200...............| 1 toilet seat and 1 urinal/50 workers<br>
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Hazard Communication Plan available on site?
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Safety Data Sheets readily available on site?
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Asbestos and lead assessment has been completed?
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Other?
Personal Protective Equipment - Subpart E - 1926.95
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Standard PPE - Safety Boots worn by everyone where required? 1926.96
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Standard PPE - Hardhats worn by everyone where required? 1926.100
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Standard PPE - Safety Glasses worn by everyone where required? 1926.102
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Standard PPE - Safety Vests worn by everyone where required?
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PPE in good working condition? Compliant with appropriate ANSI Standard (Z89/Z87)?
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Additional PPE is being utilized as necessary (Hearing Protection, gloves, welding hoods, cutting goggles, face shields)?
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Respirators are being worn correctly, where required? All users have current Fit Test(s)?
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Respirators are being stored properly?
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Proper clothing being worn by all employees (shirts w/ sleeves, work books, pants)?
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Other?
Fire Safety - Subpart F - 1926.150
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Fire Extinguishers on site (1 for every 3000 SF), 1 per floor in multistory locations?
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Fire Extinguisher has up to date annual inspection completed?
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Fire Extinguisher has up to date monthly inspection completed?
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Metal gas cans with flame arrestor? (Plastic cans are not allowed)
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Smoking in authorized area's only?
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Flammable liquids are being stored properly (Less than 25 gallons of flammable liquids stored outside of metal cabinet)?
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Fire extinguisher located 25'-75' from fuel storage?
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LPG is stored outside?
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Other?
Material Handling & Storage - Subpart H - 1926.250
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All materials are stacked so as to prevent sliding, falling, or collapse?
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Nails have been removed from all stored lumber?
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No employees are under suspended loads?
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Tag lines being used?
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All rigging equipment is being inspected daily? Tags/labels present and legible?
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Materials staged a safe distance from leading edge?
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Other?
Tools (Hand and Power) - Subpart I - 1926.300
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All tools being inspected prior to use and are in good working condition?
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Power tools are grounded or double insulated and cord is in good condition?
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Tools are properly guarded per manufacturer's requirements?
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Fuel powered tools are shut off prior to refueling?
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Fuel powered tools used indoors have proper ventilation?
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Other?
Electrical - Subpart K - 1926.400
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Assured grounding program in place, or GFCI's used and checked?
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Permanent power is GFCI protected?
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Cords, plugs in good condition? Protected from traffic and damage?
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All live wiring properly guarded or protected from employee exposure?
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Lock out/tag out being used where required?
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Other?
Scaffold - Subpart L -1926.450
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Aerial lifts are working within their limits?
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Gates are closed or chains are in place on all aerial lifts?
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Proper PPE being used on aerial/scissor lifts?
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Employees in aerial lifts have their feel firmly on the ground?
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Other?
Fall Protection - Subpart M - 1926.500
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Employee properly trained in fall protection?
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All floor and/or roof openings protected or covered and marked accordingly?
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Overhead protection provided where necessary?
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Employees exposed to falls are properly trained in fall protection and rescue?
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Perimeter cable installed and flagged every 6'?
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Perimeter Posts are installed correctly?
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Perimeter cable has proper connection (Never saddle a dead horse)?
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Guardrails in place and able to withstand 200# of outward downward force?
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Guardrails consist of a top rail, mid rail, and a toe board, installed at proper height?
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Guardrails are smooth and there is no potential of snags, cuts, or punctures?
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Horizontal lifeline is inspected by a competent person and designed by a qualified person?
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All employees are using 100% fall protection above 6'?
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Proper anchor points are being utilized? Overhead? Rated for 5000#?
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Fall protection equipment is being inspected daily by the end user?
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Other?
Motor vehicles, Mechanized equipment - Subpart O - 1926.600
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Daily Inspection is complete and on the equipment?
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Operator's all have their certification cards on them (fork, aerial/scissor lifts)?
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All equipment - Level/stable work pad, proper distance from excavations/trenches?
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Is there a working fire extinguisher on all pieces of equipment, as required?
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Equipment back-up alarms functional and audible?
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All equipment is equipped with an audible warning device (Horn)?
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Work zone protection - Traffic Control Plan (Proper Reflective Vest/Materials/Signs/Cones & Barricades)?
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Equipment turned off and parking brake set while unattended.
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All raise able implements lowered to the ground prior to operator leaving it unattended.
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Equipment is equipped with seat belt(s) and operator is using?
Stairways - Ladders - Subpart X - 1926.1050
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Ladders extend 3' above landing?
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Ladders secured from movement?
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Ropes or other means provided for material/tool retrieval?
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Ladders are being inspected prior to each use?
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Ladders properly set up?
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All required labels/tags are on the ladders?
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Other?
Miscellaneous Items
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Positive Items noted?
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Training or other recommendations for this client?
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Site Contact: Name and Signature