Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

High risk activities?

  • Identified?

  • Mitigation plan established?

  • Plan conveyed to all affected employees?

General Safety and Health Provisions - Subpart C - 1926.20

  • Jobsite address posted in trailer and main entrance to site?

  • Jobsite signage (OSHA, Emergency Numbers, etc...)?

  • Jobsite properly fenced, signed, and secured?

  • OSHA 300 posted (February - April)?

  • Emergency action plan is on site?

  • Adequate dumpsters for trash and recyclables?

  • Housekeeping was in good condition. The jobsite was clean and safe?

  • Exits were clear and unobstructed?

  • Pre-task/Daily Safety Brief and/or Plans are being done regularly?

  • Subcontractors on site conducting weekly tool box talks?

  • Site safety inspections being conducted routinely by client.

  • Other?

Occupational Health and Environmental Controls - Subpart D - 1926.50

  • First aid kits available and stocked?

  • Adequate supply of water and drinking containers?<br>

  • 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>

  • Hazard Communication Plan available on site?

  • Safety Data Sheets readily available on site?

  • Asbestos and lead assessment has been completed?

  • Other?

Personal Protective Equipment - Subpart E - 1926.95

  • Standard PPE - Safety Boots worn by everyone where required? 1926.96

  • Standard PPE - Hardhats worn by everyone where required? 1926.100

  • Standard PPE - Safety Glasses worn by everyone where required? 1926.102

  • Standard PPE - Safety Vests worn by everyone where required?

  • PPE in good working condition? Compliant with appropriate ANSI Standard (Z89/Z87)?

  • Additional PPE is being utilized as necessary (Hearing Protection, gloves, welding hoods, cutting goggles, face shields)?

  • Respirators are being worn correctly, where required? All users have current Fit Test(s)?

  • Respirators are being stored properly?

  • Proper clothing being worn by all employees (shirts w/ sleeves, work books, pants)?

  • Other?

Fire Safety - Subpart F - 1926.150

  • Fire Extinguishers on site (1 for every 3000 SF), 1 per floor in multistory locations?

  • Fire Extinguisher has up to date annual inspection completed?

  • Fire Extinguisher has up to date monthly inspection completed?

  • Metal gas cans with flame arrestor? (Plastic cans are not allowed)

  • Smoking in authorized area's only?

  • Flammable liquids are being stored properly (Less than 25 gallons of flammable liquids stored outside of metal cabinet)?

  • Fire extinguisher located 25'-75' from fuel storage?

  • LPG is stored outside?

  • Other?

Material Handling & Storage - Subpart H - 1926.250

  • All materials are stacked so as to prevent sliding, falling, or collapse?

  • Nails have been removed from all stored lumber?

  • No employees are under suspended loads?

  • Tag lines being used?

  • All rigging equipment is being inspected daily? Tags/labels present and legible?

  • Materials staged a safe distance from leading edge?

  • Other?

Tools (Hand and Power) - Subpart I - 1926.300

  • All tools being inspected prior to use and are in good working condition?

  • Power tools are grounded or double insulated and cord is in good condition?

  • Tools are properly guarded per manufacturer's requirements?

  • Fuel powered tools are shut off prior to refueling?

  • Fuel powered tools used indoors have proper ventilation?

  • Other?

Electrical - Subpart K - 1926.400

  • Assured grounding program in place, or GFCI's used and checked?

  • Permanent power is GFCI protected?

  • Cords, plugs in good condition? Protected from traffic and damage?

  • All live wiring properly guarded or protected from employee exposure?

  • Lock out/tag out being used where required?

  • Other?

Scaffold - Subpart L -1926.450

  • Aerial lifts are working within their limits?

  • Gates are closed or chains are in place on all aerial lifts?

  • Proper PPE being used on aerial/scissor lifts?

  • Employees in aerial lifts have their feel firmly on the ground?

  • Other?

Fall Protection - Subpart M - 1926.500

  • Employee properly trained in fall protection?

  • All floor and/or roof openings protected or covered and marked accordingly?

  • Overhead protection provided where necessary?

  • Employees exposed to falls are properly trained in fall protection and rescue?

  • Perimeter cable installed and flagged every 6'?

  • Perimeter Posts are installed correctly?

  • Perimeter cable has proper connection (Never saddle a dead horse)?

  • Guardrails in place and able to withstand 200# of outward downward force?

  • Guardrails consist of a top rail, mid rail, and a toe board, installed at proper height?

  • Guardrails are smooth and there is no potential of snags, cuts, or punctures?

  • Horizontal lifeline is inspected by a competent person and designed by a qualified person?

  • All employees are using 100% fall protection above 6'?

  • Proper anchor points are being utilized? Overhead? Rated for 5000#?

  • Fall protection equipment is being inspected daily by the end user?

  • Other?

Motor vehicles, Mechanized equipment - Subpart O - 1926.600

  • Daily Inspection is complete and on the equipment?

  • Operator's all have their certification cards on them (fork, aerial/scissor lifts)?

  • All equipment - Level/stable work pad, proper distance from excavations/trenches?

  • Is there a working fire extinguisher on all pieces of equipment, as required?

  • Equipment back-up alarms functional and audible?

  • All equipment is equipped with an audible warning device (Horn)?

  • Work zone protection - Traffic Control Plan (Proper Reflective Vest/Materials/Signs/Cones & Barricades)?

  • Equipment turned off and parking brake set while unattended.

  • All raise able implements lowered to the ground prior to operator leaving it unattended.

  • Equipment is equipped with seat belt(s) and operator is using?

Stairways - Ladders - Subpart X - 1926.1050

  • Ladders extend 3' above landing?

  • Ladders secured from movement?

  • Ropes or other means provided for material/tool retrieval?

  • Ladders are being inspected prior to each use?

  • Ladders properly set up?

  • All required labels/tags are on the ladders?

  • Other?

Miscellaneous Items

  • Positive Items noted?

  • Training or other recommendations for this client?

  • Site Contact: Name and Signature

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