Murphy Company Weekly Audit - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE (BPM ALL)

• Hardhats worn at all times (SM 9.4)

  Yes

  No

  N/A

• Safety Glasses with side shields (SM 9.5)

  Yes

  No

  N/A

• Face shields when there is the potential for flying debris (SM 9.5)

  Yes

  No

  N/A

• Hearing protection when required (SM 9.12)

  Yes

  No

  N/A

• Full body harness w/ Lanyard where needed (SM 9.10)

  Yes

  No

  N/A

• Notes

Scaffolds and Manlifts (BPM 2, 10 & 11)

• Handrails and toe-boards in place (SM 16.3)

  Yes

  No

  N/A

• Scaffolds have proper access and are tagged, dated and inspected by a competent person (SM 16.2, 16.4, 16.6)

  Yes

  No

  N/A

• Fall Protection used in boomlifts (SM 9.10)

  Yes

  No

  N/A

• Fall Protection requirements for scissor lifts are being met (SM 9.10)

  Yes

  No

  N/A

• Notes

Hot Work ( BPM 5,7,10 &28)

• Fire Protection (extinguisher/ tarpaulins) (SM 12.2)

  Yes

  No

  N/A

• Fire extinguishers inspected and tagged (SM12.3)

  Yes

  No

  N/A

• Welding shields in use

  Yes

  No

  N/A

• Cylinders secured and capped when not in use

  Yes

  No

  N/A

• Leads and hoses in good condition (SM 12.6)

  Yes

  No

  N/A

• Notes

Excavations (BPM 24)

• Excavation Depth

• Competent Person

• Five feet or more in depth - shored, sloped, shielded or benched (SM 7.14)

  Yes

  No

  N/A

• Spoils are a minimum of 2ft from the edge of the excavation (SM 7.9)

  Yes

  No

  N/A

• Excavations are inspected daily for any changes in working conditions (SM 7.10)

  Yes

  No

  N/A

• Entry permits are filled out and posted for excavations greater than 5ft (SM 7.10)<br>

  Yes

  No

  N/A

• Protective systems for excavations over 20ft in depth have been designed by a professional engineer (SM 7.14)

  Yes

  No

  N/A

• Proper access/ egress is provided (SM 7.4)

  Yes

  No

  N/A

• Notes

Walking Working Surfaces (BPM 3 & 31)

• All floor openings and holes greater than 2" covered (SM 9.11.2)

  Yes

  No

  N/A

• Aisle ways are clear of tripping hazards such as: ext. cords, welding leads, and stored material

  Yes

  No

  N/A

• All leading edges with falls greater than 6ft protected (SM 9.11)

  Yes

  No

  N/A

• Weld rod/ all thread stubs are placed in buckets/ trash containers (SM 12.5)

  Yes

  No

  N/A

• Work area properly illuminated (SM 18.5)

  Yes

  No

  N/A

• Roof top work has proper fall protection system (SM 9.11)

  Yes

  No

  N/A

• How often is clean up being done?

• Notes

Material Lifting / Handling (BPM 12, 14, 26, &30)

• Employees are using proper lifting techniques, ect.

  Yes

  No

  N/A

• Slings and chokers in good condition

  Yes

  No

  N/A

• Shackles are used on all multi-leg picks

  Yes

  No

  N/A

• Cranes, chainfall's, come-along's and air tugger's are properly sized and used correctly

  Yes

  No

  N/A

• Porta Powers are properly sized and used in a safe manner

  Yes

  No

  N/A

• Notes

Ladders (BPM 1)

• All ladders free of defects (SM 10.3)

  Yes

  No

  N/A

• Step ladders used only in the open position (SM 10.4)

  Yes

  No

  N/A

• Straight ladders are being used at the right proper angle (SM 10,4)

  Yes

  No

  N/A

• Straight ladders are equipped with safety feet and are secured to avoid displacement (SM 10.4)

  Yes

  No

  N/A

• Access to ladders is free of debris and / or obstruction (SM 10.4)

  Yes

  No

  N/A

• Notes

Power Tools (BPM 3, 4, 6, 8, 9, 23, 27, 34, 35, & 36)

• Power cords in good condition (SM 18.3)

  Yes

  No

  N/A

• Guards in place (SM 11.5)

  Yes

  No

  N/A

• Ground-Fault interruption protection in use (SM 18.4)

  Yes

  No

  N/A

• Notes

• Project Manager Signature

  Sign

• Foreman Signature

  Sign