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
1. Employee Welfare
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1.1 Portable water readily available for all employees
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1.2 Adequate toilets, washing facilities and maintenance
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1.3 First aid supplies available, accessible and stocked
2. Procedures
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2.1 Corrective actions taken and documented within 72 hours of safety concern notification for previous audit?
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2.2 Are there any Safety violations notification forms written and issued during audit?
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2.3 Startup kit information posted
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2.4 No smoking signs posted and enforced
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2.5 Safety and SDS manuals maintained and available
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2.6 Emergency procedures developed and rehearsed
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2.7 Site safety orientation conducted for all employees, orientation stickers on hard hats
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2.8 Weekly toolbox trainings conducted for AMH and subs
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2.9 Weekly safety inspections are documented and turned in to AMH
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2.10 JHA's discussed and documented daily
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2.11 Do any JHAs need updated?
3. Access
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3.1 Adequate no trespassing & construction signs, public access is restricted
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3.2 Temporary lighting in all areas is maintained and adequate
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3.3 Emergency exits identified and labeled
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3.4 Public is protected from open excavations and other hazards
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3.5 ABC fire extinguishers available within 100'; 3000 square feet; refuel ops >25',<75'
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3.6 Walking/Working surfaces are free of trip/slip/fall hazards. (Including Ice, snow, and water)
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3.7 Is Housekeeping an Issue?
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Where are the areas that need housekeeping?
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Pictures
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3.8 All impalement hazards are protected
4. Fuel Storage
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Are Fuels/Chemicals (Diesel, Gasoline, Propane, Oxy/Acet, other bulk chemicals stored onsite?
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4.2 Flammables/chemicals stored in approved, secured areas with spill containment in place
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4.3 Bonding used during flammable liquid transfer
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4.4 Bulk fuel containers stored 20' from building
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4.5 Oxy/fuel cylinders stored upright and secured with valve caps in place
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4.6 Oxy/fuel cylinders are separated when not in use or installed with a fire wall
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4.7 Fire extinguishers no less than 25' where flammable liquids of 5 gallons or more are stored
5. Elevated Work
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Is there any work above ground level on the project?
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5.4 Fall protection enforced at 6'
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5.4.1 Are all horizontal lifelines pre-engineered systems or supported with documentation from a PE?
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5.5 Guard rail system in place (+- 42" with 200# capacity) for top rail and mid rail (150# capacity) and toeboard in place<br>
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5.6 Holes and openings protected and/or covered and labeled "hole" or "cover"
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5.9 Extension ladders 36" above landing or have grab rail, tied off, 4:1 ratio
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5.7 Non-conductive ladders are used
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5.8 Step ladders are used in full and open position
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5.9 Are ladders in good condition
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5.10 Are ladders properly labeled<br>
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Is there any scaffolding onsite?
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5.11 Scaffolding set up properly (crossbraces, mudsills, horizontal bracing, planks, etc)
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5.12 Competent person on site for scaffolding erection, dismantling and inspection
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5.13 Scaffolding inspected prior to every shift
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5.14 Is there proper scaffold access?
6. Tools and Electrical
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6.1 Guarding intact on all tools and equipment
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6.2 Extension cords are 3 wire type, in good condition, no electrical tape repairs
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6.3 Extension cords are hard or extra-hard rated
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6.4 GFCI in place for all temporary wire not plugged into permanent receptacle outlets
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6.5 Live electrical of 50 volts or more guarded against incidental contact
7. PPE
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7.1 100% hard hats
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7.2 100% safety glasses
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7.3 Task-specific PPE is properly utilized (Guards, Face shields, Gloves,etc.)
8. Excavations
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Are there any Excavations/Trenching onsite?
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8.1 Competent person(s) identified: excavating, scaffolding, confined space, lockout/tag out
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8.2 Is soil properly classified?
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8.3 Excavations are properly sloped, benched or shielding is in place
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8.4 Is there proper access for excavation?
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8.5 OUPS contacted or to excavations
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8.6 Is there proper protection from the general public and or other trades?
9. Cranes
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Is there a crane in use onsite?
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9.1 Cranes have documented, daily inspections and annual certifications
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9.2 Crane swing radius is barricaded
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9.3 Qualified signal and rigging person identified
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9.4 Certified crane operator
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9.5 Documented inspections performed on all rigging
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9.6 Tag lines used on all picks
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9.7 Are all the outriggers fully extended, cribbed and on sturdy ground?
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9.8 Are there any overhead obstructions near the boom radius?
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9.9 All workers clear of overhead flight path
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9.10 All wire rope, hooks and sheaves in good condition
10. Aerial Lifts
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Any aerial lifts on site?
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10.1 Aerial lifts inspected prior to each use (aerial lifts contain annual and frequent inspections)
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10.2 Aerial lifts operated by qualified operators
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10.3 Hoist and elevator capacity clearly posted
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10.4 Operator(s) are properly tied off with retractable lanyards
11. Hot Work
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Any Hot work onsite?
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11.1 Hot work permits completed prior to all hot work
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11.2 Welding curtains installed for welding and cutting
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11.3 Fire extinguishers in place
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11.4 All hot work is contained from endangering others
12. Confined Space
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Any confined space work onsite?
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12.1 Confined space work has testing and an attendant with established rescue procedures
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12.2 The workers properly trained
13. Other
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13. Other Issues
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Add media
Signature
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Signature
Ratings Section - FOR AMH SAFETY TEAM ONLY
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Emergency procedures developed, rehearsed and up to date <br>3 - when emergency procedures are rehearsed and documented with appropriate steps every 6 months <br>+1 - for additional rehearsal with in a 6 month period <br>-1 - for every month behind a 6 month interval for rehearsals or missing key components of the rehearsal
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Daily Safety inspections are documented with one per week turned in to AMH and Weekly toolbox safety training conducted and submitted weekly for AMH and Subs .<br>3 - for all detailed inspections with photos and toolbox talks submitted on a weekly basis.<br>+1 for additional toolbox talks, safety meetings, pre task meetings, near hit reports and/or additional highly detailed inspections with photos<br>-1 for missing weekly dead lines or poor weekly inspections.
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General Housekeeping<br>3 - for a jobsite free of trip, access, fire and rodent hazards as a result of housekeeping<br>+1 - for a jobsite with an exceptional level of housekeeping detail<br>-1 - for jobsite with hazards created by housekeeping
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Fall Protection enforced at 6 Feet<br>3 - for zero unprotected fall exposures at or above 6 feet<br>+1 for added fall protection that exceeds AMH and OSHA requirements, and/or additional fall protection meetings, trainings or sub pre-planning.<br>-1 for unprotected fall exposures at or above 6 feet and/or fall protection violations.<br>
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100% PPE<br>3 - for entire job site using 100% eye and head protection along with all necessary task specific PPE<br>+1 - for exceeding PPE requirements and/or cumulative weeks of audits without any PPE deficiencies<br>-1 - for PPE deficiencies.
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Corrective actions taken and documented within 72 hours of safety concern notification<br>3 - for all corrective actions from previous audits are complete with in 3 business days.<br>+1 for extra corrections and/or training<br>-1 for late or incomplete corrective action reports
