Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Employee Welfare

  • 1.1 Portable water readily available for all employees

  • 1.2 Adequate toilets, washing facilities and maintenance

  • 1.3 First aid supplies available, accessible and stocked

2. Procedures

  • 2.1 Corrective actions taken and documented within 72 hours of safety concern notification for previous audit?

  • 2.2 Are there any Safety violations notification forms written and issued during audit?

  • 2.3 Startup kit information posted

  • 2.4 No smoking signs posted and enforced

  • 2.5 Safety and SDS manuals maintained and available

  • 2.6 Emergency procedures developed and rehearsed

  • 2.7 Site safety orientation conducted for all employees, orientation stickers on hard hats

  • 2.8 Weekly toolbox trainings conducted for AMH and subs

  • 2.9 Weekly safety inspections are documented and turned in to AMH

  • 2.10 JHA's discussed and documented daily

  • 2.11 Do any JHAs need updated?

3. Access

  • 3.1 Adequate no trespassing & construction signs, public access is restricted

  • 3.2 Temporary lighting in all areas is maintained and adequate

  • 3.3 Emergency exits identified and labeled

  • 3.4 Public is protected from open excavations and other hazards

  • 3.5 ABC fire extinguishers available within 100'; 3000 square feet; refuel ops >25',<75'

  • 3.6 Walking/Working surfaces are free of trip/slip/fall hazards. (Including Ice, snow, and water)

  • 3.7 Is Housekeeping an Issue?

  • Where are the areas that need housekeeping?

  • Pictures

  • 3.8 All impalement hazards are protected

4. Fuel Storage

  • Are Fuels/Chemicals (Diesel, Gasoline, Propane, Oxy/Acet, other bulk chemicals stored onsite?

  • 4.2 Flammables/chemicals stored in approved, secured areas with spill containment in place

  • 4.3 Bonding used during flammable liquid transfer

  • 4.4 Bulk fuel containers stored 20' from building

  • 4.5 Oxy/fuel cylinders stored upright and secured with valve caps in place

  • 4.6 Oxy/fuel cylinders are separated when not in use or installed with a fire wall

  • 4.7 Fire extinguishers no less than 25' where flammable liquids of 5 gallons or more are stored

5. Elevated Work

  • Is there any work above ground level on the project?

  • 5.4 Fall protection enforced at 6'

  • 5.4.1 Are all horizontal lifelines pre-engineered systems or supported with documentation from a PE?

  • 5.5 Guard rail system in place (+- 42" with 200# capacity) for top rail and mid rail (150# capacity) and toeboard in place<br>

  • 5.6 Holes and openings protected and/or covered and labeled "hole" or "cover"

  • 5.9 Extension ladders 36" above landing or have grab rail, tied off, 4:1 ratio

  • 5.7 Non-conductive ladders are used

  • 5.8 Step ladders are used in full and open position

  • 5.9 Are ladders in good condition

  • 5.10 Are ladders properly labeled<br>

  • Is there any scaffolding onsite?

  • 5.11 Scaffolding set up properly (crossbraces, mudsills, horizontal bracing, planks, etc)

  • 5.12 Competent person on site for scaffolding erection, dismantling and inspection

  • 5.13 Scaffolding inspected prior to every shift

  • 5.14 Is there proper scaffold access?

6. Tools and Electrical

  • 6.1 Guarding intact on all tools and equipment

  • 6.2 Extension cords are 3 wire type, in good condition, no electrical tape repairs

  • 6.3 Extension cords are hard or extra-hard rated

  • 6.4 GFCI in place for all temporary wire not plugged into permanent receptacle outlets

  • 6.5 Live electrical of 50 volts or more guarded against incidental contact

7. PPE

  • 7.1 100% hard hats

  • 7.2 100% safety glasses

  • 7.3 Task-specific PPE is properly utilized (Guards, Face shields, Gloves,etc.)

8. Excavations

  • Are there any Excavations/Trenching onsite?

  • 8.1 Competent person(s) identified: excavating, scaffolding, confined space, lockout/tag out

  • 8.2 Is soil properly classified?

  • 8.3 Excavations are properly sloped, benched or shielding is in place

  • 8.4 Is there proper access for excavation?

  • 8.5 OUPS contacted or to excavations

  • 8.6 Is there proper protection from the general public and or other trades?

9. Cranes

  • Is there a crane in use onsite?

  • 9.1 Cranes have documented, daily inspections and annual certifications

  • 9.2 Crane swing radius is barricaded

  • 9.3 Qualified signal and rigging person identified

  • 9.4 Certified crane operator

  • 9.5 Documented inspections performed on all rigging

  • 9.6 Tag lines used on all picks

10. Aerial Lifts

  • Any aerial lifts on site?

  • 10.1 Aerial lifts inspected prior to each use (scissor lifts contain annual and frequent inspections)

  • 10.2 Aerial lifts operated by qualified operators

  • 10.3 Hoist and elevator capacity clearly posted

  • 10.4 Operator(s) are properly tied off with retractable lanyards

11. Hot Work

  • Any Hot work onsite?

  • 11.1 Hot work permits completed prior to all hot work

  • 11.2 Welding curtains installed for welding and cutting

  • 11.3 Fire extinguishers in place

  • 11.4 All hot work is contained from endangering others

12. Confined Space

  • Any confined space work onsite?

  • 12.1 Confined space work has testing and an attendant with established rescue procedures

  • 12.2 The workers properly trained

13. Other

  • 13. Other Issues

  • Add media

Signature

  • Signature

Ratings Section - FOR AMH SAFETY TEAM ONLY

  • 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

  • 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.

  • 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

  • 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>

  • 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.

  • 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

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