Title Page

  • Client / Site

  • Location
  • Conducted on

  • Number of employees on site

  • Prepared by

  • Foreman / Onsite representative

  • Project Manager

Forms & Paperwork / Subpart C

  • Is there a copy of the corporate safety manual and SDS on site?

  • Is the site emergency action plan posted LE S-15-1?<br>Subpart C-1926.35(b)

  • Is the daily Foreman's task plan completed LE S-20?

  • Are the employees able to recall the hazards and controls listed on their task plan LE S-20?<br>

  • Has the weekly toolbox talk been completed and documented?

  • Is the lockout log posted LE S-18?

  • Is the job site first aid log posted and updated LE S-2-1?

Housekeeping & General Conditions/ Subpart D

  • All debris is kept clear of work areas passageways and stairs?<br>Subpart C-1926.25 (a)

  • Combustible scrap and debris is removed from the work area?<br>Subpart C-1926(b)

  • First Aid services and/or provisions for medical care are available?<br>Subpart C-1926.23

  • Is drinking water provided?<br>Subpart D-1926.51

  • Are sanitary facilities adequate and clean?<br>Subpart D-1926.51(c)

Personal Protection Equipment

  • All PPE has been inspected before use?

  • Hard hats being worn brim forward except where the task mandates otherwise?<br>Subpart C-1926.100<br>Lake Erie Electric SP120-4.1

  • Safety glasses being worn?<br>Subpart C-1926.102<br>Lake Erie Electric SP120-4.2

  • Is hand protection being worn appropriate for the task?<br>Lake Erie Electric SP120-4.3

  • Hearing protection being used where it is needed?<br>Subpart C-1926.101<br>Lake Erie Electric SP230-4.3

  • Additional PPE is being used when needed (face shield, goggles, etc.)?

  • Electrical / Subpart K / SP130
  • Live electrical equipment is guarded against accidental contact?<br>Subpart K-1926.403(i)2)(1)

  • All junction boxes and fittings have covers? <br>Subpart K-1926.405(b)(2)

  • Electrical panels are locked to prevent unauthorized access? <br>Subpart K-1926.403(j)(2)

  • Conductors are spliced correctly? <br>Subpart K-1926.403(e)

  • GFCI's are located at the source of power for tools and equipment? <br>Subpart K-1926.404(b)(1)(i) & (ii)<br>Lake Erie Electric SP130-4.3

  • GFCI's have been tested?<br>Subpart K-1926.404(b)(1)(iii)(d)(2)<br>Lake Erie Electric SP130-4.2.2

  • Electrical cords are in good condition. <br>Subpart K-1926.404(b)(1)(iii)(c)<br>Lake Erie Electric SP130-4.4.1.1

  • Temporary wiring is protected from physical damage and supported properly? <br>Subpart K-1926.405(a)(2)(ii)(b)

  • Temporary lighting is supported properly? <br>Subpart K-1926.405(a)(2)(ii)(f)

  • Tools / Subpart I / SP220
  • Proper tool being used for the task?<br>Lake Erie Electric SP220-3.2.1

  • All hand and power tools are maintained in a safe condition?<br>Subpart I-1926.300(a)<br>Lake Erie Electric SP220-3.1.1

  • All guards are in place? <br>Subpart I-1926.300(b)<br>Lake Erie Electric SP220-3.1.2

  • Tools that are defective have been tagged and removed from service?<br>Lake Erie SP220-3.2.2<br><br>

  • Lock-out Tag-out Subpart J (1910) / SP110
  • Are all potential sources of energy locked out?<br>Subpart J-1910.147(c)(2)(ii)<br>Lake Erie Electric SP110-4.1

  • Each person working on the task has his/her own lock?<br>Lake Erie Electric SP110-4.2.5

  • Are all lock-out/tag-out devices identified with company name, employee name, and phone number?<br>Subpart J-1910.147(c)(5)(ii)(D)<br>Lake Erie Electric SP110-3.1.5

  • Energized Work SP100
  • Energized Electrical Work Permit LE S-14-1 completed?<br>Lake Erie Electric SP100 4.17

  • The job site supervisor has given consideration to environmental conditions, damp or wet conditions, proper clearances, work space, etc.?<br>Lake Erie Electric SP100-4.5

  • 2 or more qualified persons are assigned to the task on construction sites?<br>Lake Erie Electric SP100-4.2

  • Means to limit unauthorized access are being used?<br>Lake Erie Electric SP100-4.12

  • Work area is properly illuminated?<br>Lake Erie Electric SP100-4.10

  • Proper PPE and insulated tools are being used?<br>Lake Erie Electric SP100-4.7

  • Ladders Subpart X / SP140
  • Ladders have been inspected for visual defects before use?<br>Lake Erie Electric SP140-4.12.1

  • Ladders are free or oil, grease, and other slipping hazards?<br>Subpart X 1926.1053(b)(2)<br>Lake Erie Electric SP140-4.12.18<br>

  • Ladders are positioned correctly?<br>Subpart X 1926.1053(a)(2)<br>Lake Erie Electric SP140-4.12.7

  • Ladders extend 3' minimum beyond the landing surface?<br>Subpart X 1926.1053(b)(1)<br>Lake Erie Electric SP140-4.12.6

  • Fall protection is being used when above 6' where feasible?<br>Lake Erie Electric SP140-4.12.11

  • Aerial Lifts SP240
  • Lift inspection sheet LE S-22 has been completed?<br>Lake Erie Electric SP240-4.1.1.4

  • Is the employee trained in the use of the aerial lift?<br>Lake Erie Electric SP240-4.1.1.1

  • Operators manual on the unit?

  • All guards, gates, doors, and latches are secured?

  • Full body harness(s) and lanyard are being used while occupying the aerial lift?<br>Lake Erie Electric SP240-4.1.1.7

  • Fall Protection / Subpart M / SP140
  • The walking surfaces have adequate strength and structural integrity to support employee's safely. <br>Subpart M-1926.501(a)(2) Lake Erie Electric SP140-4.2.1

  • Anchorage points for personal fall arrest equipment are independent of any anchorage being used to support or suspend platforms, and capable of supporting at least 5000 lbs per employee attached?<br><br>1926.502 (d) (15)

  • Use of self retracting lanyard when exposed to a fall below 17'?<br>Lake Erie Electric SP140-4.8.4

  • Employees are protected from falls while working from surfaces 6' or more above a lower level? <br>Subpart M-1926.501(b)(1) / Lake Erie Electric SP140-4.1.1

  • Fire Protection and Prevention / Subpart F / SP220/ SP270
  • Fire extinguisher is inspected and in good working condition. <br>Subpart F-1926.150(a)(4) / Subpart F-1926.150(c)(1)(viii)<br>Lake Erie Electric SP270-3.3.4 & 3.3.5

  • Fire extinguisher is readily available for use. <br>Subpart F-1926.150(a)(1)<br>Lake Erie Electric SP270-3.3.1

  • Flammable liquids are properly stored either in flammable storage area, or outside at least 20' from a building?<br>Lake Erie Electric SP270-4.4.2

  • Are flammable liquid containers properly labeled?<br><br>1926.152(a)(1)<br>

  • Are storage areas free of debris and other combustible materials?<br><br>1926.152(c)(5)<br>

  • All open flames and ignition sources are removed from dispensing / refueling areas?<br><br>1926.152(g)(8) / LEE 3.3.1<br>

  • Welding and Cutting / Subpart J / SP250
  • Is employee wearing flame retardant outerwear?

  • Cylinders are secured properly? <br>Subpart J-1926.350(a)(9)<br>Lake Erie Electric SP250-3.1.1 & 3.1.9

  • Cylinders are transported correctly? <br>Subpart J-1926.350(a)(3)<br>Lake Erie Electric SP250-3.1.1 & 3.1.3

  • Proper ventilation?<br>Lake Erie Electric SP250-3.11.1

  • Barricades are erected, or covers are in place, to protect other employees from sparks and flying debris?

  • Silica Exposure Subpart Z / SP170
  • Are proper control methods implemented to control exposure?<br>Subpart Z-1926.1153 (table 1)

  • Confined Space / Subpart AA / SP150 / SP160
  • Has the Competent Person been identified?<br>Subpart AA-1926.1202

  • Has the space been tested for atmospheric hazards ?<br>SP 150 (4.3.1)

  • Has the confined space permit LE S-9-2 been completed and covered with all employees working on the task?<br>Subpart AA-1926.1203(D)

  • Permit Required Confined Space SP 150
  • Procedure for summoning emergency services have been identified?<br>Subpart AA-1926.1204(f)(i)

  • Have the hazards been identified and evaluated prior to entry?<br>Subpart AA-1926.1204(B)

  • Are measures in place to prevent unauthorized entry?<br>Subpart AA-1926.1204(a) / SP 150 (4.7)

  • Provide and use properly maintained equipment (testing and monitoring equipment, ventilation equipment, communications equipment, PPE, lighting equipment, barriers, proper means of access and egress, rescue equipment, and any other equipment necessary?<br>Subpart AA-1926.1204(D)

  • Conditions in the space are continuously being monitored ?

  • Attendant(s) are outside the permit space?<br>Subpart AA-1926.1204(f)

  • Excavation / Subpart P / SP180
  • Has the O.U.P.S Locate Work Order form been completed (LE S 24-1)?<br>SP 180

  • Has the location of utilities been marked?<br>SP180 (5.1.1)

  • Has the Competent Person been identified?<br>Subpart P-1926.650(b) / SP 180 (5.3.1)

  • Are employees protected while working in the excavation?

  • Spoils are kept 2' minimum from the edge of the trench?<br>Subpart P-1926.651(j)(2) / SP180 (5.3.11)

  • Proper access and egress at 4' or deeper? <br>Subpart P-1926.651(c) / SP 180 (5.3.7)

  • Proper PPE when working in roadways or right-of-ways? <br>Subpart P-1926.651(d)

  • Employee's are protected from falling loads? <br>Subpart P-1926.651(e)

  • Trench is free of accumulated water, or is being controlled. <br>Subpart P-1926.651(h)(1) & (h)(2)

  • Air is being monitored for hazardous atmospheric conditions when applicable. <br>Subpart P-1926.651(g)

  • Scaffolding / Subpart L / SP140
  • Has the Competent Person been identified?<br>Subpart L-1926.450(b)

  • Scaffold is inspected and tagged for use. <br>Lake Erie Electric SP140-4.10.3

  • Has proper access and egress means. <br>Subpart L-1926.451(e)(1)<br>Lake Erie Electric SP140-4.10.7

  • Scaffolds are free of snow,ice, and other slippery materials. <br>Subpart L-1926.451(f)(8)

  • Person conducting the audit:

  • Company representative/ foreman:

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