Information
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Project Number
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Project Name
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Project Supervisor
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Project Manager
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Client Name
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Conducted on
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Prepared by
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Crew Size
1.0 - ADMINISTRATIVE
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1.0 - Administrative Audit
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1.1 - Hazardous materials survey on site?
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1.1.1 - Has the survey been reviewed with the crew?
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1.1.2 - Is it easily accessible for the crew to review?
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1.1.3 - Are the crew asbestos awareness trained?
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Identify the person who has been contacted to get a copy of the survey onto site. Once received, get confirmation from Supervisor that it has been reviewed and that it is easily accessible to the crew.
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1.2 - Has a Site Specific Safety Plan (SSSP) been prepared?
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1.2.1 - Has it been reviewed with the crew?
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Identify the people who haven't reviewed the SSSP.
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1.3 - Are OSHA 300 Logs posted?
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1.4 - Are OSHA and State posters posted on site?
2.0 - PROJECT COMMUNICATION
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2.0 - Project Communication
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2.1 - Has a Safety Meeting been completed within the last 7 days?
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2.1.1 - Is the Safety Meeting adequate for the work being performed on site?
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2.1.2 - Was a tool box/training topic discussed during the meeting?
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Identify the topic.
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2.1.3 - Has the entire crew attended the Safety Meeting?
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List the people who didn't attend.
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2.2 - Has a Daily Safety Huddle been performed for all tasks on site?
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2.3 - Has New Hire Orientation been completed with all new employees?
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Identify missing employees:
3.0 - HAZARD IDENTIFICATION
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3.0 - Hazard Identification
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Which tasks are missing a pre-task plan?
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3.2 - For the Pre-Tasks which HAVE BEEN completed, do they identify ALL known hazards and controls?
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Name the hazards and/or controls which were missed.
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3.3 - Have the Pre-Tasks been reviewed with ALL applicable employees?
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Name the employees missed (and task).
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3.4 - Are the controls identified in the pre-task plan being followed?
4.0 - FIRST AID AND EMERGENCY RESPONSE
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4.0 - First Aid and Emergency Response
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4.1 - Does the supervisor have a current first aid card?
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4.2 - Are adequate first aid supplies on site?
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4.2.1 - Are the supplies stored in an easily accessible area?
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4.2.2 - Are the supplies being stored in a clean and organized manner?
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4.3 - Has an adequate emergency egress plan been developed?
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4.3.1 - After questioning a representative sample of employees, do you feel they have an understanding of what to do in the event of an emergency?
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4.4 - Is emergency egress route clear and well lit?
5.0 - PERSONAL PROTECTIVE EQUIPMENT (INCLUDING PROPERLY WORN AND MAINTAINED)
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5.0 - Personal Protective Equipment (Including Properly Worn and Maintained)
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5.1 - Hard Hats
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Name the employee(s) not wearing as required.
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5.2 - Class II Vest
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Name the employee(s) not wearing as required.
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5.3 - Hi-Visibility Clothing
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Name the employee(s) not wearing as required.
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5.4 - Adequate Gloves
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Name the employee(s) not wearing as required.
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5.5 - Safety Boots
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Name the employee(s) not wearing as required.
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5.6 - Arm Guards
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Name the employee(s) not wearing as required.
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Are neck protectors being worn?
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5.7 - Hearing Protection
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Name the employee(s) not wearing as required.
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5.8 - Safety Glasses
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Name the employee(s) not wearing as required.
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5.9 - Safety Goggles
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Name the employee(s) not wearing as required.
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5.10 - Face Shield
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Name the employee(s) not wearing as required.
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5.11 - Chainsaw Chaps
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Name the employee(s) not wearing as required.
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5.12 - Knee Pads
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Name the employee(s) not wearing as required.
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5.13 Are respirators being worn on this site?
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Does the employee have a respiratory medical evaluation on file?
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Has the employee been fit tested?
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Are the respirators being stored properly when not in use?
6.0 - HAZARD COMMUNICATION
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6.1 - Are we using hazardous chemicals, as defined by the Hazard Communication Regulations?
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6.1.1 - Are we maintaining a list of chemicals on site?
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6.1.2 - Do our employees have easy access to Safety Data Sheet?
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6.1.3 - Has the requirements of the Safety Data Sheet been reviewed with the crew?
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6.1.4 - Chemical being used safely (PPE, spill prevention, spill response)?
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6.1.5 - Are chemicals being stored safety?
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6.1.6 - Are employees trained in the new Hazard Communication (SDS) requirements?
7.0 - HOUSEKEEPING AND LIGHTING
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7.0 - Housekeeping and Lighting
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7.1 - Are pathways clear throughout the project?
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7.2 - Have impalement hazards been removed?
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7.3 - Are equipment, tools, and materials being stored safely?
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7.4 - Is debris being managed safely?
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7.5 - Is adequate lighting available throughout our work area?
8.0 - FIRE PREVENTION
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8.0 - Fire Prevention
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8.1 - Based on the work area size and hazards present, is adequate fire fighting equipment readily available?
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8.2 - Are fire extinguishers in good condition?
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8.3 - Have fire extinguisher inspection tags been completed?
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8.4 - Is a hot work permit required?
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8.4.1 - Has it been completed and approved?
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8.4.2 - Is it adequate for the hot work task?
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8.4.3 - Is the Hot Work Permit located next to the hot work area?
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8.5 - Are flammable liquids being stored safely, in accordance with applicable regulations, i.e. quantities, cabinets, and containers?
9.0 - FALL PROTECTION
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9.0 - Fall Protection
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9.1 - Are people being protected from falling onto dangerous equipment or debris piles?
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9.2 - Are fall hazards greater than 4 feet present?
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9.2.1 - Have adequate guardrails been installed?
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9.2.2 - Have warning lines been installed?
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9.2.2(a) - Have warning lines been installed 15-feet back from unprotected edge inside the building?
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9.2.2(b) - Have warning lines been installed 6-feet back from unprotected roof edge?
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9.2.2(c) - Is rope, or similar strength material, being used for warning line?
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9.2.2(d) - Are warning lines flagged at least every 6-feet?
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9.2.2(e) - Are warning lines installed in a manner that prevents sagging below 36-inches?
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9.2.3 - Have floor holes or floor openings been adequately protected/isolated?
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9.3 - Is fall restraint or fall arrest equipment being used?
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9.3.1 - Has a fall protection plan been prepared?
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9.3.1(a) - Does it clearly identify the scope of work and fall hazards present?
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9.3.1(b) - Does it clearly identify the type of fall arrest/restraint equipment to be used for the specific hazard?
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9.3.1(c) - Does it clearly identify how and where the anchor point will be set up?
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9.3.1(d) - Does it clearly identify how we will protect other trades/employees who will pass through or under out work area?
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9.3.1(e) - Does it identify an appropriate rescue plan?
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9.3.1(f) - Is the fall protection plan being followed?
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9.3.1(g) - Has the fall protection plan been reviewed with everyone associated with the fall hazard?
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9.3.2 - Is fall protection equipment being worn properly?
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9.3.3 - Has fall protection equipment been inspected?
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9.3.4 - Is the selected anchor point strong enough?
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9.3.5 - Is the anchor point in the correct position?
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9.3.6 - Is lanyard adequate for fall hazard and height?
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9.3.7 - Are crews fall protection trained?
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9.3.8 - Is fall protection equipment being stored safety when not in use?
10.0 - USING MOBILE EQUIPMENT
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10.0 - Using Mobile Equipment
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10.1 - Are operators competent?
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Identify the operator(s) and equipment which need training.
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10.2 - Has equipment been inspected today?
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Identify the operator(s) and equipment not inspected.
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10.3 - Is equipment being operated on suspended slab?
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10.3.1 - Has engineering been performed to confirm equipment use on suspended slab?
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10.3.2 - Are the limitations on the engineers calculations (distance between machines, weight limits etc.) being followed?
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10.4 - Is work area safe for the operation of equipment (housekeeping, delineated, other trades, spotter, flagger)?
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10.5 - Is equipment being operated safely?
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10.6 - Is the equipment operating next to an unprotected edge?
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10.6.1 - Are unprotected edge hazards identified and controlled (cable, signage, wheel stop etc)?
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10.6.2 - Is the method of protecting the equipment sufficient?
11.0 - ELECTRICAL
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11.0 - Electrical
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11.1 - Electrical equipment and cords in good condition?
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11.2 - Proper GFCI being used?
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11.3 - Are cords and equipment being properly protected from damage?
12.0 - HAND TOOLS (POWERED AND NON-POWERED)
Is Rigging being used?
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Is rigging in good condition? Tags legible?
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Is rigging used within it's limitations?
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12.0 - Hand Tools (Powered and Non-Powered)
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12.1 - Is tool in good condition (clean, decals etc)?
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12.2 - Is the tool the correct tool for the task?
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12.3 - Is the tool being used properly?
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12.4 - Is the operator competent?
13.0 - ASBESTOS ABATEMENT
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13.0 - Asbestos Abatement
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Is asbestos abatement being performed on this project?
13.1 - Competency
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13.1.1 - Is the project being supervised by a licensed asbestos abatement supervisor?
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13.1.2 - Are the asbestos workers licensed/certified?
13.2 - Medical Clearance
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13.2.1 - Are asbestos medical clearances current for all abatement personnel on site?
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13.2.2 - Are respiratory medical clearances current for all abatement personnel on site?
13.3 - Respirator Use, Maintenance, and Fit Testing
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13.3.1 - Are asbestos personnel fit tested (within last 12 months) for the type of respirators being worn?
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13.3.2 - Are respirators being cleaned as required?
13.4 - Asbestos Monitoring (Personal, Area, etc)
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13.4.1 - Has comparable pre-abatement sampling been performed for indoor abatement operations? WA only
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13.4.2 - Has representative and sufficient personal exposure monitoring been performed for asbestos operations?
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13.4.3 - Has outside work area monitoring been performed daily (other trades working adjacent to regulated area) or every other day when no other trades are present?
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13.4.4 - Has monitoring been performed at the exhaust of the negative air machine (every other day)?
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13.4.5 - For those regulated areas cleared, was the clearance obtained from same location as pre-abatement, and did it meet applicable clearance limits?
13.5 - Work Controls (All Classes)
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13.5.1 - Have the work areas been regulated using appropriate signage/banner tape?
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13.5.2 - Are vacuums HEPA filtered?
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13.5.3 - Are appropriate wet methods being used?
13.6 - Decontamination
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13.6.1 - Is an appropriate change area set up for abatement activities?
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13.6.2 - Does the abatement work require a shower to be provided?
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13.6.2(a) - Has a working shower (warm water, shampoo, etc.) been set up?
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13.6.2(b) - Is shower water being filtered to at least 5 microns?
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13.6.3 - Are equipment/"dirty" room/area set up properly?
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13.6.4 - Are equipment/"dirty" room/areas being used properly?
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13.6.5 - Are personnel following the required decontamination processes?
13.7 - Class I Asbestos Abatement
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13.7.1 - Is Class I abatement being performed?
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13.7.1(a) - Have critical barriers been installed over ALL openings to the regulated area?
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13.7.1(b) - Have fixed objects inside the regulated area been covered and protected to prevent contamination?
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13.7.1(c) - Have floor surfaces been protected with poly?
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13.7.1(d) - Does the negative pressure enclosure maintain at least 4 air changes per hour?
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13.7.1(e) - Do manometer records show we are maintaining a minimum of -0.02 column inches of pressure differential, relative to outside pressure?
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13.7.1(f) - Is the alarm set to be audible?
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13.7.1(g) - Is air flow within the negative pressure enclosure being directed away from ALL employees within the enclosure, and toward the HEPA filtered negative air machines?
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13.7.1(h) - Do supervisor records show evidence of daily enclosure inspections (prior to the start of each shift)?
13.8 - Class II Asbestos Abatement
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13.8.1 - Is Class II asbestos abatement being performed?
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13.8.1(a) - Is material being removed intact?
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13.8.1(b) - Is material being kept wet, especially at point of contact?
13.9 - Glove Bagging
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13.9.1 - Is glove bag abatement being performed?
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13.9.1(a) - Is the glove bag at least 6-mil thick?
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13.9.1(b) - If the glove bag is being used on elbows and other connections - has it been designed for that purpose?
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13.9.1(c) - Does the glove bag cover the entire circumference of the item being abated?
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13.9.1(d) - Do supervisor records show evidence that the glove bag has been smoke tested prior to use?
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13.9.1(e) - Has loose and friable asbestos materials adjacent to the glove bag operation been wrapped in at least two layers of 6-mil poly?
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13.9.1(f) - Does the glove bag set up allow the work to be performed, while maintaining integrity when water and waste are added?
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13.9.1(g) - Are at least two people perform the glove bag operation?
13.10 - Waste Handling and Disposal
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13.10.1 - Is debris being cleaned up and disposed of in a prompt manner?
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13.10.2 - Is debris being disposed of in leak tight containers?
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13.10.3 - Is debris properly labeled?
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13.10.4 - Have glove bags been collapsed using a HEPA vacuum prior to disposal?
14.0 - DEMOLITION OPERATIONS
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14.0 - Demolition Operations
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14.1 - During demolition: when material is being dropped to the floor, is it being dropped in a manner which allows safe travel through the work area, and/or away from the work area by the person performing the task?
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14.2 - After demolition: have all residual hazards been removed? For example, overhead, laceration, or fall/trip hazards.
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14.3 - Is the work area being adequately protected from unauthorized access?
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14.4 - Have utilities been disconnected?
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14.4.1 - How has this been confirmed?
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14.5 - Are we performing working around live utilities?
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14.5.1 - Describe our process for working around live utilities.
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14.5.2 - Are these controls being followed?
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14.6 - Is concrete sawing and/or core drilling being performed?
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14.6.1 - Has the slab or wall been scanned for utilities?
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Describe why scanning of the slab or wall is not applicable.
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14.7 - Does the work involve the use of a drop zone/chute?
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14.7.1 - Is the drop zone/chute being protected by a red light/green light or similar system?
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14.7.2 - If over 20 feet in height, is the drop zone/chute protected by appropriate barriers?
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14.8 - Does the work involve structural demolition?
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14.8.1 - Has an engineering survey been performed for the work?
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14.8.2 - Based on the engineering survey, has a demolition work plan been prepared for the work?
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14.8.3 - Is the work plan being followed?
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14.9 - Is silica being disturbed on this project?
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14.9.1 - Have we performed (or are we performing) representative exposure monitoring?
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14.9.1(a) - Are the results available on site for employees to review?
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14.9.2 - Are dust control measures adequate?
15.0 - LEAD (AND OTHER HEAVY METALS)
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15.0 - Lead (and Other Heavy Metals)
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Is lead being disturbed?
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15.1 - Has a site-specific lead compliance plan been prepared?
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15.1.1 - Does it adequately identify all the areas of lead we will disturb?
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15.1.2 - Has it been reviewed with the crew?
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15.1.3 - Does it identify adequate exposure prevention controls for the type lead work being performed?
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15.2 - Is the work area regulated using lead banner tape/signage? NOT REQUIRED IF EXPOSURE MONITORING SHOWS WE ARE BELOW THE ACTION LEVEL.
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15.3 - Are appropriate engineering controls being used to prevent exposure, i.e. ventilation, wet methods?
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15.4 - Are proper respirators being worn for type of work being performed?
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15.5 - Are respirator users medically cleared to wear respirators?
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15.6 - Are respirator users fit tested (within the last 12 months) for the respirator they are using?
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15.7 - Are disposable coveralls (and/or other PPE) being worn as required?
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15.8 - Has representative exposure monitoring been performed or has a negative exposure assessment been performed?
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15.9 - Are exposure results posted?
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15.10 - Have decontamination areas been set up?
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15.10.1 - Are they adequate for the work being performed?
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15.10.2 - Are they being used properly?
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15.11 - Has a TCLP been performed for the various waste streams?
16.0 - OUTDOOR HEAT EXPOSURE
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16.0 - Outdoor Heat Expoure
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16.1 - Adequate supply of cool water/Gatorade available?
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16.2 - Adequate supply of cups (including disposal of used cups)?
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16.3 - Heat hazards discussed with crew?
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16.4 - Has the crew been trained in outdoor heat awareness?
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16.5 - Shaded area set up?
17.0 - INDOOR AIR QUALITY
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17.0 - Indoor Air Quality
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17.1 - Is dust being adequately controlled within the building?
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17.2 - Is exhaust emitting equipment being operated inside the building?
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17.2.1 - Are CO monitors on the equipment and/or designated spotter?
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17.2.2 - Have the CO monitors been calibrated within the last 30 days, or within manufacturers recommended timeframe?
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17.2.3 - Interview a representative sample of the employees on site - are they familiar with the steps to be taken in the event the CO alarm goes off?
18.0 - LADDERS
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18.0 - Ladders
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18.1 - Podium ladder used properly?<br>
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18.2 - Extension ladder installed properly?
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18.3 - Extension ladders being used properly?
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18.4 - Ladders in good condition?
19.0 - SCAFFOLDING
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19.0 - Scaffolding
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Are we performing work on scaffolding?
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19.1 - Was scaffolding erected by a competent person?
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19.2 - Has it been erected properly?
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19.3 - Was the scaffold inspected before use?
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19.4 - Is the type of scaffolding used adequate for the type of work being performed?
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19.5 - Is it adequately protected from collapse (secured to building, outriggers)?
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19.6 - Is the area providing access and egress free of debris, materials, and/or equipment?
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19.7 - Is the scaffolding being maintained in a safe and clean condition?
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19.8 - In icy conditions - are slip hazards being removed from the scaffold?
20.0 - CONFINED SPACE
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20.0 - Confined Space
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Are we performing work in confined spaces, as defined by industry standards?
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20.1 - Is the confined space non-permit required?
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20.1.1 - Was the reclassification of the confined space to non-permit properly documented?
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20.1.2 - Was the reclassification performed properly?
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20.2 - Is the confined space a permit-required confined space?
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20.2.1 - Have employees been effectively informed about the existence, location, and hazards associated with the permit-required confined space?
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20.2.2 - Have measure been taken to prevent unauthorized access into the permit-required confined space?
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20.2.3 - Have the employees been properly trained?
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20.2.4 - Has a pre-entry permit been completed?
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20.2.4(a) - Does the permit clearly identify the space?
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20.2.4(b) - Does the permit clearly identify reason for entry?
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20.2.4(c) - Does the permit clearly identify date and authorized duration of the permit?
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20.2.4(d) - Does the permit clearly identify the hazards of the space being entered?
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20.2.4(e) - Does the permit clearly identify acceptable entry conditions?
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20.2.4(f) - Does the permit clearly identify the results of initial and periodic atmospheric tests?
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20.2.4(g) - Does the permit clearly identify measure taken to control the hazards associated with the space?
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20.2.4(h) - Does the permit clearly identify the entry supervisor?
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20.2.4(i) - Has the entry permit been approved and signed by the entry supervisor?
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20.2.4(j) - Does the permit clearly identify any equipment to be provided for safe entry?
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20.2.4(k) - Does the permit clearly identify means of rescue?
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20.2.5 - Are the entry permit requirements being followed?
21.0 - HYGIENE AND SANITATION
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21.0 - Hygiene and Sanitation
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21.1 - Is the break/lunch room being maintained in a clean and hygienic condition?
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21.2 - Are there enough bathrooms for the number of people on site?
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21.3 - Are the onsite bathrooms being maintained in a clean and sanitary condition?
22.0 - EXCAVATION AND TRENCHING
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22.0 - Excavation and Trenching
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Are we performing work in or with trenches or excavations?
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22.1 - Have surface hazards which could affect those inside the excavation been removed or protected?
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22.2 - Have calls been made to scan for utilities?
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22.2.1 - Have utilities been clearly identified (direction and depth)?
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22.2.2 - Will those markings remain visible throughout the excavation process?
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22.2.3 - Do those associated with the excavation understand the markings?
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22.3 - Has a safe means of access and egress been provided?
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22.3.1 - Is it being used as designed?
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22.4 - Are mobile equipment/vehicles in operation around the excavation?
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22.4.1 - Are those associated with the excavation and those around the equipment/vehicles wearing Class II safety vests?
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22.4.2 - is there an approved warning system to control mobile equipment/vehicles operating adjacent to the excavation?
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22.5 - Are employees staying clear of overhead loads during the excavation process?
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22.6 - Is a water accumulation hazard present within or near the excavation?
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22.6.1 - Have approved methods been implemented to prevent water accumulation undermining the stability of the excavation?
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22.6.2 - Is water pumps are being used to remove water, has a designated competent person been assigned to monitor?
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22.7 - Is the excavation adjacent to other structures?
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22.7.1 - Has an appropriate means of supporting the adjacent structure been designed and installed?
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22.7.2 - Who designed the support system chosen?
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22.8 - Can the supervisor provide you documented evidence that the excavation has been inspected prior to entering?
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22.9 - Are safe benching, sloping, bracing, or other approved methods being used to prevent collapse of the excavation?
23.0 - TRAFFIC MANAGEMENT
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23.0 - Traffic Management
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Are we performing work which involves public traffic management?
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23.1 - Are flaggers currently certified?
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23.2 - Are flaggers using the correct traffic stop/slow sign?
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23.3 - Are advance warning signs in place?
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23.4 - Are flaggers wearing the appropriate PPE (hat, pants etc.)
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23.5 - Has a traffic management plan been developed?
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23.6 - Is the traffic management plan being followed?
SIGN-OFF
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Auditor's signature