Northwest Builders Inc. 013117

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

"People don’t care how much you know until they know how much you care."

• Are we? Are you? Doing everything that we - you can to live up to this quote as it relates to our clients? Our people? Our team members?

  Notes:

SAFETY, QUALITY, PRODUCTION, PROFESSIONALISM (SQPP)

• SQPP = Our Priorities: S = Safety in our work place. Q = Quality in our workmanship. P = Production is always highest when Safety and Quality are 1st & 2nd in our strategy. P = Professionalism =: The skill, good judgment, and behavior that is expected from a person who is trained to do a job well.

  Notes:

Pre-Task Planning & Mentorship

• Stretching program in place and practiced every mourning. Discuss during stretching: Safety tips, day planning, task planning, goals short & long term. Conducted by: Foreman, superintendent, and/or project manager

  Yes

  No

  N/A

• SQPP Excellence Tailgate meeting, pre-task conducted for each task with all workers involved, potential risk and desired outcome discussed

  Yes

  No

  N/A

• Are mentors assigned to new employees?

  Yes

  No

  N/A

Administrative/Site Trailer/Haz Com

• Is the Job Sign & Flag installed and maintained?

  Yes

  No

  N/A

• Is the trailer or office clean and orderly?

  Yes

  No

  N/A

• Emergency telephone numbers In SDS book on site?

  Yes

  No

  N/A

• Is the job site address posted in the job trailer, job box or crew truck in case of emergency?

  Yes

  No

  N/A

• Safety Data Sheets (SDS) on site and available for workers and 1st Responders?

  Yes

  No

  N/A

• First Aid Kit fully stocked and current?

  Yes

  No

  N/A

• Containers properly labeled with required information and pictograms?

  Yes

  No

  N/A

Housekeeping & General

• Is there a clean and professional jobsite appearance?

  Yes

  No

  N/A

• Are the Company vehicles clean and organized in a professional manner?

  Yes

  No

  N/A

• Lay down and storage areas orderly, materials stacked properly, lumber is free of protruding nails? Materials store on sleepers, especially gypsum board and covered when needed?

  Yes

  No

  N/A

• Housekeeping maintained regularly, aisles, stairwells and passageways clear of materials and power cords, are work areas clean and orderly

  Yes

  No

  N/A

• No Smoking in buildings. (Building is defined as "Closed roof is in place")

  Yes

  No

  N/A

• Traffic control and parking system in place? (Employee parking, No parking in work areas etc...)

  Yes

  No

  N/A

• Personal devices such as cell phone, radios other entertainment devices are not used during work time.

  Yes

  No

  N/A

• Have you returned the company tools to the proper area after using?

  Yes

  No

  N/A

• Ergonomic issues addressed, (implement ways to reduce force, duration, repetition, awkward posture, cold and heat stress), job rotation, two person lifts for repetitive heavy or overhead lifts?

  Yes

  No

  N/A

PPE

• Are all subs and visitors in compliance?

  Yes

  No

  N/A

• Hardhat, Safety Glasses, Work Gloves, Proper Boots

  Yes

  No

  N/A

• High visibility vest or shirts are required. Appropriate clothing in use (shirts & durable work pants),

  Yes

  No

  N/A

• Hearing protection where required (if you have to raise your voice at arms length from the person your talking to you need it)

  Yes

  No

  N/A

• Other PPE being used properly when required (Dust masks, protective sleeves and cut resistant gloves during demo)

  Yes

  No

  N/A

Haz-Mat

• Silica dust controlled (engineering controls must be in place: vacuum, ventilation, or water)

  Yes

  No

  N/A

Ladders

• Inspected for damage, all manufacture's stickers in place.

  Yes

  No

  N/A

• Proper Use: Extension Ladders more than 36" past landing, 4:1 ratio, secured and protected from damage

  Yes

  No

  N/A

• Proper Use: Step Ladders used in fully opened position (top two not for you!)

  Yes

  No

  N/A

Fall Protection

• Proper fall protection at 6' or greater (4' for general industry), open sided floors/platforms/floor openings (PFAS, guard rail, catch net/platform, properly installed warning line system)

  Yes

  No

  N/A

• Personnel below are protected from falling objects, limited access zones established, cones and warning lines in place

  Yes

  No

  N/A

• Elevation changes of 19" or more provided with stairs or ladders

  Yes

  No

  N/A

• Stairs equipped with handrails/stair pans filled if used as means for access to other levels

  Yes

  No

  N/A

• Hole covers of adequate strength (2 time intended load) in place secured and marked appropriately (holes are any gap or void >2" wide and >1" deep in any walking working surface)

  Yes

  No

  N/A

Mobile Equipment/Aerial/Scissors Lifts/Material Handling

• Daily Inspection conducted, maintained in good condition. Fluid levels checked and maintained daily, are required service scheduled and performed?

  Yes

  No

  N/A

• All equipment and vehicles parked in a row readily available for fueling and inspections? Professional appearance.

  Yes

  No

  N/A

• Fall protection in place (PFAS for aerial boom lifts, guard rails on scissors lift with chain or bar closed)?

  Yes

  No

  N/A

• Operators trained, proper use, wind and soil conditions?

  Yes

  No

  N/A

• Back-up alarms and parking brakes functional?

  Yes

  No

  N/A

• Seat belts on MSHA sites & rollover protection in place?

  Yes

  No

  N/A

• Loads not flowing over people, proper picking devices used?

  Yes

  No

  N/A

Cranes, Rigging, Signaling

• Daily, Monthly, Annual Inspections, required documentation complete?

  Yes

  No

  N/A

• Qualified Rigger/Signal Person with crane signals posted with crane?

  Yes

  No

  N/A

• Swing radius controlled, anti two block tested and functional.

  Yes

  No

  N/A

• Loads not flowing over people, tag lines in place, proper picking devices used?

  Yes

  No

  N/A

• Rigging inspected, tags in place, damage free, stored properly?

  Yes

  No

  N/A

• Overhead power line plan in place?

  Yes

  No

  N/A

Excavations

• Overhead & Underground utilities located and marked?

  Yes

  No

  N/A

• Competent person inspection of excvations?

  Yes

  No

  N/A

• Adequate cave-in protection must be used at any depth if there is the potential for a cave-in and where any part of an excavation is greater than 5' deep. Cave-in protection must comply with one of the following: sloping [1 1/2 to 1 for Class C (34 degrees), 1 to 1 for Class B (45 degrees), 3/4 to 1 for Class A (53 degrees)?

  Yes

  No

  N/A

• Proper access provided at 4' depth: ladder or other effective means of egress within 25 feet?

  Yes

  No

  N/A

• Spoil piles, equipment and materials a minimum of 2' back from edge of excavation (farther is better)?

  Yes

  No

  N/A

• Barricade or guard rail system if needed/left unattended?

  Yes

  No

  N/A

Concrete/Masonry

• All vertical and horizontal impalement hazards addressed (rebar, conduit, pipe, steel pins)?

  Yes

  No

  N/A

• Limited access zones in place? Control measures, are signs cones and warning lines in place?

  Yes

  No

  N/A

• Wall bracing in place, secured and anchored?

  Yes

  No

  N/A

Lock Out Tag Out & Confined Space

• Competent person evaluated confined spaces, permit required confined spaces?

  Yes

  No

  N/A

• Continuous forced air ventilation with blower from a clean air source into the area where employees are working?

  Yes

  No

  N/A

• Energy sources locked and tagged out?

  Yes

  No

  N/A

Cylinders, Compressed Gas

• Compressed gas cylinders stored properly, cylinders capped, secured upright, oxygen and flammable gasses stored separate?

  Yes

  No

  N/A

• Smaller LP cylinders stored outdoors, Bulk LP tanks protected from vehicular traffic with barricades or barriers (warning lines or rails are acceptable for initial placement)?

  Yes

  No

  N/A

• Cylinders, hoses, gauges free of damage?

  Yes

  No

  N/A

Fire Protection

• Flammable/combustibles stored and handled safely, fire extinguisher available 75' max away from flammable storage?

  Yes

  No

  N/A

• Fire extinguishers properly located and inspected monthly, (1 for every 3,000 sf, 1 on every level adjacent to stairway, within 100 feet of work being performed and on equipment when required)?

  Yes

  No

  N/A

Hot Work/Cutting & Welding

• PPE provided, face shields, eye protection, FR clothing/welding jacket, welding gloves?

  Yes

  No

  N/A

• Dedicated fire extinguisher provided?

  Yes

  No

  N/A

• Engineering controls in place to remove fumes (ventilation, fume eaters, fresh air)?

  Yes

  No

  N/A

• Equipment in good repair, insulators, grounding, welding leads?

  Yes

  No

  N/A

• (When required by customer) Hot work permits in place when there is welding, brazing, cutting, grinding, soldering, sparking and hot slag?

  Yes

  No

  N/A

Hand/Power Tools

• Guards/T-Handles and safety features in place and functional? Tools kept in intended storage container?

  Yes

  No

  N/A

• Proper tools in good condition are used for the job/task?

  Yes

  No

  N/A

• Damaged equipment tagged/removed from service

  Yes

  No

  N/A

Electrical/Lighting

• Assured grounding checks on extension cords and power tools, cords taped, GFCI in place (extension cords at least 12 gauge)?

  Yes

  No

  N/A

• Temporary and or permanent breaker panel labeled?

  Yes

  No

  N/A

• Panel covers in place, junction-outlet-switch box covers in place, no open holes/knockouts?

  Yes

  No

  N/A

• Temporary lighting adequate, suspended from the fixture on basket (not the cords) and has proper bulb protection?

  Yes

  No

  N/A

Scaffolding

• Inspected for defects and used as designed, weight limits not exceeded?<br>Solid ground, base plates and mud sills, plumb/level, with working level fully planked, (secured/tied/guys in place @ 4:1 when required)?<br>Proper access (bracing and ends of masonry scaffold are not acceptable means of access)<br>Fall protection in place on all open sides and edges/gates or offsets at access points (or PFAS used when necessary)

  Yes

  No

  N/A

Quality, Site Overview Photos, General Comments

• Comments/positive insight

  Notes

• Signature:

  Sign

• Signature:

  Sign