NRP Departmental Safety Audit

• Conducted on

  Date

• Prepared by

• Project Location:
  Address

• Project Name:

• Supervisor

JOB INFO / SITE LAYOUT

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

• Subcontractors completing JHA’s, Toolbox Talks, & Inspections?

  Yes

  No

  N/A

• SDS available / employees have access?

  Yes

  No

  N/A

• First Aid Kit and AED Present?

  Yes

  No

  N/A

• Emergency phone numbers posted?

  Yes

  No

  N/A

• OSHA / DOL postings located in a central area?

  Yes

  No

  N/A

• OSHA inspection guide form accessible?

  Yes

  No

  N/A

• Exit signs present throughout all structures?

  Yes

  No

  N/A

• Handrails throughout?

  Yes

  No

  N/A

HOUSEKEEPING

• Are slip, trip, or fall hazards present?

  Yes

  No

  N/A

• Passageways and walkways clear?

  Yes

  No

  N/A

• Housekeeping adequate?

  Yes

  No

  N/A

• Trash collected in appropriate containers?

  Yes

  No

  N/A

• Sanitary facilities available and clean?

  Yes

  No

  N/A

• Protruding nails and screws are bent back or removed?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Head protection (e.g. hard hat)?

  Yes

  No

  N/A

• Eye protection (e.g. safety glasses)?

  Yes

  No

  N/A

• Task appropriate clothing (e.g. no tennis shoes)?

  Yes

  No

  N/A

• Hearing protection (e.g. ear plugs)?

  Yes

  No

  N/A

• Reflective vest / High visibility clothing?

  Yes

  No

  N/A

• Respiratory Protection?

  Yes

  No

  N/A

FALL PROTECTION

• Fall protection present at 6’ or >?

  Yes

  No

  N/A

• Guardrail systems are compliant (42” / 21” +/- 3”)

  Yes

  No

  N/A

• Appropriate lanyard selected (length – fall distance)?

  Yes

  No

  N/A

• PFAS inspected and used properly?

  Yes

  No

  N/A

• Adequate anchorage point used?

  Yes

  No

  N/A

• Holes > 2” are covered, labeled, and secured?

  Yes

  No

  N/A

• Workers below protected from falling hazards?

  Yes

  No

  N/A

• Protection present for change in elevation?

  Yes

  No

  N/A

CONCRETE CONSTRUCTION / SILICA?

• Rebar and impalement hazards capped or protected?

  Yes

  No

  N/A

• Wash station with pH neutral soap present?

  Yes

  No

  N/A

• Dust controlled with wet methods or ventilation?

  Yes

  No

  N/A

• Silica exposure prevention procedures in place?

  Yes

  No

  N/A

MATERIAL HANDLING

• Correct body use and positioning when lifting / pushing / pulling / bending

  Yes

  No

  N/A

• Unguarded pinch/scrape points / sharp objects / moving equipment (line of fire)?

  Yes

  No

  N/A

• Materials properly stored and stacked?

  Yes

  No

  N/A

• Taglines used when appropriate?

  Yes

  No

  N/A

LADDERS

• Ladders free from defects?

  Yes

  No

  N/A

• Manufacturer’s labels present and legible?

  Yes

  No

  N/A

• Ladder being used properly?

  Yes

  No

  N/A

• Ladders secured / correct angle?

  Yes

  No

  N/A

• Does ladder extend 3’ or more above landing?

  Yes

  No

  N/A

• Access ladders have proper fall protection at landing above?

  Yes

  No

  N/A

HAND AND POWER TOOLS

• Hand tools inspected regularly?

  Yes

  No

  N/A

• All guards in place?

  Yes

  No

  N/A

• Correct tool being used for the job?

  Yes

  No

  N/A

• Compressor lines and fitting in good condition / inspected?

  Yes

  No

  N/A

• Training for powder actuated tool operators?

  Yes

  No

  N/A

FIRE PREVENTION

• Adequate number of fire extinguishers present & inspected?

  Yes

  No

  N/A

• No Smoking signs posted and enforced where applicable?

  Yes

  No

  N/A

• Generators and Compressors have fire extinguisher nearby?

  Yes

  No

  N/A

• Extinguisher at least 25’ from fuel station, not more than 75’?

  Yes

  No

  N/A

• Cylinders chained upright and secured outside of structure?

  Yes

  No

  N/A

• Flammables stored away from structures?

  Yes

  No

  N/A

• Clear access for emergency vehicles and hydrants?

  Yes

  No

  N/A

• No cooking equipment (microwaves / hot plates) within structures?

  Yes

  No

  N/A

EXCAVATION

• Competent person onsite?

  Yes

  No

  N/A

• Shoring, sloping, or trench boxes used for excavations greater than 5 feet?

  Yes

  No

  N/A

• Ladders provided every 25’

  Yes

  No

  N/A

• Daily excavation inspection form being completed?

  Yes

  No

  N/A

• OUPS or 811 notifications made?

  Yes

  No

  N/A

• Competent Person on site?

• Excavations >20’ are engineered?

  Yes

  No

  N/A

• Stockpile at least 2’ from excavation?

  Yes

  No

  N/A

• Equipment located at a safe distance from open excavations?

  Yes

  No

  N/A

• Dewatering if necessary?

  Yes

  No

  N/A

• Open excavations barricaded?

  Yes

  No

  N/A

CONFINED SPACE

• Permit filled out correctly and posted?

  Yes

  No

  N/A

• Rescue plan discussed / understood?

  Yes

  No

  N/A

• Attendant in place and focused on the task?

  Yes

  No

  N/A

• Continuous air monitoring performed?

  Yes

  No

  N/A

• Rescue equipment available / in good working condition (tripod/winch/SCBAs/stretcher)?

  Yes

  No

  N/A

• Confined space training current for personnel?

  Yes

  No

  N/A

• Lockout / Tagout procedures in place?

  Yes

  No

  N/A

SCAFFOLDING

• All scaffolds inspected daily?

  Yes

  No

  N/A

• Erected on firm / level footing?

  Yes

  No

  N/A

• Sills, plates, and jacks properly installed?

  Yes

  No

  N/A

• Secured to structure / guyed back at 4:1 height base ratio?

  Yes

  No

  N/A

• Compatible components used?

  Yes

  No

  N/A

• Fall protection, guardrails, and / or safety screens are in place?

  Yes

  No

  N/A

• Fully planked with adequate OSHA approved planks?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Wheels locked on mobile scaffolds?

  Yes

  No

  N/A

ELECTRICAL

• Extension cords with bare wires or missing ground plugs taken out of service?

  Yes

  No

  N/A

• Cords are elevated and protected from traffic?

  Yes

  No

  N/A

• Temporary lighting where needed & compliant?

  Yes

  No

  N/A

• GFCI for all power cords / electrical equipment?

  Yes

  No

  N/A

• Electrical boxes covered, closed, locked, and labeled?

  Yes

  No

  N/A

HEAVY / ROLLING EQUIPMENT

• All operators have current certification (Forklift, Lull, Aerial Work Platforms AWP’s)

  Yes

  No

  N/A

• Is spotter being used when appropriate?

  Yes

  No

  N/A

• Operators wearing seatbelts?

  Yes

  No

  N/A

• AWP users utilizing PFAS?

  Yes

  No

  N/A

• AWP gate or chain secured?

  Yes

  No

  N/A

• AWP operating surface free from holes and sudden changes in elevation?

  Yes

  No

  N/A

• Equipment is inspected prior to use?

  Yes

  No

  N/A

• Heavy equipment equipped with back up alarms?

  Yes

  No

  N/A

• Horns functioning properly?

  Yes

  No

  N/A

HOT WORK / WELDING & BURNING?

• Hot work permit filled out and posted?

  Yes

  No

  N/A

• Fire watch present and knows responsibilities?

  Yes

  No

  N/A

• Fire extinguisher present?

  Yes

  No

  N/A

• Cylinders 20’ apart of separated by burn barrier?

  Yes

  No

  N/A

• Hoses in good condition?

  Yes

  No

  N/A

• Appropriate PPE used (FR clothing, burning shield, gloves, etc.)?

  Yes

  No

  N/A

CRANES

• Annual inspection obtained prior to use?

  Yes

  No

  N/A

• NCCCO operator license obtained prior to use?

  Yes

  No

  N/A

• Outriggers extended and swing radius barricaded in place?

  Yes

  No

  N/A

• Hand signals chart and load charts posted on crane?

  Yes

  No

  N/A

• Daily crane inspection logs up to date?

  Yes

  No

  N/A

• Crane properly supported and level?

  Yes

  No

  N/A

• Safe working distances to power lines or overhead hazards adhered to?

  Yes

  No

  N/A

• Effective means of communication in use?

  Yes

  No

  N/A

• Work area barricaded; workers kept outside of suspended loads?

  Yes

  No

  N/A

RIGGING

• Loads properly rigged by a trained and qualified rigger?

  Yes

  No

  N/A

• Chains, slings, rigging equipment tagged and inspected?

  Yes

  No

  N/A

POSITIVE COMMENTS REGARDING AUDIT

• ITEM #

  Yes

  No

  N/A

SUMMARY OF HAZARDS IDENTIFIED

CORRECTIVE ACTIONS

• DESCRIBE CORRECTIVE ACTION,

• WHAT NEEDS TO BE DONE

• PERSON RESPONSIBLE

• DUE DATE

  Date

• COMPLETE

  Date

NOTIFICATION OF AUDIT FINDINGS

• Supervisor Informed On Site?

  Yes

  No

  N/A

• Crew member’s at-risk conditions immediate corrected on site:

  Yes

  No

  N/A

• Signature of Auditor:

  Sign

• Date:

  Date

NOTES (General Notes and Positive Comments)