Information
-
Audit Title (Company/Contractor/Work Area)
-
Specific Site Location
-
Contractors Viewed
-
Conducted on
-
Team Members Present
1. Working at Heights
-
Team members in the area working are working from elevated surfaces?
-
1.1. Team members in the area are safely working at heights.
-
1.2. Employees are properly protected from fall risks of 6 feet or more.
-
1.3. Sharp edges are protected in case they contact fall protection devices.
-
1.4. Guard rails are installed properly.
-
1.5. Warning lines/barricades are complete and installed properly.
-
1.6. Personal fall arrest equipment is appropriate for exposure and is being used properly.
-
1.7. Fall exposure and mitigation is appropriately addressed on JSA.
-
1.8. Fall protection/ arrest components are stored/stowed properly.
2. Equipment
-
Team members are using tools, or other equipment to complete the job (grinders, LOTO, aerial work platforms)
-
2.1. Tools, equipment, and accessories are safe to use (guards, grinding discs, cutting blades, etc.).
-
2.2. Operators are trained in safe operation, clean-up and maintenance.
-
2.3. LOTO procedures are followed for cleaning, servicing and maintenance of tools/equipment and is conducted per policy and is verified.
-
2.4. Aerial work platform/scissor lift is being used properly / per manufacturer requirements.
-
2.4.1. Fall protection is in place (lanyards, gates, etc.).
-
2.4.2. Aerial work platform was inspected before use and was documented.
3. Scaffolds
-
Are scaffolds being used?
-
3.1. Scaffolds viewed in the area appear to be safe and in good condition.
-
3.2. Competent persons are erecting, altering, and inspecting scaffold (inspection documented).
-
3.3. Scaffolds viewed appear to be be properly erected and as complete as possible.
-
3.4. Safe Work Load (SWL) was provided and not exceeded.
-
3.5. Scaffold viewed is erected properly to include proper bracing and tie-back.
-
3.6.. Scaffold viewed has suitable access, to include swing gate and retractable when exposure exceeds 24".
4. Lifting/Rigging Equipment
-
Lifting/ rigging is being performed.
-
4.1. Lifting/Rigging equipment in the area appears to be in good condition and safe to use.
-
4.2. Crane and devices are safe to use.
-
4.3. Loads are lifted to safely clear power lines, people, hazardous materials storage, etc.
-
4.4. Maintenance, testing and inspection completed as required prior to use.
-
4.5. Lift plan was completed prior to lift.
-
4.6. Lifting equipment, including ropes, slings, chains, hooks etc. are in good condition.
-
4.7. Lifting equipment has proper manufacturer labeling.
-
4.8. Rigging is used per manufacturer requirements.
-
4.9. Operator/Rigger is properly trained/certified.
-
4.10. Safe rigging practices are being followed.
6. Ladders
-
Ladders are being used to complete task.
-
6.1. Ladder viewed are safe to use (inspected before use, proper labeling, not damaged, etc.).
-
6.2. Ladders viewed are correctly positioned, secured, etc.
-
6.3. Ladders viewed are suitable for the task (eg. metal ladder not used for electrical work, scissor lift better for the job, etc).
-
6.4. Ladders viewed are proper tool for job.
7. Hazardous Manual Tasks
-
Manual lifting hazards are present.
-
7.1. Manual lifting hazards have been addressed.
-
7.2. Stretching was completed before shift.
-
7.3. Manual lifting risks are properly controlled (examples: job rotations, lighter loads, trolleys, lifting equipment, etc).
-
7.4. Team members are trained to safely lift items.
-
7.5. Material handling is evaluated on JSA.
8. Hazardous Chemical (including fuel and oil)
-
Hazardous chemicals are being used and/or are stored in the immediate area.
-
8.1. Hazardous chemical risks are being controlled in the area.
-
8.2. Hazardous materials are properly stored (flammables distance to ignition source, storm water controls, location to compatible materials, labeled, out of traffic, etc).
-
8.3. Spill containment procedures and equipment are adequate for exposure present.
-
8.4. Safety Data Sheets are accessible and on site.
-
8.5. PPE is adequate for the exposure present.
9. Confined space entry
-
Confined space risks are viewed in the immediate area.
-
9.1. Confined space related work is being performed.
-
9.2. Procedures are being followed (permit).
-
9.3. Emergency rescue is available.
-
9.4. Atmospheric testing is conducted and documented.
11. Personal Protective Equipment (PPE)
-
11.1. Required PPE is available, properly used, in use, and in good condition (safety glasses, sun protection, face shield, etc.).
-
11.2. PPE is made available.
-
11.3. PPE is in good condition.
-
11.4. Team members have been trained in safe use, clean-up, and inspection of PPE.
12. Work Environment
-
12.1. Amenities are adequate (toilets, wash areas, lunch rooms, lighting, site security, overhead protection, etc).
-
12.2. Lighting is sufficient.
-
12.3. Housekeeping is adequate.
-
12.4. Noises and vibration are controlled.
-
12.5. Site security and signage is in place and clearly visible.
-
12.6. Suitable overhead protection is in place.
13. Electrical Hazards
-
Electrical hazards are present in the immediate area.
-
13.1. Electrical related hazards in the immediate area are controlled.
-
13.2. Electrical leads are in safe/good condition (damaged, out of test date or untested).
-
13.3. Assured grounding requirements followed and up to date.
-
13.4. Underground utilities were located and uncovered by hand prior to excavating.
-
13.5. Minimum distances have been designated from overhead electrical lines delineated and maintained.
-
13.6. Temporary electrical panels are safe (no voids, labeled, and GFCI protected).
-
13.7. Leads and cords are properly suspended.
-
13.8. Electrical equipment is protected from wet conditions/ GFCI in place.
-
13.9. Electrical leads grounded directly to work?
14. Administrative Procedures
-
14.1. JSA is completed and fully addresses exposures.
-
14.2. Permits are approved and up to date (Council, EPA, Hot Works, Confined Space etc).
-
14.3. Suitable orientation for workers, contractors, visitors?
-
14.4. Supervisory arrangements are adequate.
-
14.5. Weekly safety meetings and OSHA required training is conducted.
15. Items Not Addressed Above
-
15.1. Other items not addressed above...
Risk Improvement Notes
-
Risk Improvement Action Items
Risk Improvement Action
-
General Notes
-
General Notes
-
General Notes
-
General Notes
