ORASCOM USA Safety Manager Scored Audit

• Name of Project or Site

• Location
  Address

• Conducted on

  Date

• Prepared by

• Safety Management - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Project Safety Plan is posted and has been reviewed with team

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Crisis Management Plan is posted and has been reviewed with Team

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Safety PreCons for all sub-contractors have been completed

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Orientations for all new hires/sub-contractors have been completed

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Is a JSA completed for each work activity?

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Quality of JSA

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Project team can provide evidence of TOOLBOX TALKS

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• OSHA 300A is posted (Feb 1 - Apr 30)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Project Team can provide evidence of Employee Training

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Silica Prevention Plan is up to date and has been reviewed with Team

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• SDS is readily available labels are correct on all chemicals containers

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• All Safe Work Permits are used and filled out correctly. (I.E. Confined Space Permit)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• PPE - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Eye Protection (Goggles, Spoggles, Face Shield, Safety Glasses)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Head Protection (Class E Hard Hat & In compliance with manufactures recommendations of life)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Body Protection (Chemical suit, FR rated Clothing, Hi-Vis Clothing, Appropriate Clothing)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Foot Protection (Work Boot, Safety Toe, Metatarsal if task required, rubber or chemical boots, etc...)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Hand Protection (Correct Gloves used which include Cut, Impact, Welding, Cold Temp, etc..)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Respirator(s) including N95 Masks

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Any Additional or Specialized PPE

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• WORKING AT HEIGHT - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Work At Heights Fall protection Hazards are eliminated or have reduced exposure

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• All Fall Hazards have been identified on PRE-TASK form(s) and reviewed with team

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Anchor Point is in compliance and properly being used

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Leading Edge Protection in place

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Swing Radius has been identified and measures are in place

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Fall Protection & Guarding is in compliance when using Scaffold, Scissor Lifts, Boom Lifts or any other means to work from height

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Fall Rescue Plans is in Place and has been reviewed with team

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Ladders & Stairs - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Is the Ladders Last Policy being implemented?

  YES

  NO

  N/A

• Appropriate Access Equipment in use and in good Condition

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Step Ladder(s) are well maintained and in compliance with program

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Extension Ladders are well maintained and in compliance with program

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Work above 8' on a ladder has a ladder permit

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Stairs Use and Conditions

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• All elevations of 19" has the correct proteciton in place

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Electrical - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Pre-Energization Plan has been reviewed with project team

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• GFCI Testing Log validation

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Temporary Panels are in use and in good condition

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Extension Cords are in good condition and do not pose an electical hazard to others

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Temporary Lighting is adequate and in good condition

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Lockout / Tagout / Tryout

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Excavations - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Competent Person is identified and on project site

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Cave-In Protection and spoil piles are in compliance

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Daily Dig Permit is filled out and accurate

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Excel Spreadsheet for any open execavation over 5 feet

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Utilities properly identified

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Scaffold - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Competent Person is identified and on project site

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Scaffold Erection is in good condition (Base, Cross Braces, Planks)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Scaffold has proper Guardrail system in place (toe board, mid rail, top rail)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Access is free and clear of any obstructions

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Scaffold Tag is correct and has appropriate inspections marked.

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• General Conditions (Housekeeping, Nothing Hits The Floor) - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Cut Stations are are adequate for "NOTHING HITS THE FLOOR" policy

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Waste Disposal recepticals are adequate for "NOTHING HITS THE FLOOR" policy

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Elevated Cords/Hoses/Cabels are adequate for "NOTHING HITS THE FLOOR" policy

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Storage of all Material is adequate for "NOTHING HITS THE FLOOR" policy

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Loose Debris removal is adequate for "NOTHING HITS THE FLOOR" policy

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Work Zone and Walk Paths - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Unauthorized access is prevented with the correct barricade

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Walk paths are well maintained and free of obstructions to avoid slips/trips

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Are areas beneath overhead work areas properly barricaded

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Equipment - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Inspections have been completed

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Back-up Alarms or similar protection plan in place for backing up equipment

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Operator Training with Designated Operator Training List posted

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Company Vehicles How's My Driving Sticker, Cargo Net

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Hand & Power Tools - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Hand & Power Tools are in good Condition

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Hand & Power Tools have appropriate guards and handles in the correct place

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Hand / Power Tools when at height are practicing eliminating Falling Objects hazard

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Correct use and selection of Hand / Power Tools for the job tasks

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Fire & Hot Work Protection - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Flash Screens needed and in use

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Welding Blankets and Spark Control

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Combustibles Moved or Protected

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Following Requirements of Hot Work Permit even if hot work is not in use

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Extinguishers available and inspected

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• All Fuels are stored and used correctly

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• No quick connects on oxy, acetylene, or inert gas hoses

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Team/Employees understand Fire Protection Plan, including what to do in the event of a fire?

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Ergonomics & Lifting Techniques - Provide Evidence that Project is in compliance with each item

  Yes

  N/A

• Are employees using good body mechanics

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Are employees complying with 50 lb lifting limitation

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Are employees performing morning and afternoon Stretch and Flex

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Leading Indicator Management

  Yes

  N/A

• Project/Site is completing BBS as required per Weitz Safety Manual

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Site Leaders are reviewing BBS observations and communicating to employees

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Site Leaders are completing Safety Inspections/iAudits

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Safety Inspections/iAudits are of good quality (Comments, Pictures, Identified At Risks)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

• Review of previous Safety Managers Scored Audit (Validate site has previous report and has corrected concerns)

  Full Compliance

  LOW Risk

  MEDIUM Risk

  HIGH Risk

  N/A

Audit Review and Comments

• Comments / Suggestions

• Project Team Leader Signature

  Sign

• Auditor Signature

  Sign