Orion Marine Group

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SAFETY PAPERWORK

• Daily pre-task safety review JSA forms completely and accurately filled out for current activities

  Yes

  No

  N/A

• Weekly toolbox safety meetings performed and up to date

  Yes

  No

  N/A

• Foreman/Superintendent has all necessary forms for documentation

  Yes

  No

  N/A

• APP (Accident Prevention Plan)

  Yes

  No

  N/A

QUALIFIED AND OR CERTIFIED PERSONNEL

• First Aid/CPR trained onsite

  Yes

  No

  N/A

• 50% ratio of OSHA trained field personnel

  Yes

  No

  N/A

• "NCCCO" Certified Operators used

  Yes

  No

  N/A

• Personnel operating Forklift/aerial lift trained and qualified

  Yes

  No

  N/A

• Permit required confined space maintained by a trained qualified person? <br>

  Yes

  No

  N/A

• Signalman and Rigger trained and qualified

  Yes

  No

  N/A

• Hazwoper trained personnel available for spill response

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas are clean and free of excess trash, debris<br>

  Yes

  No

  N/A

• Walkways and passageways are clear<br>

  Safe

  At Risk

  N/A

• Scrap material is free of protruding nails or other puncture hazards<br>

  Yes

  No

  N/A

• First Aid kits inspected and complete

  Yes

  No

  N/A

• Proper number of toilets are onsite, clean and sanitary

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats worn and maintained as required<br>

  Yes

  No

  N/A

• Eye protection worn as required

  Yes

  No

  N/A

• Face shield or goggles worn as required

  Yes

  No

  N/A

• Proper foot protection worn as required

  Yes

  No

  N/A

• Hearing protection worn when required

  Yes

  No

  N/A

• Hand protection worn as required

  Yes

  No

  N/A

• Respirators worn when required and fit test performed within one year

  Yes

  No

  N/A

• Personal Flotation Device worn when required

  Yes

  No

  N/A

• Throw ring (with 90' of rope) in work area if near or above water

  Yes

  No

  N/A

FALL PROTECTION

• Body harness worn and fit properly

  Yes

  No

  N/A

• Lanyards are adequately secured to suitable anchorage point

  Safe

  At Risk

  N/A

• Static lines installed and capable of supporting 5,000 lbs. per person

  Yes

  No

  N/A

• Fall protection equipment is used only for fall protection

  Yes

  No

  N/A

• Fall protection is maintained properly

  Safe

  At Risk

  N/A

EXCAVATIONS

• Utility locate marks are present prior to start of excavation and current

  Yes

  No

  N/A

• Sloped and or shored properly based on soil classification

  Safe

  At Risk

  N/A

• Access and egress is provided every 25' of lateral travel

  Yes

  No

  N/A

• Perimeter guarded, access is restricted and warning devices placed

  Yes

  No

  N/A

• Is the excavation a confined space<br>

  Yes

  No

  N/A

• Is this a permit required confined space<br>

  Yes

  No

  N/A

CRANES, HOISTING AND LIFTING EQUIPMENT

• Daily, Monthly/Quarterly inspections performed and forms complete/accurate and reviewed by supervisors

  Yes

  No

  N/A

• Swing radius protected

  Yes

  No

  N/A

• Travel alarms working properly

  Yes

  No

  N/A

• Fire extinguisher in operators area,10 lb. minimum

  Yes

  No

  N/A

• All rigging (wire rope, chain, nylons, synthetic, fiber slings, etc.) inspected by qualified person and adequate for use

  Yes

  No

  N/A

• Tag lines used during hoisting operations

  Yes

  No

  N/A

• Proper rigging techniques used

  Yes

  No

  N/A

• Lift Study and or Critical Lift Plans in use

  Yes

  No

  N/A

ENVIRONMENTAL

• Spill kit is complete and material is available for immediate spill response

  Yes

  No

  N/A

• A spill prevention and waste disposal program is in place (SOPEP)

  Yes

  No

  N/A

• Waste accumulation storage areas are inspected frequently

  Yes

  No

  N/A

• Waste material is disposed of properly

  Yes

  No

  N/A

• All drums and containers are labeled properly

  Yes

  No

  N/A

VESSELS/VEHICLES/MOBILE EQUIPMENT

• Lights, brakes, horns, and back-up alarms working properly

  Yes

  No

  N/A

• Seat belts are provided and used

  Yes

  No

  N/A

• BOATS- equipped with necessary items (oars, battery box, fire extinguisher, etc.)

  Yes

  No

  N/A

ELECTRICAL EQUIPMENT AND POWER TOOLS

• Electrical cords are used properly and in good condition

  Yes

  No

  N/A

• Electrical cords are elevated/protected to prevent damage

  Yes

  No

  N/A

• GFCI's are used on all temporary outlets, GFCI's are tested and working

  Yes

  No

  N/A

• Guards are on all grinders and saws

  Yes

  No

  N/A

• Tools are maintained in good working condition

  Yes

  No

  N/A

• Tools are used and stored properly

  Yes

  No

  N/A

• Pneumatic/Hydraulic hose connections are properly secured

  Yes

  No

  N/A

• "Out of Service" tags are used on damaged equipment

  Yes

  No

  N/A

POSTERS AND SIGNS

• Applicable product posted (excavations, confined space, hot work)

  Yes

  No

  N/A

• Jobsite is secured and no trespassing signs are in place

  Yes

  No

  N/A

• All applicable jobsite posters are located for employees to review

  Yes

  No

  N/A

• MSDS's are available and current for all material on site

  Yes

  No

  N/A

WORK PLATFORMS AND LADDERS

• Proper access and egress provided (ladders, gates, ramps, gangways)

  Yes

  No

  N/A

• Scaffolds are inspected and tagged

  Yes

  No

  N/A

• Proper ladder used for the job performed and properly secured

  Yes

  No

  N/A

• Ladders have the proper angle of 1 to 4, and exceed the landing by 36"

  Yes

  No

  N/A

• No step up or down greater than 19"

  Yes

  No

  N/A

TRAFFIC MAINTENANCE

• Traffic control supervisor is assigned and on site

  Yes

  No

  N/A

• Class 2 traffic vests are worn within the right-of-way

  Yes

  No

  N/A

• Traffic control devices are clean and free of damage

  Yes

  No

  N/A

• Flaggers are certified

  Yes

  No

  N/A

WELDING AND HOT WORK

• Oxygen/acetylene bottles are stored, secured, and separated 20' apart and away from combustible materials

  Yes

  No

  N/A

• Torch carts have built in firewall

  Yes

  No

  N/A

• Regulators are in good condition and set properly

  Yes

  No

  N/A

• Flashback arrestors installed at gauges and or torch head

  Yes

  No

  N/A

• Welding and burning areas clear of combustible material

  Yes

  No

  N/A

• Welding hoses, regulators and torches are protected and in good condition

  Yes

  No

  N/A

• Fire extinguishers are within 25' of hot work activities

  Yes

  No

  N/A

• Welding leads, and ground are good condition without defects and properly secured

  Yes

  No

  N/A

FIRE PROTECTION

• Fire extinguishers are inspected, documented monthly, located and accessible every 75'

  Yes

  No

  N/A

• All flammables (paint, gas, ect.) are properly stored in a flammable proof cabinet

  Yes

  No

  N/A

• Safety cans used for fuel are in good condition, free from dents, with flash screens in place

  Yes

  No

  N/A

• Superintendent/Foreman

  Sign

• HS&E Representative/Auditor

  Sign