PAINTERS USA Field Supervisor Audit V 5.0

• Foreman

  Select

• Conducted on

  Date

• Prepared by

  Select

• Site Name

• Location
  Address

• Document Number

Daily JSA

• Was JSA completed prior to the start of work?

  Yes

  No

• How many hazards were identified on the JSA?

• Were more hazards identifiable?

  Yes

  N/A

• Are acceptable controls in place for all identified hazards?

  Yes

  No

• Are all visitors briefed of potential hazards prior to entering jobsite work area?

  Yes

  No

• Have all visitors had the opportunity to review the JSA?

  Yes

  No

Job Site Access & Controls

• Have vehicle traffic controls been established and clearly identified?

  Yes

  No

  N/A

• Have pedestrian controls been established and clearly identified?

  Yes

  No

  N/A

Housekeeping & Sanitation

• Are passageways and walkways clear of work materials and debris?

  Yes

  No

• Is all trash placed in trash recepticles?

  Yes

  No

• Is temporary storage of materials and supplies organized?

  Yes

  No

• Is adequate ventilation provided for storage of materials where necessary?

  Yes

  No

  N/A

• Are restrooms available onsite or within 10 minutes of the jobsite for employee use?

  Yes

  No

• Are handwashing facilities available or are portable handwashing stations available for employees to use when working with chemicals and solvents?

  Yes

  No

First Aid and CPR

• Is a Painters USA provided ANSI first aid kit available on-site?

  Yes

  No

• Is another ANSI stocked first aid kit available on-site?

  Yes

  No

• Is the first aid kit fully stocked with no expired materials?

  Yes

  No

  N/A

• Is there at least 1 crew member trained in First Aid and CPR?

  Yes

  No

• Do all crew members know the location of the nearest hospital?

  Yes

  No

Personal Protective Equipment (PPE)

• Are hard hats, safety glasses, hi-viz clothing, and safety toe boots being worn properly?

  Yes

  No

• Is the crew working with cutting tools?

  Yes

  N/A

• Are crew members using self retractable knives?

  Yes

  No

  Other Tools

• Are Cut Resistant Gloves and Sleeves being used?

  Yes

  No

• Are best practices employed while using cutting tools?

  Yes

  No

• Is the cutting tool being used by the crew member(s) equipped with guards to prevent accidental contact by employee with cutting instrument?

  Yes

  No

• Is the crew using cut resistant gloves and cut resistant sleeves while operating tool?

  Yes

  No

• Are crew members power washing, cutting, grinding, or performing any tasks that have the risk of flying objects and debris?

  Select Power washing Power Tool Cutting Hand Grinding Task creating flying debris or objects No

  • Power washing
  • Power Tool Cutting
  • Hand Grinding
  • Task creating flying debris or objects
  • No

• Are exposed crew members wearing face shields with safety eyewear?

  Yes

  No

• Are exposed crew members wearing face shields with safety eyewear and hearing protective devices?

  Yes

  No

• Are exposed crew members wearing face shields with safety eyewear and hearing protective devices?

  Yes

  No

• Are exposed crew members wearing face shields with safety eyewear?

  Yes

  No

• Is the crew working with chemicals that require respiratory protection according to the SDS or container label?

  Yes

  N/A

• Are crew members wearing respirators with the correct filter cartridge?

  Yes

  No

• Have all employees been fit testing within the previous 12 months?

  Yes

  No

• Are employees clean-shaven per OSHA guidelines?

  Yes

  No

• Are respirators clean and stored properly when not in use?

  Yes

  No

• Are crew members working in elevated conditions (at least 4 feet or in any condition where immediate dangers exist below)?

  Yes

  N/A

• What type of fall protection is being used?

  Select PFAS Guardrail Handrail Hole covers Barricades Safety Nets 3 point contact None

  • PFAS
  • Guardrail
  • Handrail
  • Hole covers
  • Barricades
  • Safety Nets
  • 3 point contact
  • None

• Are harnesses being worn properly with snug fit?

  Yes

  No

• Are harnesses marked with the correct quarterly colored tape?

  Yes

  No

• What color?

  Select White - Jan White - Feb White - Mar Green - Apr Green - May Green - June Red - July Red - Aug Red - Sep Orange - Oct Orange - Nov Orange - Dec

  • White - Jan
  • White - Feb
  • White - Mar
  • Green - Apr
  • Green - May
  • Green - June
  • Red - July
  • Red - Aug
  • Red - Sep
  • Orange - Oct
  • Orange - Nov
  • Orange - Dec

• What type of lanyard is being used?

  Select Shock Absorbing Self-Retracting Lanyard (Yo-yo)

  • Shock Absorbing
  • Self-Retracting Lanyard (Yo-yo)

• Is the lanyard anchored to a tie off point capable of holding 5,000 pounds?

  Yes

  No

• Is lanyard tied-off appropriately (not tied back on itself)?

  Yes

  No

• Is lanyard marked with the correct quarterly colored tape?

  Yes

  No

• What color?

  Select White - Jan White - Feb White - Mar Green - Apr Green - May Green - June Red - July Red - Aug Red - Sep Orange - Oct Orange - Nov Orange - Dec

  • White - Jan
  • White - Feb
  • White - Mar
  • Green - Apr
  • Green - May
  • Green - June
  • Red - July
  • Red - Aug
  • Red - Sep
  • Orange - Oct
  • Orange - Nov
  • Orange - Dec

• Is the Self-Retracting Lanyard anchored to a tie off point capable of holding 5,000 pounds?

  Yes

  No

• Is lanyard anchored correctly (not tied back on itself)?

  Yes

  No

• Is the Yo-yo marked with the correct quarterly colored tape?

  Yes

  No

• What color?

  Select White - Jan White - Feb White - Mar Green - Apr Green - May Green - June Red - July Red - Aug Red - Sep Orange - Oct Orange - Nov Orange - Dec

  • White - Jan
  • White - Feb
  • White - Mar
  • Green - Apr
  • Green - May
  • Green - June
  • Red - July
  • Red - Aug
  • Red - Sep
  • Orange - Oct
  • Orange - Nov
  • Orange - Dec

• Are crew members using rope grabs and lifelines?

  Yes

  N/A

• Are lifelines and rope grabs secured in good working order and secured properly?

  Yes

  No

• Has a rescue plan been developed and discussed?

  Yes

  No

• Is the guardrail capable of withstanding 200 pound loads in any direction?

  Yes

  No

• Does the top rail reach at least 39 to 45 inches in height?

  Yes

  No

• Is there a mid rail at reaching at least midway between the top rail and toe board?

  Yes

  No

• Is the toe board at least 3 and 1/2 inches tall?

  Yes

  No

• Are covers secured and identify the purpose for the cover?

  Yes

  No

• Is danger tape installed to identify the fall hazard or CAZ zone?

  Yes

  No

• Is there a documented daily inspection of safety nets available?

  Yes

  No

• Does the ladder have the correct 4:1 ratio pitch?

  Yes

  No

• Is the ladder at least 6 feet from leading edge?

  Yes

  No

  N/A

• Is the ladder setup in such a manner as to prevent employee from falling from ladder?

  Yes

  No

HazCom

• Are safety Data Sheets readily available onsite for all hazardous materials?

  Yes

  No

• Are all containers labeled or tagged with HazCom approved label?

  Yes

  No

Fire Protection & Prevention

• Are fire extinguishers readily accessible when flammable materials are present (no closer than 10 feet from gas powered equipment)?

  Yes

  No

  N/A

• Do extinguishers have monthly and annual inspection tags?

  Yes

  No

  N/A

• Are all flammable liquid containers metal cans with a UL or FM rating identified?

  Yes

  No

  N/A

Tools & Equipment

• MEWPs/AWPs in use on the jobsite?

  Yes

  N/A

• MEWP/AWP equipment inspected daily before use?

  Yes

  No

• MEWP/AWP pre-start checklist completed?

  Yes

  No

• Has the jobsite been walked to identify ground hazards, drop-offs, slopes, holes, etc.?

  Yes

  No

• Have swing radius zones been stablished with cones, tape or other means?

  Yes

  No

• Have all operators received training in proper use?

  Yes

  No

• Have all overhead obstructions or hazards been identified?

  Yes

  No

• Is lift positioned on solid level ground?

  Yes

  No

• Are the lifting operations at a minimum clearance of 20 feet from power lines?

  Yes

  No

• Everyone in the lift basket standing firmly on the floor and tied off properly?

  Yes

  No

• Is there a dedicated spotter assigned and used while the MEWP/AWP is traveling?

  Yes

  No

• Is there a dedicated spotter assigned and used while the MEWP/AWP basket is moving in any direction?

  Yes

  No

• Are Scaffolds or Swing Stages being used?

  Yes

  N/A

• Has a documented inspection been completed by a competent person?

  Yes

  No

• Is there an inspection tag affixed?

  Yes

  No

• Is erection, movement, and dismantling supervised by a competent person?

  Yes

  No

• Are components visibly free of any physical damage?

  Yes

  No

• Is scaffold erected on a firm and substantial surface (concrete, baseplate, mudsill)?

  Yes

  No

• Is planking in good condition and fully installed across the platform?

  Yes

  No

• Is planking overlapped at least 6 inches but not greater than 12 inches where applicable?

  Yes

  No

  N/A

• Is planking overlaps centered over a support member?

  Yes

  No

  N/A

• Are rolling scaffolds equipped with locking wheels and all wheels locked when in use?

  Yes

  No

• Are pressure washers operating at 5000 psi or above being used?

  Yes

  N/A

• Has documented inspection been completed?

  Yes

  No

• Is the crew assigned to a floor project?

  Yes

  N/A

• Has a documented flooring daily checklist been completed?

  Yes

  No

• Are engineering controls being used to control exposure when feasible, (i.e. dust suppression, ventilation, isolation per OSHA Table 1)?

  Yes

  No

• When wet methods are being used, is the water flow rate enough to prevent dust exposures?

  Yes

  No

• Is wet sweeping or HEPA filter vacuuming being used to perform housekeeping?

  Yes

  No

• Are all 480v safety requirements being followed?

  Yes

  No

  N/A

• Are all propane tank safety requirements being followed?

  Yes

  No

  N/A

• Is the crew using a Rac-A-Tac scooter or have other ergonomic safety measures been discussed and documented?

  Yes

  No

• Is the crew performing vapor blasting or sand blasting?

  Yes

  N/A

• Has a documented Vapor/Sand blasting daily checklist been completed?

  Yes

  No

• Is a forklift being used?

  Yes

  N/A

• Has a documented pre-use inspection been completed?

  Yes

  No

• Has an Electrostatic checklist been completed

  Yes

  N/A

• Are Hand and Power tools being used?

  Yes

  N/A

• Are tools neatly stored and accessible when not in use?

  Yes

  No

• Are power tools including cords inspected before use?

  Yes

  No

  N/A

• Are guards and handles in place on all tools?

  Yes

  No

  N/A

• Are tools in good condition and being used per manufacture recommendations?

  Yes

  No

  N/A

• Are electrical cords being used?

  Yes

  N/A

• Are extension cords free of nicks, gouges or cuts?

  Yes

  No

• Are GFCIs and/or assured equipment grounding conductor programs being used?

  Yes

  No

• Is all electrical equipment identified with proper color coded tape for quarterly inspection?

  Yes

  No

• What color?

  Select White - Jan White - Feb White - Mar Green - Apr Green - May Green - June Red - July Red - Aug Red - Sep Orange - Oct Orange - Nov Orange - Dec

  • White - Jan
  • White - Feb
  • White - Mar
  • Green - Apr
  • Green - May
  • Green - June
  • Red - July
  • Red - Aug
  • Red - Sep
  • Orange - Oct
  • Orange - Nov
  • Orange - Dec

• Are ground plugs intact for all applicable cord sets?

  Yes

  No

• Is the crew using ladders?

  Yes

  N/A

• Are all ladders being used properly?

  Yes

  No

• Are all manufacturers labels and warnings intact and readable?

  Yes

  No

• Are ladder rungs in good condition, none missing or broken?

  Yes

  No

• Are safety shoes/cleats on the bottom of the ladder?

  Yes

  No

• Are ladders properly secured to prevent slipping, sliding or falling?

  Yes

  No

• Do side rails extend 36 inches above elevated surface accessing?

  Yes

  No

  N/A

Lock Out Tag Out

• Is the crew working under LOTO requirements?

  Yes

  N/A

• Has customer performed LOTO of their equipment?

  Yes

  No

• Has the foreman verified equipment isolation?

  Yes

  No

• Have all employees working on LOTO equipment placed their locks on the appropriate device?

  Yes

  No

Confined Space Operations

• Is the crew working in a confined space?

  Yes

  N/A

• Is the space Non-Permit Required Confined Space or Permit Required Confined Space?

  Permit Required

  Non-Permit Required

• Do all employees meet confined space training requirements?

  Yes

  No

• Has Confined Space Permit been completed?

  Yes

  No

• Has a controlled access zone been established?

  Yes

  No

• Has air monitoring of the confined space been conducted as required?

  Yes

  No

• Has a rescue plan been developed and discussed?

  Yes

  No

• Confirm that there are no hazards present or potential of causing serious harm or is immediately dangerous to life or health?

  confirmed

  not confirmed

Miscellaneous

• Are there any deficiencies that have been observed and/or corrected on the work site not covered by the field audit?

  Yes

  N/A

• List the deficiencies.

Conclusion

• This audit has been reviewed with the person in charge of the crew. Deficiencies noted on this audit have been either corrected on site or the person in charge of crew has been instructed on the acceptable means to correct the deficiencies.

  Sign