Panzica Safety Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Employee Welfare

• 1.1 Potable water readily available for all employees

  Deficiency

  Compliant

  Not Applicable

• 1.2 Adequate toilets, washing facilities and maintenance

  Deficiency

  Compliant

  Not Applicable

• 1.3 First aid, universal precautions and chemical protection supplies available, accessible and stocked

  Deficiency

  Compliant

  Not Applicable

2. Procedures

• 2.1 Current OSHA posters and other required paperwork is posted.

  Yes

  No

  N/A

• 2.2 SDS manuals up to date and available in trailer/office

  Deficiency

  Compliant

  Not Applicable

• 2.3 No smoking signs posted and enforced

  Deficiency

  Compliant

  Not Applicable

• 2.4 Emergency evacuation procedures reviewed.

  Completed

  Scheduled

  Deficient

  NA

• 2.5 Site safety orientation conducted for all employees

  Deficiency

  Compliant

  Not Applicable

• 2.6 Weekly toolbox trainings conducted

  Deficiency

  Compliant

  Not Applicable

• 2.7 Weekly safety inspections are documented and turned in to PCC.

  Deficiency

  Compliant

  Not Applicable

• 2.8 Safety Huddles completed and documented.

  Deficiency

  Compliant

  Not Applicable

• 2.9 Do any JHAs need updated?

  Yes

  N/A

• 2.10 Have prework meetings been held for high risk activities, such as crane, roof, excavation, confined space work?

  Yes

  No

  N/A

3. Access

• 3.1 Adequate no trespassing & construction signs, public access is restricted

  Deficiency

  Compliant

  Not Applicable

• 3.2 Proper illumination is in all areas is maintained and adequate, (5 foot candles for general access)

  Deficiency

  Compliant

  Not Applicable

• 3.3 Emergency exits identified and labeled

  Deficiency

  Compliant

  Not Applicable

• 3.4 Public is protected from open excavations, falling objects, equipment and other.

  Deficiency

  Compliant

  Not Applicable

• 3.5 ABC fire extinguishers available within 100'; 3000 square feet; refuel ops >25',<75' and inspected on a monthly basis

  Deficiency

  Compliant

  Not Applicable

• 3.6 Walking/Working surfaces are free of trip/slip/fall hazards. (Including Ice, snow, and water)

  Deficiency

  Compliant

  Not Applicable

• 3.7 Is Housekeeping in safe and sanitary condition?

  Deficiency

  Compliant

  Not Applicable

• 3.8 Are all implement hazards, including rebar, protected.

  Deficiency

  Compliant

  Not Applicable

4. Chemical, Fuel and HazCom

• Are Fuels/Chemicals (Diesel, Gasoline, Propane, Oxy/Acet, other bulk chemicals stored onsite?

  Yes

  N/A

• 4.1 All chemicals have proper GHS labeling and associated Safety Data Sheets.

  Deficiency

  Compliant

  Not Applicable

• 4.2 Flammables/chemicals stored in approved, secured areas with spill containment, spill kit and fire extinguisher in place

  Deficiency

  Compliant

  Not Applicable

• 4.3 Bonding used during flammable liquid transfer

  Deficiency

  Compliant

  Not Applicable

• 4.4 Bulk fuel containers grounded properly and stored 20' from building

  Deficiency

  Compliant

  Not Applicable

• 4.5 Compressed gas cylinders stored upright and secured with valve caps in place

  Deficiency

  Compliant

  Not Applicable

• 4.6 Oxy/fuel cylinders are separated when not in use or installed with a fire wall

  Deficiency

  Compliant

  Not Applicable

• 4.7 Fire extinguishers no less than 25' where flammable liquids of 5 gallons or more are stored

  Deficiency

  Compliant

  Not Applicable

5. Elevated Work

• Remember: OSHA does not recognize distance from a leading edge!

• Is there any work above ground level on the project?

  Yes

  N/A

• 5.1 All Fall protection exposures eliminated or protected.

  Deficiency

  Compliant

  Not Applicable

• 5.2 Are all horizontal lifelines pre-engineered systems or supported with documentation from a PE?

  Deficiency

  Compliant

  Not Applicable

• 5.3 Are all anchorage points 5000 lbs strength and connective device is attached properly?

  Deficiency

  Compliant

  Not Applicable

• 5.4 Guard rail system in place (+- 42" with 200# capacity) for top rail and mid rail (150# capacity) and toeboard in place<br>

  Deficiency

  Compliant

  Not Applicable

• 5.5 All warning flagging is of proper material, height, and distance from leading edge. (6' for roofers, 15' for rest)

  Deficiency

  Compliant

  Not Applicable

• 5.6 Holes and openings protected and/or covered and labeled "hole" or "cover"

  Deficiency

  Compliant

  Not Applicable

• 5.7 Non-conductive ladders are used

  Deficiency

  Compliant

  Not Applicable

• 5.8 Step ladders are used in full and open position

  Deficiency

  Compliant

  Not Applicable

• 5.9 Extension ladders 36" above landing or have grab rail, tied off, 4:1 ratio

  Deficiency

  Compliant

  Not Applicable

• 5.10 Are ladders in good condition and properly labeled.

  Deficiency

  Compliant

  Not Applicable

• Is there any scaffolding onsite?

  Yes

  N/A

• 5.11 Scaffolding set up properly with ALL crossbraces, mudsills, horizontal bracing, planks, etc

  Deficiency

  Compliant

  Not Applicable

• 5.12 Competent person on site for scaffolding erection, dismantling and inspection

  Deficiency

  Compliant

  Not Applicable

• 5.13 Scaffolding inspected prior to every shift

  Deficiency

  Compliant

  Not Applicable

• 5.14 Is there proper scaffold access?

  Deficiency

  Compliant

  Not Applicable

• 5.15 Proper guardrail is in place on all sides of each accessible level, including the scaffold ends.

  Deficiency

  Compliant

  Not Applicable

6. Tools and Electrical

• 6.1 Guarding intact on all tools and equipment

  Deficiency

  Compliant

  Not Applicable

• 6.2 Extension cords are 3 wire type, in good condition, no electrical tape repairs and rated for outdoor use.

  Deficiency

  Compliant

  Not Applicable

• 6.3 GFCI in place for all temporary wire not plugged into GFCI protected outlet

  Deficiency

  Compliant

  Not Applicable

• 6.4 Live electrical and temp power splices and wire nut connections properly guarded against incidental contact.

  Deficiency

  Compliant

  Not Applicable

• 6.5 All electrical cabinets and panels are restricted from access by lock panel or locked door.

  Deficiency

  Compliant

  Not Applicable

• 6.6 Is all power shut down and locked out for demo operations?

  Deficiency

  Compliant

  Not Applicable

7. PPE

• 7.1 100% hard hats

  Deficiency

  Compliant

  Not Applicable

• 7.2 100% safety glasses, including prescription eyewear that meets ANSI standards.

  Deficiency

  Compliant

  Not Applicable

• 7.3 Task-specific PPE is properly utilized (Guards, Face shields, Gloves,etc.)

  Deficiency

  Compliant

  Not Applicable

8. Excavations

• Remember: Any excavation 4' deep needs monitored for cave ins, and may require protection. At 5' it's required.

• Are there any Excavations/Trenching onsite?

  Yes

  N/A

• 8.1 Competent person(s) identified:

  Deficiency

  Compliant

  Not Applicable

• 8.2 Is soil properly classified?

  Deficiency

  Compliant

  Not Applicable

• 8.3 Excavations are properly sloped, benched or shielding is in place

  Deficiency

  Compliant

  Not Applicable

• 8.4 Is there proper access for excavation?

  Deficiency

  Compliant

  Not Applicable

• 8.5 OUPS contacted prior to excavating.

  Deficiency

  Compliant

  Not Applicable

• 8.6 Is there proper protection from the general public and or other trades?

  Deficiency

  Compliant

  Not Applicable

• 8.7 All underground utilities' exact location and depth found by device or pothole.

  Deficiency

  Compliant

  Not Applicable

9. Cranes

• Is there a crane in use onsite?

  Yes

  N/A

• 9.1 Cranes have documented daily inspections and annual certifications

  Deficiency

  Compliant

  Not Applicable

• 9.2 Crane swing radius is barricaded

  Deficiency

  Compliant

  Not Applicable

• 9.3 Qualified signal and rigging person identified

  Deficiency

  Compliant

  Not Applicable

• 9.4 Certified crane operator

  Deficiency

  Compliant

  Not Applicable

• 9.5 Documented inspections performed on all rigging

  Deficiency

  Compliant

  Not Applicable

• 9.6 Tag lines used on all picks

  Deficiency

  Compliant

  Not Applicable

• 9.7 Are all the outriggers fully extended, cribbed and on sturdy ground?

  Deficiency

  Compliant

  Not Applicable

• 9.8 Are there any overhead obstructions near the boom radius?

  Deficiency

  Compliant

  Not Applicable

• 9.9 All workers clear of overhead flight path

  Deficiency

  Compliant

  Not Applicable

• 9.10 All wire rope, hooks and sheaves in good condition

  Deficiency

  Compliant

  Not Applicable

10. Mechanical Equipment (aerial lifts, fork lifts, earth moving)

• Any mechanical equipment on site?

  Yes

  N/A

• 10.1 Aerial lifts inspected prior to each use (aerial lifts contain annual and frequent inspections)

  Deficiency

  Compliant

  Not Applicable

• 10.2 Equipment operated by qualified operators

  Deficiency

  Compliant

  Not Applicable

• 10.3 Operator(s) are properly tied off in aerial lifts

  Deficiency

  Compliant

  Not Applicable

• 10.4 Have all other mechanical equipments been inspected on a daily basis with documentation?

  Deficiency

  Compliant

  Not Applicable

11. Hot Work

• Any Hot work onsite?

  Yes

  N/A

• 11.1 Hot work permits completed prior to all hot work

  Deficiency

  Compliant

  Not Applicable

• 11.2 Welding curtains installed for welding and cutting

  Deficiency

  Compliant

  Not Applicable

• 11.3 Fire extinguishers in place

  Deficiency

  Compliant

  Not Applicable

• 11.4 All hot work is contained from endangering others

  Deficiency

  Compliant

  Not Applicable

• 11.5 Is fire watch in place during and for 30 minutes after hot work has stopped?

  Deficiency

  Compliant

  Not Applicable

12. Confined Space

• OSHA RELEASED NEW CONFINED SPACE REQUIREMENTS!

• Have we solicited the known Confined space locations and information from the owner?

  Yes

  No

  N/A

• The owner is required to provide this information, if they do not know, or have no information, we must provide our knowledge and determinations

• Has the Controlling employer notification form been completed and submitted to all subs?

  Yes

  No

  N/A

• Have all subs submitted confined space locations?

  Deficiency

  Compliant

  Not Applicable

• Has the Controlling employer notification form been completed and submitted to all subs?

  Yes

  No

  N/A

• Have all subs submitted confined space locations?

  Deficiency

  Compliant

  Not Applicable

• Is there work in any confined spaces?

  Yes

  No

  N/A

• 12.1 Are any spaces classified as permit required

  Yes

  No

  N/A

• 12.2 Has confined space permit been completed.

  Deficiency

  Compliant

  Not Applicable

• Do you need a copy of the confined space checklist?

  Yes

  No

  N/A

• Confined space entry checklist
  https://amhigley-my.sharepoint.com/personal/jmastromonaco_amhigley_com/_layouts/15/guestaccess.aspx?guestaccesstoken=B8eGGOzmHJhSrFs9GRDV5dEXACpfQgja2t1W5FisLvI%3d&docid=05129b017d8b242858a240f799767638a

• Does the permit space contain or have the potential atmospheric hazards. Note: force air ventilation does not constitute elimination of hazards.

  Yes

  No

  N/A

• Can all physical hazards be eliminated without entering the space?

  Yes

  No

  N/A

• You can reclassify this space as non permit, fill out the alternate entry/ reclassification form and have all employees entering the space sign and instruct them to leave if new hazards arise.
  https://amhigley-my.sharepoint.com/personal/jmastromonaco_amhigley_com/_layouts/15/guestaccess.aspx?guestaccesstoken=MQSIFgmqQ06KhEUEifDAbhsOeQdZdTkYiSQuCrIlknk%3d&docid=0937907e269d44f289f1593c8c8b1dea9

• Space is still considered Permit Required

• Do you have to enter the space to eliminate or test for the atmospheric hazard?

  Yes

  No

  N/A

• 12.3 Confined space work has testing and an attendant with established rescue procedures

  Deficiency

  Compliant

  Not Applicable

• 12.4 Are the workers properly trained?

  Deficiency

  Compliant

  Not Applicable

• 12.4.1 Has the subcontractor completed the debriefing log? This is required upon completion of their confined space tasks

  Yes

  No

  N/A

• Do you need a copy of the log?

  Yes

  No

  N/A

• Debriefing Log
  https://amhigley-my.sharepoint.com/personal/jmastromonaco_amhigley_com/_layouts/15/guestaccess.aspx?guestaccesstoken=uE5ge%2bemazy4ywJunoJGKD%2fH7x%2fKx9XUGajU9%2fAAc9c%3d&docid=05bb67d754b544bc5918507fa124976a0

• Have all physical hazards been eliminated so that the only posed hazard is an actual or potential atmospheric hazard?

  Yes

  No

  N/A

• Will forced air ventilation alone maintain safe entry?

  Yes

  No

  N/A

• If ventilation stops working can the workers exit safety?

  Yes

  No

  N/A

• Do you have the monitoring data that supports safe entry with just ventilation?

  Yes

  No

  N/A

• You can use the alternate entry procedure instead of the requirements of a permit space. You must fill out the alternate entry form, review will all workers, and sign.
  https://amhigley-my.sharepoint.com/personal/jmastromonaco_amhigley_com/_layouts/15/guestaccess.aspx?guestaccesstoken=MQSIFgmqQ06KhEUEifDAbhsOeQdZdTkYiSQuCrIlknk%3d&docid=0937907e269d44f289f1593c8c8b1dea9

• Complete the confined space entry checklist as permit required.

• Complete the confined space entry checklist as permit required.

• Complete confined space entry checklist as permit required.

• Complete confined space entry checklist as permit required.

• 12.5 Has the determination been documented on the confined space entry checklist?

  Deficiency

  Compliant

  Not Applicable

13. Other

• 13. Other Issues

• Add media

  Media

• Jobsite Photos

  Media

Signature

• Signature

  Sign

Ratings Section - FOR PCC SAFETY TEAM ONLY

• Safety inspections are documented in daily progress reports <br>3 - for all detailed inspections with photos and toolbox talks submitted on a weekly basis.<br>+1 for additional toolbox talks, safety meetings, pre task meetings, near hit reports and/or additional highly detailed inspections with photos<br>-1 for missing weekly dead lines or poor weekly inspections.

  5

  4

  3

  2

  1

• General Housekeeping<br>3 - for a jobsite free of trip, access, fire and rodent hazards as a result of housekeeping<br>+1 - for a jobsite with an exceptional level of housekeeping detail<br>-1 - for jobsite with hazards created by housekeeping

  5

  4

  3

  2

  1

• Imminent danger exposures<br>3 - for zero imminent danger exposures <br>+1 for extra protection against imminent danger<br>-1 for unprotected imminent danger exposures.<br>

  5

  4

  3

  2

  1

• Orientations<br>3 - conducts orientation, collects proof of approved drug screening, photo ID, issues and reviews quizzes, issues and tracks orientation and name tape stickers.<br>-1 for workers who have not received orientation, started work without proper drug screening verification, or poor quiz reviewing.<br>+1 for continuous commitment to orientation process and or extra tracking processes and back checks to tracking procedures.

  5

  4

  3

  2

  1

• 100% PPE<br>3 - for entire job site using 100% eye and head protection along with all necessary task specific PPE<br>+1 - for exceeding PPE requirements and/or cumulative weeks of audits without any PPE deficiencies<br>-1 - for PPE deficiencies.

  5

  4

  3

  2

  1

• Corrective actions taken and documented within 72 hours of safety concern notification<br>3 - for all corrective actions from previous audits are complete with in 3 business days.<br>+1 for extra corrections and/or training<br>-1 for late or incomplete corrective action reports

  5

  4

  3

  2

  1