Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Administration
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1.1. OSHA Posters/OSHA 300 Form Posted (Feb 1 - April
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1.2. Superintendents Daily Inspection Log
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1.3. Safety Meetings Documented
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1.4. Safety Manual Present
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1.5. MSDS Present
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Comments:
2. Medical/Emergency
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2.1. Emergency Numbers Posted
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2.2. Map of Medical Locations Posted
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2.3. First Aid Kit
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2.4. Eye Wash Station
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2.5. Emergency Action Plan
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Comments:
3. PPE
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3.1. Hard Hats
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3.2. Glasses/Goggles/Face Shields
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3.3. Proper Clothing
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3.4. Proper Work Boots Worn
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3.5. Proper Hearing Protection
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Comments:
4. Fall Protection
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4.1. 100% Tie-Off above 6'
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4.2. Proper Attachment Points
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4.3. Floor/Wall Openings Covered
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4.4. Guardrail System in place
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4.5. Roof Edge Protected
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Comments:
5. Electrical
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5.1. GFCI Used
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5.2. Cords Inspected
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5.3. Cords Protected from Traffic and Weather Exposure
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5.4. Lockout/Tagout Used
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5.5. Cover & Proper Signage
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Comments:
6. Scaffolding
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6.1. Competent Person on Site
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6.2. Assembled Properly
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6.3. Inspected Daily
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6.4. Guardrail/Bracing/Pins
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6.5. Proper Footing and Access to Platform
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Comments:
7. Scissor/Aerial Lifts
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7.1. Gate/Chains Secured/100% Tie-Off
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7.2. Guardrails Erected Properly
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7.3. Operating on a Flat Surface
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7.4. Safe Operating Speed
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Comments:
8. Excavations
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8.1. Utilities Marked
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8.2. Properly Shored/Sloped
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8.3. Spoil >2' from Excavation
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8.4. Perimeter Protection
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8.5. Proper Access/Egress (<25' Lateral Travel)
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8.6. Inspection Completed and Documented by Competent Person
9. Fire Protection
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9.1. Extinguisher Present, Charged, & Inspected
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9.2. Adequate Number of Extinguishers
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9.3. Fire Watch used where needed
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9.4. Proper Fuel Containers Used
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9.5. "No Smoking" in Flammable & Hazardous Storage Areas
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Comments:
10. Ladders
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10.1. Properly Secured
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10.2. Proper Ladder Used
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10.3. Used around Electrical Hazards
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10.4. Inspected for Defects
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10.5. Ladders Extend 3' Above Landing Surface
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10.6. Area around Top & Bottom of Ladder free of Tripping Hazards
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Comments:
11. Welding/Cutting
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11.1. Oxygen/Acetylene Capped
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11.2. Cylinders Upright and Secured
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11.3. Flash Arrestors on Cylinders
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11.4. Leads and Hoses free of Defects
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11.5 Proper PPE used
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Comments:
12. Cranes & Hoisting Equipment
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12.1. Load Chart & Boom Angle
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12.2. Critical Lifts Properly Planned
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12.3. Equipment Properly Supported
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12.4. Power Lines Inactivated, Covered, or at a Safe Distance (No Closer than 20')
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12.5. Swing Radius of Cranes Barricaded
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12.6. Annual Crane Inspection Verified
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12.7. Rigging (Slings, Chains, Straps)
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Comments:
13. Environmental
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13.1. Asbestos, Lead, Mold, or Silica Concerns
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13.2. Nuisance Dust and/or Noise Controls in place
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13.3. Containers, Drums, & Tanks are properly Labeled
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13.4. Spill Containment is adequate for Hazardous Materials
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13.5. Any Hazardous Materials Apparent (Ignitable, Corrosive, Reactive, or Toxic)
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Comments:
14. General
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14.1. Housekeeping Adequate
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14.2. Adequate Access/Egress
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14.3. Adequate Lighting
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14.4. Adequate Ventilation
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14.5. Sanitary & Washing Facilities
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14.6. Tools in proper working order/guards in place
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14.7. Impalement Protection in place
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14.8. Equipment Back-Up Alarms properly working
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14.9. Seat Belts
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Comments:
Signatures
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On-Site Representative
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Auditor's Signature