PAS Site Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Yes

  No

  N/A

Job Site Oreientation

• Employee job-site orientation being completed?<br>

  Yes

  No

  N/A

• All fields completed

  Yes

  No

  N/A

• Emergency procedure reviewed?

  Yes

  No

  N/A

• Was an orientation conducted for management that visit the site?

  Yes

  No

  N/A

Required Postings

• Emergency procedures completed?

  Yes

  No

  N/A

• Maps to hospitals / clinics visible

  Yes

  No

  N/A

• Field emergency notification procedure posted?

  Yes

  No

  N/A

• Current Federal and State poster posted?

  Yes

  No

  N/A

• OHSA 300a long posted? (February 1st - April 30th)

  Yes

  No

  N/A

Foremen Safety Box

• Safety box on site?

  Yes

  No

  N/A

• Safety box current

  Yes

  No

  N/A

• All sections present?

  Yes

  No

  N/A

• Sufficient amount of forms?

  Yes

  No

  N/A

Safety Data Sheets (SDS)

• Safety Data Sheets on site?

  Yes

  No

  N/A

• Are the SDS readily accessible?

  Yes

  No

  N/A

• Are the SDS reviewed monthly

  Yes

  No

  N/A

• Product 1 listed in the SDS index?

  Yes

  No

  N/A

Employee Interviews

Employee 1

• Safety meeting conducted? (Daily, weekly, and monthly)

  Yes

  No

  N/A

• Safety concerns / issues?

  Safe

  At Risk

  N/A

• Heat stress awareness training

  Yes

  No

  N/A

• Are incidents reviewed with employee?

  Yes

  No

  N/A

• Emergency decent control knowledge for AWP

  Yes

  No

  N/A

Employee 2

• Safety meetings conducted? (Daily, weekly, and monthly)

  Yes

  No

  N/A

• Safety concerns / issues?

  Yes

  No

  N/A

• Heat Stress awareness training

  Yes

  No

  N/A

• Are incidents reviewed with employee

  Yes

  No

  N/A

• Provide certifications (i.e. AWP, scaffold user, ladder, power actuated tools)?<br>

  Yes

  No

  N/A

Fall Protection

• Is fall protection equipment available for the appropriate number of employee on-site?

  Yes

  No

  N/A

• Are employees trained in fall protection?

  Yes

  No

  N/A

• Are employees trained in fall rescue?

  Yes

  No

  N/A

• Records of inspection for employees using fall protection?

  Yes

  No

  N/A

• Fall protection stored properly?<br>

  Yes

  No

  N/A

• Warning in use and set up properly?

  Yes

  No

  N/A

• Any at risk behaviors observed?

  Yes

  No

  N/A

Ladders

• type 1A 300# rated or greater?

  Yes

  No

  N/A

• Legible labels?

  Yes

  No

  N/A

• Fiberglass ladder?

  Yes

  No

  N/A

• General condition of ladder

  Safe

  At Risk

  N/A

• Rails, rungs, spreader, feet in good condition?

  Yes

  No

  N/A

• Secure footing?

  Yes

  No

  N/A

• Stored properly

  Yes

  No

  N/A

• Proper distance from electrical sources?

  Yes

  No

  N/A

• Any at risk behaviors observed?

  Yes

  No

  N/A

Scaffolding

• Inspected before use?

  Yes

  No

  N/A

• Scaffold condition

  Safe

  At Risk

  N/A

• Wheels locked

  Yes

  No

  N/A

• Secure footing (Base plate/Mud sill)

  Yes

  No

  N/A

• Decking secure?

  Yes

  No

  N/A

• Scaffold ladders in good condition?

  Yes

  No

  N/A

• Base to height ratio correct?<br>

  Yes

  No

  N/A

• Proper access provided?<br>

  Yes

  No

  N/A

• Proper access being utilized?

  Yes

  No

  N/A

• Handrail, mid-rail and toe-boards in place? Correct heights?

  Yes

  No

  N/A

• Appropriate distance from electrical sources?

  Yes

  No

  N/A

• Any at risk behaviors observed?

  Yes

  No

  N/A

Pre Task Plan (PTP)

PTP 1

• Is the PTP appropriate for the task?

  Yes

  No

  N/A

• All steps identified on the PTP?

  Yes

  No

  N/A

• Are the hazards identified on the PTP?<br>

  Yes

  No

  N/A

• Have all employees reviewed the plan?

  Yes

  No

  N/A

• Is the plan updated as changed in the work occurs?

  Yes

  No

  N/A

PTP 2

• Is the PTP appropriate for the task?

  Yes

  No

  N/A

• All steps identified on the PTP?

  Yes

  No

  N/A

• Are the hazards identified on the PTP?<br>

  Yes

  No

  N/A

• Have all employees reviewed the plan?

  Yes

  No

  N/A

• Is the plan updated as changed in the work occurs?

  Yes

  No

  N/A

Personal Protective Equipment

• Hard hat (type 1-2 class E/G)

  Yes

  No

  N/A

• Gloves (cut level 3)?

  Yes

  No

  N/A

• Sleeves (cut level 3)?

  Yes

  No

  N/A

• Hearing protection?

  Yes

  No

  N/A

• ANSI approved safety glasses?

  Yes

  No

  N/A

• ANSI approved prescription safety glasses?

  Yes

  No

  N/A

• HI Visibility vests or shirts being worn?

  Yes

  No

  N/A

• Respirators available and in use?

  Yes

  No

  N/A

• Respirators inspected, cleaned, and stored properly?

  Yes

  No

  N/A

• Shirts with sleeeves?

  Yes

  No

  N/A

General Condition of Job Site

• Adequate water supplied?

  Yes

  No

  N/A

• Overall housekeeping?

  Safe

  At Risk

  N/A

• Materials stacked, racked, blocked, and stored appropriately?

  Yes

  No

  N/A

• Are gang boxes orderly?

  Yes

  No

  N/A

• Are tools in good conditions?

  Yes

  No

  N/A

• Are there tools red tagged and marked with issues?

  Yes

  No

  N/A

• Access and egress to work area sufficient?

  Yes

  No

  N/A

• Fire extinguisher present where required, tagged, and inspected?

  Yes

  No

  N/A

• Are GFCI's being used for temporary power?

  Yes

  No

  N/A

• Are power cords in good condition, marked according to the Assured grounding policy. (Jan - march = White/ April - June = Green/ July - Sept = Red / Oct - Dec = Orange)

  Yes

  No

  N/A

• Adequate task lighting?

  Yes

  No

  N/A

• Hole covers in use, marked, secured, and adequate per OSHA standard (Able to support 2x's the intended load)?

  Yes

  No

  N/A

• Hand / Guard rails installed and meets requirements?

  Yes

  No

  N/A