Paulson Electric Company

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre Site Inspection

• Has this site's previous inspection been reviewed?

  Yes

  No

  N/A

• Is the job site easily accessible?

  Yes

  No

  N/A

Job Posting & Information

• Federal and state labor law postings hung in common areas?

  Yes

  No

  N/A

• Emergency contact information posted in common areas?

  Yes

  No

  N/A

• Utility numbers posted for both public and private utilities?

  Yes

  No

  N/A

• OSHA 300 posted in common area when applicable?<br>

  Yes

  No

  N/A

• Job site safety manual on site?

  Yes

  No

  N/A

• MSDS or SDS sheets available upon request for every chemical on site?

  Yes

  No

  N/A

Job Hazard Assessment

• Job Hazard Assessment completed and signed by all employees on jobsite?

  Yes

  No

  N/A

• Job Hazard Assessment addresses and mitigates hazards?

  Yes

  No

  N/A

First Aid & Fire Protection

• Emergency signs posted with numbers and project address?

  Yes

  No

  N/A

• Driving directions posted from project to nearest clinic and emergency room?

  Yes

  No

  N/A

• Trained personnel on site?

  Yes

  No

  N/A

• First aid kits/cabinets clearly labeled?

  Yes

  No

  N/A

• Employees aware of location of first aid kit/cabinet?

  Yes

  No

  N/A

• Is there easy access to the first aid kit/cabinet?

  Yes

  No

  N/A

• First aid kits available per number of employees and working levels of project?

  Yes

  No

  N/A

• First aid kits and contents clean and orderly?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Evacuation plan displayed or understood by all employees?

  Yes

  No

  N/A

• Evacuation procedure discussed regularly? (3-4 times a year)

  Yes

  No

  N/A

• Extinguishers clear of obstructions and easily accessible?

  Yes

  No

  N/A

• Extinguishers in place and clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguisher recently serviced? (Checked 6 month punch mark on tag)

  Yes

  No

  N/A

• Extinguisher is full with pin in place?

  Yes

  No

  N/A

• Exit doors clear of obstructions?

  Yes

  No

  N/A

• Exit doors easily opened from the inside?

  Yes

  No

  N/A

• Adequate direction notices for fire exits?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Appropriate clothing worn? (Shirt with sleeves & long pants)

  Yes

  No

  N/A

• Hard hat?

  Yes

  No

  N/A

• Safety glasses with side shields?

  Yes

  No

  N/A

• Gloves?

  Yes

  No

  N/A

• Safety toed shoes?

  Yes

  No

  N/A

• Metatarsal guards where applicable.

  Yes

  No

  N/A

• Hi visibility where applicable.

  Yes

  No

  N/A

• Other job site specific PPE?

  Yes

  No

  N/A

• Hearing protection worn where applicable?

  Yes

  No

  N/A

• Respiratory equipment used where applicable?

  Yes

  No

  N/A

Traffic Control

• Appropriate signage in place to inform drivers?

  Yes

  No

  N/A

• Barricades provided and used?

  Yes

  No

  N/A

• High visibility vest or coats in use?

  Yes

  No

  N/A

• Vehicles running flashers or strobes while in, entering, and/or leaving construction zone?

  Yes

  No

  N/A

Electrical

• Proper lighting provided in work areas?

  Yes

  No

  N/A

• GFCI protection provided on temporary outlets and wet locations?

  Yes

  No

  N/A

• GFCI temporary outlet weekly inspections completed?

  Yes

  No

  N/A

• GFCI on all drop cords?

  Yes

  No

  N/A

• Electrical cords are for "hard" or " extra hard" use?

  Yes

  No

  N/A

• Electrical cords and tools free from damage?

  Yes

  No

  N/A

• No strained electrical cords? (Stretched or pinched)

  Yes

  No

  N/A

• No broken plugs, sockets, or switches?

  Yes

  No

  N/A

• No overloaded circuits or outlets?

  Yes

  No

  N/A

• Temporary power panels with romex wire are guarded up to 8 foot?

  Yes

  No

  N/A

• Energized electrical panels are guarded?

  Yes

  No

  N/A

• Electrical panels and rooms secured?

  Yes

  No

  N/A

• Monthly electrical outlet checks performed on all panels and documented?

  Yes

  No

  N/A

• Assured grounding checks performed quarterly?

  Yes

  No

  N/A

• Lights hung properly?

  Yes

  No

  N/A

• Light bulbs protected from breakage?

  Yes

  No

  N/A

Arc Flash Kit

• Rubber insulated gloves opened?

  Yes

  No

  N/A

• Correct size, cal rating, & in good condition?

  Yes

  No

  N/A

• Within test date?

  Yes

  No

  N/A

• Leather protectors correct size and in good condition?

  Yes

  No

  N/A

• Hard hat, face shield, & chin cup intact and in good condition?

  Yes

  No

  N/A

• Balaclava in good condition?

  Yes

  No

  N/A

• Smock correct size, cal rating, and in good condition?

  Yes

  No

  N/A

• Ear plugs available in AFK?

  Yes

  No

  N/A

• Additional garments in bag (FR hi vis vest & 100% cotton undergarment)?

  Yes

  No

  N/A

Lockout Tagout

• All machines at a zero energy state while being worked on?

  Yes

  No

  N/A

• Appropriate PPE (Level 2 or Level 4 arc flash gear) worn if working on live equipment?

  Yes

  No

  N/A

• All locks on devices accompanied by tags with name and number to contact employee?

  Yes

  No

  N/A

• All employees working on locked and tagged equipment have personal locks on the job lock box?

  Yes

  No

  N/A

Tools (hand, power, torching, welding, specialty)

• Proper training documented for employees working with power, powder, and pneumatic tools?<br>

  Yes

  No

  N/A

• Damaged tools tagged and removed from service?

  Yes

  No

  N/A

• Tools with calibration dates not expired?

  Yes

  No

  N/A

• Double insulated tools properly checked?

  Yes

  No

  N/A

• All guards in place and in working order?

  Yes

  No

  N/A

• Air & hydronic lines properly secured with whip checks?

  Yes

  No

  N/A

• Fire extinguishers are in hot work areas?

  Yes

  No

  N/A

• Fire watch provided at hot work areas until 30 minutes after work has been completed?

  Yes

  No

  N/A

• Cylinders stored in upright, capped, and secured in place?

  Yes

  No

  N/A

• Welding screens in place at work station?

  Yes

  No

  N/A

• Welding leads, torch handles, gauges, hoses, flash back arrester in working order?

  Yes

  No

  N/A

General Job Site Fall Protection

• All working levels, 6-feet or greater are protected by OSHA approved guard rails?

  Yes

  No

  N/A

• Appropriate warning lines are placed on roofs and/or other leading edge work?

  Yes

  No

  N/A

• Holes properly covered, secured, and marked?

  Yes

  No

  N/A

• Toe-boards in use in areas where material could become displaced or fall?

  Yes

  No

  N/A

• Ladder ways protected by gates or offsets?

  Yes

  No

  N/A

Personal Fall Protection

• Fall protection daily inspection completed?

  Yes

  No

  N/A

• Employee wearing harness correctly?

  Yes

  No

  N/A

• Fall protection systems in place where needed?

  Yes

  No

  N/A

• Employees tied off when required?<br>

  Yes

  No

  N/A

Ladders and Scaffolding

• Extension ladder extending 36 inches past landing point?

  Yes

  No

  N/A

• Ladders set up at proper angle, 4:1 ratio?<br>

  Yes

  No

  N/A

• Top two steps of ladder not occupied or being worked off of?<br>

  Yes

  No

  N/A

• Ladder bases have slip resistant feet attached?<br>

  Yes

  No

  N/A

• Ladders fully opened and/ or secured to prevent tipping?<br>

  Yes

  No

  N/A

• Damaged equipment tagged and removed from service?

  Yes

  No

  N/A

• Scaffolded tagged and inspected daily by competent person?<br>

  Yes

  No

  N/A

• Proper access provided to avoid climbing of scaffold frames?<br>

  Yes

  No

  N/A

• Working surfaces and areas at access points are clear of debris?

  Yes

  No

  N/A

• Working levels are secured from falls including toe-boards?

  Yes

  No

  N/A

• Scaffold is plumb, level, and square with completely decked working surfaces?

  Yes

  No

  N/A

Aerial Lifts

• Employees operating lifts have been trained?

  Yes

  No

  N/A

• Annual inspections completed?

  Yes

  No

  N/A

• Shift inspections completed

  Yes

  No

  N/A

• All aerial lifts on sight are in good working order or have been tagged out for service?

  Yes

  No

  N/A

Fork Lifts

• Employees operating fork lifts have been properly trained?

  Yes

  No

  N/A

• Shift inspections completed?

  Yes

  No

  N/A

• Fork lifts are in good working order or have been tagged out for service?

  Yes

  No

  N/A

Other Equipment

• Employees operating other equipment on job site have been properly trained on the equipment?

  Yes

  No

  N/A

• Equipment has all required insections?

  Yes

  No

  N/A

• Equipment is in good working order or has been tagged out for service?

  Yes

  No

  N/A

Material Storage/Removal and Housekeeping

• LP gas stored outside?<br>

  Yes

  No

  N/A

• LP gas cylinders secured upright?<br>

  Yes

  No

  N/A

• Fire extinguishers available in flammable areas?

  Yes

  No

  N/A

• Flammable storage areas labeled "no smoking"?

  Yes

  No

  N/A

• Flammables stored in approved cabinets?

  Yes

  No

  N/A

• Proper lifting techniques used by employees?<br>

  Yes

  No

  N/A

• Chutes used or material removal area properly barricaded.

  Yes

  No

  N/A

• Items stored based of fire characteristics?<br>

  Yes

  No

  N/A

• Hazardous accumulation sites available?

  Yes

  No

  N/A

• Appropriate number of restroom facilities per number of employees?

  Yes

  No

  N/A

• Water/slip hazards marked, barricaded, or cleaned up?

  Yes

  No

  N/A

• Spills cleaned up?<br>

  Yes

  No

  N/A

• Material neatly stacked and stored?<br>

  Yes

  No

  N/A

• Storage areas, isles, and walkways clear?<br>

  Yes

  No

  N/A

• No trash receptacles are not overflowing and in need of being removed from building?

  Yes

  No

  N/A

Post Site Inspection

• Foreman or employee in charge notified of site deficiencies?

  Yes

  No

  N/A

• No outstanding safety issues from previous inspections?

  Yes

  No

  N/A

• All imminent dangers corrected while still on site and noted?

  Yes

  No

  N/A

• General notified on any unsafe job site conditions?

  Yes

  No

  N/A

Post Inspection Review & Sign Off

• Sight foreman/supervisor

  Sign

• Person completing the audit

  Sign