PBI Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Job Site Safety

• Lack of/or inadequate amenities? (port-o-johns, wash area, break area, etc.)

  Safe

  At Risk

  N/A

• Safe access into and out of building or building pad?

  Safe

  At Risk

  N/A

• Firm, graded, level ground surface for crane operations?

  Safe

  At Risk

  N/A

• Housekeeping?

  Safe

  At Risk

  N/A

• Fuel tanks are located in spill proof containers, that can contain the full contents of the tank?

  Safe

  At Risk

  N/A

• A 20 lbs. fire extinguisher is located at least 20 feet and no more than 75 feet from the fueling area? (the fueling area is where fuel is stored and anywhere equipment is fueled)

  Safe

  At Risk

  N/A

• Power lines are. Ore than 20 feet away from the point of any work to be performed? (applies to cranes, forklifts, aerial lifts, etc.)

  Safe

  At Risk

  N/A

• All moving equipment is traveling at safe speeds? (no faster than a brisk walk)

  Safe

  At Risk

  N/A

• No work is performed with wind speeds above 28 m.p.h.?

  Safe

  At Risk

  N/A

• Adequate drinking water is supplied for workers?

  Safe

  At Risk

  N/A

• Water coolers are sealed and dated with today's date, and clean cups are provided?

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Sturdy work boots or steel toe boots are worn? (as required by project)

  Safe

  At Risk

  N/A

• Long pants are worn? (no shorts)

  Safe

  At Risk

  N/A

• Shirts with a minimum 4 inch sleeve?

  Safe

  At Risk

  N/A

• Gloves are worn at all times when handling steel?

  Safe

  At Risk

  N/A

• Safety glasses meeting at a minimum ANSI standard Z87.1 are worn? (Z87.1 must be stamped or printed on the lenses or frames)

  Safe

  At Risk

  N/A

• Dark tinted safety glasses are only worn outside?

  Safe

  At Risk

  N/A

• Hard hats meeting at a minimum ANSI standard Z89.1-1971 are worn?

  Safe

  At Risk

  N/A

• All welders wear a protective welding hood while welding? (hard hat must be worn under welding hood at all times)

  Safe

  At Risk

  N/A

• Workers grinding, cutting, or performing any work that does, or may produce flying objects and particles are wearing safety glasses and a face shield?

  Safe

  At Risk

  N/A

Fall Protection

• Fall exposures of 6 feet or more? (including pits and trenches)

  Safe

  At Risk

  N/A

• Is suspended working platform being used correctly?

  Safe

  At Risk

  N/A

• 100% tie off in aerial lifts at all elevations?

  Safe

  At Risk

  N/A

• Use of correct anchor point in aerial lifts?

  Safe

  At Risk

  N/A

• Swing fall exposure?

  Safe

  At Risk

  N/A

• Personal fall arrest equipment adjusted and worn properly? (chest strap, leg straps, d ring located between shoulder blades)

  Safe

  At Risk

  N/A

• Retractables connected to adequate anchor points?

  Safe

  At Risk

  N/A

• Perimeter (cable) guardrails installed and adjusted properly? (must be a minimum of 39" above walking surface with 200 lbs. of downward force applied)

  Safe

  At Risk

  N/A

Steel Erection

• All columns are supported by a minimum of four anchor rods, tightened prior to the release of hoisting lines?

  Safe

  At Risk

  N/A

• Structural stability is maintained at all times? (columns are braced in a minimum of two directions within a reasonable time)

  Safe

  At Risk

  N/A

• Minimum of two bolts per connection during erection?

  Safe

  At Risk

  N/A

• All bolts are installed and torqued prior to loads being applied to the structure? (mezzanine pours, rtu placement, etc.)

  Safe

  At Risk

  N/A

• Joists are connected at both ends prior to releasing hoisting line?

  Safe

  At Risk

  N/A

• Joist Panels are connected at all four corners before releasing hoisting lines?

  Safe

  At Risk

  N/A

• Minimum of one row of bridging is installed prior to placement of deck bundles?

  Safe

  At Risk

  N/A

• Where X bridging is required it is installed between joists prior to release of hoisting lines?

  Safe

  At Risk

  N/A

• No personnel are on top of joists without all bridging installed?

  Safe

  At Risk

  N/A

• Deck bundles placed on a minimum of three joists?

  Safe

  At Risk

  N/A

• Deck bundles placed within one foot of the bearing end of the joist?

  Safe

  At Risk

  N/A

Crane and Hoisting Operations

• Daily inspection documented?

  Safe

  At Risk

  N/A

• All safety devices on the crane are operational?

  Safe

  At Risk

  N/A

• Swing radius barricaded?

  Safe

  At Risk

  N/A

• Crane located on a firm level surface?

  Safe

  At Risk

  N/A

• Routes of suspended loads do not pass over workers?

  Safe

  At Risk

  N/A

• Are whistles being used to warn others of a suspended load?

  Yes

  No

  N/A

• Appropriate rigging specifically designed for multi lifts is used when hoisting two to five members at once?

  Safe

  At Risk

  N/A

• No more than five members hoisted together in a multi lift?

  Safe

  At Risk

  N/A

• Members lifted in a multi lift are a minimum of 7 feet apart?

  Safe

  At Risk

  N/A

• All rigging from a forklift is performed with a hook or hoisting attachment? (no rigging on the forks)

  Safe

  At Risk

  N/A

• Forklift operator is wearing a seat belt?

  Safe

  At Risk

  N/A

• Forklift loads are kept close to the ground when traveling?

  Safe

  At Risk

  N/A

• Forks are placed on the ground when forklift is stopped?

  Safe

  At Risk

  N/A

• Operator of hoisting equipment does not leave the operators position while a load is suspended?

  Safe

  At Risk

  N/A

• Lifting capacity is clearly displayed on all hoisting attachments?

  Safe

  At Risk

  N/A

• Tags are installed on all rigging equipment, and are readable?

  Safe

  At Risk

  N/A

Decking and Controlled Decking Zone

• Perimeter warning lines erected? (15 feet from edge, line must have a breaking strength of 200 lbs.)

  Safe

  At Risk

  N/A

• All workers in CDZ tied off 100%?

  Safe

  At Risk

  N/A

• Retractables connected to adequate anchor points?

  Safe

  At Risk

  N/A

• Safety deck attachments (at least two) only in the CDZ? (final connections performed in the protected area outside the CDZ)

  Safe

  At Risk

  N/A

• Warning lines are between 39 and 45 inches above working surface?

  Safe

  At Risk

  N/A

• Loose metal decking is secured against accidental displacement at the end of the shift?

  Safe

  At Risk

  N/A

• Area below decking operations is barricaded, or warning signs and a safety monitor are present?

  Safe

  At Risk

  N/A

Ladders

• Ladder type is correct for the task?

  Safe

  At Risk

  N/A

• Extension ladder extends a minimum of 3 feet above upper surface?

  Safe

  At Risk

  N/A

• Fall protection equipment is used when working from a ladder

  Safe

  At Risk

  N/A

• Step ladders are not used to access upper levels?

  Safe

  At Risk

  N/A

• No aluminum ladders are used?

  Safe

  At Risk

  N/A

Welding, tools and elctrical safety

• No damage or repairs in welding lead 10' from stinger?

  Safe

  At Risk

  N/A

• Are welding leads in good working condition?

  Safe

  At Risk

  N/A

• Welding ground cable connected?

  Safe

  At Risk

  N/A

• Location of welding leads and extension cables are safe from accidental displacement or damage by personnel or equipment?

  Safe

  At Risk

  N/A

• GFCIs are being used?

  Safe

  At Risk

  N/A

• Extension cords have no repairs in the cable, and ground prong is present?

  Safe

  At Risk

  N/A

• Extension cords are a minimum of 12 gauge wire?

  Safe

  At Risk

  N/A

• All guards are in place on tools?

  Safe

  At Risk

  N/A

• Electrical cords of all tools are serviceable and have no repairs or missing ground prongs?

  Safe

  At Risk

  N/A

• Are the gages working properly when installed on oxygen/acetylene bottles?

  Safe

  At Risk

  N/A

• Are lines free of any damage?

  Safe

  At Risk

  N/A

• Are flash arrestors being used correctly?

  Safe

  At Risk

  N/A

Fire prevention

• Has work area been inspected?

  Safe

  At Risk

  N/A

• Is work area free of any combustibles?

  Safe

  At Risk

  N/A

• Are there any other trades in the area? Have they been notified?

  Safe

  At Risk

  N/A

• A 20 lbs. fire extinguisher is located at least 20 feet from any open flames?

  Safe

  At Risk

  N/A

• Is fire extinguisher within 15 feet of reach of fire watch?

  Safe

  At Risk

  N/A

• Is fire blanket being used properly?

  Safe

  At Risk

  N/A

General Observation

• PBI Superintendent

  Sign

• PBI Auditor

  Sign