PDBGI DAILY JSA AUDIT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Training & Planning

• Copy of current OSHA/MSHA/PDBGI Safety manual on site?

  Yes

  No

  N/A

• Have all new hires completed the new hire orientation?

  Yes

  No

  N/A

• Weekly tool box meeting held for PDBGI and subs?

  Yes

  No

  N/A

• Copy of PDBGI Site Specific Safety Plan on site and up to date?

  Yes

  No

  N/A

• Emergency evacuation plan in place?

  Yes

  No

  N/A

• Foreman/Superintendent's JSA's completed and adequate for tasks being performed?

  Yes

  No

  N/A

Medical & First-Aid

• At least two PDBGI employees trained in First-Ais/CPR on site?

  Yes

  No

  N/A

• Are First-Aid supplies adequate?

  Yes

  No

  N/A

Posting & Record Keeping

• OSHA 300 form being completed/posted?

  Yes

  No

  N/A

• Safety/Health poster posted?

  Yes

  No

  N/A

• Emergency telephone numbers posted?

  Yes

  No

  N/A

• Medical clinic posted?

  Yes

  No

  N/A

Hazard Communications/MSDS

• Copy of written program (PDBGI & Subs)?

  Yes

  No

  N/A

• List of hazard materials on site?

  Yes

  No

  N/A

• MSDS current for all contractors on site?

  Yes

  No

  N/A

• Labels on containers?

  Yes

  No

  N/A

Traffic Control

• Traffic plan per MUTCD, local, county, or state inspections?

  Yes

  No

  N/A

• Advance warning signs?

  Yes

  No

  N/A

• Trained flaggers used when directing traffic with proper PPE, proper stop/slow sign and flagger ahead signs warning approaching traffic?

  Yes

  No

  N/A

Structure Entrance

• Overhead protection at entrances where overhead work on-going?

  Yes

  No

  N/A

Public Protection

• Public protection adequate, including warning signs?

  Yes

  No

  N/A

Housekeeping & Sanitation

• Housekeeping: aisles clean, scrap removed, no protruding nails?

  Yes

  No

  N/A

• Adequate supply of water or water jugs, cups, and trash containers?

  Yes

  No

  N/A

• Adequate clean toilet facilities?

  Yes

  No

  N/A

Personal Protective Equipment & Life Saving Equipment

• Head, eye, face, and hand protection worn?

  Yes

  No

  N/A

• Respiratory protection worn when needed/required?

  Yes

  No

  N/A

• Written program: medical evaluations completed? Documentation of fit test and training for respirators?

  Yes

  No

  N/A

• Safety harnesses, lifelines, and lanyard worn when needed/required?

  Yes

  No

  N/A

Fire Protection & Prevention

• Fire extinguishers/stand pipe installed with clear access?

  Yes

  No

  N/A

• Fire extinguishers identified, charged, and inspected monthly?

  Yes

  No

  N/A

• Flammable & combustible liquids in approved and labeled containers only?

  Yes

  No

  N/A

• 'No Smoking' posted and enforced where needed?

  Yes

  No

  N/A

• Fuel tanks protected and a minimum of 20 ft. from buildings with 20B fire exiting within 50 ft?

  Yes

  No

  N/A

Electrical

• Warning signs posted (Danger, HIGH VOLTAGE)?

  Yes

  No

  N/A

• GFCI receptacle used including when using permanent power?

  Yes

  No

  N/A

• GFCI tested with test documented?

  Yes

  No

  N/A

• Temporary lighting adequate and bulbs protected?

  Yes

  No

  N/A

• Breaker boxes and switches properly labeled?

  Yes

  No

  N/A

• Lockout/Tagout being used?

  Yes

  No

  N/A

• Extension cords?

  Yes

  No

  N/A

Tools

• Proper tools being used for the job?

  Yes

  No

  N/A

• All tools inspected at least daily?

  Yes

  No

  N/A

• Damaged tools repaired or replaced promptly?

  Yes

  No

  N/A

• Are tools being used properly?

  Yes

  No

  N/A

• Guards in place?

  Yes

  No

  N/A

• Pneumatic tools/air hoses have proper safeguards & secured connections?

  Yes

  No

  N/A

• Powder Actuated Tools: Operators trained/spot check cards? Tools and charges protected from unauthorized use?

  Yes

  No

  N/A

Ladders

• Ladder used where 19 inch break in elevation?

  Yes

  No

  N/A

• Ladders properly secured to prevent slipping, sliding, or falling?

  Yes

  No

  N/A

• Do straight ladders extend 36" above top of landing?

  Yes

  No

  N/A

• Offset protection at top ladder entrance?

  Yes

  No

  N/A

• Stepladders fully open when in use? No standing on top two steps?

  Yes

  No

  N/A

• Metal ladders not used around electrical hazards?

  Yes

  No

  N/A

• Trestle ladders not used?

  Yes

  No

  N/A

• Proper maintenance and storage of ladders?

  Yes

  No

  N/A

Fall Protection

• Guard rails in place?

  Yes

  No

  N/A

• Wall opening has guard rails and toe boards?

  Yes

  No

  N/A

• Leading edge protection & signage utilized where required?

  Yes

  No

  N/A

• 100% fall tie off for all heights above 6 ft with proper anchor points?

  Yes

  No

  N/A

• All horizontal lifeline systems engineered?

  Yes

  No

  N/A

Aerial Manlifts/Scissor Lifts

• All personnel tied off?

  Yes

  No

  N/A

• Safety chains in place on scissor lifts?

  Yes

  No

  N/A

• Employee training verified?

  Yes

  No

  N/A

Hoists & Cranes

• Sling and chains, hooks and eyes in good condition and tagged and marked?

  Yes

  No

  N/A

• Equipment firmly supported?

  Yes

  No

  N/A

• Outriggers used if needed and proper cribbing in place?

  Yes

  No

  N/A

• Power lines inactive, removed, or at a safe distance?

  Yes

  No

  N/A

• Hoist operator trained? Check for card?

  Yes

  No

  N/A

• Signalmen where needed & hand/verbal signals understood? Hand signal poster?

  Yes

  No

  N/A

• Are inspection and maintenance logs maintained/current (this includes hoists)?

  Yes

  No

  N/A

• Crane annual certification on file? This includes PDBGI and sub equipment?

  Yes

  No

  N/A

• Load charts posted in cab? Proper loading for capacity at lifting radius?

  Yes

  No

  N/A

• Fire extinguisher installed (cranes and hoists)?

  Yes

  No

  N/A

Heavy Equipment

• Regular inspection and maintenance logs complete?

  Yes

  No

  N/A

• Lights, brakes, horn, and back up alarm operative?

  Yes

  No

  N/A

• Haul roads well maintain and laid out properly?

  Yes

  No

  N/A

• Seat belts being used?

  Yes

  No

  N/A

• Fire extinguisher installed?

  Yes

  No

  N/A

Handling & Storage of Materials

• Materials properly stored and stacked?

  Yes

  No

  N/A

• Stacks on firm footings not too high?

  Yes

  No

  N/A

• Are loads lifted correctly? Proper number of men or equipment used?

  Yes

  No

  N/A

• Arterial secured if high winds approaching?

  Yes

  No

  N/A

Excavation & Shoring

• Competent person designated?

  Yes

  No

  N/A

• Underground utilities located/private service used if necessary?

  Yes

  No

  N/A

• Are adjacent structures including roads/sidewalks properly shored/supported?

  Yes

  No

  N/A

• Is excavation properly sloped, shored, or trench box used?

  Yes

  No

  N/A

• Means if egress win 25 ft?

  Yes

  No

  N/A

• Spoils back minimum of 2 ft?

  Yes

  No

  N/A

• Material not stored a trench edge?

  Yes

  No

  N/A

• Is equipment a safe distance from edge of excavation?

  Yes

  No

  N/A

• Fall protection /barricading adequate?

  Yes

  No

  N/A

• Daily documented inspections or if conditions change?

  Yes

  No

  N/A

Confined Spaces

• Have potential confined spaces been identified?

  Yes

  No

  N/A

• Has Safety Department been notified of potential confined spaces?

  Yes

  No

  N/A

• Permit required? Completed?

  Yes

  No

  N/A

• Atmosphere tested?

  Yes

  No

  N/A

• Workers properly trained?

  Yes

  No

  N/A

• Ventilation needed?

  Yes

  No

  N/A

• Retrieval devices required?

  Yes

  No

  N/A

Concrete & Masonry Construction

• If red letter or commencement provided to steel erector including mortar in masonry?

  Yes

  No

  N/A

• Vertically protruding rebar capped?

  Yes

  No

  N/A

• Forms properly installed and braced?

  Yes

  No

  N/A

• Adequate shoring, plumbed, and cross braced?

  Yes

  No

  N/A

• Route planned for concrete trucks? Plumbing equipment properly supported?

  Yes

  No

  N/A

• Controls to limit silica exposure? (Water, vacuum tools, etc.)

  Yes

  No

  N/A

• No dry cutting of block/concrete without adequate engine controls?

  Yes

  No

  N/A

• Safety hoisting equipment/material?

  Yes

  No

  N/A

Welding & Cutting/Other Hot Work

• Screens and shields used where necessary?

  Yes

  No

  N/A

• Goggles, gloves, proper clothing worn?

  Yes

  No

  N/A

• Electrical equipment grounded?

  Yes

  No

  N/A

• Welding leads and gases hoses protected and in good condition?

  Yes

  No

  N/A

• Fire extinguishers of proper type nearby?<br>

  Yes

  No

  N/A

• Inspection of fire hazards?

  Yes

  No

  N/A

• Gas cylinders secured and upright? Fuel cylinders at least 20 ft. from oxygen?

  Yes

  No

  N/A

• Are cylinder caps in use?

  Yes

  No

  N/A

• Fire watch used where needed/required?

  Yes

  No

  N/A

Comments & Additional Items

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• Safety Officer

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• Project Manager

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• Site Superintendent

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• Crew Member

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• Crew Member

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• Crew Member

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