Perma-Pipe Canada Yard Safety Inspection Guide

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Walkways

• Walkways & pathways free of ruts & holes

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Ground Conditions

• Work areas free of excessive tripping hazards

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Electrical cords out of walking paths

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Work area free of skids & other potential tripping hazards

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Portable Ladders

• All ladders in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Ladders properly stored

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Safety feet in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Personnel using ladders safely

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Fire Protection

• Fire extinguisher in readily accessible location

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Employees familiar with extinguisher type & location

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Fire watch in place for welding

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Life Safety

• Fire exit doors easily accessible

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Emergency plan & Muster point identified

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• System for accounting of employees

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are fire drills conducted

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• MSDS sheets in work areas

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Personal Protective Equipment

• Hard hats and CSA safety glasses with side shields

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Ear plugs/double worn where required

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Work shoes or boots meet CSA standard (no exposed caps)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Fall protection equipment & plan where required

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Goggles, face shields clean & available/in use

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Material Handling

• Manual lifting is being done correctly (50lbs max)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Housekeeping acceptable

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Hazardous Material

• Proper storage

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Chemical classification displayed

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Proper handling (specialized PPE as per MSDS)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Proper labelling

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Industrial Hygiene

• Hearing conservation program followed

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Respiratory protection in use

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Clean drinking water available

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Sanitation

• Cleanliness meets requirements

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Work areas free of garbage

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Area free of rodents/insects

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Drinking water containers are sanitary

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Chop Saw

• Safety guards in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• PPE in use by operators

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Hearing protection in use by operator

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Machinery General

• Guards in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Guards in good condition

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Equipment in good condition

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Personnel trained on equipment they are using

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are guards adequately in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are guards properly secured

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are guards made of durable material

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Welding, Cutting

• Proper eye protection

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Proper compressed gas cylinder storage

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Double eye protection for all grinding activities

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Nat. Electrical Code

• Electrical equipment grounded

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Wiring to machines in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Temporary electrical service proper

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Electrical cord in good condition

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

General Safety

• All employees trained & signed off for task at hand

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• First aid equipment available

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Safety meetings held pre-shift & for change to work scope

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Safety suggestions followed up

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Mobile Equipment

• Equipment certification & load chart in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Operator properly trained/certified

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Back up alarm operable and audible (if required)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Tires (tracks if applicable) in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Boom & hoist lines in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Slings & other rigging equipment in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Fire extinguisher available and inspected (Monthly)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Auditor Signature

  Sign

• On site representative Signature

  Sign