Phalcon Project Safety Survey 2022

• Project

• Project Manager

• Group

  Harlan

  McPhee North

  McPhee South

  Richards

  Ravex

• Foreman

• Conducted on

  Date

• Prepared by

• Location/Address
  Address

• Weather

  Sunny

  Partly cloudy

  Overcast

  Raining

  Snowing

• Temperature

• Response Key: SAFE - item inspected and found to be satisfactory, IC - (Immediately Corrected) - item inspected and found to be not in compliance, but was immediately corrected, NC - (Not Compliant) - Item was inspected and found to be not in compliance and could not be immediately corrected.

Administrative

• Review daily tailboard talk/pre-task plan

  Safe

  IC

  NC

  N/A

• Project JHA/HASP signed and clinic directions posted

  Safe

  IC

  NC

  N/A

Personal Protective Equipment

• Safety Glasses

  Safe

  IC

  NC

• Gloves

  Safe

  IC

  NC

  N/A

• High-Visibility Vest

  Safe

  IC

  NC

  N/A

• Avg noise level (dBa)

Material Handling & Ergonomics

• Material Handling - observed manual material handling indicate safe practices for strains and sprain prevention.

  Safe

  IC

  NC

  N/A

• Material Handling Aids Utilized (forklifts, carts, etc)

  Safe

  IC

  NC

  N/A

Electrical

• Employees not exposed to unprotected energized circuits

  Safe

  IC

  NC

  N/A

• Electrical receptacles/outlets have approved covers/faceplates.

  Safe

  IC

  NC

  N/A

• Signs - posted to restrict access to locations with exposed live parts

  Safe

  IC

  NC

  N/A

• GFCI Inspections Current

  Safe

  IC

  NC

  N/A

• Enclosures - cabinets intact, no knockouts missing or other open holes, panels effectively enclosed

  Safe

  IC

  NC

  N/A

• Enclosures - Breakers/Switches legibly marked to indicate purpose

  Safe

  IC

  NC

  N/A

• Enclosures - proper clearances are maintained in front of and around electrical panels

  Safe

  IC

  NC

  N/A

• Enclosures - Conductors entering panels and boxes are protected from abrasion

  Safe

  IC

  NC

  N/A

• Cord & Cable - Cords protected & kept clear of work areas and walkways.

  Safe

  IC

  NC

  N/A

• Cord & Cable - ground prong pin attached to electrical cords

  Safe

  IC

  NC

  N/A

• Cord & Cable - flexible cords not daisychained

  Safe

  IC

  NC

  N/A

• Is there Temporary Lighting on the project?

  Yes

  No

• Are Light bulbs are protected from accidental breakage

  Safe

  IC

  NC

• Do all sockets have bulbs installed?

  Safe

  IC

  NC

• Light strings are not suspended by the electric cord.

  Safe

  IC

  NC

• LOTO & Electrical Safe Work Practices

  Safe

  IC

  NC

  N/A

• Ask at least one random employee if they have a lock for performing LOTO.

  Safe

  IC

  NC

  N/A

Walking & Working Surfaces

• Housekeeping

  Safe

  IC

  NC

• What was the housekeeping issue?

• What is the issue and who is responsible for correcting it?

• Access/Egress - pathways clear and uncluttered. No tripping hazards.

  Safe

  IC

  NC

• Holes Covered - covers need to support twice the intended load, be marked "Hole" and be secured in place to prevent accidental displacement

  Safe

  IC

  NC

  N/A

Ladder Use

• Are ladders in use on this project

  Yes

  No

• Extension Ladders - inspect, proper angle, tied off

  Safe

  At Risk

  N/A

• Step ladders - inspect, spreaders locked, proper use, etc.

  Safe

  At Risk

  N/A

Tool & Equipment Use

• Tools used to accomplish the work are being used in accordance with the manufacturer's instructions. For example, cordless 1/2" drills have side handles attached during operation, cordless band saws are being operated with two hands, inspected before use, right tool for the job, etc.

  Safe

  IC

  NC

  N/A

Fall Protection

• Guardrails

  Safe

  IC

  NC

  N/A

• Personal Fall Arrest System

  Safe

  IC

  NC

  N/A

Fire Protection

• Fire Extinguishers - present and inspected

  Safe

  IC

  NC

  N/A

• Hot Work Procedures

  Safe

  IC

  NC

  N/A

Employee Health

• Dust Control

  Safe

  IC

  NC

  N/A

• Sanitation - Port-O-Lets accessible, adequate number, hand sanitizers and clean

  Safe

  IC

  NC

  N/A

• First Aid Kit (Available, correct size, stocked)

  Safe

  IC

  NC

Employee Interactions

• Employee name:

  Sign

• Employee Encounter

  Positive Feedback

  Coaching

  Employee Safety Violation

Aerial Lifts

• Are there aerial/scissor lifts at this site?

  Yes

  No

• 100% Fall protection

  Safe

  IC

  NC

  N/A

• Please contact site supervisor via Action.

• Verify Operator Qualification

  Pass

  Fail

  N/A

• Equipment grounds installed, where applicable

  Safe

  IC

  NC

  N/A

Safety Orientation Follow-up

• Are there any new employees onsite that have been hired within the last 30 days?

  Yes

  No

• Employee Name

• Hire Date - if the exact date is not known an approximation will suffice.

  Date

• Ask new employee what are the top items that they remember about the orientation process (Good or Bad)?

• Ask employee if they have any comments or suggestions for improving the process (Good or Bad).

Audit Completion

• Are there any upcoming project events that require safety department assistance or review (i.e. critical lifts, manning requirements, training requirements, new subcontractors arriving on site, etc.)?

  No

  Yes

• Describe the assistance anticipated.

• Safety Department notified for planning purposes?

  Yes

  No

• Results of the Safety Audit reviewed with the project foreman (in person or via phone acceptable)

  Yes

  No

• Action Item generated for any items that are marked Not Compliant (NC)

  Yes

  No

  N/A

Summary / Comments / Pictures

• Comments:

• Positive Observation:

• Other Project Hazards (caused by others)

• Follow Up Actions

• Pictures

  Media