Poole & Kent Company of Florida

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ADMINISTATIVE

• Labor law posting.

  Yes

  No

  N/A

• Project OSHA 300 Log is posted.

  Yes

  No

  N/A

• Site Specific Safe Plan available.

  Yes

  No

  N/A

• Toolbox Talks records are up to date.

  Yes

  No

  N/A

• Weekly Site Inspection are up to date.

  Yes

  No

  N/A

• MSDS/SDS are available.

  Yes

  No

  N/A

Housekeeping

• Work areas clear of tripping hazards?

  Yes

  No

  N/A

• Material is stored properly.

  Yes

  No

  N/A

Ladders

• Ladders are in good working order.

  Yes

  No

  N/A

• Ladders are secured from movement.

  Yes

  No

  N/A

• Transition area at the top and bottom of the ladder is safe.

  Yes

  No

  N/A

Scaffolding

• Scaffold has been inspected by a Competent person prior to workers accessing Scaffold System.

  Yes

  No

  N/A

• Scaffold systems have proper base plates installed.

  Yes

  No

  N/A

• Scaffold system fully erected.

  Yes

  No

  N/A

• Scaffold has proper handrails.

  Yes

  No

  N/A

Fall Protection

• Handrails are secured.

  Yes

  No

  N/A

• Nails on hand rail system does not creat a hazard.

  Yes

  No

  N/A

• Employees have been trained in Fall Protection.

  Yes

  No

  N/A

• Fall Protection is used properly.

  Yes

  No

  N/A

• All holes over 2" have been protected.

  Yes

  No

  N/A

Tools & Equipment

• Tools are in good working order.

  Yes

  No

  N/A

• Tools are properly stored to prevent damage.

  Yes

  No

  N/A

• Forklift operator has proof of train to operate.

  Yes

  No

  N/A

• Fuel Tanks have proper labeling.

  Yes

  No

  N/A

• Fuel Tank has a 20 lbs Fire Extinguisher with in twenty five (25) feet.

  Yes

  No

  N/A

• Employees have been trained to operate scissor and aerial lifts.

  Yes

  No

  N/A

EXCAVATION

• Spoil pile is at least two (2) feet from the edge of the excavation.

  Yes

  No

  N/A

• Does the excavation have the proper slope 11/2 to 1 ratio?

  Yes

  No

  N/A

• Shoring System has proper documentation.

  Yes

  No

  N/A

• Daily inspection of excavation has been completed by a Competent Person.

  Yes

  No

  N/A

Personnel Protective Equipment (PPE)

• Hard hats and Safety Glasses are being worn.

  Yes

  No

  N/A

• Proper eye and face protection is being used.

  Yes

  No

  N/A

• Respirators are worn by individuals who have completed the Medical Evaluation, training and fitting prior to use.

  Yes

  No

  N/A

ELECTRICAL

• Electrical outlets are GFCI.

  Yes

  No

  N/A

• Outlets are protected from damage.

  Yes

  No

  N/A

• Workers have been trained in proper Arc Flash protection (70E).

  Yes

  No

  N/A

Cranes

• Cranes has a current Annual Inspection.

  Yes

  No

  N/A

• Crane operator has completed his Daily Inspection.

  Yes

  No

  N/A

• Crane signal person has proof of training.

  Yes

  No

  N/A

• Crane rigger has proof of training.

  Yes

  No

  N/A

• Crane operations have identified over head power lines.

  Yes

  No

  N/A

Future Safety Concerns.

• Fall Protection.

  Yes

  No

  N/A

• Excavation

  Yes

  No

  N/A

• Confined Space.

  Yes

  No

  N/A