Poole Anderson Construction Safety Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Working at Heights

• Fall Protection hazards?

  Safe

  At Risk

  N/A

• Handrails/guard rails?

  Yes

  No

  N/A

• Fall protection plans used as necessary?

  Safe

  At Risk

  N/A

Excavations and Trenching

• Excavation or Trench on site 5' deep or more?

  Yes

  No

  N/A

• Soil classification done?

  Yes

  No

  N/A

• Inspections done as required?

  Safe

  At Risk

  N/A

• Protective measures from cave-in or collapse in place

  Safe

  At Risk

  N/A

• Safe access and egress

  Safe

  At Risk

  N/A

• Spoil in safe location?

  Yes

  No

  N/A

Scaffolds

• Adequate mud sills and base plates in use? Correct footing for hydro/mobile scaffolds?

  Yes

  No

  N/A

• Scaffold competent person on site?

  Safe

  At Risk

  N/A

• Unsafe or incomplete scaffold? Guard rails, fall protection, proper access in place?

  Safe

  At Risk

  N/A

• Lack of inspection protocol for scaffold?

  Safe

  At Risk

  N/A

• Incompatible scaffold components?

  Safe

  At Risk

  N/A

• Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

  Safe

  At Risk

  N/A

Lifting Equipment

• Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Safe

  At Risk

  N/A

• Lack of maintenance, testing and inspection? Including daily inspections

  Safe

  At Risk

  N/A

• Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  Safe

  At Risk

  N/A

• Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  Safe

  At Risk

  N/A

• Unlicensed operators?

  Safe

  At Risk

  N/A

Harness and Equipment

• Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• Incompatible hooks/equipment?

  Safe

  At Risk

  N/A

• Unlabelled or does not meet AS?

  Safe

  At Risk

  N/A

• Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• Lack of inspection protocol for equipment?

  Safe

  At Risk

  N/A

• Lack of or inadequate formal training for operators?

  Safe

  At Risk

  N/A

Ladders

• Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• Ladder not properly secured?

  Safe

  At Risk

  N/A

• Ladder unsuitable for job? Used improperly?

  Safe

  At Risk

  N/A

Hazardous Chemical (including fuel and oil)

• Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Safe

  At Risk

  N/A

• Incompatible chemicals stored near each other?

  Safe

  At Risk

  N/A

• Inadequate spill containment equipment?

  Safe

  At Risk

  N/A

• Safety Data Sheets accessible on site?

  Safe

  At Risk

  N/A

• Lack of emergency procedures for injury/spills/fire etc?

  Safe

  At Risk

  N/A

• Excessive quantities stored on site or in vehicles?

  Safe

  At Risk

  N/A

• Insufficient ventilation?

  Safe

  At Risk

  N/A

• Insufficient, or incorrect, PPE?

  Safe

  At Risk

  N/A

• Unsuitable storage containers? (unlabeled or stored in food containers)

  Safe

  At Risk

  N/A

Emergency Response

• Lack of, or no emergency plans for site?

  Safe

  At Risk

  N/A

• Emergency procedures not displayed at site?

  Safe

  At Risk

  N/A

• Lack of, or inadequate first aid kits aid equipment for site?

  Safe

  At Risk

  N/A

• Insufficient access to formally trained First Aid responders?

  Safe

  At Risk

  N/A

Traffic Management

• Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  Safe

  At Risk

  N/A

• Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  Safe

  At Risk

  N/A

• Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

• Lack of, or inadequate PPE

  Safe

  At Risk

  N/A

• Hard Hats, Safety Glasses, Vests in use according to company policy?

  Safe

  At Risk

  N/A

Work Environment

• Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• Insufficient lighting?

  Safe

  At Risk

  N/A

• Inadequate housekeeping?

  Safe

  At Risk

  N/A

• Lack of, or inadequate noise/ vibration control?

  Safe

  At Risk

  N/A

Electrical Hazards

• Temporary panels in good condition?

  Yes

  No

  N/A

• Junction boxes, switch boxes, outlets in good condition?

  Yes

  No

  N/A

• Unsafe electrical cords? (damaged, missing grounds)

  Safe

  At Risk

  N/A

• Lack of GFCI Protection

  Safe

  At Risk

  N/A

• Underground/Overhead utilities protected from contact?

  Safe

  At Risk

  N/A

• Sufficient outlets? Overloading outlets?

  Safe

  At Risk

  N/A

• Cords placed on ground or on metal structures? Protected from damage?

  Safe

  At Risk

  N/A

• Electrical equipment near water?

  Safe

  At Risk

  N/A

• Electrical equipment near flammables?

  Safe

  At Risk

  N/A

• Electrical cords that may be damaged from contact with moving machinery parts?

  Safe

  At Risk

  N/A

• Electrical cords on work surfaces? Tripping hazards?

  Safe

  At Risk

  N/A

• Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Safe

  At Risk

  N/A

Environmental Hazards

• Lack of/or inadequate, dust suppression system?

  Safe

  At Risk

  N/A

• Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  Safe

  At Risk

  N/A

Administrative Procedures

• Lack of/or inadequate Site Safety Plan?

  Safe

  At Risk

  N/A

• Workers, contractors, visitors familiar with sub safety program and site safety plan?

  Safe

  At Risk

  N/A

• Lack or, or inadequate, supervisory arrangements?

  Safe

  At Risk

  N/A

• Lack of/or inadequate training, licenses, skills, experience?

  Safe

  At Risk

  N/A

• Lack of/or inadequate incident notification procedures?

  Safe

  At Risk

  N/A

• Lack of, or inadequate, routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• Lack of/or inadequate consultative arrangements?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign