POTENTIAL OSHA VIOLATIONS

• CLIENT / SITE

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

A: JOB INFORMATION

• A.1. OSHA 300 forms posted and complete when required?

  Yes

  No

  N/A

• A.2. Safety meetings and Tool Box Talks up to date?

  Yes

  No

  N/A

• A.3. Phone # and directions for nearest medical center posted and maps available ?

  Yes

  No

  N/A

• A.5. FIRE AND POLICE phone numbers posted along with emergency site contact numbers ?

  Yes

  No

  N/A

• A.6. First aid kits readily available / access to trained first aiders?

  Yes

  No

  N/A

• A.7 workers compensation information posted?

  Yes

  No

  N/A

• SECTION NOTES:

B Housekeeping

• B.1. General neatness of work area ?

  Safe

  At Risk

  N/A

• B.2. Waste containers provided and used at all times ?

  Yes

  No

  N/A

• B.3. Any projecting nails or sharp objects removed or safely bent over?

  Safe

  At Risk

  N/A

• B.4. All barricades and caution tape properly installed and maintained?

  Yes

  No

  N/A

• B.5. Passageways, walkways and stairs clear and well lit ?

  Safe

  At Risk

  N/A

• B.6. Proper material storage procedures used ?

  Yes

  No

  N/A

• B.7. Adequate number of dumpsters, properly loaded and covered when needed ?

  Yes

  No

  N/A

• B.8. Lack of or inadequate amenities ? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• B.9. Lack of hot / cold weather provisions [cool drinking water provided ect.]?

  Safe

  At Risk

  N/A

• B.10. laser in use warnings provided when needed?

  Safe

  At Risk

  N/A

• SECTION NOTES:

1. Fall Prevention

• 1.1. Fall risks of 19" or more? (including voids, pits, and trenches) guarded ?

  Safe

  At Risk

  N/A

• 1.2. Lack of or unsafe / incomplete leading edge protection? [safety rails, toe boards etc.] ?

  Safe

  At Risk

  N/A

• 1.3. All elevator / stair shafts are properly marked and protected ?

  Safe

  At Risk

  N/A

• 1.4 All roof areas properly marked and guarded ?

  Safe

  At Risk

  N/A

• 1.5. All floor openings more then 3" covered and marked "hole"?

  Safe

  At Risk

  N/A

• 1.6. All stairs and landings have correct guards and hand rails ?

  Yes

  No

  N/A

• 1.7. All work platforms or work areas 6' or more have safety rails, nets or a personal arrest system ?

  Yes

  No

  N/A

• 1.8. Employees working below work areas are protected from falling objects ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

2. Hand, Power and Powder actuated tools and equipment

• 2.1. Incorrect equipment for job? (e.g. grinding discs for cutting)?

  Safe

  At Risk

  N/A

• 2.2. Unsafe or damaged equipment? (including missing or damaged guards)

  Safe

  At Risk

  N/A

• 2.3. Unsafe or incompatible attachments used with equipment?

  Safe

  At Risk

  N/A

• 2.4. Unlicensed or inexpirienced operators using powder actuated tools ?

  Safe

  At Risk

  N/A

• 2.4.1 proper use of powder actuated tools and disposal of spent shots?

  Safe

  At Risk

  N/A

• 2.5. Lack of safe work instructions?

  Safe

  At Risk

  N/A

• 2.6. Lack of training in safe operation, clean-up and maintenance?

  Safe

  At Risk

  N/A

• 2.7. Lack of LockOutTagOut procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• 2.8. Safe operation of all generators and compressors, air hoses and air tools inspected and safe ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

4. Lifting / Excavation

• 4.1. Unsafe or damaged lifting equipment on site ?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• 4.3. Lack of maintenance, testing and inspection including daily inspections with records kept on site ?

  Safe

  At Risk

  N/A

• 4.4. When working near power or overhead wires is a person appointed to monitor equipment as work is being performed?

  Safe

  At Risk

  N/A

• 4.5. Lifting equipment unlabelled, no SWL displayed?

  Safe

  At Risk

  N/A

• 4.6. Unlicensed or inexperienced operators?

  Safe

  At Risk

  N/A

• 4.7. Lack of LockOutTagOut procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• 4.8. Safe weight limit of any equipment exceeded?

  Safe

  At Risk

  N/A

• 4.9. Excavated soil is properly benched?

  Safe

  At Risk

  N/A

• 4.10. All trenches have proper access / egress & ladders as needed?

  Safe

  At Risk

  N/A

• 4.11. Are all utilities properly marked out & markouts protected ?

  Safe

  At Risk

  N/A

• 4.12. Are precautions taken for poor or wet soil conditions ?

  Safe

  At Risk

  N/A

• 4.13. Are proper support systems used when needed ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

5. Harness and Equipment

• 5.1. Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• 5.2. Incompatible hooks/equipment?

  Safe

  At Risk

  N/A

• 5.3. Unlabelled, over due, not inspected or does not meet work requirements ?

  Safe

  At Risk

  N/A

• 5.4. Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• 5.5. Lack of inspection protocol for equipment?

  Safe

  At Risk

  N/A

• 5.6. Lack of or inadequate formal training

  Safe

  At Risk

  N/A

• 5.7. Lanyards are equipped with shock absorbers and secured to a substantial object and fall distance is minimal ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

6. Ladders & scaffolding

6.A ladders

• 6.A.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 6.A.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 6.A.3. Ladder not properly used ( closed, not tied, not extended 3', improper angle) ?

  Safe

  At Risk

  N/A

• 6.A.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work, other then type 1 or better in use) ?

  Safe

  At Risk

  N/A

• 6.A.5. Workers straddling ladder, stepping off step ladder, over reaching or standing to high on ladder ?

  Safe

  At Risk

  N/A

6.B scaffolding

• 6.B.1 unlicensed or untrained persons erecting or dismantling scaffolding

  Safe

  At Risk

  N/A

• 6.B.2 scaffold unsafe, not fully planked, incorrect or missing safety rails or toe boards

  Safe

  At Risk

  N/A

• 6.B.3 lack of daily inspection protocol?

  Safe

  At Risk

  N/A

• 6.B.4 scaffold not properly secured to structure, incorrect ladder used for access?

  Safe

  At Risk

  N/A

• 6.B.5 incompatible components / unlabeled or do not meet specs.

  Safe

  At Risk

  N/A

• 6.B.6 plank is approvedtype, in good condition, properly overlapped & extended 6" to 8"

  Safe

  At Risk

  N/A

• 6.B.7 work on scaffold is restricted during storms & high winds

  Safe

  At Risk

  N/A

• 6.B.8 when using rolling scaffolds wheels are locked, proper planking utilized and outriggers and safety cage in use?

  Safe

  At Risk

  N/A

• SECTION NOTES:

7. Fire Safety

• 7.1. Properly tagged and hung fire extinguishers of correct rating in proper locations and accessible ?

  Safe

  At Risk

  N/A

• 7.2. Fire extinguishers at all gasoline powered equipment including generators and gasoline compressors ?

  Safe

  At Risk

  N/A

• 7.3. Only metal safety gasoline [ or other flammable fluids] containers on site or in trucks when on site ?

  Safe

  At Risk

  N/A

• 7.4. Torch cart has divider and backflow protectors installed and fire extinguisher within 10'?

  Safe

  At Risk

  N/A

• 7.5. NO SMOKING signs posted and enforced throughout site ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

8. Emergency Response

• 8.1. Lack of emergency plans or training / knowledge of emergency plans for site?

  Safe

  At Risk

  N/A

• 8.2. Emergency contacts and procedures not displayed at site?

  Safe

  At Risk

  N/A

• 8.3. high wind,heavy rain, extreme cold weather or severe storm plans in place ?

  Safe

  At Risk

  N/A

• 8.4. Unsuitable or inadequate communication equipment? [radios / horns]

  Safe

  At Risk

  N/A

• SECTION NOTES:

9. Traffic Management

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• SECTION NOTES:

10. Personal Protective Equipment (PPE)

• 10.1. Hard Hats, safety shoes, eye & hearing protection used when needed ?

  Safe

  At Risk

  N/A

• 10.1.1. Protective clothing or hiviz shirts / vests worn as needed or required ?

  Safe

  At Risk

  N/A

• 10.1.2. Lack of, or inadequate PPE supplied or used ?

  Safe

  At Risk

  N/A

• 10.2. Lack of system to issue, inspect, replace and monitor PPE ?

  Safe

  At Risk

  N/A

• 10.3. Lack of training in safe use, clean-up and inspection of PPE ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

11. Electrical Hazards

• 11.1. Unsafe electrical cords (damaged, pulled out of plug/socket, missing ground prong)

  Safe

  At Risk

  N/A

• 11.2. High voltage work only by certified employees and hot work permits issued?

  Safe

  At Risk

  N/A

• 11.3. Powered electrical panels and boxes covered and marked "live"

  Safe

  At Risk

  N/A

• 11.5. Overloading / damaged outlets or cords?

  Safe

  At Risk

  N/A

• 11.6. Cords laying on metal track or other dangerous conditions

  Safe

  At Risk

  N/A

• 11.7. Electrical equipment used near water or wet conditions?

  Safe

  At Risk

  N/A

• 11.8. GFCI'S in use at all times [generators & supplied power] and tested on a regular basis

  Safe

  At Risk

  N/A

• 11.9. Electrical equipment near flammables or near chemicals that could cause damage?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• 11.11. Temporary lighting and power is properly installed and maintained at all times?

  Safe

  At Risk

  N/A

• 11.12. Lack of LockOut/TagOut (LOTO) procedures for electrical equipment ?

  Safe

  At Risk

  N/A

• SECTION NOTES:

12. PITs [elevated work platforms construction forklifts & man lifts]

• 12.1.Elevated work platforms used in accordance with manufacturers recommendations ?

  Safe

  At Risk

  N/A

• 12.2. Out riggers used correctly if required and properly leveled ?

  Safe

  At Risk

  N/A

• 12.3. All workers in boom type manlifts using proper fall protection at all times ?

  Yes

  No

  N/A

• 12.4. All ground controls working correctly ?

  Yes

  No

  N/A

• 12.5. All operators trained and certified [proper PIT licence in hand]?

  Yes

  No

  N/A

• 12.7. Workers keep both feet on platform, do not stand on rails or climb off elevated platform & safety chain used at all times?

  Safe

  At Risk

  N/A

• 12.8. If construction fork lift is used to lift workers is proper approved cage used, properly installed and does manufacturer approve using forklift to lift personal ?

  Safe

  At Risk

  N/A

• SECTION NOTES

13. Vehicles

• 13.1. Vehicles, [material or earth moving] have an unobstructed view & have a working back up alarm ?

  Safe

  At Risk

  N/A

• 13.2. Vehicles and equipment have seat belts and are they used at all times ?

  Safe

  At Risk

  N/A

• 13.3. All operators properly licensed and trained to use the equipment ?

  Safe

  At Risk

  N/A

• 13.4. All cranes & construction lifts used correctly ?

  Yes

  No

  N/A

• 13.5. Workers kept from under suspended loads at all times ?

  Yes

  No

  N/A

• 13.6. All chains & slings inspected and tagged as required and tag lines used ?

  Yes

  No

  N/A

• SECTION NOTES

14. Administrative Procedures

• 14.1. Lack of or inadequate Site Safety Plan ?

  Safe

  At Risk

  N/A

• 14.2. Failure of subcontractors to obtain special permits (Hot Works, Confined Space etc)

  Safe

  At Risk

  N/A

• 14.3. Lack of, or inadequate, induction & sign in for workers, contractors, visitors?

  Safe

  At Risk

  N/A

• 14.4. Competent person on site at all times for each subcontractor.

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• 14.6. Written fall protection program in place and followed at all times.

  Yes

  No

  N/A

• 14.7. Lack of/or inadequate incident notification procedures?

  Safe

  At Risk

  N/A

• 14.8. specific safety plan on file for every contractor working on site?

  Yes

  No

  N/A

• SECTION NOTES:

15. CONCRETE CONSTRUCTION

• 15.1 all workers protected from cement dust and all exposed skin covered?

  Safe

  At Risk

  N/A

• 15.2 all rebar both horizontal & vertical has proper caps?

  Safe

  At Risk

  N/A

• 15.3 all walls over 8' are properly supported

  Safe

  At Risk

  N/A

• 15.4 proper number of workers for each operation?

  Yes

  No

  N/A

• 15.5 all masonry saws have proper guard and all workers are wearing proper PPE at all times

  Yes

  No

  N/A

• 15.6 proper access and egress to work area provided?

  Safe

  At Risk

  N/A

• 15.7. all workers wearing hiviz vests when working near equipment?

  Yes

  No

  N/A

• SECTION NOTES

16. COMPRESSED GAS CYLINDERS

• 16.1 oxygen & fuel gas cylinders stored a minimum of 20' apart and secured correctly

  Safe

  At Risk

  N/A

• 16.2 smoking prohibited in storage areas & all tanks are secured, upright and capped?

  Safe

  At Risk

  N/A

• 16.3 gas cylinders transported and handled properly?

  Yes

  No

  N/A

• 16.4 all cylinders labeled properly and storage area has proper signage and fire extinguisher mounted nearby?

  Yes

  No

  N/A

• SECTION NOTES

17. HAZARDOUS CHEMICALS [INCLUDING FUEL AND OIL]

• 17.1 unsafe storage location [near source of ignition or where spills could enter storm water]

  Safe

  At Risk

  N/A

• 17.2 incompatible chemicals stored near each other?

  Safe

  At Risk

  N/A

• 17.3 inadequate spill containment equipment?

  Safe

  At Risk

  N/A

• 17.4 SDS sheets readily accessible on site?

  Safe

  At Risk

  N/A

• 17.5 lack of chemical emergency procedures for injury/ spills /fire etc?

  Safe

  At Risk

  N/A

• 17.6 incorrect or insufficient PPE?

  Safe

  At Risk

  N/A

• 17.7 unsuitable storage containers?

  Safe

  At Risk

  N/A

• SECTION NOTES:

Additional notes or concerns

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Corrective Actions

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