Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Safety Department Representative
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Supervisor
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Project Manager
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Personnel
Utilities
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1. Have all underground and overhead utilities been located properly and thoroughly?
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Internal Gas
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High Voltage Lines
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Communication/Telephone
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Fiber Optic
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Other
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If yes, please explain if they have been terminated or relocated.
Hazardous Materials Information
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2. Have we reviewed a Site Specific Hazardous Materials Report?
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Has Weigand Construction received a letter of abatement from the environmental group that performed the removal of asbestos or any other hazardous material?
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Date Received letter of abatement.
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Company who did the abatement
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Does the report identify any hazards?
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Lead
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Asbestos
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Type of asbestos?
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Mold
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Medical Gas
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Other
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Will an outside abatement contractor be required?
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Has the Weigand Safety Department been notified and requested to review/test for environmental hazards?
Demolition Information
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Will job involve removal or demolition of any materials, resurfacing of floors, or building additions that could disturb any existing material on site?
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Is another contractor/subcontractor performing demo in the work area?
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Has an environmental source been requested to monitor/test/review for additional items not identified in original hazardous material report?
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Has arrangements been made to dispose of hazardous materials?
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Arrangement for disposal of fluorescent bulbs? Who is responsible contractor?
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Arrangement for disposal of lighting ballasts? Who is responsible contractor?
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Arrangement for dumpster? Who is responsible contractor?
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Arrangement for landfill?
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Will the demolition require removal of electrical wiring?
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Does the demolition require Lockout/Tagout plan? If so who is responsible?
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Will there be any cases that the electrical contractor do any demolition in energized sources?
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If the above question is answered yes, has Weigand received an arc flash plan for any of this work?
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Brief description of the arc flash plan.
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Will the demolition require any demolition of piping systems or mechanical equipment?
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Will Lockout/Tagout of valves, mechanical equipment be required?
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Who will be the responsible contractor for the mechanical lockout/tagout?
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Well adequate lighting be available during the demolition phase?
Materials Involved in the Demolition
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Ceiling Panels
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Pipe Insulation
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Mudded Joints
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Fire Proofing
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Exterior Siding
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Fluorescent Bulbs
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Lighting Ballasts
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Roofing Felts
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Floor Tiles
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Scratch Coats
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Transite Paneling
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Transite Piping
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Acoustical Plaster (sprayed on or troweled on)
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Tile Underlay
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Drywall Plaster
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Linoleum
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Other (description)
Personnel Protective Requirements
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Mandatory: Hard Hats, gloves, 100% eye protection.
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Dust Masks
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Hearing Protection
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Cut Resistant Gloves
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Paper Coveralls
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Respiratory Protection
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If "yes" what type will be used?
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If "yes" have pulmonary function test been scheduled?
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If "yes" has fit testing been scheduled?
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Will fall protection be required?
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If "yes" description of fall protection measures to be taken.
Access and Egress of Employees and Materials
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Is an emergency evacuation plan in place?
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Do stairways have handrails and kept free of debris?
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What are the means and methods of removing debris from the 2nd floor and above?
Temporary Fire Protection/Preventation Plan
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Is there a pre-existing fire protection plan?
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If yes, are sprinklers shut off?
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If yes, is the fire alarm system shut down?
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If yes, will the dust set off the fire alarm in the building?
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If yes, will be using this or disconnecting this Fire Protection System?
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Using Existing System
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Disconnecting Existing System
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If disconnecting, what temporary fire protection system will be in place?
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Do we have adequate number of fire extinguishers?
Material Handling
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What type of MHE will be used
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Will MHE be used inside the building?
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If yes, will exhaust air scrubbers be used?
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Will ventilation be required?
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If so what type?
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Will negative air machines be required?
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Will fuel storage be required on site?
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What type of fuel will be used on site?
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What is the location of the fuel storage.
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Fuel Storage Requirements: No fuel to be stored inside a building. > A fire extinguisher rated not less than a 20lb shall be located <25 or >75 ft. > All fuel containers need to be properly labeled identifying the fuel/flammable/no smoking.
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Weigand Safety
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Weigand Supervisor
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Weigand Project Manager
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Other
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Other