Project Safety Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Has a Hospital been designated?<br>

  Yes

  No

  N/A
• Location
  Address

• Project Manager

  Select Tom Woods Mike Seanson Carl Hummel Joe Mcnew

  • Tom Woods
  • Mike Seanson
  • Carl Hummel
  • Joe Mcnew

• Supervisor

  Select Mike Harrington Tony Tapscott Jeremey Chadwick Kiley Wilkes joe Forler Josh Mendenhall

  • Mike Harrington
  • Tony Tapscott
  • Jeremey Chadwick
  • Kiley Wilkes
  • joe Forler
  • Josh Mendenhall

• Personnel

Health and Safety Plan

• Did everyone sign the plan?

  Yes

  No

  N/A

• Are emergency numbers in the plan?

  Yes

  No

  N/A

• Is the contact number in the plan?

  Yes

  No

  N/A

• Is the plan kept on site?

  Yes

  No

  N/A

• Is the plan kept up to date?

  Yes

  No

  N/A

• General Area clean and neat?

  Yes

  No

  N/A

• Has the eye wash station been located?

  Yes

  No

  N/A

• Accident investigation reports available?h

  Yes

  No

  N/A

• Has a Rally point been designated?

  Yes

  No

  N/A

• Safe work permits in use?

  Yes

  No

  N/A

• Any R.E.C. Opportunity captured ?

  Yes

  No

  N/A

• Notes from R.E.C.

Work zones set up?

• Danger tape used?

  Yes

  No

  N/A

• Caution tape in use?

  Yes

  No

  N/A

• Decon area set up?

  Yes

  No

  N/A

Electrical

• Extension cords in use?

  Yes

  No

  N/A

• GFCIs in use?

  Yes

  No

  N/A

• Grinding prong in place

  Yes

  No

  N/A

Flammable Material in use?

• Bonding and grounding in place?

  Yes

  No

  N/A

• Fire Extinguisher available?

  Yes

  No

  N/A

Vehicles

• Are tires in good shape?

  Yes

  No

  N/A

• Has a pre trip been completed?

  Yes

  No

  N/A

• Is there a fire Extinguisher?

  Yes

  No

  N/A

• Is there a first aid kit on the truck?

  Yes

  No

  N/A

• Is the truck stocked with PPE

  Yes

  No

  N/A

Mobile Equipment

• Extended Fork lift in Use?

  Yes

  No

  N/A

• Daily inspections completed?

  Yes

  No

  N/A

• Bob cat in Use?

  Yes

  No

  N/A

• Daily inspection completed

  Yes

  No

  N/A

• Standard fork lift in Use?

  Yes

  No

  N/A

• Daily inspection completed

  Yes

  No

  N/A

Ladder/Scaffolding in Use?

• Equipment in good condition?

  Yes

  No

  N/A

• Inspected before use?

  Yes

  No

  N/A

• Is ladder proper height for the job?

  Yes

  No

  N/A

Personal protective equipment being used per HSP

• Is PPE being used?

  Yes

  No

  N/A

• Hard Hat?

• Hearing Protection ?

• Steel Toed Shoes?

• Respirator use!

Fall protection

• Is there a fall hazard?

  Yes

  No

  N/A

• Is a retractable being used?

  Yes

  No

  N/A

• Has it been inspected?

  Yes

  No

  N/A

• Is a lanyard being used?

  Yes

  No

  N/A

• Has the fall distance been calculated?

  Yes

  No

  N/A

Confined space

• Has a permit been filled out?

  Yes

  No

  N/A

• Is rescue equipment in place?

  Yes

  No

  N/A

• Does everyone understand the hazards?

  Yes

  No

  N/A

LOTO

• Lock out Tag out completed?

  Yes

  No

  N/A

• Personal locks identified?

  Yes

  No

  N/A

• Equipment listed?

  Yes

  No

  N/A

• Is ladder proper height for the job?

  Yes

  No

  N/A

Vac Truck

• Is there a fire Extinguisher?

  Yes

  No

  N/A

• Wheel chocks in place?

  Yes

  No

  N/A

• Vac truck check list being used?

  Yes

  No

  N/A

Waste/Haz waste

• Does the waste have a designated disposal option?

  Yes

  No

  N/A

Water Blasting

• Turtle suits being worn?

  Yes

  No

  N/A

• Barricade set up?

  Yes

  No

  N/A

• Anyone with in 10ft of the 40k gun? Beside the operator.

  Yes

  No

  N/A

• Proper shoring or sloping up material?

  Yes

  No

  N/A