Information
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Site conducted
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Document No.
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Audit Title
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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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Personnel
Administration
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Turn on if Audited
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Freq/regular safety inspections / Filed on SharePoint
- Yes
- No
- N/A
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JHA/PTP performed / Files on SharePoint
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Orientations conducted / Filed on SharePoint
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OSHA 300 Log (posted Feb 1st – April 30th)
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Safety manual / Filed on SharePoint
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Safety meetings / Filed on SharePoint
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State / Fed posters (Eng)
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Visitor PPE available
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Visitor sign-in form
Confined Space
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Turn on if Present
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Training documentation
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Verified permit or non permit required
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Entry super/monitor/entrant
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Communications / secure area / signage
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Documentation of Regular inspections / air monitor
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Atmospheric conditions checked
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Ventilation
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Harness / extraction equip / in the area
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Rescue plan/emergency #'s/map
Cranes And Hoisting Equipment
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Turn on if Crane is Present
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Annual crane/wire rope inspection current
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Confirm Operator has a daily inspection log filled out / filed on SharePoint
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Verification of certified operator
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Qualified signal person(s) identified/verified
- Yes
- No
- N/A
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Qualified rigger(s) identified/verified
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Rigging inspected/rated
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Loads properly secured
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Tag lines used
Electrical
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Turn on if observed
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Cords in good condition
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S O Cords Labeled for the quarter
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Cords protected from traffic / Pinch Points
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Electrical room protected
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GFCI's used
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Proper temp lighting
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Proper use temp power boxes
Environmental
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Turn on if observed
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Asbestos/lead awareness training
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Concrete/block/brick cut wet & vacuumed
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Nuisance dust
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Spill containment adequate
Excavations
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Turn on if observed
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Access with 25'
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Competent person present
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Daily inspections documented
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Excavation > 20' engineered
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Perimeter protection/barricade
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Sloped, benched, or shored
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Spoil 2' from edge
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Water entering excavation
Fall Protection
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Turn on if observed
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Fall protection plan written
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Training verified
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Competent person verified
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Fall protection provided at '
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Exterior/interior guardrails
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Warning line system properly set up
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Floor/wall opening protected
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Floor covers adequate, secured, labeled
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Proper anchorage points
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Roof edge protected
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Safety harness and lanyard
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Stair/ramp/walkway protected
Fire Protection
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Turn on if Hot Work is Present
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Hot Work Permit in Use
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Fire watch when applicable
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Emergency vehicle access
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Extinguishers charged and inspected
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Adequate number of extinguishers
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Task extinguishers present
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Proper fuel containers used
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Proper signs in storage areas
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Fire suppression equip available
Hand And Power Tools
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Turn on if observed
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Anti-whip attach to pressurized lines
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Auto shut off/safety switches
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Cord in good condition
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Ground prong in place
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Guards in place
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Information label on tool
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Proper tool for the job
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Powder actuated tool used properly
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Unspent powder actuated shots disposed of properly
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Strain relief functioning
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Tool in good condition
Housekeeping
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Turn on if observed
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Clear access to bldg/site
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Impalement/ rebar protection
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Proper material storage
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Proper use of “Controlled Access Zone”
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Roadway around project clear
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Slip, trip, fall hazards
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Trash in protected container
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Walkways clear
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Egress pathways clear
Ladders / Stairs
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Turn on if observed
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3’ above landing
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Access break >19”
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Clear of debris/materials
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Extension ladder 4:1 pitch
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Corral built around ladder access
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Inspected for defects
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Ladders secured
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Landings and treads filled
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Proper use of ladder
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Rails at stairs/landings
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Safe work distance from electrical hazard
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Slip trip exposure eliminated
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Stairs illuminated
Medical / Emergency
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Turn on if observed
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1st Aid/CPR on site
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Emergency numbers posted
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Emergency procedure supplies
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Eye wash
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Map to medical facility
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Project. Emer./Crisis Mgmt Plan
Motorized Equipment
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Turn on if observed
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Forklift operator certification verified
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Daily inspection of equipment verified
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Operator appears competent
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Seat belts used
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Back up alarm functioning
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Glass free of obstructions
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Flagman used if applicable
P.P.E.
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Turn on if observed
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Face Shields
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Glasses
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Gloves
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Hard Hats
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Hearing protection
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Proper High-Vis clothing/vests
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Respirators
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Visitor PPE available
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Work Boots
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Powder Actuate Tool in use Signage
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Laser In use Signage
Scaffolds
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Turn on if observed
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Standard scaffolding properly set up
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Bracing and pins in place
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Compatible components used
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Competent person present
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All accessing scaffold have had user training
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Guard rails in place
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Inspected daily and verified on Green Tag
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Outriggers installed
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Properly secured to structure
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Proper access to platforms
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Proper height to base ratio
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Proper loading of materials
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Sills, plates, jacks installed properly
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Safe work distances from electrical
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Surface in safe condition
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Wheels locked
Scissor / Boom Lifts
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Turn on if observed
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Proper use of scissor or boom lifts
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Gate or chain secured
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Harness while in boom lifts
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Nothing to increase height
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Operating on flat surface
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Operator training
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Safe work distances from Hazards
Site / Public Protection
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Turn on if observed
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Adequate lighting
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Barricades installed properly
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Falling object protection
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Perimeter fences
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Public protection signage
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Security system in place
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Street closure identified / traffic control plan
Welding / Cutting
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Turn on if observed
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Bottles upright/cap/secured
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Fire ext present
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Flash arrest on torches
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Leads in good condition
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Proper Storage of Cylinders
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Torch hoses good condition
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Prop PPE in use
Photos
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Turn on to add additional photos
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Add media
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