Project Tilden - field audit

• Add location
  Address

• Job-site Name and Number

• Conducted on

  Date

• Prepared by:

• Superintendent Onsite

• Are all work areas pertaining to our work satisfactory on housekeeping?

  Safe

  At Risk

  N/A

• Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?

  Safe

  At Risk

  N/A

• Are Daily Job Hazard Analysis (Pre-Task Plan) being completed?

  Safe

  At Risk

  N/A

• What areas if found not completed?

  Yes

  No

  N/A

• Adequate trash containers provided?

  Safe

  At Risk

  N/A

• Any protruding/impalement objects exposed?

  Safe

  At Risk

  N/A

• Is there an eye-wash station or sink available for quick drenching or flushing of the the eyes and body?

  Safe

  At Risk

  N/A

• Are portable drinking containers provided for employees on the job site?

  Safe

  At Risk

  N/A

• Are walkways kept clear and identified if in need?

  Safe

  At Risk

  N/A

• Are changes of direction or elevations readily identifiable?

  Safe

  At Risk

  N/A

• Are proper barricades being used per the task ( Caution/Danger)

  Safe

  At Risk

  N/A

• Is proper contact information placed on the barricade?

  Safe

  At Risk

  N/A

• When lasers are in use has all proper signage and warnings been displayed?

  Safe

  At Risk

  N/A

• If not then has the issue been addressed and immediately corrected? Explain.

  Safe

  At Risk

  N/A

Additional information

• Any additional information:

  Safe

  At Risk

  N/A

• Are all employee's wearing safety glasses 100% of the time on the job-site?

  Safe

  At Risk

  N/A

• How many are found to be hazardous.

• Add detail

• Are all safety glasses Z87 rated?

  Safe

  At Risk

  N/A

• Are all employee's wearing suitable gloves pertaining to their task?

  Safe

  At Risk

  N/A

• How many are found?

• Are employee's wearing hard-hats at all times on the job-site?

  Safe

  At Risk

  N/A

• Are any of the employee's hard-hats visibly damaged or in need of replacement?

  Safe

  At Risk

  N/A

• Are control measures put in place such as fans, water, and vacuums to contain/control/reduce dust particle exposure to employee's and the environment?

  Safe

  At Risk

  N/A

• Reflective Vests or high visibility shirts worn on-site

  Safe

  At Risk

  N/A

• Hearing protection worn if in need at high noise levels?

  Safe

  At Risk

  N/A

• Leather work boots and Steel toe protection if using tamps?

  Safe

  At Risk

  N/A

• Face shields worn on all needed tasks such as welding,cutting, or a possible splash of harsh chemicals?

  Safe

  At Risk

  N/A

• Are appropriate procedures in place to dispose of or decontaminate PPE contaminated with, or reasonably anticipated to be contaminated with, blood or other potentially infections materials?

  Safe

  At Risk

  N/A

Additional information

• Any additional information:

  Safe

  At Risk

  N/A

• Safety cans are used to store gasoline or diesel? (Plastic cans are prohibited on the job-site).

  Safe

  At Risk

  N/A

• Are cans properly labeled with what it contains? (Glue, Primer, Mixed GAS, etc.)

  Safe

  At Risk

  N/A

• Are fire extinguishers provided for every 3,000 square feet of protected space?

  Safe

  At Risk

  N/A

• Are fire extinguishers available for all areas? (Fuel containers on-site, fuel storages, all equipment on-site, etc.)

  Safe

  At Risk

  N/A

• Are all the requirements met on labeling and protecting storage areas such as "no smoking signs" and a berm around the tanks?

  Safe

  At Risk

  N/A

• Propane is not stored inside?

  Safe

  At Risk

  N/A

Additional information

• Additional information:

  Safe

  At Risk

  N/A

Hot Work

• Are Hot Work Permits needed to do the task?

  Safe

  At Risk

  N/A

• Is a suitable fire extinguisher present for the job task?

  Safe

  At Risk

  N/A

• Are the permits filled out and approved prior to conducting the work?

  Safe

  At Risk

  N/A

• Are flashback arrestors installed on the hose/cylinders?

  Safe

  At Risk

  N/A

• Where arc welding activities are being performed are screening provided to shield arc?

  Safe

  At Risk

  N/A

• Are all objects subject to being caught on fire by the heat source away from the designated area?

  Yes

  No

  N/A

• Source containers (Oxygen/Acetylene) etc. up right and secured?

  Safe

  At Risk

  N/A

• Are gauges and hoses free of defects?

  Safe

  At Risk

  N/A

• Are welding leads for arc welding not damaged or repaired 10 feet from the end of the lead.

  Safe

  At Risk

  N/A

• Are fire blankets necessary for the task being conducted?

  Yes

  No

  N/A

Storage

• Are containers (Oxygen, Acetylene, etc.) labeled, up right, secured and capped?

  Safe

  At Risk

  N/A

• When being stored, are Oxygen cylinders separated from combustible cylinders and materials by 20 feet?

  Safe

  At Risk

  N/A

Compressors

• Are air compressors equipped with pressure relief valves and pressure gauges?

  Safe

  At Risk

  N/A

• Are safety chains or other suitable locking devices used at couplings of high-pressure hose lines where a connection failure would create a hazard?

  Safe

  At Risk

  N/A

Fire Watch

• Is the Fire Watch present for the Hot Work being performed?

  Safe

  At Risk

  N/A

• Is a 35 foot radius being monitored from the Fire Watch surrounding the Hot Work being conducted?

  Safe

  At Risk

  N/A

Additional information

• Any additional information:

  Safe

  At Risk

  N/A

• Are 3-wire construction grade cords being used that are free of damage or defects?

  Safe

  At Risk

  N/A

• Have safety measures been removed from the power tools and or equipment?

  Safe

  At Risk

  N/A

• When found did employees take them out of service?

  Yes

  No

  N/A

• Are Ground Fault Circuit Interruptors being utilized for all power tools and equipment?

  Safe

  At Risk

  N/A

• Are cords being suspended?

  Safe

  At Risk

  N/A

Lock Out / Tag Out

• Did you observe or been informed of a Lock-out Tag-out procedure occurring today?

  Yes

  No

  N/A

• Have all employees been trained in the procedure being conducted?

  Safe

  At Risk

  N/A

• Is the site LO/TO procedure wing followed?

  Yes

  No

  N/A

• Does this procedure involve group lockout/tag out?

  Yes

  No

  N/A

• Did the foreman review will all authorized employees their responsibilities under the procedure? Note: A review can be accomplished by meeting with employees with the Pre-task

  Yes

  No

  N/A

Additional information

• Any additional information?

  Safe

  At Risk

  N/A

• Did you observe a scaffolding operation or inspect a scaffold?

  Yes

  No

  N/A

• Did a competent person inspect and sign off on the scaffold?

  Safe

  At Risk

  N/A

• Safe access is providing at all working levels.

  Safe

  At Risk

  N/A

• Guardrails are provided on working levels 10ft or more in height.

  Safe

  At Risk

  N/A

• Bases are provided on scaffold frame legs and mudsill (2 X 10 minimum)

  Safe

  At Risk

  N/A

• Working platforms are fully planked.

  Safe

  At Risk

  N/A

• Scaffolds are anchored properly?

  Safe

  At Risk

  N/A

Additional information

• Add additional information.

  Safe

  At Risk

  N/A

Guardrails

• Guardrails provided and structurally sound.

  Safe

  At Risk

  N/A

• Are guard rails set at the appropriate height in the working area being the Top rail ( 42 inches high + or - 3 inches) with mid rails and toe boards?

  Safe

  At Risk

  N/A

Holes

• Floor holes are covered, secured and labeled "HOLE" or "COVER"

  Safe

  At Risk

  N/A

• Wall openings temporarily covered or guard railed?

  Safe

  At Risk

  N/A

Personal Fall Arrest Systems

• Fall arrest systems properly implemented.

  Safe

  At Risk

  N/A

• Are personal fall arrest systems being properly used?

  Yes

  No

  N/A

• Has the individual using fall protection inspected the fall protection?

  Safe

  At Risk

  N/A

Additional information

• Any additional information?

  Safe

  At Risk

  N/A

• A re hand tools free of defects?

  Yes

  No

  N/A

• Are hand tools the right tool for the job?

  Yes

  No

  N/A

• Guards are provided for tools?

  Safe

  At Risk

  N/A

• Tools being used are free of damage or defects?

  Safe

  At Risk

  N/A

• Are power tools including double insulated found to have no damage or defects?

  Safe

  At Risk

  N/A

• Are the proper tools being used for the job task?

  Safe

  At Risk

  N/A

• Is all machinery and equipment kept clean and properly maintained?

  Safe

  At Risk

  N/A

• Are methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, ongoing nip points, rotating parts, flying chips, and sparks?

  Safe

  At Risk

  N/A

Additional Information

• Any additional information?

  Safe

  At Risk

  N/A

• Are Operators wearing seatbelts?

  Safe

  At Risk

  N/A

• Has the Operator performed and documented inspection prior to use?

  Safe

  At Risk

  N/A

• Are Spotters used when needed?

  Safe

  At Risk

  N/A

Roadways and Traffic

• Are proper communication methods taking place when directing traffic?

  Safe

  At Risk

  N/A

Scissor Lifts

• Has the Pre-Start Scissor Lift Inspection Log been conducted for all Scissor Lifts approached and used by the personnel?

  Safe

  At Risk

  N/A

• If not then state what company and the employee operating the lift.

  Safe

  At Risk

  N/A

• Are there any recognized issues while observing the lifts operation?

  Safe

  At Risk

  N/A

• Is a barricade or spotter used when needed during operation?

  Safe

  At Risk

  N/A

Aerial Lifts (Boom Lifts)

• Has the Pre-Start Aerial Lift Inspection Log been conducted for all Aerial Lifts approached and used by personnel?

  Safe

  At Risk

  N/A

• If not then state what company and the employee operating the lift?

  Safe

  At Risk

  N/A

• Are there any recognized issues while the lift is being operated?

  Safe

  At Risk

  N/A

• Is a barricade or spotter used when needed during operation ( Includes under the basket)?

  Safe

  At Risk

  N/A

ForkLifts

• Are tag lines being used when applicable?

  Yes

  No

  N/A

• Are the loads secured to the forklift?

  Yes

  No

  N/A

• Has forklift been inspected?

  Safe

  At Risk

  N/A

Additional Information

• Any additional information?

  Safe

  At Risk

  N/A

• Did you observe a Crane operation today pertaining to our work?

  Yes

  No

  N/A

Cranes

• Accessible areas within the swing radius of the crane barricaded to prevent employee / pedestrian access/exposure?

  Safe

  At Risk

  N/A

• Did you observe a Rigging operation in any manner?

  Yes

  No

  N/A

Qualified Rigger / Signal Person

• Are the personnel rigging and signaling the load qualified?

  Safe

  At Risk

  N/A

• Is there clear communication with the Operator?

  Safe

  At Risk

  N/A

• Are the slings, spreaders, and any shackles used for rigging inspected before being used on the job-site?

  Safe

  At Risk

  N/A

• Are the safety latches inspected and satisfactory?

  Safe

  At Risk

  N/A

• Are tag-lines being used on every load?

  Safe

  At Risk

  N/A

• Is a warning sound blown on every load?

  Safe

  At Risk

  N/A

• Any additional information on this subject?

  Yes

  No

  N/A

Additional information

• Any additional information?

  Safe

  At Risk

  N/A

• Did you witness any Excavation activities today?

  Yes

  No

  N/A

• Is the underground installation accounted for by contacting the known local number?

  Safe

  At Risk

  N/A

• Is a competent person for excavations on-site?

  Safe

  At Risk

  N/A

• Is there safe access / egress provided from the excavation and travel distance is not exceeding 25 ft

  Safe

  At Risk

  N/A

• Are daily inspections being conducted by a competent person?

  Safe

  At Risk

  N/A

• Is the excavation or trench free of water?

  Safe

  At Risk

  N/A

• Is the excavation sloped or shored properly as per the soil type (Solid Rock, Type A., Type B., Type C.)?

  Safe

  At Risk

  N/A

Trench Box

• Was a trench box involved with this excavation?

  Yes

  No

  N/A

• If a trench box is being used is it a manufactured design?

  Safe

  At Risk

  N/A

Additional information

• Any additional information?

  Safe

  At Risk

  N/A

Ladders

• Are ladders free from damage or any defects?

  Safe

  At Risk

  N/A

• Are step ladders fully open when in use?

  Safe

  At Risk

  N/A

• Are all ladders the proper size for the task and used correctly?

  Safe

  At Risk

  N/A

• Are ladders secure at the top and the bottom?

  Safe

  At Risk

  N/A

• Are side-rails extending 36 inches above the landing platform?

  Safe

  At Risk

  N/A

• Is there a clear access / egress to all ladders?

  Safe

  At Risk

  N/A

• Top step of ladder(s) are not being used to work from?

  Safe

  At Risk

  N/A

• Are all labeling on ladders accounted for and legible?

  Safe

  At Risk

  N/A

• Ladders are being used as they are designed.

  Safe

  At Risk

  N/A

Additional information

• Any additional information?

  Safe

  At Risk

  N/A

• Did you observe or go over a confined space operation?

  Yes

  No

  N/A

• Is a permit completed before any other steps?

  Safe

  At Risk

  N/A

• Are rescue measures in place?

  Safe

  At Risk

  N/A

• Is an air monitor used to check the air in the confined space prior to entry?

  Safe

  At Risk

  N/A

• Is there proper access into the area?

  Safe

  At Risk

  N/A

• Are Spotters used to check employees in the area?

  Safe

  At Risk

  N/A

• Is there clear communication for if any issues rise?

  Safe

  At Risk

  N/A

• Is the atmosphere in the confined space being continuously monitored?

  Safe

  At Risk

  N/A

• Is there proper ventilation?

  Yes

  No

  N/A

Additional information

• Any additional information?

  Safe

  At Risk

  N/A

• Are there any additional comments or issues that are in need to be added?

  Yes

  No

  N/A

• Additional information?

  Safe

  At Risk

  N/A

• Additional Information

  Safe

  At Risk

  N/A

• Additional Information?

  Safe

  At Risk

  N/A

• Additional Information?

  Safe

  At Risk

  N/A