Information
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Document No.
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Client / Site
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Prepared by
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Select date
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Comments
ILSM & Administration
1.0 Interim Life Safety Measures
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Conduct ILSM Audit
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1.1 Exit clear, signs, egress route<br>
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1.2 Exterior Access<br>
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1.3 Fire Alarm/suppression<br>
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1.4 Temp walls, signs<br>
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1.5 Fire extinguishers unobstructed, inspections current <br>
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1.6 No Smoking rule or designated smoking areas<br>
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1.7 Storage & housekeeping adequate <br>
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1.8 Hot work operations by permit<br>
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1.9 ILSMs current<br>
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1.10 Other ILSM
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Conduct Infection Control Audit
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1.1 Infection Control Risk Assessment (ICRA) completed/documented
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1.2 ICRA/Permit posted
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1.3 Dust Controls (HEPA, NAM, Scrubbers)
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1.4 Temp walls, signsHoles, conduits, pipes and punctures sealed appropriately
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1.5 Negative air pressure maintained/monitored
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1.6 Work area isolated
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1.7 Ductwork/air returns sealed
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1.8 Material carts covered/wiped down
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1.9 Tack mats in use and monitored
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1.10 Continuous cleanup accomplished
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1.11 Wet mop as necessary
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1.12 HEPA Vacuum utilized
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1.13 Area cleaned by HOST Environmental Services
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1.14 Barriers remain until inspected by HOST Safety Infection Control Manager
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1.15 Other ICRA
2.0 Administration
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Conduct Administrative Audit
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2.1 Document pre construction meetings<br>
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2.2 Freq/reg safety inspections<br>
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2.3 JHA submitted each trade<br>
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2.4 MSDS manual<br>
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2.5 OSHA 10 hr cert sub on site<br>
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2.6 OSHA posters/OSHA 300 log<br>
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2.7 Safety Manual<br>
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2.8 Safety Meetings<br>
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2.9 Tool Box talks<br>
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2.10 Orientations process completed<br>
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2.11 State/Fed posters (eng/sp)<br>
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2.12 Visitor PPE<br>
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2.13 Visitor sign in<br>
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2.14 Exit signs posted<br>
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2.15 Other Administrative
Confined Space
3.0 Confined Space
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Conduct Confined Space Audit
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3.1 Atmospheric Conditions<br>
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3.2 Comm/secure area/signage<br>
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3.3 Entry super/monitor/entrant<br>
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3.4 Harness/extraction equip<br>
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3.5 Permit required<br>
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3.6 Regular Insp/air monitor<br>
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3.7 Rescue plan/emerg #'s/map<br>
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3.8 Respiratory Equipment<br>
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3.9 Safety person/rescue equip/PPE<br>
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3.10 Training documentation<br>
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3.11 Ventilation<br>
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3.12 Other confined space
Cranes & Lifting Devices
4.0 Cranes & Hoisting Equipment - 29 CFR 1926 Subpart CC - OSM 415
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Conduct Crane & Hoisting Equipment Audit
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4.1 Annual Inspection current<br>
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4.2 Anti two block device as required<br>
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4.3 Boom angle indicator functional<br>
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4.4 Operator properly certified or verify training<br>
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4.5 Crane supported & level<br>
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4.6 Daily and Monthly inspection current<br>
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4.7 Safe distance to power lines maintained or lines De-energized / insulated<br>
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4.8 Fire extinguisher in crane<br>
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4.9 Flagman / Signalman & Rigger identified <br>
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4.10 Lift plan on file if required<br>
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4.11 Load chart posted<br>
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4.12 Loads properly secured<br>
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4.13 Means of communication<br>
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4.14 Operator appears competent<br>
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4.15 Operator manual in crane<br>
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4.16 Out riggers fully extended and proper cribbing<br>
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4.17 Rigging equipment inspected and rated for load<br>
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4.18 Safety latches used<br>
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4.19 Swing radius barricaded<br>
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4.20 Tag lines used<br>
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4.21 Weight of load verified<br>
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4.22 Other Crane / Hoisting
Electrical
5.0 Electrical - 29 CFR 1926 Subpart K - OSM 430
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Conduct Electrical Audit
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5.1 Cords in good condition<br>
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5.2 Cords protected from traffic<br>
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5.3 Energized Work Procedures<br>
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5.4 Electrical work protected<br>
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5.5 Energized parts protected<br>
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5.6 GFCI's inspected and used<br>
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5.7 LO/TO procedures<br>
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5.8 Proper use of temp power bxs<br>
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5.9 Signage present<br>
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5.10 Proper temp lighting<br>
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5.11 Other Electrical
Environmental
6.0 Environmental
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Conduct Environmental Audit
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6.1 Asbestos/Lead areas located<br>
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6.2 Concrete cut wet / vacuumed <br>
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6.3 Containers labeled<br>
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6.4 Hazardous materials properly stored / storage signage as required<br>
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6.5 Nuisance dust<br>
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6.6 Spill containment adequate<br>
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6.7 Other Environmental
Excavations
7.0 Excavations - 29 CFR 1926 Subpart P - OSM 435
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Conduct Excavation Audit
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7.1 Ladder Access every 25'<br>
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7.2 Competent person present<br>
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7.3 Daily inspections doc<br>
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7.4 Excavtion >20' engineered<br>
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7.5 One Call or Utility locate system used<br>
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7.6 Perimeter protected/barricaded<br>
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7.7 Sloped, benched or shored, engineered<br>
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7.8 Spoil 2' from edge<br>
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7.9 Surface encumbrances<br>
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7.10 Surface traffic exposures<br>
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7.11 Water entering excavation removed<br>
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7.12 Other excavation
Fall Protection
8.0 Fall Protection - 29 CFR 1926 Subpart M - OSM 440
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Conduct Fall Protection Audit
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8.1 Perimeter Protection /Ext/Int guardrails<br>
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8.2 Fall protection/prevention at 6'<br>
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8.3 Floor/Wall openings protected<br>
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8.4 Floor covers adequate, secured & label<br>
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8.5 Proper anchorage points<br>
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8.6 Roof edge protected<br>
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8.7 Safety harness and lanyard<br>
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8.8 Stair/ramp/walkway protection<br>
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8.9 Acceptable Fall Plan submitted<br>
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8.10 Other Fall Protection
Fire Protection
9.0 Fire Protection - 29 CFR 1926 Subpart F - OSM 450
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Conduct Fire Protection Audit
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9.1 Emergency vehicle access<br>
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9.2 Extinguisher charged and inspected<br>
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9.3 Fire suppression equip available<br>
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9.4 Fire watch when applicable<br>
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9.5 Proper signage in storage area<br>
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9.6 Monthly extinguisher inspection<br><br>
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9.7 Rescue plan/emergency numbers and map <br>
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9.10 Training documentation<br>
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9.11 Other Fire Protection
Hand & Power Tools
10.0 Hand & Power Tools - 29 CFR 1926 Subpart I - OSM 470
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Conduct Hand & Power Tool Audit
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10.1 Cord in good condition<br>
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10.2 Ground prong in place<br>
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10.3 Guards in place<br>
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10.4 Information label on tool<br>
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10.5 Proper tool for the job<br>
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10.6 Strain relief functioning<br>
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10.7 Tool used properly<br>
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10.8 Anti-whip attachments installed<br>
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10.9 Auto shut off/safety switches<br>
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10.10 Powder actuated tool used proper<br>
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10.11 Powder actuated shots disposed properly<br>
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10.12 Other hand/power tool
Hazard Communication
Hazard Communication - 29 CFR 1926.59 - 29 CFR 1910.1200
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Conduct HazCom Audit
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11.1 Copy of written program<br>
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11.2 Employees Trained<br>
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11.3 Inventory List<br>
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11.4 SDS (site specific)<br>
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11.5 Proper labels on containers<br>
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11.6 SDS's Readily Available and easily accessible<br>
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11.7 Other HazCom
Housekeeping
12.0 Housekeeping - 29 CFR 1926.25
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Conduct Housekeeping Audit
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12.1 Clear access to building / site<br>
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12.2 Designated employee parking<br>
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12.3 Impalement protection<br>
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12.4 Proper material storage<br>
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12.5 Roadway around project clear<br>
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12.6 Slip, trip, fall hazards<br>
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12.7 Trash in protected containers<br>
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12.8 Walkways clear<br>
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12.9 Other Housekeeping
Ladders & Stairs
13.0 Ladders 29 CFR 1926 Subpart X - OSM 495 / Stairs (OSM 550)
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Conduct Ladder / Stairs Audit
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13.1 Ladder 3' above landing<br>
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13.2 Ladder or stair access break >19"<br>
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13.3 Landings clear of debris/material<br>
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13.4 Extension ladder 4:1 pitch<br>
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13.5 Inspected for defects<br>
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13.6 Job-built ladders constructed properly<br>
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13.7 Ladders properly secured<br>
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13.8 Landings and treads filled<br>
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13.9 Proper use of ladder<br>
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13.10 Rails at stairs/landings<br>
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13.11 Safe work distance from hazard<br>
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13.12 Slip trip exposure eliminated<br>
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13.13 Stairs illuminated<br>
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13.14 Other Ladder/Stair
Medical & Emergency
14.0 Medical / Emergency
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Conduct Medical / Emergency Audit<br>
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14.1 First Aid Kit available <br>
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14.2 First Aid / CPR qualified person on site<br>
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14.3 Emergency numbers posted<br>
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14.4 Eye wash available<br>
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14.5 Directions to medical facility<br>
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14.6 Project Emergency / Crisis / EAP<br>
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14.7 Contact numbers avail.<br>
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14.8 Other Medical
Motorized Equipment
15.0 Motorized Equipment - 29 CFR 1926 Subpart O -
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Conduct Motorized Equipment Audit
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15.1 Back up alarm functioning<br>
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15.2 Flagman used if applicable<br>
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15.3 Glass free of obstructions<br>
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15.4 Horn functioning<br>
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15.5 Operator appears competent<br>
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15.6 Seat belts used<br>
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15.7 Training documents available<br>
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15.8 Other Motorized Vehicle
Personal Protection Equipment
16.0 PPE - 29 CFR 1926.95, Subpart E - OSM 520
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Conduct PPE Audit
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16.1 Safety Glasses
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16.2 Face shield worn when required
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16.3 Proper gloves for task being performed
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16.4 Hard hat
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16.5 Hearing Protection<br>
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16.6 Metatarsal protection when appropriate<br>
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16.7 Proper work clothing<br>
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16.8 Rebar Caps<br>
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16.9 Respirators<br>
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16.10 High visibility outer attire<br>
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16.11 Visitor PPE available<br>
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16.12 Work Boots<br>
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16.13 Other PPE
Scaffolds & Man Lifts
17.0 Scaffolds - 29 CFR 1926 Subpart L - OSM 535
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Conduct Scaffold Audit
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17.1 Bracing & pins in place<br>
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17.2 Compatible components used<br>
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17.3 Competent person present<br>
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17.4 Guardrails in place<br>
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17.5 Inspected daily<br>
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17.6 Properly secured to structure<br>
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17.7 Proper access to platforms<br>
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17.8 Proper loading of materials<br>
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17.9 Proper height to base ratio<br>
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17.10 Safe work distances<br>
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17.11 Sills, plates, jacks installed<br>
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17.12 Surface in safe condition<br>
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17.13 Wheels locked<br>
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17.14 Outriggers installed<br>
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17.15 Other Scaffold
Scaffolding Observation
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Contractor
- 2-K Steel
- ABC Cutting
- All South Subcontractors, Inc.
- Automated Systems Design, Inc
- Brawco
- Durham Contracting, LLC
- Florida Glass of Tampa Bay
- Gant Concrete Pumping
- Gates Precast Company
- Goodman Deocrating Co, Inc.
- H&M Mechanical
- International Fire Protection
- Landscape Workshop
- Mac's Crane Service
- McDonald Brothers Construction
- Mortensen Woodword
- NS Water Proofing
- Robins & Morton
- Selective Masonry
- Shannon Brothers
- Skyline Forming and Affiliates
- Specon Systems, Inc.
- ThysenKrupp Elevator Corp
- Vickers Concrete Reinforcing, Inc
- Wells & Tate
- Wheeler Services, Inc.
- Moon Construction
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Observation Details
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Has deficiency been corrected?
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Corrective Action Information
18.0 Scissor / Aerial lifts
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Conduct Lift Audit
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18.1 Equipment loaded properly<br>
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18.2 Gate or chain secured<br>
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18.3 Harness while in boom lifts<br>
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18.4 Nothing to increase height<br>
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18.5 Operating on flat surfaces<br>
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18.6 Surface free of holes<br>
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18.7 Daily/Shift inspection completed
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18.9 Other scissor/aerial lift
Aerial/Scissor Lift Observation
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- 2-K Steel
- ABC Cutting
- All South Subcontractors, Inc.
- Automated Systems Design, Inc
- Brawco
- Durham Contracting, LLC
- Florida Glass of Tampa Bay
- Gant Concrete Pumping
- Gates Precast Company
- Goodman Deocrating Co, Inc.
- H&M Mechanical
- International Fire Protection
- Landscape Workshop
- Mac's Crane Service
- McDonald Brothers Construction
- Mortensen Woodword
- NS Water Proofing
- Robins & Morton
- Selective Masonry
- Shannon Brothers
- Skyline Forming and Affiliates
- Specon Systems, Inc.
- ThysenKrupp Elevator Corp
- Vickers Concrete Reinforcing, Inc
- Wells & Tate
- Wheeler Services, Inc.
- Moon Construction
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Has deficiency been corrected?
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Corrective Action Information
Site Public Protection
19.0 Site Public Protection
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Conduct Site Public Protection Audit<br>
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19.1 Adequate lighting<br>
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19.2 Barricades installed properly<br>
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19.3 Company representative present<br>
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19.4 Excavations protected<br>
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19.5 Falling object protection<br>
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10.6 Perimeter fences
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19.7 Public protection signage<br>
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19.8 Security system in place<br>
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19.9 Street closure identified<br>
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19.10 Traffic control plan<br>
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19.11 Other Public Protection
Steel Erection
20.0 Steel Erection - 29 CFR 1926 Subpart R - OSM 545
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Conduct Steel Erection Audit
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20.1 Proper anchorage points<br>
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20.2 Erector notified of modification<br>
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20.3 Sub Part "R" & Fall protection training <br>
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20.4 Falling object protection: Netting, Tethers, Barricades<br>
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20.5 Proper Multi lift procedure utilized<br>
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20.6 Site layout and erection sequence followed
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20.7 Other Steel Erection
Welding Cutting
21.0 Welding /Cutting - 29 CFR 1926 Subpart J - OSM 480
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Conduct Welding Cutting Audit
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21.1 Bottles upright/cap/secured<br>
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21.2 Fire extinguisher present / Fire Watch designated<br>
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21.3 Flash arrestors on torches<br>
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21.4 Flash protection available<br>
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21.5 Gauges working properly<br>
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21.6 Leads in good condition<br>
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21.7 Proper use of PPE<br>
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21.8 Torch hoses good condition<br>
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21.9 Weld machine ventilated<br>
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21.10 Proper storage and handling of cylinders<br>
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21.11 Hot Work Permit
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20.12 Other Welding/Cutting
Demolition
22.0 Demolition - 29 CFR 1926 Subaprt T - OSM 420
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Conduct Demolition Audit
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22.1 Daily Inspection/Structural Stability<br>
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22.2 Dust control in effect<br>
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22.3 PPE appropriate for tasks being performed<br>
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22.4 Temp Power / GFCI protected<br>
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22.5 Fall Protection<br>
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22.6 HazCom<br>
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22.7 Scaffolding<br>
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22.8 Other demolition
