Quarterly Safety Committee Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Employer Posting

• Is the OR OSHA poster, Job Safety and Health, displayed in a prominent location where all employees are likely to see it ?

  Yes

  No

  Other

• Are other Posters or Notices properly displayed, such as :

  Yes

  No

  N/A

• Select Safety Committee meeting minutes OSHA 300 Summary (Required Feb 1 to April 30) BOLI Poster

  • Safety Committee meeting minutes
  • OSHA 300 Summary (Required Feb 1 to April 30)
  • BOLI Poster

• Are Fortis,subcontractor, and owner (M)SDSs readily available and accessible to all personnel?

  Yes

  No

  N/A

• Are Phase II Environmental Reports, Asbestos, Lead or other hazardous materials reports posted or accessible to all personnel?

  Yes

  No

  N/A

• Where required, are crane hand signals posted where affected employees can view them?

  Yes

  No

  N/A

Record keeping

• Are all occupational injuries, illnesses, near misses, impacts and incidents being recorded and reported as required on the OSHA Form 300 and the company policy?

  Yes

  No

  N/A

• Are employee safety and health training records maintained?

  Yes

  No

  N/A

• Are subcontractors health and training records for activities requiring training confirmed and maintained?

  Yes

  No

  N/A

• Are safety audits and inspections (with corrections) being conducted and documented?

  Yes

  No

  N/A

• Are All-Hands Safety Meetings being conducted weekly and documented with a sign-in sheet

  Yes

  No

  N/A

• Is there a method for auditing and archiving Pre-Task Plans?

  Yes

  No

  N/A

• Are Employee Information Sheets (Orientation Sheets) organized and readily accessible in case of emergency?

  Yes

  No

  N/A

• Are Daily Reports being done by superintendent?

  Yes

  No

  N/A

• Are Daily Reports being collected from subcontractors?

  Yes

  No

  N/A

• Are safety permits and lift plans compiled and archived

  Yes

  No

  N/A

• Are safety permits and lift plans developed and archived?

  Select Confined Space Permits Hot Work Permits Crane Lift Plans MOP (Method of Procedure) Don't Hit It Form LO/TO Permit Energized Electrical Work

  • Confined Space Permits
  • Hot Work Permits
  • Crane Lift Plans
  • MOP (Method of Procedure)
  • Don't Hit It Form
  • LO/TO Permit
  • Energized Electrical Work

Safety and Health Program

• Is there a system in place for hazard identification and control (Pre Task Plans, Don't Hit It Forms, Job Hazard Analysis)?

  Yes

  No

  N/A

• Have all near misses and incidents been investigated?

  Yes

  No

  N/A

• Are employees encouraged to participate in health and safety matters?

  Yes

  No

  N/A

• How are they encouraged?

• Is site specific safety orientation provided for all personnel?

  Yes

  No

  N/A

Medical Services, First aid, Emergency Action Plan

• Has an emergency medical plan been developed?

  Yes

  No

  N/A

• Are the emergency phone numbers posted?

  Yes

  No

  N/A

• Has the Crisis Management Poster been posted?

  Yes

  No

  N/A

• Is the address of project clearly posted?

  Yes

  No

  N/A

• Have maps and directions to the nearest ER and occupational clinic been posted?

  Yes

  No

  N/A

• Are first aid kits accessible to each work area?

  Yes

  No

  N/A

• Is the AED accessible?

  Yes

  No

  N/A

• Are eyewash stations accessible and current?

  Yes

  No

  N/A

• Has the marshaling area been communicated to all personnel on site or is a sign posted?

  Yes

  No

  N/A

• Is there an alarm system for excavation or other emergency action recognizable and audible?

  Yes

  No

  N/A

• Have emergency procedures been developed and communicated to all personnel on the project?

  Yes

  No

  N/A

• Do employees know their responsibilities for

  Yes

  No

  N/A

• Select For Reporting During an Emergency performing CPR/First aid For communicating

  • For Reporting
  • During an Emergency
  • performing CPR/First aid
  • For communicating

Fire Protection

• Is there an established procedure to control potential fire hazards and ignition sources?

  Yes

  No

  N/A

• Are ABC Fire Extinguishers located on every level and near exits no more than 100 feet apart?

  Yes

  No

  N/A

• Are Fire Extinguishers mounted or in cabinets with signs designating the location?

  Yes

  No

  N/A

• Does each Fire Extinguisher have its annual maintenance tag, quick release ties, pin and pressure gauge with the correct psi?

  Yes

  No

  N/A

• Have the Fire Extinguishers been inspected and documented for the month?

  Yes

  No

  N/A

• If employees are expected to use the fire extinguisher, have they been trained in its use?

  Yes

  No

  N/A

• If employees are not trained to use fire extinguishers, are they trained to immediately evacuate the building?

  Yes

  No

  N/A

• Where hot work is occurring, are hot work permits in use with a two hour fire watch?

  Yes

  No

  N/A

• In server rooms or clean rooms, are halotron or other clean agent extinguishers provided?

  Yes

  No

  N/A

PPE ( Personal Protective Equipment)

• Has there been an assessment of hazards that might require special PPE besides the standard company minimum PPE requirements ( hard hat, safety glasses, long pants, work boots and task specific gloves)

  Yes

  No

  N/A

• Are ANSI z87.1 safety glasses provided and worn at all times in all construction zones?

  Yes

  No

  N/A

• Are cut-resistant gloves provided and worn by employees working with sharp material or near sharp edges?

  Yes

  No

  N/A

• Are hard hats provided and worn?

  Yes

  No

  N/A

• Where workers who are working on public streets or near heavy vehicular traffic required to wear class II or class III high vis vests or garments?

  Yes

  No

  N/A

• Are workers required to wear high visibility vests or shirts, wearing them?

  Yes

  No

  N/A

• Are employees working in areas with dust, mist, vapors, fumes or other toxic environments provided with and wearing respirators or dust masks?

  Yes

  No

  N/A

• Have employees who are required to use respirators been medically evaluated, fit tested and trained in respirator use?

  Yes

  No

  N/A

• Are respirators being worn and stored properly?

  Yes

  No

  N/A

• Are employees who are drilling, root hammering, cutting or grinding at or above shoulder level wearing specta-goggles, goggles or double eye protection (glasses and face shield )?

  Yes

  No

  N/A

• Are employees utilizing personal fall protection where exposed to fall exposures 6 ft or higher, in boom lifts or on ladders near guard rails or windows?

  Yes

  No

  N/A

• Are welders wearing appropriate eye and face protection?

  Yes

  No

  N/A

General Work Environment

• Are worksites clear and orderly?

  Yes

  No

  N/A

• Add media

  Media

• Are walking paths, points of access, ramps and stairwells clean and clear of debris with non-slip surfaces?

  Yes

  No

  N/A

• Is smoking and tobacco prohibited on site or if allowed, only in designated areas?

  Yes

  No

  N/A

• Are the minimum number of toilets and washing facilities provided ( in Oregon roughly 1 toilet facility per 20 personnel, flush toilet required on jobs $1M or more, hand washing stations must have soap and warm water and basins)?

  Yes

  No

  N/A

• Are toilets and washing facilities sanitary?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are employers providing sanitary drinking water of the correct volume when the temperature warrants it?

  Yes

  No

  N/A

• Have employees been trained on heat illness and precautions for preventing and recognizing heat stroke and heat illness, including being given adequate breaks and access to shade as required in some states ( I.e. CA, WA, etc)?

  Yes

  No

  N/A

• Are misfired or spent powder actuated cartridges kept off the ground and disposed of in a proper fashion ( a method that prevent accidental impact)?

  Yes

  No

  N/A

• Is there adequate egress lighting and task lighting for work areas?

  Yes

  No

  N/A

• Is there adequate directional signage and site specific signs?

  Yes

  No

  N/A

• Is there adequate temporary power, that is assured grounded and positioned to prevent trip hazards or damages to the cords?

  Yes

  No

  N/A

• Are all permit required confined spaces labeled or otherwise communicated about to personnel on site?

  Yes

  No

  N/A

• Do all red danger taped or yellow caution taped areas have red or yellow signs signifying the hazard?

  Yes

  No

  N/A

• Are all roof or leading edge warning lines appropriately flagged, installed and have signs that require "100% fall protection beyond this point"?

  Yes

  No

  N/A

• Has the established site speed limit been posted?

  Yes

  No

  N/A

Walkways

• Are aisles and passageways kept clear?

  Yes

  No

  N/A

• Are aisles at least 22 inches wide?

  Yes

  No

  N/A

• Are standard guard rails provided where ever aisles or walkways surfaces are elevated more than four feet above the ground or floor?

  Yes

  No

  N/A

Floor and Wall Openings & Elevated Surfaces

• Are floor holes (2 inches or greater) guarded by a secure and labeled hole cover, or by guard rails or equivalent?

  Yes

  No

  N/A

• Are wall openings greater than 30"x18" protected with guard rails or covers?

  Yes

  No

  N/A

• Are guard rails constructed to withstand 200 lbs downward and outward, with top rail at 42"+ or - 3" and mid rail midway between top rail and toe board?

  Yes

  No

  N/A

• Are toe boards ( or equivalent) provided on guard rails, scaffold platforms or near floor openings where persons may pass below opening and be exposed to falling objects?

  Yes

  No

  N/A

• Are elevated surfaces ( 6 feet or more above floor) provided with standard guard rails?

  Yes

  No

  N/A

• Are permanent means of access or egress provided to elevated surfaces ( stairwell, personnel lifts, ladders), preferably at two locations?

  Yes

  No

  N/A

• Is material or equipment on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?

  Yes

  No

  N/A

Exit or Egress

• Are all exits marked with an exit sign and illuminated with egress lighting?

  Yes

  No

  N/A

• Are all doors, passageways or stairways that are locked, blocked, or which do not lead to exits marked with clear large signs that state "NOT AN EXIT" ( for example, a fire escape door to which the fire escape has been removed, must be labeled "NOT AN EXIT"

  Yes

  No

  N/A

• Are exit signs provided with the word "EXIT" in lettering at least 6 inches high and the letter struck at least 3/4 inch wide?

  Yes

  No

  N/A

• Are all exits kept free of obstructions and unlocked?

  Yes

  No

  N/A

• Are there sufficient exits to provide escape in case of emergency?

  Safe

  At Risk

  N/A

Portable Ladders

• Has the project promoted a "ladders last" approach to accessing work at heights such as opting for scissor lifts, aerial lifts or scaffolds rather than ladders?

  Yes

  No

  N/A

• Are ladders in good condition, joints between steps and side rails tight, all hardware and fittings securely attached and movable parts operating freely without binding or undo play?

  Safe

  At Risk

  N/A

• Are all ANSI and OSHA required ladder decals present and legible?

  Safe

  At Risk

  N/A

• Are non-slip safety feet present on extension and straight ladders?

  Yes

  No

  N/A

• Are employees facing ladder when ascending or descending?

  Yes

  No

  N/A

• Do employees avoid carrying tools and materials up or down ladders?

  Yes

  No

  N/A

• Are employees using step ladders in the open position, staying within the rungs of the ladder ( belt buckle rule) and not using the top two steps as a step?

  Safe

  At Risk

  N/A

• When a ladder is used to gain access to an elevated platform ( roof, trench), is it a straight or extension ladder, secured top and bottom and elevated three feet above the landing?

  Safe

  At Risk

  N/A

• Are ladders used on level surfaces or otherwise prevented from tipping or slipping?

  Safe

  At Risk

  N/A

• Where ladders are used near guard rails, stair rails or wall openings, is the employee utilizing personal fall arrest or otherwise protected from falls to lower levels?

  Safe

  At Risk

  N/A

• Are employees trained to inspect ladders and prohibited from using ladders with damage, missing steps, broken rungs, damaged side rails, and broken or bent braces?

  Yes

  No

  N/A

Hand Tools, Power Tools and Equipment

• Are all tools and equipment ( both company and employee owned) in good working condition?

  Yes

  No

  N/A

• Are rotating or moving parts guarded to prevent physical contact ( peanut grinder, chop saws, cut off saws, crushers etc)?

  Yes

  No

  N/A

• Are all portable fans, task lighting and string lights provided with full guards?

  Yes

  No

  N/A

• Does hoisting equipment and rigging have their rating tags or labels?

  Yes

  No

  N/A

• Are all temporary electrical cords and equipment protected with GFCI ( ground fault circuit interrupters)?

  Yes

  No

  N/A

• In addition to GFCI protection have all extension cords and tool cord been inspected under the quarterly assured grounding program and been labeled with the appropriate color tape (white=jan,feb,mar, green=apr,may,jun, red=jul,aug,sep, orange=oct, nov, dec)?

  Yes

  No

  N/A

• Are hydraulic and pneumatic hoses in good condition?

  Yes

  No

  N/A

• Are signs posted where powder actuated tools and lasers are in use?

  Yes

  No

  N/A

• Are work and electrode leads free of damage or wear?

  Safe

  At Risk

  N/A

• Are shields used during welding and fire blankets in place if combustibles are located near by during welding operations?

  Yes

  No

  N/A

• Have scissor lifts, forklifts and boom lifts been inspected for the day?

  Yes

  No

  N/A

• Is the right tool being used for the job?

  Yes

  No

  N/A

• Are workstations/cut stations set up at waist level ( on saw horses, tripods, etc)?

  Yes

  No

  N/A

• Are compressors equipped with pressure relief valves and pressure gauges and is the belt drive guarded on all sides?

  Yes

  No

  N/A

• Are employees safely handling compressors by not directing air at themselves or others?

  Yes

  No

  N/A

The Work Environment

• Is adequate egress lighting provided at doorways and hallways?

  Yes

  No

  N/A

• Do trades have adequate task lighting for their activities?

  Yes

  No

  N/A

• Are personnel protected from chemical exposures or dust through ventilation, respirators, isolation or barriers?

  Yes

  No

  N/A

• Are proper precautions taken by employees abating asbestos or remediating lead?

  Yes

  No

  N/A

• During demo, has HVAC system been isolated?

  Yes

  No

  N/A

• Have employees been trained to recognize symptoms and precautions for heat stress, heat illness?

  Yes

  No

  N/A

• During seasonal high heat, are adequate water, breaks and shade provided?

  Yes

  No

  N/A

• Are exterior access ways clear of ice and snow with de-icer or sand provided?

  Yes

  No

  N/A

• In noisy areas (above 85 dB) are signs posted and ear protection provided/required?

  Yes

  No

  N/A

• Are flammable chemicals stored in proper cabinets with 25 lbs fire extinguisher in the area?

  Yes

  No

  N/A

• Are pressurized gas cylinders stored, secured, with regulators off and protective caps in place?

  Yes

  No

  N/A

• Are oxygen cylinders stored at least 20 ft apart from acetylene cylinders or other fuel cylinders ( or with a five foot wall with 1 hour fire rating between them)?

  Yes

  No

  N/A

Electrical Safety

• Are Method of Procedures (MOPs) in place prior to system energizing, de-energizing, charging, or commissioning (including battery/UPS systems)?

  Yes

  No

  N/A

• When electrical systems with the potential to be energized are serviced, maintained, adjusted or installed, are appropriate breakers, switches, emo buttons opened and locked and tagged out by all personnel working downstream of the potential?

  Yes

  No

  N/A

• Are electrical, mechanical, structural lines, cables or members located ( overhead, underground, underfloor, other side of walls) using GPR, X-ray, private locates, and visually prior to digging, core drilling, saw cutting or demolition?

  Yes

  No

  N/A

• Has the "Don't Hit It" form been completed and signed prior to saw cutting, core drilling, boring, excavation or demolition?

  Yes

  No

  N/A

• Has the LO/TO program been audited periodically?

  Yes

  No

  N/A

• Are all personnel involved with LO/TO provided with individually keyed personal locks and tags?

  Yes

  No

  N/A

• Are employees required to keep personal control of their key(s) while safety locks are in use?

  Yes

  No

  N/A

• Have all redundant power sources been considered ( and is single line drawing available) ?

  Yes

  No

  N/A

• Have all personnel working in electrical rooms been trained in electrical awareness?

  Yes

  No

  N/A

• Are personnel following NFPA 70e protocol when working in or near energized electrical system or electrical systems with the potential to be energized?

  Yes

  No

  N/A

• Is sufficient access and working space provided around electrical equipment to permit ready and safe operation?

  Safe

  At Risk

  N/A

• Are electrical enclosures (with potential or actual energy) such as switches, receptacles, panels, battery cabinets and junction boxes provided with tight fitting covers, dead fronts and plates?

  Yes

  No

  N/A

• Are panels with potential to be energized or which are energized during commissioning labeled with signs alerting others to the danger of it being energized?

  Yes

  No

  N/A

Material Handling

• Are materials and trash bins stored orderly, with easy methods of handling without strain ( i.e.. on pallets, carts, or rollers)?

  Yes

  No

  N/A

• Are chutes equipped with side boards or covers of sufficient heights to prevent materials from falling off?

  Yes

  No

  N/A

• Are personnel using material handling aids to lift or transfer heavy awkward objects?

  Yes

  No

  N/A

• Are hooks with safety latches or other devices used when hoisting materials so that slings or loads don't accidentally slip?

  Yes

  No

  N/A

• Are securing chains, ropes, chokers, sling or rigging adequate and in good condition?

  Safe

  At Risk

  N/A

• Where loads are being hoisted or lifted overhead, is area below danger taped or otherwise demarked to prevent others from passing under suspended loads?

  Yes

  No

  N/A

Scaffolds and Stair Towers

• Is there a competent person identified for the scaffold?

  Yes

  No

  N/A

• Is the scaffold properly tagged?

  Yes

  No

  N/A

• If not, has the competent person communicated to the users?

  Yes

  No

  N/A

• Are the platforms fully planked between the uprights?

  Yes

  No

  N/A

• Do all vertical members rest on base plates?

  Yes

  No

  N/A

• If the scaffold is on a soft surface, are mud sills in place?

  Yes

  No

  N/A

• Is the scaffold plumb level and square?

  Yes

  No

  N/A

• Are top rails and mid rails installed on all open sides at levels in use above 6 ft and are they installed at the correct height?

  Yes

  No

  N/A

• Is the scaffold secured from tipping if it exceeds a height:width ration of 1:4 (1:3 for baker scaffolds)

  Yes

  No

  N/A

• Is the scaffold correctly braced?

  Yes

  No

  N/A

• Are toe boards installed ( or other means of preventing falling objects) in areas where personnel might pass under scaffold?

  Yes

  No

  N/A

• Does the scaffold have ladders or steps provide to access any change in elevation greater than 2 feet?

  Yes

  No

  N/A

• Is the competent person inspecting and documenting the scaffold daily, prior to use or when conditions change?

  Safe

  At Risk

  N/A

• If the scaffold is taller than 125ft, has a registered professional engineer designed the scaffold?

  Yes

  No

  N/A

Excavations

• Has the competent person been identified for the excavation?

  Yes

  No

  N/A

• Has the competent person classified the soil? If not assume Type C.

  Yes

  No

  N/A

• Have locates and as-built review been conducted of underground. Installation?

  Yes

  No

  N/A

• Was the Don't Hit It Form completed prior to digging?

  Yes

  No

  N/A

• If underground installations are exposed, are they protected, supported or removed while excavation is open?

  Yes

  No

  N/A

• Are excavations 5 feet or deeper (which will be accessed by personnel) protected from collapse by sloping, benching, shielding, or shoring? ( 4 ft or deeper in WA)

  Yes

  No

  N/A

• Are stairways, ramps or ladders positioned so that travel distance is no greater than 25 ft?

  Yes

  No

  N/A

• Are ladders secured at the top and when possible at the bottom as well?

  Yes

  No

  N/A

• Are personnel who are exposed to traffic wearing reflective, high visibility vest?

  Yes

  No

  N/A

• Are employees prohibited from standing underneath loads handling by digging equipment?

  Safe

  At Risk

  N/A

• Are guard rails provided on walkways or bridges over excavations that are 6 ft or deeper?

  Yes

  No

  N/A

• Are excavations that are accessible to the public adequately barricaded or covered when unattended?

  Yes

  No

  N/A

• Are daily inspections being performed and documented by the competent person ( or when conditions change)?

  Yes

  No

  N/A

• Have all shielding (trench boxes, etc) been designed by a registered professional engineer? Is there a copy of the engineering document?

  Yes

  No

  N/A

• Are all excavation within the job site or accessible to the public barricade with tape and signs?

  Yes

  No

  N/A

Forklifts

• Has the forklift been inspected?

  Yes

  No

  N/A

• Is the operator trained?

  Yes

  No

  N/A

• Is the operator using the seatbelt?

  Yes

  No

  N/A

• Are personnel staying away from the blind spots and making eye contact with the operator?

  Yes

  No

  N/A

• Is the operator driving at appropriate speeds?

  Yes

  No

  N/A

• Is the forklift in good repair?

  Yes

  No

  N/A

• Is the load within capacity of the lift?

  Yes

  No

  N/A

• Does the forklift have a back up alarm, horn, and fire extinguisher?

  Yes

  No

  N/A

• Does the forklift have adequate overhead protection?

  Yes

  No

  N/A

Confined Space

• Is there a written confined space program?

  Yes

  No

  N/A

• Have all permit require confined spaces been identified to all personnel on site?

  Yes

  No

  N/A

• Have all personnel who might encounter or travel near a permit required confined space been instructed in the hazards and prohibitions from entering them?

  Yes

  No

  N/A

• Have all the elements of a confined space program been met regarding assessment, permit, training, ventilation, evaluation, controls, access, communication, and rescue?

  Yes

  No

  N/A

• Are all attendants CPR, first aid trained?

  Yes

  No

  N/A

• Has rescue/retrieval equipment been tested?

  Yes

  No

  N/A

Cranes and Hoists

• Has a crane lift plan been completed for the crane activity?

  Yes

  No

  N/A

• Has a copy of a third party annual inspection on the crane been included in the crane plan?

  Yes

  No

  N/A

• Has a copy of the crane operators certification been included with the plan?

  Yes

  No

  N/A

• Has a copy of the riggers certification been included with the plan?

  Yes

  No

  N/A

• Has a copy of the certificate of insurance been provided with both our company and client listed as additionally insured?

  Yes

  No

  N/A

• Have 125% proof test documents been provided for all spreader bars?

  Yes

  No

  N/A

• Does the lift plan include capacity, radius elevation, weights and other pertinent information?

  Yes

  No

  N/A

• Has a daily inspection on the crane and rigging been completed and documented?

  Yes

  No

  N/A

• Has the entire swing radius been danger taped or barricaded?

  Yes

  No

  N/A

• Are tag lines on the load?

  Yes

  No

  N/A

• Is the crane level( within 5 degrees) with outriggers out and cribbed?

  Yes

  No

  N/A

• Is the operators manual, fire extinguisher and crane hand signals available, posted or accessible?

  Yes

  No

  N/A

• Does the bellman ( signalman) have clear line of sight, communication and no fall exposures?

  Safe

  At Risk

  N/A

• Is crane equipped with anti-two block?

  Yes

  No

  N/A

• Is there sufficient lighting, wind and weather conditions to safely operate the crane?

  Yes

  No

  N/A

• Has a determination been made to ensure that no part of the load or crane could get closer than 20 ft to a energized power line?

  Safe

  At Risk

  N/A

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due

• Correction Needed, Person responsible, Date Due