R M S PRE- FAB SHOP

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• INSTRUCTIONS
  
  1. Please answer "✔", "✖" or "N/A" on the questions below.
  2. Add Photos and Notes by clicking on the paperclip icon
  3. To add a Corrective Action click on the paperclip icon then "Add Action," provide a description, assign to a member, set priority, and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link

AUDIT TIME

• Audit Start Time

• Audit Completion Time

Pertinent Information about this audit

• Important topic discussed

  N/A

Walking Working Surfaces & Ladders

• Barricades, Guardrails & Perimeter

  Yes

  No

  N/A

• Ladders (decals present and legible), Inspected & in good condition

  Yes

  No

  N/A

• Proper Ladder for the job

  Yes

  No

  N/A

• Side Rails Extended a minimum of 36" above the landing

  Yes

  No

  N/A

• Step Ladders fully opened when in use

  Yes

  No

  N/A

• Floor Hole Openings covered and secured

  Safe

  At Risk

  N/A

Hazardous Materials

• SDS available?

  Yes

  No

  N/A

• All containers properly labeled

  Yes

  No

  N/A

Personal Protective Equipment

• Proper Dress, per Dress Code

  Yes

  No

  N/A

• Safety Glasses properly worn

  Yes

  No

  N/A

• Hard Hat worn

  Yes

  No

  N/A

• Safety Vest worn

  Yes

  No

  N/A

• Kevlar gloves on person

  Yes

  No

  N/A

• Ear protection used (85 db or greater)

  Yes

  No

  N/A

• Fall Protection where required

  Yes

  No

  N/A

General Environmental Controls

• Confined Space

  Safe

  At Risk

  N/A

• Excavation & Trenches

  Safe

  At Risk

  N/A

Fire Protection

• Fire Extinguishers Identified and Charged; in date

  Yes

  No

  N/A

• Gas/Diesel/Flammable Liquids on site and properly stored with required signage.

  Yes

  No

  N/A

Compressed Gas

• Compressed Gas Cylinders - properly stored

  Yes

  No

  N/A

Heavy Equipment

• Power Industrial Trucks (Forklifts) and Excavation Equipment

  Safe

  At Risk

  N/A

• Man / Aerial Lifts, Scissors Lifts

  Safe

  At Risk

  N/A

• Equipment Pre-Operational checklist

  Yes

  No

  N/A

Hand & Portable Powered Tools

• Small Tools and Equipment in good condition

  Yes

  No

  N/A

• Guards present and working properly

  Yes

  No

  N/A

• Tools used correctly; right tool for the job

  Yes

  No

  N/A

Electrical

• Electrical cords in good condition

  Yes

  No

  N/A

• Ground Fault Protection - in use and operational

  Safe

  At Risk

  N/A

House Keeping and Sanitation

• Working area clean and orderly

  Yes

  No

  N/A

• Passageways & walkways clear

  Yes

  No

  N/A

• Adaquate supply of drinking water and cups

  Yes

  No

  N/A

• Tripping and impalement hazards protected

  Yes

  No

  N/A

Training/Admin

• Tool Box talks conducted and documented

  Select Participating in General Contractor's Yes No N/A

  • Participating in General Contractor's
  • Yes
  • No
  • N/A

• Required training documented

  Yes

  No

  N/A

• JSA's in use / on file

  Select Participating in General Contractor's Yes No N/A

  • Participating in General Contractor's
  • Yes
  • No
  • N/A

• First Aid Kit

  Yes

  No

  N/A

• Emergency Accident Safety Sheet Posted

  Yes

  No

  N/A

Additional General Information presented

• Yes

  No

  N/A

Completion

• Inspected by: (Name and Signature)

  Sign