Information
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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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Location
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Weather Conditions
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Personnel Present During Inspection
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Prepared by
Summary
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Brief summary of current project conditions and work activities.
1. General Safety and Health Provisions
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1.1 Are regular inspections being conducted for this project (at a minimum monthly)?
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1.2 Are all on employees associated with this project properly trained (and it is documented) to recognize "unsafe conditions applicable to the work environment to control or eliminate any hazards or other exposure to illness or injury"?
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1.3 Adequate controls for traffic management (pedestrian and vehicle) such as: signage, physical barriers, bollards, speed limits, flashing lights, spotters, etc.
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1.4 Are housekeeping practices providing a safe work environment? Consider boards with nails, safe entry and exit, combustible hazards, etc.
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1.4.1 Are adequate facilities available (toilets, wash areas, eye wash, lunch rooms, etc)?
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1.4.2 Is site illumination sufficient to maintain safe work performance?
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1.4.3 Are noise/ vibration control implemented per regulatory requirements?
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1.5 Are employees wearing required personal protective equipment (PPE) per regulatory requirements?
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1.5.1 Is training in safe use, clean-up and inspection of PPE current and documented?
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1.5.2 Is a system in place to issue, inspect, replace and monitor PPE?
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1.6 Are all exits marked and "free and unobstructed" to allow egress from all parts of the building(s) or structure at all times when it is occupied?
2. Fall hazards
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2.1 Fall risks of 6 feet or more (including holes, wall and floor openings, pits, and trenches)?
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2.2 Leading edge protection?
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2.3 Unsafe or damaged harness or equipment?
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2.4 Incompatible hooks/equipment?
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2.5 Proper labels; meets regulatory requirements?
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2.6 Safe and/or certified anchor points?
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2.7 Inspection protocol for equipment?
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2.8 Adequate formal training for operators?
3. Equipment (e.g. Power and Hand Tools, Welders, Pumps, Etc.)
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3.1 Safe and/or serviceable equipment (consider missing/ damaged guards, incompatible components)?
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3.2 Incorrect equipment for job (e.g. grinding discs for cutting)?
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3.3 Safe and/or compatible attachments used on equipment (e.g. Grinding disc that meets the rating of the equipment)?
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3.4 Operators with no documented training?
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3.5 Are manufacturer's recommendations being followed in the use of the equipment?
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3.6 Lock-Out/ Tag-Out (LOTO) procedures for cleaning, servicing and maintenance?
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3.7 Is a system in place to issue, inspect, replace and monitor equipment?
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3.8 "Hot" work (all work producing a potential ignition source) permit submitted, approved and closed out where required?
4. Scaffolds (e.g. Mason, Scissor Lifts, Perry, Baker, Etc.)
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4.1 Scaffold's readiness for work (e.g. base plates, anchor points, rails, toe-boards, proper planking, etc.)?
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4.2 Fall protection systems utilized for heights above ten (10) feet?
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4.3 Compatible scaffold components (e.g. no label or do not meet regulatory requirements)?
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4.4 Safe Work Load (SWL) exceeded (tools, stored materials, number of persons)?
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4.5 Adequate inspection protocol for scaffolding (e.g. tags)?
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4.6 Training for all personnel erecting or utilizing scaffolds?
5. Heavy Equipment (Crane, Dozer, Trackhoe, Skidsteer, Etc.)
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5.1 Unsafe or damaged equipment (e.g. back-up alarm functioning properly)?
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5.2 Loads lifted over persons, close proximity to obstacles including overhead power lines?
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5.3 Safe Work Load (SWL) information displayed?
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5.4 Are ground conditions suitable for work being performed (e.g. compaction, cribbing, crane pads, etc.)?
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5.5 Serviceable lifting equipment, including ropes, slings, chains, hooks?
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5.6 Lifting equipment labelled and in compliance with work being performed?
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5.7 Certified and documented trained rigger?
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5.8 Daily, weekly and annual maintenance and inspections current?
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5.9 Lock-Out/ Tag-Out (LOTO) procedures for cleaning, servicing and maintenance?
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5.10 Erection plan or lift plan submitted and approved (if applicable)?
6. Ladders
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6.1 Serviceable ladder(s)?
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6.2 Positioning of ladders (step ladders may not be used in the folded up configuration)?
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6.3 Ladder properly secured?
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6.4 Ladder suitable for job (e.g. No truss ladders allowed, metal ladder used for electrical work)?
7. Hazardous Chemical (including fuel and oil)
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7.1 Safety Data Sheets present and accessible to all employees on site?
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7.2 Proper/safe storage location (e.g. flammables near ignition sources, spills into storm-water, drains, etc)?
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7.3 Proper storage containers (labeled correctly)?
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7.4 Sufficient ventilation?
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7.5 Proper PPE evaluated (and if required, present)?
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7.6 Acceptable quantities stored on site or in vehicles?
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7.7 Incompatible chemicals stored near each other?
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7.8 Adequate spill containment kits or equipment?
8. Emergency Response
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8.1 Emergency plans for site evaluated, documented and disseminated via site specific training?
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8.2 Emergency procedures specific to injury, spills, fire evaluated, documented and disseminated via site specific training?
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8.3 Emergency plans and procedures rehearsed?
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8.4 Are 1st Aid services available for every employee?
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8.4.1 Weekly Inspection sheet present and being updated?
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8.5 Are currently trained 1st Aid and CPR onsite personnel available to site personnel?
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8.6 Suitable or adequate communication equipment in the event of an emergency site-wide notification?
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8.7 Are adequate fire protection measures established (one fire extinguisher for every 3,000 square feet)?
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8.8 Are monthly, annual and 5-year hydrostatic inspections for fire extinguisher(s) current?
9. Electrical Hazards
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9.1 Safe and serviceable electrical leads, extension cords, receptacles, etc. (Consider unprotected openings, damaged, out of test date or untested)?
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9.2 Are energized temporary panels and/or electrical rooms locked and marked with proper signage?
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9.3 Lack of GFCI protection?
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9.4 Contact with underground assets?
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9.5 Contact with overhead electrical lines?
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9.6 Overloading outlets?
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9.7 Electrical equipment near water?
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9.8 Electrical equipment near flammables?
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9.9 Electrical equipment near chemicals that could cause damage?
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9.10 Proper lock-out/tag-out (LOTO) procedures for electrical equipment?
10. Environmental Hazards
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10.1 Adequate suppression system or engineering controls for nuisance dust or inadequate ventilation (if applicable)?
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10.2 Proper best management practices (BMP) for NPDES requirements?
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10.3 Confined space permits submitted, approved and closed out where required?
11. Trenching and Excavation
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11.1 Are excavations and/ or trenches inspected at the beginning of each workday? and documented?
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11.2 Is a slope of 1 1/2 to 1 applied for depths greater than 5' if required (all soil assumed to be Type C)?
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11.3 Do workers in excavations/ trenches greater than 4' in depth have serviceable ladders available within 20'?
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11.4 Are spoils at least two (2') feet from the top edge of the excavation?
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11.5 Are trench boxes or shoring methods being used?
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11.5.1 If so, is excavation no further than 2' below the bottom of the structures?
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11.5.2 If so, are proper ladders readily accessible within the protected structure?
12. Administrative Procedures
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12.1 Adequate Site Specific Safety Plan (SSSP)?
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12.2 Proper permits (Council, EPA, WHS, also Hot Works, Confined Space etc)?
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12.3 Adequate orientation for workers, contractors, visitors?
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12.4 Adequate supervision?
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12.5 Daily Job Safety Analysis (JSA) performed prior to starting new tasks?
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12.6 Daily site JSA(s) verified?
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12.7 Adequate event (injuries, accidents) notification procedures?
Corrective Actions
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Major corrective actions taken during inspection:
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Corrective actions to be taken:
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Additional Info:
Sign Off
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Inspector's signature
