Rachel Contracting, Inc

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Site Information

• Warning signs, postings, and permits are properly displayed?

  Yes

  No

  N/A

• Photo

  Media

• Is Rachel Hasp-AWAIR-Hazard Com/GHS/SDS Programs on site?

  Yes

  No

  N/A

• Has Emergency Action Plan been developed?<br> Including Contacts for Fire, Police, Medical, Project Contacts.<br> Including Hospital/Clinic location and Map.<br> Including Severe Weather Shelter and Muster Points.

  Yes

  No

  N/A

• Are daily pre-task and weekly Tool Box talks be conducted?

  Yes

  No

  N/A

• Are First Aid Supplies and AED on site and readily available?

  Yes

  No

  N/A

• Are Toilets available on site and heated if required?

  Yes

  No

  N/A

• Daily Stretch and Bends been completed?

  Yes

  No

  N/A

Housekeeping

• Appearance of job site is clean and orderly. Garbage has been removed.

  Yes

  No

  N/A

• Exits, passageways, driveways, and walkways are clear and open.

  Yes

  No

  N/A

Fire Prevention

• Are fire extinguishers available and inspected monthly?

  Yes

  No

  N/A

• Fuel Containers are OSHA compliant.

  Yes

  No

  N/A

• Fueling areas are contained and barricade where required.

  Yes

  No

  N/A

• Spill Kits on site.

  Yes

  No

  N/A

• No smoking areas understood by team.

  Yes

  No

  N/A

Electrical(GFCI)

• Ground Fault Circuit Interrupters are being used and have been checked.

  Yes

  No

  N/A

• Electrical cords have protected from pinch points and sharp edges.

  Yes

  No

  N/A

• Damaged Cords have been taken out of service.

  Yes

  No

  N/A

Hand, Power, and Powder Actuated Tools

• The right tool are being used for the job.<br>

  Yes

  No

  N/A

• Guards are in place as manufacture requires.

  Yes

  No

  N/A

• Hand tools have been inspected and removed if damaged.

  Yes

  No

  N/A

Fall Protection

• A fall protection system is in place for fall hazards of 6" or greater.

  Yes

  No

  N/A

• Railing systems; Top-rail 39-45" high, Mid rail 1/2 way between top rail & toe board.

  Yes

  No

  N/A

• Each rail supports: Top-200 lbs. Mid-150 lbs. Toe-50 lbs. of outward force.

  Yes

  No

  N/A

• Personal Fall Arrest Systems (PFAS) are being worn properly.

  Yes

  No

  N/A

• PFAS is connected to a shock absorbing or Self Retracting Lanyard.

  Yes

  No

  N/A

• Lanyard is connected to a 5,000 lb. anchor point.

  Yes

  No

  N/A

• Warning barriers, fencing or flagging are maintained 10' from hazard.

  Yes

  No

  N/A

Ladders & Stairs

• Ladders extend 36" above landing and have been secured.

  Yes

  No

  N/A

• Broken ladders are removed from service.

  Yes

  No

  N/A

• Stepladders when used are fully opened.

  Yes

  No

  N/A

• Stairs with 4 or more risers are equipped with handrails.

  Yes

  No

  N/A

Crane Operations

• Swing radius is barricaded. No one is allowed under suspended loads.

  Yes

  No

  N/A

• Workers understand signals being used. Hand signal chart is on crane.

  Yes

  No

  N/A

• Tag lines are available.

  Yes

  No

  N/A

• A pre-lift meeting and/or critical lift plan was accomplished.

  Yes

  No

  N/A

Excavation & Trenches

• Soil type has been determined.

  Yes

  No

  N/A

• A competent person has inspected the excavation before entry.

  Yes

  No

  N/A

• Protective system used at 5 feet; slope/bench/trench box or shoring.

  Yes

  No

  N/A

• Excavations 4' or deeper have had atmosphere verified.

  Yes

  No

  N/A

• Spoils are two feet from edge. Drainage is away from excavation.

  Yes

  No

  N/A

• Equipment is a safe distance from edge of trench or excavation.

  Yes

  No

  N/A

• Access/egress is within 25' of every worker in trench or excavation.

  Yes

  No

  N/A

• Underground utility installations have been located and hand dug.

  Yes

  No

  N/A

• Employees are wearing high visibility clothing or vest.

  Yes

  No

  N/A

Material Handling

• Materials are properly stored and handled.

  Yes

  No

  N/A

• Good lifting methods are being used.

  Yes

  No

  N/A

• No material or equipment is near or under power lines.

  Yes

  No

  N/A

• Rigging equipment has been inspected. (Tags are affixed)

  Yes

  No

  N/A

• Forklift operators are licensed.

  Yes

  No

  N/A

Welding, Cutting and Burning - Hot Work

• Compressed gas cylinders are upright and secured. (No free standing)

  Yes

  No

  N/A

• Hoses, regulators and back flow are in good condition.

  Yes

  No

  N/A

• Proper separation between fuel and oxygen cylinders. (20' or barrier)

  Yes

  No

  N/A

• Proper PPE is being used. (welding shield-goggle-glasses, FR, respirator)

  Yes

  No

  N/A

• Hot Work Permit has been obtained. (Fire extinguishers are available.)

  Yes

  No

  N/A

• Welding leads are undamaged. (No electrical tape fixes)

  Yes

  No

  N/A

Personal Protective Equipment - PPE

• Hard hats, safety glasses, boots and high visibility are being worn.

  Yes

  No

  N/A

• Hearing protection being used when required.

  Yes

  No

  N/A

• Gloves are being worn when needed.

  Yes

  No

  N/A

• Respirators are used when required.

  Yes

  No

  N/A

• 4 Gas monitor used when and where required. (Monitor Bump tested daily)

  Yes

  No

  N/A

Vehicles & Equipment

• Obstructed view when backing shall use a backup alarm and/or spotter.

  Yes

  No

  N/A

• Equipment operators are qualified for equipment being operated.

  Yes

  No

  N/A

• Seat belts are being used on equipment and vehicles.

  Yes

  No

  N/A

• Windows and mirrors are clean and have no damage.

  Yes

  No

  N/A

• Lockout/Tag out is used when inadvertent operation may cause injury.

  Yes

  No

  N/A

Demolition

• An Engineering Survey has been completed by a competent person.

  Yes

  No

  N/A

• A JHA and pre-task has been reviewed with all workers involved.

  Yes

  No

  N/A

• Demolition area has been fenced and/or secured.

  Yes

  No

  N/A

• Workers are using appropriate PPE. (EPA selection guidelines: Level A, B, C, or D)

  Yes

  No

  N/A

• Atmosphere is being monitored when required.

  Yes

  No

  N/A

• Workers dealing with abatement have been trained. (Asbestos)

  Yes

  No

  N/A

• Exposure to Asbestos, Lead, PCB, Silica and H25 are controlled.

  Yes

  No

  N/A

• All floor openings are barricaded or covered and marked "HOLE"

  Yes

  No

  N/A

• Explain observations and corrective actions observed during this audit.

• Signature

  Sign