Title Page
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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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Prepared by
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Location
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Personnel
Personal Protective Equipment
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Hard Hats
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Safety Glasses
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Sturdy Work Boots
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Reflective Vests
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Gloves
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Hearing Protection
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Face Sheilds
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Burning Goggles
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Welding Hood and Gloves
Housekeeping
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Material Stacked in Orderly Fashion
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Trash Cans Available in Work Area
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Safe from Slip, Trip and Fall Hazards
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Access Maintained
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Fuels Properly Stored
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Fire Extinguishers Available
Temporary Barricades
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Proper Caution or Danger Tape in use
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Guardrail System
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Safety Signage
Electrical
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Power Tools in Safe Condition
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Cords in Safe Condition
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Cords Protected from Traffic
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GFCIs in Use
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Electrical Panels Secured
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Electrical Signage
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Proper Temporary Lighting
Ladders, Stairs and Scaffolding
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Ladders set up Properly
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Ladders Used Properly
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Ladders Stored Properly
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Rails at Stairways and Landings
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Slip, Trip Exposure Eliminated
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Stairs Illuminated
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Scaffolding Inspected and Tagged
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Scaffolding Components in Place
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Scaffolding Components Undamaged
Fall Protection
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Harnesses and Lanyards
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Horizontal Lifelines / Yoyos
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Floor Openings Covered
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Wall Openings Guarded
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Impalement Hazards Protected
Mobile / Heavy Equipment
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Seatbelts Used / Chain Gate Closed
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Workers Trained
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Equipment Inspected
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Proper Use of Equipment
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Audible Backup Alarms
Hoisting and Rigging Equipment
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Daily Crane Inspection Information on Site
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Sling / Chokers Stored
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Certified Riggers Named
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Inspection Tags on Rigging
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Power Lines Marked or Delineated
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Tag Lines in Use
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Crane Signals Posted
Excavation
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Competent Person Named
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Shore/Slope/Bench
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Proper Access/Egress
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Spoil Pile at least 2' From Edge
Perimeter Public Protection
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Adequate Lighting
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Excavations Protected
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Falling Object Protection
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Perimeter Fencing
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Public Protection Signage
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Security System in Place
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Street Closure Identified / Traffic Control Plan
Prework
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Safety Meeting Minutes Last Performed / Attendance Roster on File
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Safety Inspections on File
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Site Orientations
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RAFN Safety Audit
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SSSP From Subcontractors on Site
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Required Postings Posted
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MSDS/SDS on Site
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Hot Work Program in Use
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Lock Out / Tag Out Program in Use
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First Aid Kit Available
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Employee Training Records Available For Work Being Performed
Comments
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Comments/Concerns
Signatures
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On Site Representative
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Auditor