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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Prepared by
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Location
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Personnel
FALL PROTECTION
Materials and Equipment
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Are hoisting areas equipped with Fall Protection?
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Are dumping areas equipped with Fall Protection?
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Is material/equipment stored 6 feet or more from edge?
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Are good areas flagged off?
Unprotected Sides and Edges
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Is some form of Fall Protection necessary?
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Is the Fall Protection system adequate?
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If a Safety Monitor was used, was he trained?
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Are holes / openings securely covered and marked?
Ladder Safety
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Is the ladder set up using the 4 to 1 rule?
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Does the ladder extend 36" above roof/parapet?
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Is the ladder tied-off?
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Are the workers climbing with both hands on ladder?
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Is the ladder set on a flat, sturdy surface?
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COMMENTS
FIRE SAFETY
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Are fire extinguishers properly located on the roof?
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Are all fire extinguishers fully charged?
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Is there a fire extinguisher at the kettle or the tanker?
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Is there an extinguisher near each torch in use?
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Is every person using a torch card-certified?
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Are torch operators using a friction-starter?
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COMMENTS
HAZARD COMMUNICATION
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Is the Haz-Chem list and appropriate MSDS's on site?
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Are all containers of Haz. Materials marked properly?
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COMMENTS
HOUSEKEEPING-GENERAL SAFETY
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All trash, material, equipment, etc. securely placed?
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All walkways/pathways free of obstructions?
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Are work areas free of trip hazards?
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Comments
PROTECTIVE EQUIPMENT
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Is the PPE used when necessary?
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Is machine guarding used when needed?
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Is the first-aid kit available?
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Is the first-aid kit filled properly?
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COMMENTS
COMPRESSED GAS CYLINDERS
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Are all cylinders properly secured?
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Are all cylinders set upright?
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Are all cylinders properly labeled?
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Are all cylinders at least 10 feet from the kettle?
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Are all cylinders equipped with valve protection?
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COMMENTS
ELECTRICAL SAFETY
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All electrical cords have GFCI protection?
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Are strain-boots in place and in good condition?
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All power cords have ground plugs as required?
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All cords serviceable and routed neatly?
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COMMENTS
COMMERCIAL MOTOR VEHICLES (CMV)
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Do CMV's have proper documentation of pre/post trip inspection?
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Are CMV's equipped with a fire extinguisher?
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Does the CMV driver have a current medical card?
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Are vehicle floors clear of trash and debris?
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Are loads properly secured and positioned?
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COMMENTS
CRANES AND HOISTS
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Are capacities, speeds, and warnings posted?
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Is a fire extinguisher located in the cab?
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Is the boom kept at least 10 feet from any electrical lines?
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Are the daily and annual inspections being documented?
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COMMENTS
Reviewed with Foreman
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