Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • GENERAL

TRAINING & PLANNING

  • Copy of current OSHA standards, Rawlins Safety manual on site

  • Have all new hires completed the new hire orientation?

  • Weekly tool box meeting held for Rawlins?

  • Copy of B&G job specific Safety plan on site and up to date?

  • Emergency evacuation plan in place?

  • Foreman's PTP Pre-Task Planning) completed and adequate for tasks being performed?

MEDICAL & FIRST AID

  • At least one Rawlins employee trained in first aid/CPR on site?

  • Are first aid supplies adequate?

POSTING & RECORDKEEPING

  • OSHA 300 form being completed/posted?

  • Safety and health poster posted?

  • Emergency telephone numbers posted?

  • Medical clinic posted?

HAZARD COMMUNICATION/MSDS

  • Copy of Rawlins Hazard written program onsite?

  • List of hazard materials on site (Rawlins)?

  • MSDS current for all contractors on site

  • Labels on containers

TRAFFIC CONTROL

  • Advance warning signs

  • Trained flaggers used when directing traffic w/proper PPE, proper stop/slow sign and flagger ahead signs warning approaching traffic.

PUBLIC PROTECTION

  • Public protection adequate including warning signs?

HOUSEKEEPING

  • Housekeeping: aisles clean, scrap removed, no protruding nails?

  • Adequate supply of water or water jugs, cups and trash containers?

PERSONAL PROTECTIVE & LIFE SAVING EQUIPMENT

  • Head,eye, face, and hand protection worn?

  • Respiratory protection worn when needed/required?

  • Safety harnesses, lifelines and lanyard worn when needed/required?

FIRE PROTECTION & PREVENTION

  • Flammable & combustible liquids in approved containers only?

  • Have all fire extinguisher been inspected for (use, charged, pin in place, ABC label & damaged)?

  • Have employees been trained on P.A.S.S?

  • Are all fire extinguishers onsite that have been discharged offsite?

ELECTRICAL

  • Guarding of live parts by enclosures?

  • GFCI receptacle used including when using power?

  • Temporary lighting adequate and bulbs protected?

  • Lockout/Tagout being used?

  • Extension cords hung minimum 8ft above floor?

  • Do any extension cords have any cuts or nicks?

  • Do extension cords have ground pins & light factory ends?

TOOLS

  • Proper tool being used for job?

  • All tools inspected at least daily?

  • Damaged tools repaired or replaced promptly?

  • Are tools being used properly?

  • Guards in place?

  • Pneumatic tools/air hoses have proper safeguards, secured connections?<br>

  • Powder Actuated Tools:<br>Operators trained/spot check cards?<br>Tools and charges protected from unauthorized use?

LADDERS

  • Ladders properly secured to prevent slipping, sliding or falling?

  • Do straight ladders extend 36" above top of landing?

  • Offset protection at top ladder entrance?

  • Stepladders fully open when in use; no standing on top two steps?

  • Metal ladders not used around electrical hazards?

  • Proper maintenance and storage of ladders?

SCAFFOLDING

  • Is scaffold equipment in good working order?

  • Inspected by competent person daily before use?

  • Erected on solid, level footing?

  • Guardrails on open sided and end more than 6 ft above the ground?

  • 2x4 top rail, mid-rail & toe board?

  • Tightly planked platform for full width and secured in place?

  • Is the scaffold plump and square, with cross-bracing?

  • Access ladder provided?

  • Maximum height = four (4) times minimum base diminsion?

  • Suspended scaffold

  • Hooks, clamps, outriggers properly anchored and tiebacks installed?

  • Counterweights attached to outriggers with weights marked?

  • Tiebacks have rigging thimble with loop, secured with min. 3 fist grip clamps?

  • Independent lifeline for each worker on platform, rope protected abrasion?

  • Safety dept. notified if welding is to take place on suspended scaffold?

FALL PROTECTION

  • Floor opening covered/guardrails in place?

  • Open-sided floors/wall opening have guardrails & toe boards?

  • Leading edge protection & signage utilized where required?

  • 100% fall tie off for all heights above 6 ft with proper anchor points?

  • All horizontal lifeline systems engineered?

AERIAL MANLIFTS/SCISSORS LIFTS

  • All personnel tied off?

  • Safety chains in place on scissors lifts?

  • Employee training verified?

HEAVY EQUIPMENT

  • Regular inspection and maintenance logs complete?

  • Lights, brakes, horn, back up alarm operative?

  • Haul roads well maintained and laid out properly?

  • Seat belts being used?

  • Fire extinguisher installed?

HANDLING & STORAGE OF MATERIALS

  • Materials properly stored or stacked?

  • Stacks on firm footings not too high?

  • Are loads lifted correctly? Proper number of men or equipment used?

  • Material secured if high winds approaching?

  • Use trash chute for debris drop over 20 feet?

  • Adequate scraping arounds stored stacked material?

EXCAVATION AND SHORING

  • Comp. person(s) designated?

  • Underground utilities located/private service used if neccessary?

  • Are adjacent structures including roads/sidewalks properly shored/supported?

  • Is excavation properly sloped, shored or trench box used?

  • Tabulated data for trench box on site?

  • Means if egress within 25 feet?

  • Spoils back min. Of 2 feet?

  • Material i.e... Pipe, not stored at trench edge?

  • Is equipment a safe distance from edge of excavation?

  • Fall protection/barricading adequate?

  • Daily documented inspections or if condition change?

WELDING AND CUTTING/OTHER HOT WORK

  • Screens and shields used where necessary?

  • Goggles, gloves, proper clothing worn?

  • Electrical equipment grounded?

  • Welding leads and gases hoses protected and in good condition?

  • Fire extinguishers or proper type nearby?

  • Inspection of fire hazards?

  • Gas cylinders secured and upright. Fuel cylinders at least 20 ft from oxygen?

  • Are cylinder caps in use?

  • Fire watch used where needed/required?

CONCRETE Saw Cutting or Coring

  • Is water being used during all saw cuts & coring?

  • Controls in place to limit silica exposure - water, vacuum tools, etc...

CONFINED SPACES

  • Have potential confined space been identified?

  • Had safety Dep. been notified of potential confined spaces?

  • Permit required? Completed?

  • Atmosphere tested?

  • Workers properly trained?

  • Ventilation needed?

  • Retrieval devices required?

COMMENTS & ADDITIONAL ITEMS

  • Item #1

  • Attachment #1

  • Item #2

  • Attachment #1

  • Item #3

  • Attachment #1

  • Item #4

  • Attachment #1

  • Item #5

  • Attachment #1

  • Item #6

  • Attachment #1

  • Item #7

  • Attachment #1

  • Item #8

  • Attachment #1

  • Item #9

  • Attachment #1

  • Item #10

  • Attachment #1

  • Item #11

  • Attachment #1

  • Item #12

  • Attachment #1

  • Item #13

  • Attachment #1

  • Item #14

  • Attachment #1

  • Item #15

  • Attachment #1

  • Signatures

  • PROJECT MANGER

  • SUPERINTENDENT

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.