Information
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Audit Title
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Document No.
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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
1. General Safety
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1.1. Is Housekeeping in good condition?
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1.2. Is working areas and walkways clear of obstructions?
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1.3. Are nails removed from lumber or lumber material cleaned up?
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1.4. Is work area access controlled?
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1.5. Are fire extinguishers inspected and in good condition?
2. Personal Protective Equipment (PPE)
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2.1. Use of safety glasses?
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2.2. Use of face shields?
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2.3. Proper footwear?
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2.4. Hand and or arm protection? (Please specify)
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2.5. Hard hat?
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2.6. Respiratory protection?
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2.7. Hearing protection?
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2.8. Is there a lack of, or inadequate PPE (including sun protection)
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2.9. Other please fill in.
3. Hazardous Chemical Storage / Usage
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3.1. Are Proper containers being used?
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3.2. Are containers properly labeled?
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3.3. Material Safety Data Sheets for chemicals brought on site?
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3.4. Reactivity labels on container?
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3.5. Chemical dispensing ( bonding,grounding and containment) ?
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3.6. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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3.7. Incompatible chemicals stored near each other?
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3.8. Inadequate spill containment equipment?
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3.9. Excessive quantities stored on site or in vehicles?
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3.10. Insufficient, or incorrect, PPE?
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3.11. Is there sufficient ventilation?
4. Compressed Gasses
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4.1. Cylinders secured? (with proper material)
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4.2. Protective cap fastened?
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4.3. Incompatible cylinders separated ( oxygen / fuel)?
5. Hot Work
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5.1. Hot work permit?
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5.2. Is there fire hazards in the area ( flammable or combustible materials)?
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5.3. Is Fire watch needed or present?
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5.4. Is a welding screen in place?
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5.5. Are Fire extinguishers or other fire extinguishment media present?
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5.6. Do crews have a way to report fires?
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5.7. Are Welding leads and gas hoses in good condition?
6. Electrical Safety and Hazards
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6.1. Is the Lockout Tag-out system used properly?
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6.2. Electrical equipment / extension cords good? (damaged, out of test date or untested) SAFE or AT RISK
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6.3. Is the Grounding GFCI protection policy in place and being used?
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6.4. Are the Leads placed on ground or on metal structures?
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6.5. Are outlets being overloaded?
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6.6. Is Electrical equipment near water?
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6.7. Is Electrical equipment near flammables?
7. Hand Tools
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7.1. Are hand tools in Good condition?
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7.2. Are they being used safely?
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7.3. Are Guards in place?
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7.4. Are Cords in good condition?
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7.5. Is Proper PPE being used?
8. Motorized Equipment ( fork truck,cranes,etc)
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8.1. Is equipment in Good working condition?
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8.2. Back up alarms working?
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8.3. Crane reports compleate?
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8.4. Are inspections completed?
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8.5. Are operators trained?
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8.6. Is safe work or operating instructions / procedures being followed?
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8.7. Are Seat belts worn?
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8.8. Is there a lack of training in safe operation, clean-up and maintenance?
9. Confined Space
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9.1. Entry permit present?
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9.2. Is Air monitoring needed?
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9.3. Is Safe entry procedures being used an followed?
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9.4. All Appropriate safety equipment being used and or available?
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9.5. Is there an Attendant / standby person? Are they trained?
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9.6. Is there Rescue equipment and plans in place?
10. Process Safety
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10.1 Are all employees trained?
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10.2. Are Safe work procedures being followed
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10.3. Lack of training in risk controls and safe lifting/ team lifting techniques? SAFE of AT RISK
11. Excavations
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11.1. Location of underground utilities identified?
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11.2. Dig safe called 72hrs before excavation?
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11.3. Appropriate sloping and or shoring?
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11.4. Means of entry and or egress?
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11.5. Competent person? Clearly defined?
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11.6. Work area access controlled?
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11.7. Control of hazardous conditions (air toxics)?
12. Ladders / Scaffolds
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12.1. Is the ladder being used right for the job?
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12.2. Are Ladders secured and tied off?
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12.3. Are ladders positioned properly?
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12.4. Are ladders in Good working condition? Unsafe or damaged ladders need to be tagged out of service and or disposed of.
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12.5. Are Scaffolds written inspection completed by comp person?
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12.6. Scaffold railings ( top,mid rail,and toe boards? SAFE of AT RISK
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12.7. Are scaffolds Unsafe or incomplete?
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12.8. Are Incompatible scaffold components being used?
13. Elevated Work Areas Heights
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13.1. Are Openings in floors and walls guarded?
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13.2. Are Hand rails built correctly?
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13.3. Is Appropriate fall protection being used?
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13.4. Are there Fall risks of 2m or more? (including voids, pits, and trenches)
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13.5. Is there a Lack of edge protection?
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13.6. Unsafe or incomplete edge protection? SAFE of AT RISK
14. Construction
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14.1. Is JSA complete for task?
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14.2. Is Everyone on site signed in to the JSA?
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14.3. Is Daily safe work practice plan complete?
15. Rigging
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15.1. Are there Tears, cuts, abrasions, or exposed core yarns present?
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15.2. Are there Legible and present tags?
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15.3. Is Tell Tails (twin-path) visible?
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15.4. Is there Bird Caging / Crushing / Broken wires (wire sling) present?
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15.5. Is Corrosion ( Alloy Chains) present?
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15.6. Is there Bent / Twisted / Stretched Links?
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15.7. Are Loads lifted over persons, close proximity to obstacles incl. overhead power lines? If yes done properly?
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15.8. Is there a Lack of maintenance, testing and inspection?
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15.9. Is there any Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks found?
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15.10. Are Qualified riggers being used?
16. Harness and Equipment
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16.1. Unsafe or damaged harness or equipment being used?
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16.2. Unsafe or uncertified anchor points?
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16.3. Incompatible hooks/equipment?
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16.4. Lack of inspection of equipment?
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16.5. Lack of or inadequate formal training for users?
17. Emergency Response
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17.1. Lack of, or no emergency plans for site.
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17.2. Emergency procedures displayed and in place.
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17.3. Training and rehearsal of emergency plans implemented.
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17.4. Is there a Lack of, or inadequate first aid kits aid equipment for site?
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17.5. Is there access to formally trained First Aiders on site or available through local channels?
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17.6. Is there suitable or adequate communication equipment?
18. Traffic Management
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18.1. Is there an adequate, Traffic Management Plan (TMP) in place?
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18.2. Is training in TMP for all persons on site available and or compleat?<br>(contractors and visitors)
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18.3. Are adequate controls for TMP in place? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
19. Work Environment
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19.1. Is there a Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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19.2. Is there sufficient lighting?
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19.3. Inadequate housekeeping?
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19.4. Is there a Lack of, or inadequate noise/ vibration control?
20. Environmental Hazards
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20.1. Lack of/or inadequate Environmental Management plan (EMP)?
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20.2. Lack of/or inadequate, dust suppression system?
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20.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?
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20.4. Rock faces cleaned and clear of hazards?
21. Administrative Procedures
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21.1. Lack of/or inadequate Site Safety Plan?
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21.2. Lack of/or inadequate training, licenses, skills, experience?
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21.3. Lack of, or inadequate, induction for workers, contractors, visitors?
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21.4. Lack or, or inadequate, supervisory arrangements?
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21.5. Lack of, or inadequate, routine inspections, monitoring, audits?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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Greg Letourneau
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Brian Holmes
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Don Houde
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Bob Burdick