Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Subcontractors Present

COVID-19

  • Have all employees signed in on the daily check-in sheet?

  • Have all employees completed the on-site screening process and obtained a BJC daily sticker?

  • Are all employees wearing an approved mask? (Cloth face mask for most locations; surgical mask in<br>patient areas, PCS, patient care corridors and proper PPE for sterile environments. No exhale valve masks/ respirators).

  • Are signs posted at construction area doorways stating the number of occupants allowed?

  • Are employees in compliance with the occupancy limits stated on doorway signage?

  • Are employees maintaining a 6 foot social separation in construction areas?

General Safety

  • If required...Is a permit to work present for job being performed?

  • Are all permit controls in place?

  • Have all employees signed the permit?

  • First-aid supplies are onsite and marked.

  • Safety Data Sheets are onsite or available within the hour for all chemicals.

  • First aid/CPR trained personnel onsite.

  • Facility emergency contact numbers posted.

  • No flammable materials being stored in tool boxes?

  • Fire extinguishers located within 100' travel distance.

  • Local Emergency response numbers posted.

  • Flammable liquid containers appropriate and clearly identified.

  • OSHA Required Posters visible

  • HEPA/carbon filter is in place and exhausted to a designated location.

Housekeeping & Sanitation

  • Walkways and working areas clear of trip hazards.

  • Sufficient sanitary locations, including hand washing, on site and accessible.

  • Adequate supply of drinking water.

  • Lighting sufficient in work areas and walkways.

  • Temporary electric is routed to reduce tripping hazards.

Personal Protective Equipment

  • Hard hats worn by all workers meet ANSI Z89.1 standards

  • Eye protection appropriate for the hazard.

  • Hearing protection where required.

  • Long sleeves, long pants, sturdy work boots.

  • Gloves worn for all hands on work.

Ladder Safety

  • Only fiberglass ladders are used.

  • Step ladders placed in fully opened position for use.

  • Straight ladders set up at proper angle and secured at top, extend at least 3' above the landing.

  • Ladders in good condition with capacity markings and safety warnings legible.

Electrical Safety

  • GFCI located at source of all temporary power cords.

  • Temporary lights properly guarded.

  • Temporary electric of heavy duty type or heavier.

  • Electric boxes and junctions completely covered.

  • Energized, live equipment identified or distinguished from disconnected equipment.

  • Electric hand tools are in good condition with no exposed wiring.

  • Lock out/tag out
  • Identification of equipment to be locked out:

  • Each worker has a unique lock?

  • All energy sources controlled.

  • Equipment tagged to identify work.

Mobile Equipment Safety

  • Daily inspection documented and in the manual box.

  • Workers tied off in boom lifts to manufacturer approved anchor points.

  • Scissor lifts are fully enclosed, including gate and mid-rail protection.

  • Mobile equipment operated within capacity limits and at safe speeds.

  • Equipment free from defects in structural members or mechanics.

  • Audible backup/movement alarms.

Welding & Cutting

  • Gas cylinders properly stored (when in use and not in use)

  • Screens and shields used to prevent light exposure to others.

  • Fire extinguisher within 25 feet.

  • Proper PPE utilized, including appropriate shading, face and hand protection.

  • Welding leads, cables, and connectors in good condition.

  • Are hot work permits obtained where required?

  • Fire watch utilized when required.

  • Combustible material protected or removed.

Fall Protection

  • 100% tie-off above 6 ft.

  • Floor openings protected by secured, marked covers or guardrails.

  • Emergency retrieval available in case of fall.

  • Personal Fall Arrest devices in good condition, inspected, and worn properly.

  • Handrails provided on stairways or guardrails meet handrail requirements.

  • Stairways blocked and marked if unusable.

Scaffolds

  • Scaffolds inspected with visible tag if in use.

  • Proper access provided (less than 2' to first step).

  • Guardrails provided at appropriate heights.

Confined Space

  • Is a confined space being accessed today?

  • Onsite rescue provided

  • Competent person identified on permit is present.

  • Attendant(s) located by retrieval devices and in communication with entrant(s)

  • Atmospheric testing completed and ventilation provided.

  • Permit completed and posted.

  • Is confined space permit filled out properly and being followed?

Confirmation

  • General Comments

  • Inspector's Signature:

  • Superintendents Signature:

  • Additional Representative
  • Name:

  • Company represented:

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.