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
1. Employee Welfare
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1.1 Portable water readily available for all employees
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1.2 Adequate toilets, washing facilities and maintenance
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1.3 First aid supplies available, accessible and stocked
2. Procedures
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2.1 List all hazards with corrective actions found throughout the week.
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2.2 Are there any Safety violations notification forms written and issued during audit?
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2.3 Startup kit information posted
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2.4 No smoking signs posted and enforced
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2.5 3SP and SDS manuals up to date and available in trailer/office
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2.6 Emergency procedures developed and rehearsed
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2.7 Site safety orientation conducted for all employees, orientation stickers on hard hats
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2.8 Weekly toolbox trainings conducted for AMH and all subs
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2.9 Weekly safety inspections are documented and turned in to AMH
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2.10 Daily Huddles completed and documented.
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2.11 Do any JHAs need updated?
3. Access
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3.1 Adequate no trespassing & construction signs, public access is restricted
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3.2 Temporary lighting in all areas is maintained and adequate
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3.3 Emergency exits identified and labeled
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3.4 Public is protected from open excavations and other hazards
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3.5 ABC fire extinguishers available within 100'; 3000 square feet; refuel ops >25',<75'
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3.6 Walking/Working surfaces are free of trip/slip/fall hazards. (Including Ice, snow, and water)
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3.7 Is Housekeeping an Issue?
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Where are the areas that need housekeeping?
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Pictures
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3.8 All impalement hazards are protected
4. Chemical, Fuel and HazCom
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Are Fuels/Chemicals (Diesel, Gasoline, Propane, Oxy/Acet, other bulk chemicals stored onsite?
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4.2 Flammables/chemicals stored in approved, secured areas with spill containment in place
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4.3 Bonding used during flammable liquid transfer
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4.4 Bulk fuel containers stored 20' from building
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4.5 Oxy/fuel cylinders stored upright and secured with valve caps in place
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4.6 Oxy/fuel cylinders are separated when not in use or installed with a fire wall
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4.7 Fire extinguishers no less than 25' where flammable liquids of 5 gallons or more are stored
5. Elevated Work
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Is there any work above ground level on the project?
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5.4 Fall protection is enforced at 6'
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5.4.1 Are all horizontal lifelines pre-engineered systems or supported with documentation from a PE?
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5.5 Guard rail system in place (+- 42" with 200# capacity) for top rail and mid rail (150# capacity) and toeboard in place<br>
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5.6 Holes and openings protected and/or covered and labeled "hole" or "cover"
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5.9 Extension ladders 36" above landing or have grab rail, tied off, 4:1 ratio
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5.7 Non-conductive ladders are used
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5.8 Step ladders are used in full and open position
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5.9 Are ladders in good condition
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5.10 Are ladders properly labeled<br>
6. Tools and Electrical
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6.1 Guarding intact on all tools and equipment
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6.2 Extension cords are 3 wire type, in good condition, no electrical tape repairs
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6.3 Extension cords are hard or extra-hard rated
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6.4 GFCI in place for all temporary wire not plugged into permanent receptacle outlets
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6.5 Live electrical and temp power has all splices and connections guarded against incidental contact.
7. PPE
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7.1 100% hard hats
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7.2 100% safety glasses
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7.3 Task-specific PPE is properly utilized (Guards, Face shields, Gloves,etc.)
13. Other
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13. Other Issues
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Add media
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Jobsite Photos
Signature
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Signature