Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Employee Welfare

  • 1.1 Portable water readily available for all employees

  • 1.2 Adequate toilets, washing facilities and maintenance

  • 1.3 First aid supplies available, accessible and stocked

2. Procedures

  • 2.1 List all hazards with corrective actions found throughout the week.

  • 2.2 Are there any Safety violations notification forms written and issued during audit?

  • 2.3 Startup kit information posted

  • 2.4 No smoking signs posted and enforced

  • 2.5 3SP and SDS manuals up to date and available in trailer/office

  • 2.6 Emergency procedures developed and rehearsed

  • 2.7 Site safety orientation conducted for all employees, orientation stickers on hard hats

  • 2.8 Weekly toolbox trainings conducted for AMH and all subs

  • 2.9 Weekly safety inspections are documented and turned in to AMH

  • 2.10 Daily Huddles completed and documented.

  • 2.11 Do any JHAs need updated?

3. Access

  • 3.1 Adequate no trespassing & construction signs, public access is restricted

  • 3.2 Temporary lighting in all areas is maintained and adequate

  • 3.3 Emergency exits identified and labeled

  • 3.4 Public is protected from open excavations and other hazards

  • 3.5 ABC fire extinguishers available within 100'; 3000 square feet; refuel ops >25',<75'

  • 3.6 Walking/Working surfaces are free of trip/slip/fall hazards. (Including Ice, snow, and water)

  • 3.7 Is Housekeeping an Issue?

  • Where are the areas that need housekeeping?

  • Pictures

  • 3.8 All impalement hazards are protected

4. Chemical, Fuel and HazCom

  • Are Fuels/Chemicals (Diesel, Gasoline, Propane, Oxy/Acet, other bulk chemicals stored onsite?

  • 4.2 Flammables/chemicals stored in approved, secured areas with spill containment in place

  • 4.3 Bonding used during flammable liquid transfer

  • 4.4 Bulk fuel containers stored 20' from building

  • 4.5 Oxy/fuel cylinders stored upright and secured with valve caps in place

  • 4.6 Oxy/fuel cylinders are separated when not in use or installed with a fire wall

  • 4.7 Fire extinguishers no less than 25' where flammable liquids of 5 gallons or more are stored

5. Elevated Work

  • Is there any work above ground level on the project?

  • 5.4 Fall protection is enforced at 6'

  • 5.4.1 Are all horizontal lifelines pre-engineered systems or supported with documentation from a PE?

  • 5.5 Guard rail system in place (+- 42" with 200# capacity) for top rail and mid rail (150# capacity) and toeboard in place<br>

  • 5.6 Holes and openings protected and/or covered and labeled "hole" or "cover"

  • 5.9 Extension ladders 36" above landing or have grab rail, tied off, 4:1 ratio

  • 5.7 Non-conductive ladders are used

  • 5.8 Step ladders are used in full and open position

  • 5.9 Are ladders in good condition

  • 5.10 Are ladders properly labeled<br>

6. Tools and Electrical

  • 6.1 Guarding intact on all tools and equipment

  • 6.2 Extension cords are 3 wire type, in good condition, no electrical tape repairs

  • 6.3 Extension cords are hard or extra-hard rated

  • 6.4 GFCI in place for all temporary wire not plugged into permanent receptacle outlets

  • 6.5 Live electrical and temp power has all splices and connections guarded against incidental contact.

7. PPE

  • 7.1 100% hard hats

  • 7.2 100% safety glasses

  • 7.3 Task-specific PPE is properly utilized (Guards, Face shields, Gloves,etc.)

13. Other

  • 13. Other Issues

  • Add media

  • Jobsite Photos

Signature

  • Signature

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