RPR Audit

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• Job Name

• Job Number

• Builder / Contractor

• Job Site Address
  Address

• Conducted on

  Date

• Prepared by

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GENERAL

• Safety Plan On-Site

  Yes

  No

  N/A

• IIPP, COSP, MSD Sheets On-Site

  Yes

  No

  N/A

• Emergency Phone Numbers and Medical Facility Map Readily Available

  Yes

  No

  N/A

• First Aid Kit On-Site

  Yes

  No

  N/A

• Safety Toolbox Talk Completed

  Yes

  No

  N/A

• Daily Safety Checklist Completed

  Yes

  No

  N/A

• Appropriate Quantity of Drinking Water is Available and/or Readily Accessible

  Yes

  No

  N/A

• Housekeeping Condition

  Safe

  At Risk

  N/A

• Hazardous Materials in Approved Containers and Properly Stored

  Yes

  No

  N/A

• Any Unsafe Work Conditions Present

  Yes

  No

  N/A

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PPE

• Hard Hats in Use

  Yes

  No

  N/A

• Safety Glasses in Use

  Yes

  No

  N/A

• Proper Gloves in Use (When Handling any Metal and/or Chemicals)

  Yes

  No

  N/A

• Proper Footwear (Work Boots)

  Yes

  No

  N/A

• Safety Vest in Use

  Yes

  No

  N/A

• Hearing Protection in Use for Elevated Noise (as needed)

  Yes

  No

  N/A

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LADDER SAFETY

• Proper Ladder Being Used for Project and In Good Working Condition

  Yes

  No

  N/A

• Ladder Extends 3' Beyond the Roof's Edge or Working Surface

  Yes

  No

  N/A

• Ladder Properly Secured

  Yes

  No

  N/A

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FALL PROTECTION

• Is Fall Protection Required on This Project

  Yes

  No

  N/A

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• If Yes, What Fall Protection System(s) Are In Use

  Select SRL Rope Grab Roof Anchor Brackets Parapet Clamps Horizontal Lifeline Warning Lines Parapet Guardrails Safety Carts

  • SRL
  • Rope Grab
  • Roof Anchor Brackets
  • Parapet Clamps
  • Horizontal Lifeline
  • Warning Lines
  • Parapet Guardrails
  • Safety Carts

• Are Fall Protection Systems Properly Installed and Used

  Yes

  No

  N/A

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• Is Fall Protection Equipment In Good Working Condition

  Yes

  No

  N/A

• Are Roof Openings Properly Marked, Covered, and Secired

  Yes

  No

  N/A

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• Skylight Covers In Place and/or Properly Secured

  Yes

  No

  N/A

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POWER TOOLS & ELECTRICAL

• Properly Rated Extension Cords in Good Working Condition (no frays, all prongs in place)

  Yes

  No

  N/A

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• GFCI's In Use

  Yes

  No

  N/A

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• Power Tools in Good Working Condition With NO Modifications (all guards in place)

  Yes

  No

  N/A

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• Utilizing Proper Lockout/Tagout Procedures and Equipment

  Yes

  No

  N/A

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FORKLIFTS & OTHER EQUIPMENT

• Daily Inspection Completed

  Yes

  No

  N/A

• Operators Trained, Hold a Current Certification, and Are Authorized

  Yes

  No

  N/A

• Wheel Chocks Available

  Yes

  No

  N/A

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NOTES:

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FOREMAN

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  Sign