SA Comunale Co., Inc. Safety Field Audit

• Audit Title

• Document No.

• Job Name

• Project Manager

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB INFORMATION

• General Contractor

• Safety personnel designated for this site- GC

  Yes

  No

  N/A

• Name

• Site Safety walk through frequency?

  Daily

  Weekly

  Monthly

• OSHA 300 forms complete and posted from February 1 - April 30?<br>

  Yes

  No

  N/A

• OSHA and DOL posters posted?

  Yes

  No

  N/A

• Emergency phone numbers posted?

  Yes

  No

  N/A

HOUSEKEEPING

• Does access/egress into site pose a hazard?

  Safe

  At Risk

  N/A

• Is rebar capped properly?

  Yes

  No

  N/A

• Passageways and walkways clear?

  Yes

  No

  N/A

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

• Work areas neat?

  Yes

  No

  N/A

FIRE PREVENTION

• "No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

ELECTRICAL

• Extension wires with bare wires or missing ground prongs taken out of service?

  Yes

  No

  N/A

• Ground fault interrupters being used?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

HAND, POWER & POWDER ACTUATED TOOLS

• Guards in place on machines?

  Yes

  No

  N/A

• Correct tool being used for job at hand?

  Yes

  No

  N/A

• Cords in safe working order?

  Yes

  No

  N/A

• Hand tools inspected regularly?

  Yes

  No

  N/A

FALL PROTECTION

• Are employees exposed to a fall hazard?

  Yes

  No

  N/A

• Where or what is the exposure?

• Appropriate anchorage points used by employees?

  Yes

  No

  N/A

• What is being used as an anchorage point?

• Safety harnesses worn properly?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• Stairwells have handrails?

  Yes

  No

  N/A

• Are harnesses required to be worn in lifts?

  Yes

  No

  N/A

• What type of lanyard is worn inside the lift?

  Shock absorber

  Straight

  Retractable

• Safety rails and cables secured properly on leading edges?

  Yes

  No

  N/A

LADDERS

• Are ladders being used on this project?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Are ladders protected from accidental displacement near walkways or doorways?

  Yes

  No

  N/A

• No step at top two rungs of stepladder?

  Yes

  No

  N/A

• Ladders are secure to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Are employees required to tied off while working from a ladder?

  Yes

  No

  N/A

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• All wooden ladders removed from site?

  Yes

  No

  N/A

SCAFFOLDING

• Are we utilizing scaffold on this project?

  Yes

  No

  N/A

• Are we utilizing it as a work platform?

  Yes

  No

  N/A

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

• Guardrails, intermediate rails, toe boards and screens in place?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

FLOOR & WALL OPENINGS

• Ladders or stilts used near protected leading edges?

  Yes

  No

  N/A

• What additional protection is being utilized to prevent a fall?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

• Fall protection anchorage points installed in landing zones for workers?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Can hole covers handle working loads from workers, equipment etc?

  Yes

  No

  N/A

• Are hole covers properly secured to prevent displacement?

  Yes

  No

  N/A

• All floor openings that cannot be planked properly flagged and barricaded?

  Yes

  No

  N/A

TRENCHES, EXCAVATION & SHORING

• Are our employees exposed to an open excavation?

  Yes

  No

  N/A

• Where is the excavation located?

• Does the excavation belong to us?

  Yes

  No

• Competent person identified and present?

  Yes

  No

  N/A

• Excavations are shored and sloped back?

  Yes

  No

  N/A

• Was a documented daily inspection conducted for the excavation?

  Yes

  No

  N/A

• Materials are stored at least 2' away from trench?

  Yes

  No

  N/A

• Ladders provided every 25' in trench?

  Yes

  No

  N/A

• Equipment is at a safe distance from edge of trench or excavation?

  Yes

  No

  N/A

MATERIAL HANDLING

• Is material staged off the floor?

  Yes

  No

  N/A

• Are trays on all pipe machines?

  Yes

  No

  N/A

• Are employees properly protected from rough edges that could cause lacerations?

  Yes

  No

  N/A

• Are garbage cans available?

  Yes

  No

  N/A

• Are carts on site and being used properly?

  Yes

  No

  N/A

• Employees using proper lifting techniques?

  Yes

  No

  N/A

• Are employees engaged in awkward postures that could lead to injury?

  Yes

  No

  N/A

• If work tables are being utilized are they at the correct height to reduce bending?

  Yes

  No

  N/A

• Materials properly stored or stacked?

  Yes

  No

  N/A

• Are charging stations on this job?

  Yes

  No

  N/A

WELDING AND BURNING

• Are we engaged in welding activities?

  Yes

  No

  N/A

• Hoses in good condition?

  Yes

  No

  N/A

• Fire extinguishers readily available?

  Yes

  No

  N/A

• Goggles or face shields used?

  Yes

  No

  N/A

• Proper separating distances between fuels & oxygen?

  Yes

  No

  N/A

• Are regulators removed prior to being placed in storage?

  Yes

  No

  N/A

• Are screens erected to prevent exposure to others?

  Yes

  No

  N/A

• Gas cylinders stored upright and secured?

  Yes

  No

  N/A

CRANES

• Is a crane on site?

  Yes

  No

  N/A

• Outriggers extended and swing radius barricade in place?

  Yes

  No

  N/A

• Hand signal charts on crane?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Safety glasses being worn?

  Yes

  No

  N/A

• What style is being worn?

  Goggles

  Impact

  Fectoggles

• What is the task?

• Are the glasses appropriate for the task?

  Yes

  No

  N/A

• Hard hats being worn?

  Yes

  No

  N/A

• Hearing protection being worn when required?

  Yes

  No

  N/A

• Are the appropriate gloves being worn for the task at hand?

  Yes

  No

  N/A

• Are traffic vests or high visibility clothing material a requirement for this project?

  Yes

  No

  N/A

• Are they being worn?

  Yes

  No

  N/A

• Is there a hazard our employees exposed to which would necessitate hi visibility clothing?

  Yes

  No

  N/A

• Are respirators required?

  Yes

  No

  N/A

• What type of respirator is required for this project?

  N95

  Half Mask

  PAPR

• What type of filters are being used?

• Are there adequate replacement filters available?

  Yes

  No

  N/A

• Has a fit test been conducted?

  Yes

  No

  N/A

• When was this done?

  Date

• Who did the fit test?

• What is the exposure?

  Asbestos

  Lead

  Silica

  Nuisance dust

• Has the bulk analysis report been reviewed?

  Yes

  No

  N/A

• Is it sufficient or does further testing/sampling need completed?

  Yes

  No

  N/A

• Does a negative exposure assessment need to be done?

  Yes

  No

  N/A

EQUIPMENT-FORKLIFTS

• Are our operators properly certified?

  Yes

  No

  N/A

• Employee

Name

• When was the date of training?

  Date

• When does the training expire?

  Date

• Who conducted this training?

• Has equipment been properly inspected that day?

  Yes

  No

  N/A

• Is the inspection documented?

  Yes

  No

  N/A

• Is the equipment working properly? This includes back-up alarms, safety devices and all operating mechanisms. If no- please note and inform equipment team in corporate.

  Yes

  No

  N/A

• Are attachments proper?

  Yes

  No

  N/A

• Are seat belts worn?

  Yes

  No

  N/A

EQUIPMENT-SCISSORS LIFTS

• Are operators properly trained?

  Yes

  No

  N/A

• Are they certified?

  Yes

  No

  N/A

• Employee

Name

• When was the date of training?

  Date

• Who conducted this training?

• Is the chain properly pulled?

  Yes

  No

  N/A

• Are lift trays used?

  Yes

  No

  N/A

• Has the daily inspection checklist been properly filled out?

  Yes

  No

  N/A

CLOSING

• Any notes or comments about this job, foreman? Good or bad?

• Follow-up Visit type?

  Routine

  Increased Effort

  Not Required

• Overall Safety Rating of Site (0 being lowest, 10 being highest)

• Safety Manager

  Sign

FOLLOW UP

• Are there any action items needed as a result of this inspection?

  Yes

  No

  N/A

• Identify the action item.

Action Item

• Item for correction

• Assigned to:

• Date for completion

  Date

• Completed

• Safety Sign-Off

  Sign