SAFETY AUDIT

• Safety Audit

• Jobsite:

  Select

• Jobsite Picture:

  Media

• Date of Inspection:

  Date

• Weather (Take Screenshot from Heat Index App)

  Media

• Project Superintendent:

  Select

• General Superintendent:

  Select

• Number of Employees: Mobiclock

• Audit Performed By:

1. GENERAL SAFETY & HEALTH

• 1.1 Government / All-In-One Posters Up to Date (English & Spanish)

  Yes

  No

• 1.2 Safety Meetings / Pre-Task / Equipment Inspections Up to Date

  Compliant

  Needs Attention

• Stretch & Flex Completed

  Yes

  No

• 1.3 SDS 3-Ring Binder OR DropBox SAFETY INFORMATION 03 Folder / SAFETY DATA SHEETS - Up to Date

  Yes

  No

• 1.4 Chemical Contents Clearly Labeled as to Contents / Form Oil / Diesel / Gasoline / Curing Compound

  Compliant

  Non-Compliant

  N/A

• 1.5 Muster / Rally Point Identified & Communicated to Workers

  Yes

  No

• 1.6 Green Tape on Hard Hat (New Hire Employee)

  Yes

  No

  N/A

• 1.7 Red Tape on Hard Hat (Transferred Employee)

  Yes

  No

  N/A

• 1.8 Workers Aware of Earbuds / Cellphone Use Policy

  Yes

  No

• 1.9 UFI Site Specific Orientation Completed

  Yes

  No

  N/A

• 1.10 Name of one Employee Questioned About the Morning's Pre-Task Meeting

• Was the Answer Satisfactory?

  Compliant

  Needs Attention

• 1.11 OSHA 300 Summary Posted. Can be printed from Safety Information Dropbox

  Yes

  No

2. FIRST AID

• 2.1 First Aid Kit Readily Available and Stocked Properly

  Yes

  No

• 2.2 First Aid / CPR Personnel - Training Current / 2 Person Minimum

  Compliant

  Needs Attention

• 2.3 Place Designated for Cooling Off

  Yes

  No

  N/A

3. SITE / PUBLIC PROTECTION

• 3.1 Ground Level Barricades with Signs

  Compliant

  Needs Attention

• 3.2 Orange Netting in Place / Active Deck

  Yes

  No

  N/A

• 3.3 Orange Netting in Place / Permanent Guardrail

  Yes

  No

  N/A

• 3.4 Traffic Control / Training / Stop Slow Paddle / Hi-Viz Garments

  Yes

  No

  N/A

• 3.5 Diesel Tank Double Wall with Berm / Barricaded / No Smoking Sign / Bonding Strap

  Yes

  No

  N/A

• 3.6 55 Gallon Drums Stored on Pallet and Secured

  Yes

  No

  N/A

4. PERSONAL PROTECTIVE EQUIPMENT - INCLUDING SUBCONTRACTORS

• 4.1 Hearing Protection being Used Where Required (Pans / Grinding / Chipping / Blowing off Deck / Tables)

  Compliant

  Needs Attention

• 4.2 Functional and in Good Repair. Employees Wearing Appropriately / Glasses / Hard Hats

  Compliant

  Non-Compliant

• 4.3 Clear Glasses being used Inside Building

  Compliant

  Non-Compliant

  N/A

• 4.4 Respirator Being Used (N-95 or P100)

  Yes

  No

• 4.4.1 Using more than 4 Hours per Day?

  Yes

  No

• 4.4.2 Worn more than 30 Days Per Year?

  Yes

  No

• Medical Clearance Required (Chest X-Ray, OSHA Medical Questionnaire, Lung Capacity Test, TB Test) (Schedule with Tom)

• 4.4.3 Training on Vacuums, Grinder Shroud, Emptying Bag, Sweeping, Drilling, Chipping with Water

  Compliant

  Needs Attention

• 4.4.4 Fit Test Current (Required Every 12 months - Certificate on Dropbox)

  Yes

  No

• 4.5 Full Body Harness Worn Correctly

  Compliant

  Non-Compliant

• 4.6 Retractable Lifelines Removed from Service if Defective

  Yes

  No

  N/A

• 4.7 Hand Protection - Task and General Contractor Specific

  Compliant

  Needs Attention

• 4.8 Face Shields being Used While Blowing off Deck

  Yes

  No

  N/A

• 4.9 Foot Protection (Sturdy work boots, cover heal) (General Contractor Specific)

  Compliant

  Needs Attention

• 4.10 Proper Clothing, Hi-Viz Vests or Shirt

  Compliant

  Needs Attention

• 4.11 Eye-Wash Station Available During Concrete Pour

  Yes

  No

  N/A

5. CONCRETE CONSTRUCTION

• 5.1 Post Tension Cable Pulling Operations Protected with Barricades & Signs

  Yes

  No

  N/A

• 5.2 Rebar Caps or Wood Box Covers Protection In Place

  Compliant

  Needs Attention

  Water Bottles

• 5.3 Two Week Look Ahead Regarding Elevation Changes of Slabs (Ladders, Stripping Bars, Anchor Points, Tables, Etc...)

  Yes

  No

  N/A

6. HOUSEKEEPING

• 6.1 Work Space Clean & Free From Excess Trash / Nails / Debris from Cutting Wood / Banding

  Yes

  No

  N/A

• 6.2 Materials Stored and Stacked on Firm Foundation at Least 10 Feet from Edge of Slab

  Yes

  No

  N/A

• 6.3 Garbage Receptacle Outside Office / Emptied at Regular Intervals?

  Yes

  No

  N/A

• 6.4 Water Kegs / Sanitary / Cups / Trash Receptacle

  Compliant

  Needs Attention

  Water Bottles

• 6.5 Task Lighting / Daylight / Night Time Pours Walkways & Ladders

  Yes

  No

  N/A

7. LADDERS & STAIRWAYS

• 7.1 Safe Access to Dumpsters / Flatbed Trucks / Concrete Buckets

  Yes

  No

  N/A

• 7.2 More Than One Ladder for 25 or more People on any Level

  Yes

  No

  N/A

• 7.3 Areas Around Top & Bottom of Ladder Clear

  Yes

  No

  N/A

• 7.4 Ladders Being Used on Stable & Level Surface

  Yes

  No

  N/A

• 7.5 Does the Ladder's Length Allow to Safely Reach the Work Area

  Yes

  No

  N/A

• 7.6 Can the Job be Done Without Using the Top Step of a Ladder

  Yes

  No

  N/A

• EXTENSION LADDER

• 7.7 Is the Ladder able to use the 4-1 Rule? And Does it Extend at Least Three Feet Above the Landing

  Yes

  No

  N/A

• 7.8 Secured / Walk-Thru Grab Bars (temporary deck access only)

  Yes

  No

  N/A

• 7.9 Used Correctly (Sections not Separated)

  Yes

  No

  N/A

• PODIUM (Has a wider work platform (20") than a platform ladder (15") and extend 3 feet above the height of the platform)

• 7.10 Gate Attachment Properly Assembled & Used

  Yes

  No

  N/A

• STAIRS

• 7.11 Stairways Equipped with Handrails Installed Between 30-37"

  Yes

  No

  Stairs Closed

• 7.12 Metal Pan Stairs Filled with Wood or Concrete

  Yes

  No

  Stairs Closed

• 7.13 Stair Landings Lighted with Clear and Clean Access

  Yes

  No

  Stairs Closed

8. FALL PROTECTION

• 8.1 Adequate Temporary Guardrails Installed Properly

  Yes

  No

  N/A

• 8.2 Adequate Permanent Guardrails Installed Properly / Wood & Cable

  Yes

  No

  N/A

• 8.4 Elevator Shaft Cover Installed & Maintained Such that any UFI Worker will not Fall more than 25 Feet

  Yes

  No

  N/A

• 8.6 Holes 2 Inches or Wider Covered / Secured / Labeled

  Yes

  No

  N/A

• 8.7 Hand Rails Installed Properly up to Leading Edge Barricades

  Yes

  No

  N/A

• 8.8 Horizontal Lifelines Installed Properly

  Yes

  No

  N/A

• 8.9 Concrete Anchor Straps Ordered and of Proper Length

  Yes

  No

  N/A

9. SIGNS, SIGNALS & BARRICADES

• 9.1 Stripping Signs Posted with area Barricaded

  Yes

  No

  N/A

• 9.2 Fall Hazard Areas Barricaded Properly with Signage

  Yes

  No

  N/A

• 9.3 Lower Level Controlled Access Zone Set up Properly During Stripping Process

  Yes

  No

  N/A

10. TOOLS & EQUIPMENT

• 10.1 Broken Tools Removed from Service / Tagged Out

  Yes

  No

  N/A

• 10.2 Hand Tools Observed in Good Shape

  Yes

  No

• 10.3 Air Compressor Have a Shut Off Valve on Blow Pipe

  Yes

  No

  N/A

• 10.4 Air Compressor Hose Condition

  Yes

  No

  N/A

• 10.5 Safety Retainers on Air Compressor Hoses to Prevent Accidental Disconnect

  Yes

  No

  N/A

• 10.6 Extension Cords / Power Tool Cords / Knicks / Ground Pin in Good Condition

  Yes

  No

• 10.7 Hammer Head in Good Shape with no Grinder Cuts

  Yes

  No

• 10.8 Side Handles & Guards In Place on Grinders and Drills

  Yes

  No

  N/A

• 10.9 Saw Horse in Use / Top Plate Inspected / Saw Blade Adjustment

  Yes

  No

11. SHORES, RESHORES, STRIPPING & STRIPPING NETS

• 11.1 Perimeter Lacing Installed on all Unsecured Shores to Prevent Accidentally Falling Out of Place

  Yes

  No

  N/A

• 11.2 Stripping Nets in Good Shape / On Site (order when 1st level framing material is shipped from the yard)

  Yes

  No

  N/A

• 11.3 Shoring Scaffolding with a Height to Base Ratio Greater than 4 to 1 is Restrained from Tipping by Guy Wires, Bracing or Equivalent Means

  Yes

  No

  N/A

12. FIRE PROTECTION

• 12.1 Generator(s) - 10# Fire Extinguisher Mounted on Stand with Red Flag / Certification Current

  Yes

  No

  N/A

• 12.2 Plywood placed under generator while being using on ground level (keeps oil / gasoline from going into ground)

  Yes

  No

  N/A

• 12.3 Diesel Tank - 20# Fire Extinguisher Mounted on Stand with Red Flag / Certification Current / 25 to 75 Feet Range

  Yes

  No

  N/A

• 12.4 Chopsaw or Torch - 10# Fire Extinguisher Mounted on Stand with Red Flag

  Yes

  No

  N/A

• 12.5 Torch Set / Gauges / Flash Back Arrestors / Hose Condition / Storage of Tanks

  Yes

  No

  N/A

• 12.6 Flammable Storage Tank Used for More Than 25 Gallons of Fuel

  Yes

  No

  N/A

13. SHORING SCAFFOLD / STRIPPING WAGON

• 13.1 OSHA Planks Being Used

  Compliant

  Non-Compliant

  N/A

• 13.2 Guardrails In Proper Location / Employees Tied Off

  Compliant

  Non-Compliant

  N/A

14. EXCAVATIONS

• 14.1 Daily Inspections Completed

  Yes

  No

  N/A

• 14.2 Heavy Equipment Inspections Completed with Qualified Operator & Evaluation

  Yes

  No

  N/A

15. CRANE, RIGGING & LIFTING EQUIPMENT

• 15.1 Chain Sling condition (tag in place and legible, hooks)?

  Yes

  No

  N/A

• 15.2 Tag Lines of Proper Length for Specific Tasks

  Yes

  No

• 15.3 Port-A-John with Proper Rigging Being Utilized

  Yes

  No

  N/A

• 15.4 Crane Swing Radius Barricades in Place

  Yes

  No

  N/A

• 15.5 Nylon Straps Condition (red yarn, legible ID Tag)?

  Yes

  No

  N/A

• 15.6 Skip Pan / Wire Rope / Shackles / Weight Limits Legible

  Yes

  No

• 15.7 Crane Radius Plan Available

  Yes

  No

  N/A

• 15.8 Tag on Wire Rope Concrete Deadman

  Yes

  No

  N/A

• 15.9 Forklift Inspections Completed

  Yes

  No

  N/A

• 15.10 Qualified Crane Signal Person/Rigger Identified with Orange Brim Guard

  Yes

  No

  N/A

• 15.11 Qualified Forklift Operator with Approved Training Credentials and Equipment Evaluation Completed

  Yes

  No

• 15.12 Concrete Column Bucket (wire rope, tag legible, shackle cotter pin)

  Yes

  No

16. OUTRIGGER

• 16.1 Guardrail systems are in place and at proper height?

  Yes

  No

  N/A

• 16.2 Plywood Installed on Both Sides at Landing Area - Top to Bottom

  Yes

  No

  N/A

• 16.3 Double 2x4 In Place at the End of Outrigger?

  Yes

  No

  N/A

• 16.4 Tie off Anchors Identified and in Place?

  Yes

  No

  N/A

• 16.5 Orange cones and Cone Bars in Place Around Entrance of Outrigger?

  Yes

  No

  N/A

• 16.6 Shackle Pins Fixed from Rotation?

  Yes

  No

  N/A

• 16.7 Fall Protection Required Beyond this Point Sign in Place at Entry?

  Yes

  No

  N/A

• 16.8 Blue Notice Sign 5,000 Pound Cart Load in Place?

  Yes

  No

  N/A

EMAIL AUDIT TO THE FOLLOWING:

• Project Manager, General Sup't, Project Sup't and copy Todd Volheim, Bill Nagele, Heman Higgins, Tom Isola