Title Page

  • Safety Audit

  • Date of Inspection:

  • Jobsite:

  • Jobsite Picture:

  • Weather (Take Screenshot from Heat Index App)

  • Project Manager:

  • General Superintendent:

  • Project Superintendent:

  • Assistant Superintendent:

  • Audit Performed By:

1. GENERAL SAFETY & HEALTH

  • 1.1 Government / All-In-One Posters Up to Date (English & Spanish) (Scan QR Code on Poster to Verify) Order New Ones from Southern Safety

  • 1.2 Weekly Safety Meeting Completed (attach a picture of the sign in sheet)

  • 1.3 Stretch & Flex Being Done

  • 1.4 Pre-Task Plans (Attach Pictures of all PTP's from One Random Day) (PTP's Need to be Double Sided English and Spanish)

  • 1.5 First Aid Kit Readily Available and Stocked Properly (attach photo)

  • 1.6 One-Site Health & Safety (Medic) Flyer Posted

  • 1.7 Urgent Care Map Posted

  • 1.8 Nearest Emergency Room Map Posted

  • 1.9 SDS 3-Ring Binder OR DropBox Safety Information Job Folder Up to Date

  • 1.10 Place Designated for Cooling Off

  • 1.11 Muster / Rally Point Identified & Communicated to Workers

  • 1.12 Green Tape Wrapped Completely Around Hard Hat to Identify a New Hire (Tape is placed towards top)

  • 1.13 Red Tape Wrapped Around Hard Hat to identify a Transferred Employee From Another UFI jobsite (Tape is placed towards top)

  • 1.14 Orange Tape Wrapped Completely Around Hard Hat to Identify the Crew Foreman (Tape is placed towards bottom)

  • 1.15 Yellow Tape Wrapped Completely Around Hard Hat to Identify Carpenters (Tape is placed towards bottom)

  • 1.16 Green Tape Wrapped Completely Around Hard Hat to Identify Laborers (Tape is placed towards bottom)

  • 1.17 Blue Tape Wrapped Completely Around Hard Hat to Identify Carpenter Helper (Tape is placed towards bottom)

  • 1.18 Workers Aware of Earbuds / Cellphone Use Policy (Spot Check one Worker Wearing a Face Covering)

  • 1.19 UFI Site Specific Plan Available (attach photo)

  • 1.20 OSHA 300 Summary Removed from Wall Until Next February 1st

  • 1.21 Next Company Safety Meeting at the Groveland Yard - TBD

2. SUPERVISORY TRAINING (UFI SAFETY POLICY PAGE 11)

  • 2.1 First Aid & CPR Current for Project Superintendent(s) - (Verify on Dropbox 01 Certificate Folder)

  • Name(s):

  • 2.2 OSHA 10 Hour (4 Year Current) for Project Superintendent(s) - (Verify on Dropbox 01 Certificate Folder)

  • Name(s):

  • 2.3 First Aid & CPR Current for Assistant Superintendent(s) - (Verify on Dropbox 01 Certificate Folder)

  • Name(s):

  • 2.4 OSHA 10 Hour Minimum (4 Year Current) for Assistant Superintendent(s) (Verify on Dropbox 01 Certificate Folder)

  • Name(s):

  • 2.5 First Aid & CPR Current for Site Safety Coordinator(s) (Verify on Dropbox 01 Certificate Folder)

  • Name(s):

  • 2.6 OSHA 10 Hour Minimum (4 Year Current) for Site Safety Coordinator(s) (Verify on Dropbox 01 Certificate Folder)

  • Name(s):

3. SITE / PUBLIC PROTECTION

  • 3.1 Netting in Place on Permanent Guardrail

  • 3.2 Traffic Control / Training / Stop Slow Paddle w/ 7 Foot Handle / Hi-Viz Garment

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

  • 3.4 Chemical Drums (55 Gallon) Stored on Pallet and Secured

4. PERSONAL PROTECTIVE EQUIPMENT

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

  • 4.2 Safety Helmet Tightly Attached and Secured Under the Chin, With No More Than 2-finger Gap Between Strap & Chin

  • 4.3 Clear Glasses being used Inside Building

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

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

  • 4.4.2 Using more than 4 Hours per Day?

  • 4.4.3 Worn more than 30 Days Per Year?

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

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

  • 4.5 Full Body Harness Worn Correctly (Leg Straps in Rubber Band Keeper)

  • 4.6 Retractable Lifelines Removed from Service if Defective

  • 4.7 Hand Protection - Task and General Contractor Specific

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

  • 4.10 Employees Aware of Metal Inserts for Boots

  • 4.11 Proper Clothing, Hi-Viz Vests or Shirt (General Contractor Specific)

  • 4.12 Concrete Being Placed?

  • 4.13 Eye-Wash Station Available for Current & Future Concrete Pours

  • 4.14 Washing Facilities Provide with Clean Water, Non=Alkaline Soap, and Clean Towels. Readily Accessible to Exposed Employees and Adequate for the Number of Employees Exposed

  • 4.15 Proper Gloves and Waterproof Boots Provided (high enough to prevent wet cement from getting inside)

  • 4.16 Training Provided and Hazards of Exposure to Portland Cement Communicated to Employees. Review SDS

5. CONCRETE CONSTRUCTION

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

  • 5.2 Impalement Protection In Place

  • 5.3 Two Week Look Ahead for Elevation Changes for Upcoming Slabs: Verify Proper Equipment such as Ladders, Stripping Bars, Stripping Nets, Concrete Tie Off Straps, Styrofoam for Tables, Table Leg Adjustment, Etc...)

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

6. HOUSEKEEPING

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

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

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

  • 6.4 Water Kegs or Bottles / Sanitary / Cups / Trash Receptacle

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

7. LADDERS & STAIRWAYS

  • 7.0 STEP LADDER BEING USED

  • 7.1 Labels in Place and Readable

  • 7.2 Anti-Slip Rubber Feet Not Worn, Torn or Missing

  • 7.3 Areas Around Top & Bottom of Ladder Clear

  • 7.4 Side Rails Not Split or Broken

  • 7.5 Steps Clean, Free of all Oil, Grease, Dirt, Paint, Not Bent, Connections all Tight

  • 7.6 Ladders Being Used on Stable & Level Surface

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

  • 7.8 Used Correctly (Opened with Spreaders Locked Securely)

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

  • EXTENSION or STRAIT LADDERS BEING USED

  • 7.10 Labels in Place and Readable

  • 7.11 Anti-Slip Rubber Feet Not Worn, Torn or Missing

  • 7.12 Areas Around Top & Bottom of Ladder Clear

  • 7.13 Side Rails Not Split or Broken

  • 7.14 Steps Clean, Free of all Oil, Grease, Dirt, Paint, Not Bent, Connections all Tight

  • 7.15 Ladders Being Used on Stable & Level Surface

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

  • 7.17 Extension Ladder Sections not Separated

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

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

  • 7.20 Locks Functional, Flippers in Place and Clear of Debris

  • 7.21 Rope Connected to Fly Section of the Ladder and not Worn, Torn or Frayed

  • 7.22 Pull Rope in Place so Employees can Safely Lift Tools or Equipment to Upper Levels

  • PODIUM or PLATFORM LADDERS BEING USED

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

  • 7.22 Labels in Place and Readable

  • 7.23 Anti-Slip Rubber Feet Not Worn, Torn or Missing

  • 7.24 Areas Around Top & Bottom of Ladder Clear

  • 7.25 Side Rails Not Split or Broken

  • 7.26 Gate Attachment Properly Assembled & Used (Podium Only)

  • 7.27 Steps Clean, Free of all Oil, Grease, Dirt, Paint, Not Bent, Connections all Tight

  • 7.28 Ladders Being Used on Stable & Level Surface

  • 7.29 Used Correctly (Opened with Spreaders Locked Securely)

  • 7.30 More Than One Single Ladder OR One Double Gang (Two Way) Ladder for 25 or more People on any Level

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

  • STAIRS BEING USED

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

  • 7.31 Metal Pan Stairs Filled with Wood or Concrete

  • 7.32 Stair Landings Lighted with Clear and Clean Access

  • 7.33 Scaffold Safety Awareness for Stair Towers

8. FALL PROTECTION

  • Decking Being Performed

  • 8.1 Adequate Temporary Guardrails Installed Properly

  • 8.2 Hand Rails Installed Properly up to Leading Edge Barricades

  • 8.3 Horizontal Lifelines Installed Properly

  • 8.4 Fall Protection Required Beyond Signs In Place

  • 8.5 Orange Netting in Place for Active Deck

  • 8.2 Adequate Permanent Guardrails Installed Properly / Wood & Cable

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

  • 8.9 Concrete Anchor Straps Ordered and of Proper Length

9. FUTURE USE

10. TOOLS & EQUIPMENT

  • 10.1 Broken Tools Removed from Service / Tagged Out

  • 10.2 Hand Tools Observed in Good Shape

  • 10.3 Air Compressor Being Used

  • 10.4 Shut Off Valve on Blow Pipe

  • 10.5 Condition of Hoses

  • 10.6 Whip Checks in Place to Prevent Accidental Disconnect

  • 10.7 Face Shields being Used While Blowing off Deck

  • 10.8 Is Compressor Being Used to Chip Pile Caps

  • 10.9 Faceshields Being Used

  • 10.10 Employees Aware of Hazards

  • 10.11 Excavation Training Completed

  • 10.12 Electrical Cords in Good Repair, without Damage to the Outer Jacket Insulation, Plugs, or Pins

  • 10.13 Hammer Head in Good Shape with no Grinder Cuts

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

  • 10.15 Saw Horse Being Used / Top Plate Inspected for Proper Blade Adjustment

  • 10.16 Name of Employee Questioned About the Morning's Pre-Task Meeting - Emphasis on Small Tools

  • 10.17 Was the Answer Satisfactory

11. FUTURE USE

12. FIRE PROTECTION

  • 12.1 Diesel Tank Being Used for Heavy Equipment

  • 12.2 Properly Barricaded from Construction Traffic

  • 12.3 No Smoking Sign Posted

  • 12.4 Fire Extinguisher (20#) no Further than 75 Feet, Mounted on Sign Stand with Red Flag / Properly Charged

  • 12.5 Bonding Strap Available for Transferring Diesel

  • (Transfer of Category 1, 2, or 3 flammable liquids from one container to another shall be done only when containers are electrically interconnected (bonded).

  • 12.6 Tank Inside a Bath Tub (required by Skanska and Turner)

  • 12.7 Generators Being Used

  • Gilbane and Turner Require 20# Fire Extinguishers

  • 12.8 Fire Extinguisher (10#) Easily Accessible with Red Flag / Certification Current / Properly Charged

  • 12.9 Employees Aware of Shut Down and Refueling Procedure (shut off during breaks, then refuel once break is over)

  • 12.10 Proper Funnel being used to Re-Fuel

  • 12.11 Placed on Firm and well Ventilated Area

  • 12.12 Is the Generator Located on Dirt

  • 12.13 Plywood Under Generator (Keeps Contamination of Fluids from Leaking into Ground)

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

  • 12.15 Is There a Chopsaw Being Used

  • 12.16 Fire Extinguisher (10#) Easily Accessible with Red Flag / Certification Current / Properly Charged

  • 12.17 Is There a Torch Set Being Used

  • 12.18 Fire Extinguisher (10#) Easily Accessible with Red Flag / Certification Current / Properly Charged

  • 12.19 Torch Set / Gauges / Flash Back Arrestors / Hose Condition /

  • 12.20 Oxygen & Acetylene Tanks Properly Stored

13. STRIPPING OPERATIONS

  • Is Stripping Formwork Being Done

  • 13.1 OSHA Planks Being Used

  • 13.2 Stripping Nets in Good Shape

  • 13.3 Ground Level Barricades with Signs and Spotter(s)

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

  • 13.5 Stripping Signs Posted with area Barricaded

  • 13.6 Fall Hazard Areas Barricaded Properly with Signage

  • 13.7 In Addition to Guardrails, Elevator Shaft Cover Installed & Maintained Such that any UFI Worker will not Fall more than 25 Feet

14. EXCAVATIONS

  • Excavation Work Being Done

  • 14.1 Daily Inspections Completed

  • 14.2 Heavy Equipment Inspections Completed with Qualified Operator & Evaluation

  • 14.3 Excavation Training Completed for Workers

15. CRANE, RIGGING & LIFTING EQUIPMENT

  • 15.1 Crane Being Used

  • 15.2 Mobile Crane Swing Radius Barricaded

  • 15.3 Base of Tower Crane Enclosed and Capable of Being Locked After Hours

  • 15.4 Crane Radius Plan Available

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

  • 15.6 Port-A-John with Proper Rigging (legible ID Tag

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

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

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

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

  • 15.11 Tag Lines of Proper Length for Specific Tasks

16. OUTRIGGER

  • Is Outrigger Being Used

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

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

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

  • 16.4 Tie off Anchors Identified and in Place?

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

  • 16.6 Shackle Pins Fixed from Rotation?

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

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

EMAIL AUDIT TO THE FOLLOWING:

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

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