Safety Develoment Group Safety Audit

• Project Name

• Project Super

• Auditor

• Location
  Address

• Weather Conditions.

• Conducted on

  Date

• Contractors

Administration / Program

• last toolbox talk date

• Are near miss reports filed properly?

  Good

  Fair

  Poor

  N/A

• Are incident reports filed properly?

  Good

  Fair

  Poor

  N/A

• has the OSHA 300 logs been verified?

  Yes

  No

  N/A

• Do workers have current Safety Orientation, contractor training verification? eg. CCO, scaffold training, Fall protection, excavation, etc.

  Yes

  No

  N/A

• Is the EAP, Rescue procedure in place, muster point posted on job site and emergency numbers posted?

  Yes

  No

  N/A

• Does the Safety Station have all of the following information; current safety information, JSA,,construction safety sign, SDS, Daily inspection checklist?

  Yes

  No

  N/A

• Is work described on the JSA consistent with the work described on permit?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Is the work described the same as the work being preformed?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Is the general Information section of the JSA filled out completely and correctly?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Do Crew members Understand What actions to take in the event of an Emergency?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Has the supervisor / lead person identified a Job scope and communicated it correctly if needed?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Has the JSA been reviewed By a supervisor or lead person?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Did the Crew members have input on the JSA?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Have the Permits been reviewed with the crew for complete understanding?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Are these permits available on work location

  Yes

  No

  N/A

• Does the JSA indicate possible hand injuries? and has the potential Hazards of line of fine been discussed?

  Yes

  No

  N/A

• is elevated work being preform and specified on the JSA ?

  Yes

  No

  N/A

• Have prevention/ mitigation been addressed to the appropriate corresponding Hazards?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Does the JSA specify the appropriate PPE?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Is the PPE being use, in good working condition?

  Yes

  No

  N/A

• If chemicals are being used, does the JSA address this and been communicated with crew?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Has LOTO been clearly identified and walked down, and properly documented on JSA and permit?

  Yes

  No

  N/A

• Has everyone preforming work reviewed / signed the JSA form?

  Select NO-Not properly identified or addressed on JSAor at work Identified on JSA but did not address at work location Hazards addressed At work location but not identified on JSA Properly Identified and addressed on JSA but needs improvement yes - Properly identified and addressed on JSA and at work location N/A

  • NO-Not properly identified or addressed on JSAor at work
  • Identified on JSA but did not address at work location
  • Hazards addressed At work location but not identified on JSA
  • Properly Identified and addressed on JSA but needs improvement
  • yes - Properly identified and addressed on JSA and at work location
  • N/A

• Are all proper sanitary conditions met? ( eg. drinking water, wash facilities, and toilets accessible and clean?)

  Yes

  No

  N/A

• Are all personnel OSHA 10Hr trained or 30Hr for foreman / Supervisors?

  Yes

  No

  N/A

Housekeeping

• Has the trash been emptied and the dumpsters are covered?

  Yes

  No

  N/A

• Are Walking/ working surfaces clear, clean, trip hazards eliminated?

  Yes

  No

  N/A

• Have contractors completed inspection checklist?

  Yes

  No

  N/A

• Are Materials stored properly: properly segregated, stacked properly, on rack or carts and chocked?

  Yes

  No

  N/A

PPE

• Are Hard hats, safety glasses, task appropriate gloves, ANSI II vest ( as required)and safety toe footwear worn by craft and management?

  Good

  Fair

  Poor

  N/A

• Is there work being performed that is producing flying debris?

  Yes

  No

  N/A

• Are Face shield or goggles worn as appropriate ?

  Yes

  No

  N/A

• Does the SPA reflect the use of PPE?

  Yes

  No

  N/A

• Is the work being performed exceeding 85db ?

  Yes

  No

  N/A

• Is hearing protection required? ( signage )

  Yes

  No

  N/A

• Is Hearing protection being worn?

  Yes

  No

  N/A

Fall Protection

• Is work being preformed greater than 6ft?

  Yes

  No

  N/A

• Has the elevated work permit been reviewed and completed?

  Yes

  No

  N/A

• Is Perimeter guarding provided? ( 42in top rail and Mid rail present, toe board)

  Yes

  No

  N/A

• If appropriate is PFAS used above 6ft. with SRL ( under 18ft ) or lanyard/ SRL ( above 18ft)?

  Yes

  No

  N/A

• Is Fall protection equipment inspected prior to use? ( relief step installed)

  Yes

  No

  N/A

• Are PFAS stored properly?

  Yes

  No

  N/A

• Have all known fall hazards been addressed.

  Yes

  No

  N/A

Fire Safety and Emergency.

• Are flammable and combustible storage areas in safe conditions? ( flammable limits, grounded, well ventilated, etc. )

  Good

  Fair

  Poor

  N/A

• Are flammable and combustible materials stored properly? ( SDS at point of use )

  Yes

  No

  N/A

• has a pre-fire incident plan been developed.

  Yes

  No

  N/A

• schedule a pre-fire incident audit. ( enter date in answer. )

• Are there a proper fire extinguishers available with in 75ft of work ?

  Yes

  No

  N/A

• Are the sprinkler heads & fire protection unobstructed ( sprinkler heads clear by 18'' or greater)?

  Yes

  No

  N/A

• Is there a trained fire watch on duty during Hot Work?

  Yes

  No

  N/A

• Are stairwells clear of combustible or flammable materials?

  Yes

  No

  N/A

• Is there a First Aid Kit and eye wash station on job site?

  Yes

  No

  N/A

• Have lower levels been protected from falling sparks?

  Yes

  No

  N/A

General Safety

• All containers labeled? ( HAZCOM )

  Yes

  No

  N/A

• Is temporary lighting provided as needed? <br>(29 CFR 1926.56(a) table D-3)

  Yes

  No

  N/A

• Is equipment guarding in place as per manufacturers instructions?

  Yes

  No

  N/A

• Are tools and equipment inspected and in good condition prior to use?

  Yes

  No

  N/A

Ladders/ Stairs/ Scaffolds.

• Are there ladders being used?

  Yes

  No

  N/A

• Are ladders in good operating conditions, inspected and stored properly?

  Yes

  No

  N/A

• Are Decals legible?

  Yes

  No

  N/A

• Are personnel Maintaining 3 points of contact?

  Yes

  No

  N/A

• Is a Elevated work permit in place?

• Is the anchorage point able to support 5,000lbs?

• Are Stairs provided where there is a change in elevation >19'' ( EU >0.5m), and secured?

  Yes

  No

  N/A

• Are Stairs greater than 4 risers all equipped with a hand rail?

  Yes

  No

  N/A

• Are the Scaffolds correct and secured, tagged correctly, inspected daily? ( check mudsills or locked wheels)

  Yes

  No

  N/A

• Are there Safe access / egress for scaffold. ( swing gates where required)?

  Yes

  No

  N/A

• Are Holes/penetrations protected with secured covers labeled "HOLE" or barricaded?

  Yes

  No

  N/A

Welding/ Cutting / Brazing

• Has the hot work permit been reviewed and completed

  Yes

  No

  N/A

• Is torch cutting being performed with proper PPE and area prepped?

  Yes

  No

  N/A

• Are Torches, hoses, gauges / regulators in good conditions and equipped with flash back preventers?

  Yes

  No

  N/A

• Are compressed gas cylinders secured and capped when not in use?

  Yes

  No

  N/A

• Is face shield being worn with hardhat while performing arc welding?

• Is there a trained Fire Watch with in 25ft of hot work?

• Is welding being performed?

  Yes

  No

  N/A

• Are welding screens used where needed and properly secured?

  Yes

  No

  N/A

• Are Cables and welding machine inspected in accordance with manufactures instruction?

  Yes

  No

  N/A

• Is there a Trained fire Watch within 25ft of welding?

• Are face shield being worn with hardhat while welding?

• Have all combustibles been removed 35ft or covered? ( flammables removed)

  Yes

  No

  N/A

Crane Lifting / Rigging.

• Has the lift plan and permit been completed and reviewed with all affected personnel?

  Yes

  No

  N/A

• Are there trained signal men in "line of sight" of operator or other means of communication with operator?

• Has the qualified rigger inspected all lifting equipment prior to use?

• Has the crane been properly barricaded?

• Have all the areas within the swing radius been notified, with proper signage , barricaded with danger tape and evacuated?

• Is there a road closures in place for this lift?

  Yes

  No

  N/A

• Has the road closure permit been reviewed and completed?

• Has the road been properly sectioned off from any pedestrian and vehicle traffic?

• Have all the above crane precautionary actions been checked off?

  Yes

  No

  N/A

• is crane opertor properly certified / qualified, and or designated?

  Yes

  No

  N/A

• Operators signature

  Sign

• Has the crane inspections been completed and documented?

  Yes

  No

  N/A

• Are tag lines being used to control the load?

  Yes

  No

  N/A

• Are personnel staying out from under the load?

  Yes

  No

  N/A

Excavation/ Confined Space.

• Has the excavation permit been reviewed and completed?

  Yes

  No

  N/A

• Are the trenches/ excavations sloped properly or shored and barricaded?

  Yes

  No

  N/A

• Is trench/ excavation greater than 4ft?

  Yes

  No

  N/A

• Is body harness being worn?

• Are there proper egress in place, ladders no more than 25ft apart?

• Has a weather event occurred since initial evaluation from a competent person?

  Yes

  No

  N/A

• Has the competent person re-evaluated excavation?

• Competent person signature.

  Sign

• Have all confined spaces been labeled

  Sign

• Has the confined space permit been reviewed and completed?

  Yes

  No

  N/A

• Has the confined space attendant properly maintained the access log?

  Yes

  No

  N/A

• Are the Confined space personnel properly trained?

  Yes

  No

  N/A

Motorized Equipment. ( [PIT's lifts)

• Is there motorized Equipment being use?

  Yes

  No

  N/A

• Has the proper inspection been performed and documented?

  Yes

  No

  N/A

• Do the operators have the proper training for the equipment being used?

  Yes

  No

  N/A

• Are seat belts used by all operators?

  Yes

  No

  N/A

• Do the motorized vehicles have proper back up alarm?

  Yes

  No

  N/A

• Are flaggers in place where needed?

  Yes

  No

  N/A

• Is the rollover protection in place and maintained?

  Yes

  No

  N/A

• Has field modification been made without manufacturers written approval?

  Yes

  No

  N/A

Electrical Safety.

• Is there a energized electrical permit in place?

  Yes

  No

  N/A

• Has the energized permit been reviewed and completed?

  Yes

  No

  N/A

• Are all electrical tools and cords free of chemicals, flammables and water?

  Yes

  No

  N/A

• Is the Proper Lockout/Tagout in place where needed?

  Yes

  No

  N/A

• Are proper cords not creating a trip hazard?

  Yes

  No

  N/A

• Are cords in good condition, no cuts or repairs w/ tape?

  Yes

  No

  N/A

• Is there a 3ft clear distance around electrical panel?

  Yes

  No

  N/A

• Are GFCI's being used and closest to the power source?

  Yes

  No

  N/A

• Are the required permits completed and posted?

  Yes

  No

  N/A

Environmental

• Have all proper barricades been put in place to minimize cross contamination?

  Yes

  No

  N/A

• Are all respiratory users qualified or have signed the "voluntary use" sign off sheet on job site?

  Yes

  No

  N/A

• Are the Concrete truck washout procedure being followed?

  Yes

  No

  N/A

• Is the waste handling and disposal of hazardous waste being executed properly?

  Yes

  No

  N/A

• Is secondary containment in place where needed?

  Yes

  No

  N/A

• Is Threading Machine catch box in place?

  Yes

  No

  N/A

• Are Storm sewers protected?

  Yes

  No

  N/A

• Are there chemicals at the job site?

  Yes

  No

  N/A

• Are personnel trained in the chemicals they are handling?

  Yes

  No

  N/A

• Are the SDS provided at job site? ( point of use )

  Yes

  No

  N/A

• Is there proper ventilation in place for stored chemicals?

  Yes

  No

  N/A

stakeholders

• Project super

  Sign

• Auditor

  Sign