Safety Inspection (Custom Build / Specific Contractor)

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL AREA

• Supervisor Name

• Facility

• What contractors are working in the area

• PPE Signage displayed

  Yes

  No

  N/A

• Supervisors Name & Number displayed

  Yes

  No

  N/A

HOUSE KEEPING

• Work areas orderly

  Safe

  At Risk

  N/A

• Area secure

  Yes

  No

  N/A

• Appropriate waste disposal provided

  Yes

  No

  N/A

• All leads organized on lead stands or the like, not creating trip hazards, running through water or placed on metal/steel structures

  Safe

  At Risk

  N/A

• Appropriate lighting provided

  Yes

  No

  N/A

HAND TOOLS & POWER TOOLS

• General - Tools kept in good condition

  Yes

  No

  N/A

• General - Tools being used according to proper function & purpose

  Yes

  No

  N/A

• General - PPE available for use

  Yes

  No

  N/A

• General - Damaged or unsafe tools taken out of service

  Yes

  No

  N/A

• Electrical - Cord in good condition

  Yes

  No

  N/A

• Electrical - Guards in good condition

  Yes

  No

  N/A

• Electrical - Tagged and tested

  Yes

  No

  N/A

• Pneumatic Power Tools - Air hoses in good condition, including couplings & fittings

  Yes

  No

  N/A

• Pneumatic Power Tools - Compressed air is not being used for cleaning clothing etc

  Yes

  No

  N/A

• Pneumatic Power Tools - Tools are not hoisted by air hose

  Yes

  No

  N/A

• Pneumatic Power Tools - Noise measurements have been taken when necessary

  Yes

  No

  N/A

PPE - Is PPE being worn in the area

• Hard hats

  Yes

  No

  N/A

• Hi Vis clothing

  Yes

  No

  N/A

• Appropriate foot wear

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Face masks

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Safety harness or lanyards

  Yes

  No

  N/A

MDF (CUTTING & STORAGE)

• Designated cutting room/area

  Yes

  No

  N/A

• Dust extraction & or appropriate ventilation in use

  Yes

  No

  N/A

• PPE - Eye protection

  Yes

  No

  N/A

• PPE - hearing protection

  Yes

  No

  N/A

• PPE - Respiratory Protection

  Yes

  No

  N/A

• MSDS available

  Yes

  No

  N/A

• Dust being cleaned up

  Yes

  No

  N/A

• No smoking in area

  Yes

  No

  N/A

• Stored in shade area to prevent formaldehyde vapour

  Yes

  No

  N/A

SCAFFOLDING

• Is scaffolding secure

  Yes

  No

  N/A

• Check sole boards

  Safe

  At Risk

  N/A

• Check stairs

  Safe

  At Risk

  N/A

• Check appropriate signage and barriers

  Safe

  At Risk

  N/A

• Fall from heights risk to non scaffolder/rigger

  Safe

  At Risk

  N/A

MOBILE PLANT INSPECTION

• Is mobile plant or machinery being used in the area

  Yes

  No

  N/A

• Does it have a VRC plant inspection sticker

  Yes

  No

  N/A

• Do we have a copy of the mobile plant or machinery drivers licenes

  Yes

  No

  N/A

• Has the log book been filled out

  Yes

  No

  N/A

SIGNATURE

• VRC Site Personnel Signature

  Sign