Audit

"ALL IN"

Is this Project Team "ALL IN"? Score must be consistent with an "A" grade (No significant safety culture issues). If No, provide action plan to Office Leader & Safety.

Housekeeping

Project work areas are free or excess trash, debris

Walkways and passageways clear

Project materials stored safely and on dunnage

Electrical cords, hoses, welding leads routed safely out of walkways

Scrap material free of protruding nails or any other puncture hazards

Trash receptacles and water near work areas

Barricades installed and maintained

Rebar is protected

GENERAL SAFETY

Safety Planning (pre-con meetings, safety plan, JSA, morning huddles, pre-task plans)

Postings (State, Federal, Emergency #'s, Incident Reporting & Crisis Management)

Material Safety Data Sheets (3E MSDS on Demand Posting & Subcontractor MSDS's)

First Aid Kit / Eyewash Replenished

Sanitation (1 toilet per 20 workers)

Motorized Equipment (qualified operator identified, backup alarms, seat belts, equipment condition acceptable)

Date Corrected:
Personal Protective Equipment

Proper Attire (shirts 4" sleeves, pants, boots, hard hat)

Date Corrected:

Eye protection required and worn in proper manner (glasses, goggles, face shield)

Date Corrected:

Other (hearing, gloves, respirators, chemical protection, metatarsal guards)

Date Corrected:

Face shield or goggles worn as required( pumping or vibrating concrete )

Date Corrected:

Gloves match task being performed (cut resistant, chemical, hot work)

Hearing protection is used when required

Safety toed boots worn

Fall Protection System

Guardrails (200#, 42" +/- 3", toeboards, wire rope flagged every 6')

Date Corrected:

Holes (guarded, covered, secured, labeled)

Date Corrected:

Correct fall protection system being used and anchored properly

Date Corrected:

Other (falling object protection, safety nets, warning lines minimum of 15' from edge)

Date Corrected:

Fall protection maintained and has current inspection color code

Fall protection equipment only used for fall protection

Fire Protection/Prevention

Flammable a stored properly

Date Corrected:

Fuel Storage (location, container, extinguisher, traffic protection)

Date Corrected:

Hot Work (fire watch, fire blankets, permit, extinguisher present, debris clear)

Date Corrected:

Compressed gas cylinders properly maintained

Date Corrected:

Containers labeled as to content

Date Corrected:

Fire extinguishers properly located and inspected

Gauges/Flash arresters installed properly

Permits/JHA's

Applicable permits posted (excavations, confined space, hot work)

JHA's complete, signed off by crew and supervisor

Cranes/Hoisting/Lifting Equipment

Daily Lift Plan (Qualified Operator, Signal Person, Rigger, Daily, Periodic and Annual Inspections)

Date Corrected:

Set-Up (barricaded, level, powerlines 20' minimum clearance)

Date Corrected:

Outriggers (extended, pads adequate & level per Daily Lift Plan)

Date Corrected:

Operation (load path, taglines, signal person)

Date Corrected:

Capacity (charts available, critical lift plan, object weights identified)

Date Corrected:

Sling Condition (wire rope, synthetic, hardware)

Date Corrected:
Vehicles/Mobile Equipment

Pre-Job inspection complete and available

Seat belts provided and used with roll over protection

Manufacturer manual present

Licenses or certifications as required for forklift, crane, aerial lifts

Tools and Equipment

Electrical cords-condition inspected(color coded)

Tools are maintained and in good condition

Tools are carried and stored properly

Pneumatic/hydraulic hose connections properly secured (whiplash connectors, cotter pins)

Proper tool for job

All handles and guards on

Other

Access Equipment

Extension Ladders (4V:1H, secured at top and base, 3' above landing, 3 points of contact)

Date Corrected:

Step Ladders (stable, proper use, inspected, non-conductive)

Date Corrected:

Stairs (metal pan treads filled, uniform w/in 1/4", rails @ 36", unobstucted, illuminated)

Date Corrected:

Aerial & Scissor Lifts (proper use, fall protection, condition, rails, operator training)

Date Corrected:
Electricity

Panels (covers in place, circuits identified, weatherproof, secured, breakers/holes filled)

Date Corrected:

GFCI (@ breakers, outlets, pigtails, electrician weekly testing log)

Date Corrected:

Electrical Cords (ground, strain relieve, condition, protected from traffic, proper use)

Date Corrected:

Lighting (adequate- 5 ft candles, protected, secured, sockets filled, separate circuit)

Date Corrected:
Excavation

Daily Dig Permit (Competent Person Inspection, utilities located, cracks, spalling, water accumulation, changed conditions)

Date Corrected:

Access/Egress @ 4' (ladder, ramp, stairs within 25' of travel)

Date Corrected:

Open excavations barricaded

Date Corrected:

Protection @ 5' (slope, bench, shield, shore)

Date Corrected:

Other (spoils 2' back, vibration, hazardous atmosphere potential)

Date Corrected:
Scaffolding

Base (sills/plates/jacks/casters, secured, level, locked)

Date Corrected:

Braces (installed, secured, condition)

Date Corrected:

Frames (compatible, pinned, condition)

Date Corrected:

Platform (fully planked, overhang 6"-12" or cleated, plank condition)

Date Corrected:

Access (integral frame - 16 3/4" rung spacing, ladder w/ gate, stairtower)

Date Corrected:

Other (secured @ 4V:1H, level, tagged, competent person inspected, tarp/debris net engineer approval)

Date Corrected:
Miscellaneous (Items not captured in categories listed above)

Date Corrected:
Positive Observations

Inspector Signature
Add signature
Project Superintendent Signature
Add signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.