Safety Inspection Report

• Hardman Construction, Inc. - Onsite Safety Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB INFORMATION

• OSHA 300 forms complete and posted from February 1 - April 30?<br>

  Yes

  No

  N/A

• OSHA and DOL posters posted?

  Yes

  No

  N/A

• Wage Rate Summary current and onsite in mail box?

  Yes

  No

  N/A

• Wage Rate Summary current and present in job site mail box?

  Yes

  No

  N/A

• Emergency phone numbers posted?

  Yes

  No

  N/A

• Tool box safety talks log up to date?

  Yes

  No

  N/A

• Proper DEQ permit present onsite?

  Yes

  No

  N/A

• MSL's filed and recorded to date?

  Yes

  No

  N/A

• MSDS filed and available onsite to all workers?

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas properly signed and barricaded?

  Yes

  No

  N/A

• Work areas neat and all trash debris cleaned up in proper trash container(s)?

  Yes

  No

  N/A

• Projecting nails or screws bent over or removed?

  Yes

  No

  N/A

• All liquids and chemicals have proper labeling per SDS requirements?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Passageways and walkways clear with all potential hazards marked and identified?

  Yes

  No

  N/A

• Cords and leads off the floor?

  Yes

  No

  N/A

FIRE PREVENTION

• Adequate fire extinguishers, checked and accessible?

  Yes

  No

  N/A

• Monthly fire extinguisher inspections performed and all extinguishers have initialed and dated inspections?

  Yes

  No

  N/A

• Phone no. of Fire Department posted?

  Yes

  No

  N/A

• Fire watch being performed if required?

  Yes

  No

  N/A

• "No Smoking" posted and enforced near flammables?

  Yes

  No

  N/A

ELECTRICAL

• All electrical items requiring an inspection performed and tagged/documented?

  Yes

  No

  N/A

• Proper voltage signage posted onsite where required?

  Yes

  No

  N/A

• Extension cords with bare wires or missing ground prongs taken out of service?

  Yes

  No

  N/A

• Ground fault circuit interrupters being used (GFCI's)?

  Yes

  No

  N/A

• Terminal boxes equipped with required covers?

  Yes

  No

  N/A

HAND, POWER & POWDER ACTUATED TOOLS

• Hand tools inspected regularly?

  Yes

  No

  N/A

• Guards in place on machines?

  Yes

  No

  N/A

• Correct tool being used for job at hand?

  Yes

  No

  N/A

• Operators of powder actuated tools licensed?

  Yes

  No

  N/A

• Is the compressor hose being used with appropriate nozzle or end ?

  Yes

  No

  N/A

FALL PROTECTION

• Safety rails and cables secured properly?

  Yes

  No

  N/A

• Safety harnesses worn properly?

  Yes

  No

  N/A

• Employees exposed to fall hazards tied off?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

• All rigged items 100% secured before hoisting and lifting!

  Yes

  No

  N/A

• Warning lines being properly utilized and installed where required?

  Yes

  No

  N/A

LADDERS

• Ladders extended at least 36" above landing?

  Yes

  No

  N/A

• All ladders in use being inspected on a daily basis?

  Yes

  No

  N/A

• Ladders are secure to prevent slipping, sliding or falling?

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A

• Stepladders used in fully open position?

  Yes

  No

  N/A

• No step at top two rungs of stepladder?

  Yes

  No

  N/A

SCAFFOLDING

• All scaffolding inspected daily?

  Yes

  No

  N/A

• Erected on sound rigid footing?

  Yes

  No

  N/A

• Tied to structure as required?

  Yes

  No

  N/A

• Guardrails, intermediate rails, toe boards and screens in place?

  Yes

  No

  N/A

• Planking is sound and sturdy?

  Yes

  No

  N/A

• Proper access provided?

  Yes

  No

  N/A

• Employees below protected from falling objects?

  Yes

  No

  N/A

Cofferdam & Deck Openings

• All openings planked over or barricaded?

  Yes

  No

  N/A

• Perimeter protection in place?

  Yes

  No

  N/A

• Sufficient # and proper tie off points present and being utilized?

  Yes

  No

  N/A

• Danger hazards identified and clearly visible?

  Yes

  No

  N/A

• Deck planks secure?

  Yes

  No

  N/A

• Materials stored away from edge?

  Yes

  No

  N/A

TRENCHES, EXCAVATION & SHORING

• Competent person identified and present?

  Yes

  No

  N/A

• Excavations are shored and sloped back? <br>Has PM or Superintendent performed a Penetrometer Test?

  Yes

  No

  N/A

• Piled materials and/or walk ways barricaded accordingly to notify the potential hazard?

  Yes

  No

  N/A

• Materials are stored at least 2' away from trench?

  Yes

  No

  N/A

• Ladders provided every 25' in trench?

  Yes

  No

  N/A

• Equipment is at a safe distance from edge of trench or excavation?

  Yes

  No

  N/A

MATERIAL HANDLING

• Materials properly stored or stacked?

  Yes

  No

  N/A

• Employees using proper lifting techniques?

  Yes

  No

  N/A

• Tag lines used to guide loads?

  Yes

  No

  N/A

• Proper number of workers for each operation?

  Yes

  No

  N/A

WELDING AND BURNING

• Gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Proper separating distances between fuels & oxygen?

  Yes

  No

  N/A

• Goggles or shields used?

  Yes

  No

  N/A

• Fire extinguishers readily available?

  Yes

  No

  N/A

• Hoses in good condition?

  Yes

  No

  N/A

LIFTING & MOVING LOADS

• All shackles, cables, slings, spreaders, and other lifting devices tagged and inspected?

  Yes

  No

  N/A

• Travel path of load is clear and know to all workers involved?

  Yes

  No

  N/A

• Lifting equipment and devices visually inspected and approved before each use?(I.E. Clam Bucket, Dump Bucket, Spreader Beams, Etc)

  Yes

  No

  N/A

• Subcontractors onsite aware and clear of the lifting activity and travel path(s)?

  Yes

  No

  N/A

CRANES

• Outriggers extended and swing radius barricade in place?

  Yes

  No

  N/A

• Utility lines identified and marked onsite in site lines of operator?

  Yes

  No

  N/A

• Operator is familiar with load charts?

  Yes

  No

  N/A

• Hand signal charts on crane?

  Yes

  No

  N/A

• Crane operator logs up to date?

  Yes

  No

  N/A

• Employees kept from under suspended loads?

  Yes

  No

  N/A

• Chains and slings inspected and tagged as required?

  Yes

  No

  N/A

• Crane maintenance being performed and logged?

  Yes

  No

  N/A

CONCRETE CONSTRUCTION

• Employees are protected from cement dust?

  Yes

  No

  N/A

• Exposed skin covered?

  Yes

  No

  N/A

• Proper bracing in place to prevent blow out?

  Yes

  No

  N/A

• Runways are adequate?

  Yes

  No

  N/A

• Third party testing onsite and performing material testing?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hard hats being worn?

  Yes

  No

  N/A

• Safety glasses being worn?

  Yes

  No

  N/A

• Respirators used when required? Proper respirator documentation available?

  Yes

  No

  N/A

• Hearing protection being worn when required?

  Yes

  No

  N/A

• Traffic vests or high visibility clothing material being worn?

  Yes

  No

  N/A

• Safety Manager

  Sign

• Superintendent

  Sign

SAFETY COMMUNICATION

• Daily morning safety discussion performed with all crew members present on the day's scope and potential hazards?

  Yes

  No

  N/A

• JSA's performed weekly and signed off on by all crew members?

  Yes

  No

  N/A

• Hydration comments and discussion when relevant?

  Yes

  No

  N/A

• Lessons learned from previous days or jobs shared and discussed?

  Yes

  No

  N/A

• Stretch and Flex performed with all crew member participation?

  Yes

  No

  N/A

• Speak freely opportunity presented to all crew members to bring up any safety related topics or updates?

  Yes

  No

  N/A