Safety Matters Safety Site Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Related Program Requirements

• OSHA 300 Log Posted (February 1 through April 30)

  Yes

  No

  N/A

• Crew leader or supervisor first-aid certified 155-120(2)

  Yes

  No

  N/A

• First-Aid certified person(s) on site 155-120(1)

  Yes

  No

  N/A

• First Aid Kit available 800-15020

  Yes

  No

  N/A

• Labor Posters, Map and Phone Number of nearest Medical facility posted

  Yes

  No

  N/A

• Written APP, tailored to address hazards 155-110(2)

  Yes

  No

  N/A

• Does the employer conduct safety orientations? 155-110(3)

  Yes

  No

  N/A

• Crew Leader - Crew safety meeting held at the beginning of the job and weekly thereafter 155-110(5)(a)

  Yes

  No

  N/A

• Safety Meetings tailored to the operations 155-110(5)(b)

  Yes

  No

  N/A

• Safety meetings topics and attendance documented weekly 155-110(6)(d) and (e)

  Yes

  No

  N/A

• SDS's Available for chemical products present at this site.

  Yes

  No

  N/A

• Safety walk around inspections conducted at the beginning of the job and weekly thereafter 155-110(9)(a)

  Yes

  No

  N/A

• Walk around inspections documented and available at site 155-110(9)(b)

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Hard hats available on site 155-205(2)

  Yes

  No

  N/A

• Hard Hats worn by all employees as required 155-205(3)

  Yes

  No

  N/A

• Safety Glasses worn 155-215(1)(a)

  Yes

  No

  N/A

• Face Shields worn as required depending on task 155-350(a)

  Yes

  No

  N/A

• Suitable Clothing - short sleeved and long pants worn 155-200(2)

  Yes

  No

  N/A

• High Visibility Vest 155-200

  Yes

  No

  N/A

• Gloves worn by employees as required 155-205

  Yes

  No

  N/A

• Proper footwear worn 155-212(1) and (3)

  Yes

  No

  N/A

• Hearing Protection worn at high noise levels 155-210

  Yes

  No

  N/A

• Leg protection used during chainsaw usage 155-211

  Yes

  No

  N/A

• Respirator worn by employees as required depending on task.

  Yes

  No

  N/A

Electrical

• Extension cords with ground pin 155-447(6)(f)

  Yes

  No

  N/A

• Electrical Cords free of improper splices 155-449(7)(b)(iii)

  Yes

  No

  N/A

• GFCI in use 155-447(2)(a)(i)

  Yes

  No

  N/A

• Strain relieve device engaged on cords 155-449(7)(b)(iv)

  Yes

  No

  N/A

• Multi-outlet J-boxes are waterproof 155-447(1)(a)(iii)

  Yes

  No

  N/A

• Electrical cords under risk of being pinched, e.g, extension cords going through installed windows.

  Yes

  No

  N/A

• Cords protected from traffic

  Yes

  No

  N/A

• Electrical Room/ Boxes Protected. Signs in place

  Yes

  No

  N/A

• Lock Out/Tag Out in place if needed

  Yes

  No

  N/A

Fall Protection

• Fall Protection Plan available and implemented 155-24505(1)

  Yes

  No

  N/A

• Employees have been trained on the proper use of Fall Protection Equipment

  Yes

  No

  N/A

• Opensided surfaces over 4' guarded by standard railing or equiv. 155-505(6)(a)

  Yes

  No

  N/A

• Fall protection used when exposed to 10' fall hazard 155-24510

  Yes

  No

  N/A

• PFAS lifeline adjusted to keep falls less than 6' 155-24510(1)(b)(vii)

  Yes

  No

  N/A

• Wall openings <36" from floor guarded by standard railing/equiv 155-505(5)(a)

  Yes

  No

  N/A

• Warning Line System setup correctly for low pitched roof 155-24515(3) and (4)

  Yes

  No

  N/A

• Floor openings (12" or more) are guarded and covered 155-505(4)(a)

  Yes

  No

  N/A

• Monitor system implemented correctly 155-24521(1) - (5)

  Yes

  No

  N/A

• Leading edge control zone set up correctly 155-24520(1)(a)-(g)

  Yes

  No

  N/A

• Anchoring Points adequate. Anchors installed properly

  Yes

  No

  N/A

• Fall Protection PPE inspected daily

  Yes

  No

  N/A

• Overhead Protection in place

  Yes

  No

  N/A

• Guardrails installed on stairs, ramps, walkways that are 4' or more from floor 155-24619(1)

  Yes

  No

  N/A

Housekeeping and Sanitation

• Toilets provided and maintained at job site 155-140(4)(b) & (4)(d)

  Yes

  No

  N/A

• Proper housekeeping maintained at the job site 155-029-(1)-(12)

  Yes

  No

  N/A

• Trash cans present in working area

  Yes

  No

  N/A

• Materials stacked in orderly fashion

  Yes

  No

  N/A

• Free access to all exits, fire alarm boxes, fire extinguishing and any other emergency equipment 155-020

  Yes

  No

  N/A

• Slip, Trip and Fall Hazards removed

  Yes

  No

  N/A

• Aisles, Hallways, Stairwells and Walkways clear 296-800-22005

  Yes

  No

  N/A

• Adequate supply of potable water provided? 155-140(1)(a)

  Yes

  No

  N/A

• Impalement/Rebar protection in place

  Yes

  No

  N/A

Ladders/Stariways/Ramps

• Stairway (temp/perm) installed in all structures 2 stories or more 155-477(1)(c)

  Yes

  No

  N/A

• Installed guradrail (ii) handrail (i) on stairways w/ 4 or more risers or 30" tall 155-477(3)(a)(i) and/or (ii)

  Yes

  No

  N/A

• Stair or ramp provided for break in elevation =>18" 155-476(1)

  Yes

  No

  N/A

• Ramp used for access is at least 18" wide 155-515(1)

  Yes

  No

  N/A

• Ladders extend 3' beyond upper landing and when not it is properly secured on top and bottom 876-40030

  Yes

  No

  N/A

• Ladders are used for purpose they were designed for 876-40005

  Yes

  No

  N/A

• Top of self supported ladder used as step 876-40050

  Yes

  No

  N/A

• Defective ladder marked and removed from service 876-30005

  Yes

  No

  N/A

• Training provided for ladder use 876-15005

  Yes

  No

  N/A

• Ladder set up on un-leveled or slippery surface secured 876-40015

  Yes

  No

  N/A

Scaffolds/Pump Jack

• Off

  On

• Have all employees been trained in the proper use of scaffolds.

  Yes

  No

  N/A

• Inspected and tagged with undamaged components

  Yes

  No

  N/A

• Scaffold has been set up by competent person 874-20005

  Yes

  No

  N/A

• Work platform fully planked 874-20008

  Yes

  No

  N/A

• Scaffold provided with safe access 874-20022

  Yes

  No

  N/A

• Fall protection provided when scaffold is over 10' 874-20052

  Yes

  No

  N/A

• Legs, pools and frames are set up on firm footing 874-40006

  Yes

  No

  N/A

• Guardrail system meets the requirements 874-20064

  Yes

  No

  N/A

• Wood planks OSHA approved

  Yes

  No

  N/A

• Screw jacks and base plates in use

  Yes

  No

  N/A

• Scaffold properly secured to structure and proper base to height ratio present.

  Yes

  No

  N/A

• Pump jack base is bolted and proper bracing used on top and bottom

  Yes

  No

  N/A

Motor Vehicles

• Off

  On

• Equipment opeated within 10' of power line/distribution equip 155-605(1)(h)

  Yes

  No

  N/A

• Dump truck followed safe backing procedures 155-610(2)(f)

  Yes

  No

  N/A

• Back-up alarm on equipment operating on site 155-610(2)(e)

  Yes

  No

  N/A

Powered Industrial Trucks/Elevated Platforms

• Off

  On

• PIT operator trained 863-60005

  Yes

  No

  N/A

• Equipment designed to lift personnel on a work platform 155-615(3)(h)(i)-(ix)

  Yes

  No

  N/A

• Elevated platform used safely and with fall protection in place when applicable 869-60040

  Yes

  No

  N/A

• Plataform operator survey workplace for hazards 869-60010

  Yes

  No

  N/A

• Elevated platform operator trained 869-50005

  Yes

  No

  N/A

Forklift, Scissor and Boom Lifts

• Off

  On

• Equipment inspected daily and documented before work begins.

  Yes

  No

  N/A

• Employees trained to operate Forklift, Scissor/Boom Lifts

  Yes

  No

  N/A

• Fall Protection PPE in place when operating a boom lift.

  Yes

  No

  N/A

Hand and Power Tools

• Cords in good condition

  Yes

  No

  N/A

• Tool in good condition

  Yes

  No

  N/A

• Proper tool for the job

  Yes

  No

  N/A

• Muzzle safety return spring in place 155-350(1)

  Yes

  No

  N/A

• Guards in place for held-held power circular saws, table saws, radial-arm saws, power miter saws (155-370(2), (3)(a), (4)(a) and (7)

  Yes

  No

  N/A

• Tools inspected.

  Yes

  No

  N/A

Crane/Rigging/Hoisting

• Off

  On

• Operator Certified. Crane paper work and maintenance records in place.

  Yes

  No

  N/A

• Qualified rigger and signal person verified.

  Yes

  No

  N/A

• Tag Lines in use. Loads properly secured. Rigging inspected.

  Yes

  No

  N/A

Hazardous Chemical Used on Worksite

• Off

  On

• Chemical inventory for chemicals on-site 800-17010

  Yes

  No

  N/A

• SDS available for each hazardous product on site 800-17015

  Yes

  No

  N/A

• Written Hazard communication program implemented 800-17005

  Yes

  No

  N/A

• HAZCOM training provided to all employees 800-17030

  Yes

  No

  N/A

Environmental

• Off

  On

• Asbestos/Silica/Lead present.

  Yes

  No

  N/A

• Employee awareness training.

  Yes

  No

  N/A

• Silica dust controlled if present.

  Yes

  No

  N/A

Excavations/Trenching

• Off

  On

• Daily Inspections documented.

  Yes

  No

  N/A

• Competent person present.

  Yes

  No

  N/A

• Sloped/Benched/Shored.

  Yes

  No

  N/A

• Perimeter protected/Barricades.

  Yes

  No

  N/A

Confined Space

• Off

  On

• Employees have been trained in Confined Space.

  Yes

  No

  N/A

• Verified Non Permit or Permit Required Confined Space.

  Yes

  No

  N/A

• Documentation in place as required.

  Yes

  No

  N/A

• Supervisor/Attendant/Entrant clearly defined.

  Yes

  No

  N/A

• Atmospheric testing/conditions checked. Ventilation. Communication protocol. Regular Inspections.

  Yes

  No

  N/A

• Rescue Plan and Emergency numbers in place.

  Yes

  No

  N/A

Site/Public Protection

• Off

  On

• Perimeter fences available

  Yes

  No

  N/A

• Public Protection Signage

  Yes

  No

  N/A

• Falling Object Protection

  Yes

  No

  N/A

Fire Prevention

• Enough fire extinguishers on site

  Yes

  No

  N/A

• Fire extinguishers inspected and documented monthly on tag

  Yes

  No

  N/A

• Flammable cabinet available

  Yes

  No

  N/A

Hot Work /Fire Prevention/Protection

• Off

  On

• Hot Work Permit in place (welding, torching, burning)

  Yes

  No

  N/A

• Fire Extinguishers inspected. Adequate number of Fire Extinguishers.

  Yes

  No

  N/A

• Fire Watch when applicable.

  Yes

  No

  N/A

Notes/Comments

• Add media

  Media

• Signature.

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