SAFETY OBSERVATIONS REPORT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Was a safety review or a discussion about safety conducted before work was started today?

  Yes

  No

• What was the topic of the conversation?

Housekeeping

• Exits & stairways free of debris/material/tools

  Yes

  No

  N/A

• Sidewalks & walkways are free of debris/materials/tools<br>

  Yes

  No

  N/A

• Materials are organized and consolidated

  Yes

  No

  N/A

• Nails are bent over or removed to prevent implement hazards

  Yes

  No

  N/A

• Lunch trash is disposed of after eating

  Yes

  No

  N/A

• Construction trash removed at the end of the job or at least daily

  Yes

  No

  N/A

Head Protection

• Worn as required (curb to curb and can be removed inside a completed home or during breaks with no overhead hazards)

  Yes

  No

  N/A

• Worn correctly and in good condition

  Yes

  No

  N/A

Hand Protection

• Worn as required while working with chemicals or tools

  Yes

  No

  N/A

• Correct hand protection worn for the hazard

  Yes

  No

  N/A

Eye Protection

• Correct eye protection worn (ANSI-Z87)

  Yes

  No

  N/A

• Worn while using nail guns, hammers, or powder actuated tools

  Yes

  No

  N/A

• Worn while using saws, drills, grinders or clippers

  Yes

  No

  N/A

• Used while working with hazardous substances

  Yes

  No

  N/A

Respirators & Dust Masks

• Dust masks are rated as N-95 if worn

  Yes

  No

  N/A

• Respirators worn when spraying paints or stains

  Yes

  No

  N/A

• Worn when mixing chemical based materials

  Yes

  No

  N/A

• Worn when spraying or installing insulation

  Yes

  No

  N/A

Tools & Equipment

• All moving parts on the tool/equipment is guarded

  Yes

  No

  N/A

• Power cords are in good condition

  Yes

  No

  N/A

• Hand & Electric tools are in good working condition

  Yes

  No

  N/A

• Generator/ Compressor in good condition

  Yes

  No

  N/A

• Seat belts worn on all moving equipment (tractors, bobcats, forklifts, etc.)

  Yes

  No

  N/A

• Mobile equipment have audible back up alarms or a designated spotter (tractors are not required to have audible alarm)

  Yes

  No

  N/A

Ladders

• Ladders are in good condition without alterations

  Yes

  No

  N/A

• 3 points of contact are maintained while ascending/descending the ladder (cannot hand carry equipment or material while climbing)

  Yes

  No

  N/A

• Extension ladders are secured from displacement and are at a 4:1 lean ratio

  Yes

  No

  N/A

• Extension ladders are set up with a minimum of 3' above the "landing" area when using the ladder to access another area

  Yes

  No

  N/A

• No worker is standing on the top 3 rungs of an extension ladder

  Yes

  No

  N/A

• Folding ladders are used in the full open position only

  Yes

  No

  N/A

• No worker is standing on the top step or the top of the ladder

  Yes

  No

  N/A

• Folding ladders are set up on a clear & level surface

  Yes

  No

  N/A

Fall Protection

• What type of fall protection is being used

  Conventional

  Written Plan

  N/A

• Does the worker have the Safety & Fall Protection Plan with them on site as required

  Yes

  No

  N/A

• Are workers using the Personal Fall Arrest System correctly? (Visually check for anchor, lanyard, harness, yo-yo, rope grab, swing radius)

  Yes

  No

  N/A

• Are scaffold jack systems set up and used correctly

  Yes

  No

  N/A

• All holes in roof/floor greater than 2" are protected against with a cover

  Yes

  No

  N/A

• Wall openings are guarded where fall heights of 6' or more are present (window openings)

  Yes

  No

  N/A

• Wall openings are guarded where fall heights of 6' or more are present (where studs are more than 18" apart)

  Yes

  No

  N/A

• Are the safety/guard rails installed and secured (stairwell, open lofts, decks)

  Yes

  No

  N/A

• Are top and mid rails in the guard rail system installed at the correct height (top rail 42" +/- 3", mid rail centered half way between top rail and working platform)

  Yes

  No

  N/A

• Implement Hazards protected against

  Yes

  No

  N/A

Scaffolding (Lath & Plaster)

• Is the scaffolding set up level

  Yes

  No

  N/A

• Are the work platforms full planked with good scaffold planks

  Yes

  No

  N/A

• Are base plates installed on all horizontal pieces

  Yes

  No

  N/A

• Are mud sills installed under all base plates if required

  Yes

  No

  N/A

• Are access ladders supplied to all work levels of the scaffold platforms

  Yes

  No

  N/A

• Is all bracing installed at each scaffold segment as required

  Yes

  No

  N/A

• Are the side and end rails (top & mid) installed at the 10' trigger height and higher

  Yes

  No

  N/A

• Is the scaffold structure secured to the building every 12' in height and 20' of length

  Yes

  No

  N/A

• Are implement hazards protected against

  Yes

  No

  N/A

• Is the scaffolding no more than 18" away from the structure

  Yes

  No

  N/A

Excavations

• Are the excavations that are 2' or deeper marked with warning tape

  Yes

  No

  N/A

• Are ladders used to access the excavation if its 4' or deeper

  Yes

  No

  N/A

• Are spoil piles a minimum of 2' from the excavation edge

  Yes

  No

  N/A

• Are shield boxes used at all excavations that are 5' or deeper

  Yes

  No

  N/A

• Are benched soils done correctly (only allowed in Type B Soils, basement & pool excavations)

  Yes

  No

  N/A

• Are soils sloped correctly (Type C soils-1 1/2:1 ratio only)

  Yes

  No

  N/A

• Are implement hazards protected against

  Yes

  No

  N/A

• Basement excavations have fences up and installed with warning signs posted

  Yes

  No

  N/A

• Basement fall protection cables are installed, tensioned and flagged every 6'

  Yes

  No

  N/A

MSDS/Fire Protection

• All chemical containers are labeled with the manufactures information and is legible

  Yes

  No

  N/A

• Does the worker have their companies MSDS book available for review

  Yes

  No

  N/A

• Are workers who are doing hot work have a fire extinguisher with them during the hot work

  Yes

  No

  N/A

• Are workers using open flame burners/stoves inside the structures

  No

  Yes

• Observer's Signature

  Sign