1. Working at Heights

  • 1.1. Fall arrest/protection system used properly (including aerial lifts)?

  • 1.2. Protection from openings/edges/holes?

  • 1.3. Guardrail systems correct?

2. Scaffolds

  • 2.1. Competent persons erecting scaffold?

  • 2.2. Safe and complete scaffold?

  • 2.3. Proper inspection protocol for scaffold?

  • 2.4. Compatible scaffold components?

3. Material Handling Equipment

  • 3.1. Loads are not lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 3.2. Proper maintenance, testing and inspection?

  • 3.3. Operators manual, lifting charts, informational decals available/legible?

  • 3.4. Daily inspection?

  • 3.5. Appropriate and undamaged lifting equipment, including ropes, slings, chains, hooks?

  • 3.6. Qualified/certified operators?

4. Ladders

  • 4.1. Appropriate and undamaged ladders?

  • 4.2. Correct positioning/set-up of ladders?

  • 4.3. Ladder properly secured?

  • 4.4. Ladder suitable for job? (e.g. metal ladder used for electrical work, use)

5. Hazardous Chemical (including fuel and oil)

  • 5.1. Safe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 5.2. Incompatible chemicals stored properly?

  • 5.3. Adequate spill containment equipment?

  • 5.4. Emergency procedures for injury/spills/fire etc?

  • 5.5. Appropriate quantities stored on site or in vehicles?

  • 5.6. Sufficient ventilation?

  • 5.7. Suitable storage containers?

6. Traffic Management

  • 6.1. Adequate Traffic Management Plan (TMP) in place?

  • 6.2. Adequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

7. Personal Protective Equipment (PPE)

  • 7.1. Proper Use and selection of PPE?

  • 7.2. Issue, inspect, replace and monitor PPE?

  • 7.3. Training in proper use, maintenance and inspection of PPE?

8. Work Environment

  • 8.1. Sufficient lighting?

  • 8.2. Adequate housekeeping (slip, trip, fall hazards, etc.)

  • 8.3. Adequate noise/ vibration control?

  • 8.4. Exits marked and unobstructed?

  • 8.5. Impalement hazards protected?

  • 8.6. Permit Required Confined Space (IAW permit, trained personnel, etc)?

  • 8.7. Fire extinguishers inspected, unobstructed and available (travel distance)?

9. Electrical Hazards

  • 9.1. Safe electrical conductor? (damaged, out of test date or untested)

  • 9.2. All outlets/tools GFCI?

  • 9.3. Maintain clearance with overhead electrical/power lines?

  • 9.4. No overloaded outlets?

  • 9.5. Temporary lights elevated & lamps caged?

  • 9.6. Energized work plan/permit used? (Competent Person)

  • 9.7. Openings in cabinets or boxes covered?

  • 9.8. Panels covered, locked and labeled?

  • 9.9. Conductors secured properly?

  • 9.10. Temporary splices covered?

  • 9.11. Lack of Lock-out/tag-out (LOTO) procedures followed?

  • 9.12. Appropriate ARC-Flash PPE?

10. Environmental Hazards

  • 10.1. Clear and/or controlled rodents, insects, snakes, wild/domestic animals?

  • 10.2. Adequate dust suppression control?

  • 10.3. Adequate systems to prevent contaminants entering stormwater drains?

11. Administrative Procedures

  • 11.1. Adequate Pre-Task Plan?

  • 11.2. Obtain applicable permits (Entry, Hot, etc.)

  • 11.3. Site Emergency Action Plan?

  • 11.4. Toolbox Talks?

  • 11.5. Competent, qualified, licensed personnel?

  • 11.5.1. 1st Aid/CPR, aerial/scissor lifts, confined space, powder actuated tools, mobile equipment

  • 11.6. Corporate Safety Manual?

  • 11.7. Safety Data Sheets readily available, on site?

  • 11.8. State/Federal Postings?

  • 11.9. First Aid Kit/Eyewash?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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