Safety Walk Checklist

• Company:

  Select Borton Greenhill Concrete Greenhill Materials Greenhill Sand Klaver Millennial Asphalt OCM Sherwood Construction Wildcat CO Wildcat KS Wildcat Concrete

  • Borton
  • Greenhill Concrete
  • Greenhill Materials
  • Greenhill Sand
  • Klaver
  • Millennial Asphalt
  • OCM
  • Sherwood Construction
  • Wildcat CO
  • Wildcat KS
  • Wildcat Concrete

• OU Number

  Select

• Foreman

  Select

• Who is conducting this audit?

  Select

• Project Number/Name

  Select

• Conducted on

  Date

Work Areas

• Do you wish to examine work areas on this safety walk?

  Yes

  No

  N/A

• Are work area(s) generally neat and clean

  Yes

  No

  N/A

• Is waste and trash regularly disposed of

  Yes

  No

  N/A

• Area passageways and walkways clear

  Yes

  No

  N/A

• Is work area well lit

  Yes

  No

  N/A

• Are waste containers provided and used

  Yes

  No

  N/A

• Are sanitary facilities (porta-johns) adequate and clean and are they staked down

  Yes

  No

  N/A

• Are sides or holes guarded or covered

  Yes

  No

  N/A

• Are impalement hazards addressed in work area (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Is the material storage/lay down area neat and tidy

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Do you wish to examine PPE on this safety walk?

  Yes

  No

  N/A

• Is designated PPE being worn (Hardhat, vest, safety glasses, gloves, safety-toed boots)

  Yes

  No

  N/A

• Are face-shields/goggles available and worn by crew as needed

  Yes

  No

  N/A

• Is respiratory protection (dust masks) available and worn by crew as needed

  Yes

  No

  N/A

• Is hearing protection available and worn by crew as needed

  Yes

  No

  N/A

• Does PPE appear to be in good condition

  Yes

  No

  N/A

• Is appropriate clothing being worn by employees

  Yes

  No

  N/A

Fall Protection Equipment

• Do you wish to examine fall protection equipment on this safety walk?

  Yes

  No

  N/A

• Is fall protection equipment (PFAS) being used when required (6 foot or greater) (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Is fall protection equipment inspected prior to use (harness, SRL, etc.)

  Yes

  No

  N/A

• Are employees using damaged or recalled equipment (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Does fall protection equipment fit correctly

  Yes

  No

  N/A

• Are anchor points and tie-off points correct and safe (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Proper use of warning line systems

  Yes

  No

  N/A

• Are self-retracting lifelines (SRL's) being used for leading edge work

  Yes

  No

  N/A

• Are horizontal lifelines properly maintained and used

  Yes

  No

  N/A

Guardrails/Handrails

• Do you wish to examine guardrails and/or handrails on this safety walk?

  Yes

  No

  N/A

• Is the top rail 42 inches + or - 3 inches from working surface

  Yes

  No

  N/A

• Is the top rail capable of withstanding 200 pounds of outward force

  Yes

  No

  N/A

• Is the mid rail is at least 21" high

  Yes

  No

  N/A

• Is the mid rail capable of withstanding 150 pounds of downward force

  Yes

  No

  N/A

• Are toe-boards installed to prevent tools or other objects from falling to lower level

  Yes

  No

  N/A

Ladders

• Do you wish to examine ladders on this safety walk?

  Yes

  No

  N/A

• Are ladders well maintained and in satisfactory condition

  Yes

  No

  N/A

• Is the proper ladder being used for the task

  Yes

  No

  N/A

• Are ladders secured to prevent slipping, sliding or falling

  Yes

  No

  N/A

• Are ladders properly maintained and stored

  Yes

  No

  N/A

• Is the ladder at the appropriate angle (4-to-1 Lean Ratio)

  Yes

  No

  N/A

• Is the ladder 3 feet above landing

  Yes

  No

  N/A

• Are manufacturer labels legible?

  Yes

  No

  N/A

Tools and Equipment

• Do you wish to examine tools and equipment on this safety walk?

  Yes

  No

  N/A

• Are the right tools being used for the task

  Yes

  No

  N/A

• Have the tools been inspected daily to ensure good working order

  Yes

  No

  N/A

• Are damaged or malfunctioning tools tagged out until repaired or replaced (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are crew members trained to be competent in the tools appropriate for their work tasks

  Yes

  No

  N/A

• Are modified tools being used

  Yes

  No

  N/A

• Are all wires or cords (if any) in good working condition with no visible damage or electrical modifications

  Yes

  No

  N/A

• Are loose or damaged blades being used on saws

  Yes

  No

  N/A

• Are tools properly grounded (GFCI) or double insulated (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are tool guards in place and used correctly (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are personal or homemade tools being used?

  Yes

  No

  N/A

• Are they in good working condition

  Yes

  No

  N/A

Trenching/Excavations

• Do you wish to examine excavations on this safety walk?

  Yes

  No

  N/A

• Have utilities been located and are marks visible (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are trenches more than 4 feet deep shored, sloped or shielded (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Have inspections of the trench/excavation been conducted by the competent person before the shift, during shift and after rainstorms and are they documented

  Yes

  No

  N/A

• Has the competent person classified the soil types i.e. stable rock, Type A soil, Type B soil or Type C soil (Trench Log) (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are structural ramps used for access/egress safe and designed by the competent person

  Yes

  No

  N/A

• Are ladders placed at 4 feet deep or greater with no more than 25 feet of lateral travel for employee

  Yes

  No

  N/A

• Is the ladder extended 3 feet above box or grade and is it secured

  Yes

  No

  N/A

• Are leading edges 6 feet or greater protected to prevent falls

  Yes

  No

  N/A

• Are pot holes covered or fenced off to prevent injuries

  Yes

  No

  N/A

• Are spoil piles, materials and equipment placed a minimum of 2 feet away from trench

  Yes

  No

  N/A

• Are trench boxes inspected and in good condition (including pins and keepers)

  Yes

  No

  N/A

• Is a copy of the tab data for the trench box onsite and readily available

  Yes

  No

  N/A

• Is the trench box set no higher than 2 feet from the bottom of the trench

  Yes

  No

  N/A

• Is the trench box no more than 6 inches from side wall (otherwise backfilled) to prevent lateral movement

  Yes

  No

  N/A

• Has the atmosphere been monitored @ 4 feet when an actual or suspected hazardous atmosphere exists

  Yes

  No

  N/A

• Is water accumulating in trench with workers present

  Yes

  No

  N/A

• Is the probe rod for locating utilities made of non-conductive material

  Yes

  No

  N/A

• If sloping, is the slope at the right angle for soil type (1 1/2:1 for C / 1:1 for B) (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

Electrical Safety

• Do you wish to examine electrical safety on this safety walk?

  Yes

  No

  N/A

• Is electrical equipment properly maintained

  Yes

  No

  N/A

• Are ground fault circuit interrupters (GFCI) used and tested when required (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are extension cords inspected before use

  Yes

  No

  N/A

• Are ground pins missing or damaged present on electrical cords (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are extension cords properly placed so they don't cause trip hazards

  Yes

  No

  N/A

• Are lockout/tagout procedures being followed (if applicable) (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

Body Use & Positioning

• Do you wish to examine Body Use & Positioning on this safety walk?

  Yes

  No

  N/A

• Are proper body mechanics/lifting techniques being used

  Yes

  No

  N/A

• Is the body in line of fire

  Yes

  No

  N/A

• Are appendage(s) in line of fire (arm, hand, leg, foot)

  Yes

  No

  N/A

Rigging & Lifting

• Do you wish to examine Rigging & Lifting on this safety walk?

  Yes

  No

  N/A

• Is the rigging inspected prior to use

  Yes

  No

  N/A

• Is damaged or excessively worn rigging being used

  Yes

  No

  N/A

• Is rigging or equipment too close to power lines (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are tag lines being used on loads

  Yes

  No

  N/A

• Is the rigging equipment capacity known so its not overloaded (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Is there adequate communication between operator and spotter

  Yes

  No

  N/A

• Are proper rigging techniques being used

  Yes

  No

  N/A

• Is the weight of the load known

  Yes

  No

  N/A

• Are tags on rigging equipment present and legible (chains, slings, cables, etc.) (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are employees working underneath suspended loads

  Yes

  No

  N/A

Personnel

• Do you wish to check personnel and this safety walk?

  Yes

  No

  N/A

• Is their behavior orderly and professional

  Yes

  No

  N/A

• Is there clear communication between crew members, without needing to shout

  Yes

  No

  N/A

Equipment Operations

• Do you wish to examine Equipment Operations on this safety walk?

  Yes

  No

  N/A

• Is the equipment being inspected (pre and post trip)

  Yes

  No

  N/A

• Are seat belts provided and used by the operator (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are horns and backup alarms working and audible

  Yes

  No

  N/A

• Are proper mounting and dismounting procedures (3 points of contact and facing equipment) being followed (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Are operators driving according to the conditions of the site i.e. speed, congestion, weather, etc.

  Yes

  No

  N/A

• Are windows in the equipment clean so operator can see clearly

  Yes

  No

  N/A

• Does the operator verify the bucket is on or off when using the quick connect attachment

  Yes

  No

  N/A

• Are all attachments grounded when the machine is not in use or idle

  Yes

  No

  N/A

• Are operators within 25 feet of machine when left idle

  Yes

  No

  N/A

• Are rubber tired machines working too close to slopes or edges (must be at least 20 foot away)

  Yes

  No

  N/A

• Are employees working underneath a suspended bucket

  Yes

  No

  N/A

• Are ground personnel standing or working in blind spots/swing radius of equipment (5pts)

  Yes

  No

  N/A

• Severity/Risk of the Hazard:

  Low

  Medium

  High

• Is the equipment shut off when being fueled

  Yes

  No

  N/A

• Is equipment shut off when not being used (no more than 15 minutes)

  Yes

  No

  N/A

Concrete & Asphalt

• Do you wish to examine Concrete & Asphalt practices on this safety walk?

  Yes

  No

  N/A

• Are employees protecting their skin with the proper PPE when needed

  Yes

  No

  N/A

• Is there vinegar & water available to neutralize any skin contact with wet concrete

  Yes

  No

  N/A

• Has silica exposures been eliminated or controlled

  Yes

  No

  N/A

• Are employees exposed to falls greater than 6 feet or working near a leading edge

  Yes

  No

  N/A

• Are proper work practices being used to avoid inhalation of asphalt fumes

  Yes

  No

  N/A

• Are flammable materials and ignition sources kept away from fresh asphalt

  Yes

  No

  N/A

• Is rebar or other impalement hazards covered

  Yes

  No

  N/A

People Safety

• Do you wish to check work crew safety knowledge at this inspection?

  Yes

  No

  N/A

• Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

Team Member

• Has the team member attended a pre-task meeting today and a toolbox talk within the last week?

  Yes

  No

  N/A

• Does the team member know where the first aid kit is and what to do in case of an emergency?

  Yes

  No

  N/A

• Is the worker able to identify three hazards they may encounter in their tasks today?

  Yes

  No

  N/A

• Team member signature (to verify this interview took place NOT to assess their safety knowledge)

  Sign

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign