Samsung C&T Canada

• Document No.

• Audit Title

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• NumPersonnel

Documentation

• Pre Task Assessment completed and signed off by all workers?

  Yes

  No

  N/A

• All permits in place and readily available?(specify which permits are necessary)

  Yes

  No

  N/A

• Traffic control plan filled out and on site with workers?

  Yes

  No

  N/A

• Site signage posted as required by Ontario OH&S?

  Yes

  No

  N/A

Site Condition

• Are roadways clear

  Yes

  No

  N/A

• Are exit routes clear

  Yes

  No

  N/A

• Is there adequate traffic control signage and barriers

  Yes

  No

  N/A

• Have surface conditions been identified and controlled. i.e. Snow/ice/water.

  Yes

  No

  N/A

• Is lighting adequate

  Yes

  No

  N/A

• Is work area free of dust/fumes in atmosphere?

  Yes

  No

  N/A

• Are washrooms available/clean?

  Yes

  No

  N/A

Personal Protective Equipment

Are employees wearing the following Personal Protective Equipment when required

• Safety glasses

  Yes

  No

  N/A

• Hard hats

  Yes

  No

  N/A

• Foot protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Full face shield

  Yes

  No

  N/A

• Hand protection

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A

• Body burn protection

  Yes

  No

  N/A

• Arc flash gear

  Yes

  No

  N/A

• Fluorescent vest

  Yes

  No

  N/A

Housekeeping

• Are materials stacked and stored in a safe manner

  Yes

  No

  N/A

• Are extension cords off the ground or protected. Are they plugged into a GFCI. Are they in good working order?

  Yes

  No

  N/A

• Is garbage being disposed of properly

  Yes

  No

  N/A

• Are nails bent over or removed

  Yes

  No

  N/A

• Is there a clear pathway between storage area and work area

  Yes

  No

  N/A

• Are roofs of gang boxes clear of debris, loose materials, tools

  Yes

  No

  N/A

• Does the work area provide enough space and not crowded

  Yes

  No

  N/A

• Are work areas tidy

  Yes

  No

  N/A

• Has excess dirt/mud been removed from county road?

  Yes

  No

  N/A

Mobile Equipment (Cranes, Forklifts, Elevated Work Platforms)

• Has a pre use inspection been completed by the operator

  Yes

  No

  N/A

• Does the operator have a valid ticket/license for the equipment

  Yes

  No

  N/A

• Does the equipment have an up to date annual inspection

  Yes

  No

  N/A

• Is the equipment appear in good working condition

  Yes

  No

  N/A

• Is the equipment capable of lifting the weight for the task

  Yes

  No

  N/A

• Is the signal person performing their duties properly

  Yes

  No

  N/A

• Has the rigging been inspected prior to hoisting

  Yes

  No

  N/A

• Is the rigging adequate for the hoisting being performed

  Yes

  No

  N/A

• Have electrical systems in the work area been considered

  Yes

  No

  N/A

• Are employees aware of the limits of approach

  Yes

  No

  N/A

• Do lifting devices have certification of inspection

  Yes

  No

  N/A

• Are barricades, signs and spotters in place for road works?

  Yes

  No

  N/A

Body Positioning/Ergonomics

• Manual lifting techniques

  Safe

  At Risk

  N/A

• Body positioning while working

  Safe

  At Risk

  N/A

• Is there hand protection against vibrating tools

  Yes

  No

  N/A

• Are carts, dollies and mechanical devices being utilized

  Yes

  No

  N/A

• Does the employee bend with their knees when lifting

  Yes

  No

  N/A

• Are workers encouraged to ask for help when lifting

  Yes

  No

  N/A

• Are materials delivered close as possible to where they are being used

  Yes

  No

  N/A

• Ae employees working in pinch point situations

  Safe

  At Risk

  N/A

• Are employees performing repetitive motions

  Safe

  At Risk

  N/A

• Are employees working in awkward postures

  Safe

  At Risk

  N/A

• Are employees arms repetitively above their head<br>

  Safe

  At Risk

  N/A

Hazardous Chemicals/First Aid

• Are chemicals properly used and stored

  Yes

  No

  N/A

• Are all chemicals containers clearly and properly labelled

  Yes

  No

  N/A

• Are MSDS sheets accessible to workers

  Yes

  No

  N/A

• Are spill kits inspected monthly

  Yes

  No

  N/A

• Are flammable products properly stored in a flammable cabinet

  Yes

  No

  N/A

• Are first aid kits provided

  Yes

  No

  N/A

• Are first aid kits inspected monthly

  Yes

  No

  N/A

• Are first aid logs being completed

  Yes

  No

  N/A

• Are certified first aid attendants available as per F/A regulations

  Yes

  No

  N/A

• Are eye wash stations available

  Yes

  No

  N/A

• Is the eye wash solution expired (decanted bottle expires every six months)

  Yes

  No

  N/A

• Auditors comments

• Supervisor's signature

  Sign

• Auditors signature

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