Information
-
Audit Title/Job Name
-
Job No.
-
Prepared by
-
Location
-
Superintendent
-
Project Manager
-
Inspected With
Housekeeping
-
Site Neat/Clean/Orderly
-
Nothing Hits The Deck In Place
-
Material on Carts enforced
-
Material staged properly
-
Trash & Debris Managed
-
No Hazardous Waste on-site
Public / Pedestrian Controls
-
Designated public access ways
-
Signage in place & effective
-
Barricades/Fencing as req.
-
Flaggers/Spotters as req.
-
No trip/other hazards present
-
All work/material inside zone
Access
-
Designated access ways provided
-
Access signage in place & effective
-
Access free of trip or other hazards
-
Stair rails @ 30" in height or 4 risers
-
Stairs when elevation changes > 19"
-
Ramps at least 18" wide & secured
Lighting
-
Passageways/access well lit
-
Task lighting as needed
-
Lighting covers/guards in place & single power source
-
Cords grounded - GFCI's
-
Emergency lighting in place
PPE
-
PPE use per site plan/AHA
-
High Vis outerwear in use
-
Respirators used as req.
-
Hearing protection used as req.
-
100% Safety glasses in use
-
Gloves used as required
Electrical
-
Cord management in place
-
Cords protected from damage
-
100% GFCI protection in place
-
LOTO procedures as required
-
Energized panels have covers & breakers are labeled?
Fire Control
-
Sufficient Fire Extinguishers on site & in working order/inspected
-
Emergency exit routes established
-
Combustible debris removed daily
-
Flammables in metal cans & stored in Flame Locker when not in use
Tools
-
Grinders have guards in place
-
Portable & table saws guarded
-
Pneumatic tool hoses secured
-
Proper tool for job being used
-
Compressed gas cylinders secured upright with caps
Ladders
-
Correct type/size used
-
Ladders secured as required
-
Step ladders used safety
-
Ext ladders safely used
-
3 or > rungs above for access
-
Jobsite built ladder per code
Fall Protection
-
All working/walking surfaces guarded/protected above 4'
-
All other fall hazards above 4' controlled or guarded
-
All fall protection gear properly used by trained employees
-
Wall openings/holes covered or guarded
-
Guardrails (42" +/- 3") with mid rail - toe boards in place?
-
Cable guardrails are taught with less than 3" deflection?
Environmental
-
Air quality/dust issues controlled
-
No Health Hazard 3 or > material on site
-
Noise exposure controlled/acceptable level
-
No run off from site present to public areas
-
Applicable number/type of spill kits available
-
Work adjacent to occupied space evaluated
Aerial Lifts
-
Qualified operators only
-
Lifts inspected prior to use
-
Gates/chains closed when in use
-
No standing/climbing on rails
-
Scissor lift used on flat/level surface
-
Fall protection used in boom lifts
Forklifts
-
Qualified operators only - documented training
-
Inspected daily with documented inspection
-
Forklift and attachments used properly per design
-
No loads rigged under forks or to mast
-
Loads properly secured/carried
-
Operator demonstrates safe operating skills
Cranes
-
Qualified operators only - documented certs
-
Cranes certification verified
-
Inspected daily - inspection log maintained
-
All operational hazards identified/controlled
-
Qualified riggers assigned - rigging inspected
-
Critical lift/Pre-lifts meeting when required
Work Platforms
-
Platforms fully planked (min 36")
-
Safe access to platforms in place
-
100% guardrails including end returns
-
Control zones/falling object protection
-
Platform fully supported/correctly installed
-
Fall protection for assembly/disassembly
Trenching / Excavations
-
Cave in protection system/design when >4' deep
-
Soil spoils are greater than 2' from the excavation
-
Inspected daily when workers in trench/excav
-
Safe access provided - ladders every 25 feet
-
Fall protection/control zones when >6 feet deep
-
Standing water/other hazards control
Scaffolds
-
Scaffolding erected per manufacturers design
-
Safe access on/off scaffolds
-
Qualified scaffold users/erectors
-
Daily inspections performed/logs maintained
-
Control zones under scaffolding as required
-
Guardrails in place on scaffolding above 4'
Confined Space
-
Permit required/issued/checked
-
Air monitoring required/in place
-
Rescue equipment/plan in place
-
Lighting/Ventilation established
-
All space entrants have harnesses on
Demolition Work
-
Dust/environment conditions controlled
-
No unidentified/suspect hazardous material
-
Identify energized/no-demo conduits and piping
-
PPE - cut resistant gloves/sleeves used
-
Debris control/removal means in place
Hot Work
-
City/jurisdiction permit current/on file
-
Sellen Burn Permit issued/signed
-
Fire watch protocols established/in place
-
Areas of hot work/spark travel inspected
-
Gas cylinders/torches properly used/secured
SUBCONTRACTOR EVALUATION: (Evaluate a Subcontractor's Safety Performance)
-
Company:
General Notes:
-
Add media
Corrective Actions Required:
Assigned To:
Completed / Comp By Date:
Corrective Actions Carried Over From Previous Inspections / Not Completed:
Assigned To:
Status / Comp By Date:
Personnel Present During Inspection:
Safety Rep Signature:
-
Add signature
Superintendent Signature:
-
Add signature
Project Manager Signature:
-
Add signature
-
Send copy of completed inspections to the Safety Department and maintain copies on file at project site.
