Shea Consrtuction

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Weather Conditions

Personal Protective Equipment

• Head Protection being worn

  Yes

  No

  N/A

• Eye Protection being worn

  Yes

  No

  N/A

• Traffic vest or high visibility clothing material being worn

  Yes

  No

  N/A

• Fall Protection

  Worn

  Available

  set up

  N/A

• Hearing Protection worn when required

  Yes

  No

  N/A

• Respiratory Protection worn when required

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

Housekeeping

• Clear public pathways

  Yes

  No

  N/A

• Clear travel paths

  Yes

  No

  N/A

• Clear excavation edges ( 3 ft.)

  Yes

  No

  N/A

• Clear steps in excavation

  Yes

  No

  N/A

• Clear work area

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

Ladders

• Properly used

  Yes

  No

  N/A

• Secured

  Yes

  No

  N/A

• Proper angle ( 3:1 or 4:1)

  Yes

  No

  N/A

• Proper size

  Yes

  No

  N/A

• Safe, usable condition

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

Trenches ad Excavations

• Sloped properly

  Yes

  No

  N/A

• Excavated soil properly

  Yes

  No

  N/A

• Appropriate shoring used

  Yes

  No

  N/A

• Proper access to trench

  Yes

  No

  N/A

• Proper storage of materials in and above

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

Public Way Protection

• Locates on site and up to date

  Yes

  No

  N/A

• Utilities covered where required

  Yes

  No

  N/A

• Proper lighting where required

  Yes

  No

  N/A

• Proper fence ( 4 ft min.)

  Yes

  No

  N/A

• Clear of debris

  Yes

  No

  N/A

• Barriers in place

  Yes

  No

  N/A

• Identified work space

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

Traffic Control

• Set up correctly

  Yes

  No

  N/A

• Trained traffic controllers

  Yes

  No

  N/A

• Clean regulation signs

  Yes

  No

  N/A

• Acceptable pylons

  Yes

  No

  N/A

• Properly dressed

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

• Add drawing

  Drawing

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  Media

Power Tools, Equipment

• General condition

  Yes

  No

  N/A

• Proper Guards in place

  Yes

  No

  N/A

• Extension cords

  Yes

  No

  N/A

• Circle checks complete

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

Material Handling

• Properly Located

  Yes

  No

  N/A

• Safely piled, stacked, bundled

  Yes

  No

  N/A

• Properly moved or lifted

  Yes

  No

  N/A

• Properly labeled

  Yes

  No

  N/A

• Properly secured

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

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  Media

First Aid Requirements

• Adequate Number of First Aiders

  Yes

  No

  N/A

• Correct Number of First Aid Kits

  Yes

  No

  N/A

• Correct Amount of Contents

  Yes

  No

  N/A

• Other, please specify

  Yes

  No

  N/A

Signs and Print Material

• Ontario Health and Safety Acts and Regulations ( OH&S Acts and Regs)

  Yes

  No

  N/A

• WSIB Form 82 Poster

  Yes

  No

  N/A

• Ministry of Labour poster

  Yes

  No

  N/A

• Material Safety Data Sheet Copies ( MSDS )

  Yes

  No

  N/A

• Warning Signs ( danger due to, etc. )

  Yes

  No

  N/A

• Emergency Phone Numbers

  Yes

  No

  N/A

• Report Forms

  Yes

  No

  N/A

Worker Education

• WHMIS Training ( workplace hazardous material information system )

  Yes

  No

  N/A

• Company Health and Safety Policy

  Yes

  No

  N/A

• Injury Reporting

  Yes

  No

  N/A

• Hazard Reporting

  Yes

  No

  N/A

• OH&S Acts and Regulations ( Ontario Health and Safety )

  Yes

  No

  N/A

• Personal Health and Safety Responsibilities

  Yes

  No

  N/A

Other concerns

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• Person Responsible for Inspection

  Sign