Short Duration Crew Safety Audit (The Scalo Companies)

• Safety Report (Insert Project Name)

• Audit Conducted On:

  Date
• Job Site Location / Address
  Address

Audit Information

• Company

  BSPA

  BSOH

  CUDDY

  HOOD

  Solar

• Today's Tasks:

Access (Hazard)

• Type of Roof Access

  extension ladder

  stairs

  lift

  scaffolding

  other

• Roof System

  EPDM

  TPO

  Sheet Metal/Wall Panels

  Shingles/Tile

• New Construction or Reroof

  New

  Reroof

• Access (Safety Control) Comments

• Access Pictures

  Media

Fall Protection (Hazard)

• Warning Line System 6ft From Fall Hazard (Safety Control)

  Safe

  At Risk

  N/A

• Harness Inspection (Safety Control)

  Safe

  At Risk

  N/A

• Skylight Protection (Safety Control)

  Safe

  At Risk

  N/A

• Fall Protection (Safety Control) Comments

• Fall Protection Pictures

  Media

Ladder Safety (Hazard)

• Top & Bottom Properly Secured (Safety Control)

  Safe

  At Risk

  N/A

• Properly Set At 3ft Above Roof Surface (Safety Control)

  Safe

  At Risk

  N/A

• Top & Bottom of Ladder Clear Of Trip Hazards (Safety Control)

  Safe

  At Risk

  N/A

• Ladder Number(s):

• Ladder Inspection (Safety Control)

  Safe

  At Risk

  N/A

• Ladder (Safety Control) Comments

• Ladder Pictures

  Media

PPE (Hazard)

• All Required Proper Personal Protective Equipment Used (Safety Control)

  Safe

  At Risk

  N/A

• High Visibility Vests Worn (Safety Control)

  Safe

  At Risk

  N/A

• PPE (Safety Control) Comments

• PPE Pictures

  Media

Electrical Safety (Hazard)

• Ground Fault Circuit Interruptor Used (Safety Control)

  Safe

  At Risk

  N/A

• Power Line Protection (Safety Control)

  Safe

  At Risk

  N/A

• Power Tools Inspected And Compliant (Safety Control)

  Safe

  At Risk

  N/A

• Safety Guards on Power Tools (Safety Control)

  Safe

  At Risk

  N/A

• Extension Cords Inspection (Safety Control)

  Safe

  At Risk

  N/A

• Electrical (Safety Control) Comments

• Electrical Pictures

  Media

Fire Safety (Hazard)

• Kettle Area Sectioned Off Properly (Safety Control)

  Safe

  At Risk

  N/A

• Liquid Propane Tanks Secured Upright (Safety Control)

  Safe

  At Risk

  N/A

• Metal Gas Cans with Flash Guard (Safety Control)

  Safe

  At Risk

  N/A

• Fire Extinguisher Must Be Near Work Area, Properly Tagged & Charged, with Pin (Safety Control)

  Safe

  At Risk

  N/A

• Fire Safety (Safety Control) Comments

• Fire Safety Pictures

  Media

Miscellaneous (Hazards)

• Eye Wash Bottle & First Aid Kit Available (Safety Hazard)

  Safe

  At Risk

  N/A

• Knowledge Of How/Where To Access Safety Data Sheets On Masterkey (Safety Control)

• Job Sit Organized / Housekeeping (Safety Control)

  Great

  Good

  Needs Improvement

• Miscellaneous Safety (Safety Control) Comments

• Miscellaneous Pictures

  Media

• Report Reviewed with Crew

• Foreman Signature

  Sign

• Preparer Signature

  Sign