Short Form - Jobsite Safety & Risk Management Audit (20140714)

• Audit Title

• Client / Site

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Overview Pictures of Jobsite:

  Media

• General Audit Comments or Observations:

• Performance rating: 10 being best (little or no risk), and 1 being worst (high risk for injury or fines).

Explanation of audit scoring

• All of the following audit questions will be answered in one of three ways:
  
  "Yes" (Green color) - 2 points
  (The jobsite performance met or exceeded expectations for this specific audit question.)
  "Improve" (Yellow color) - 1 point
  (The performance generally met expectations, but some specific improvements are needed.)
  "No" (Red color) - (-2) points
  (The performance failed to meet expectations, or a serious violation was identified.)
  
  If an audit question does not apply to the jobsite's activities, the auditor will select N/A for "not applicable", and no score will be added or subtracted from the audit. (The auditor will typically select to omit these questions from the final audit report.)

Administrative

• Have all employees participated in the daily stretch & flex before the start of work?

  Yes

  Improve

  No

  N/A

• Are the Morning Huddles being conducted and documented correctly?

  Yes

  Improve

  No

  N/A

• Are the first aid kit accessible, well stocked, and up-to-date?

  Yes

  Improve

  No

  N/A

• Are all required postings available and posted in an accessible place (labor law, emergency postings, etc.)?

  Yes

  Improve

  No

  N/A

PPE (Personal Protective Equipment)

• Are employees wearing hard hats (in serviceable condition) 100% of time, per company policy?

  Yes

  Improve

  No

  N/A

• Are appropriate safety glasses (with wrap-around or side shields) worn 100% of time, per company policy?

  Yes

  Improve

  No

  N/A

• Have face shields, welding visors, goggles, etc. been selected for appropriate hazards?

  Yes

  Improve

  No

  N/A

• Are employees wearing gloves and cut resistant apparel that are appropriate for the task hazards?

  Yes

  Improve

  No

  N/A

• Are employees wearing work clothing that is professional-looking and climate appropriate?

  Yes

  Improve

  No

  N/A

Fall Protection

• Has the site fall protection safety and installation plan been communicated to the affected employees?

  Yes

  Improve

  No

  N/A

• Is the fall arrest equipment in good working order, worn correctly, and used correctly?

  Yes

  Improve

  No

  N/A

• Have all working surfaces that are elevated more than 6' been properly guarded or protected against fall hazards?

  Yes

  Improve

  No

  N/A

Housekeeping

• Does the site have good sanitation practices in place (clean toilet facilities, potable water, regular waste removal)?

  Yes

  Improve

  No

  N/A

• Have all waste products, trash, and debris been placed in dumpsters or designated waste recepticles?

  Yes

  Improve

  No

  N/A

• Have employees removed (or bent over) all nails and other puncture hazards from crates and dunnage and picked up any metal straps?

  Yes

  Improve

  No

  N/A

• Are all material stacked or stored (and restrained - if necessary) in a neat, orderly, and professional manner?

  Yes

  Improve

  No

  N/A

• Are job boxes, tool bins and tool carts neatly organized with all the required equipment in place (first aid kit, assured grounding kit, etc.)?

  Yes

  Improve

  No

  N/A

• Have all possible tripping, "Struck-by", or "Caught-in-between" hazards been addressed or clearly identified with DANGER tape to prevent injuries to personnel in the affected area?

  Yes

  Improve

  No

  N/A

Power Tools

• Are assured grounding kits available, and have all tests been conducted on all tools and extension cords in use (correct color zip ties in place)?

  Yes

  Improve

  No

  N/A

• Are all manufacturer-recommended guards and handles properly mounted and used?

  Yes

  Improve

  No

  N/A

• Do all power tools visually appear to be in good working order (no obvious physical defect)?

  Yes

  Improve

  No

  N/A

• Are extension cords plugged into GFCI-protected outlets?

  Yes

  Improve

  No

  N/A

• Have lockout / tagout procedures been used for defective tools or extension cords?

  Yes

  Improve

  No

  N/A

Fire protection

• Are all flammable chemical containers properly labeled?

  Yes

  Improve

  No

  N/A

• Are flammable safety cans with spark arresters used for flammable liquids (other than secondary containers intended for one day's use)?

  Yes

  Improve

  No

  N/A

• Are flammable chemical containers stored in a properly engineered flammable cabinet?

  Yes

  Improve

  No

  N/A

• Are fire extinguishers posted near all flammable storage areas and hot work zones?

  Yes

  Improve

  No

  N/A

• Are all fire extinguishers in good working order (pin and tamper seal present, good pressure, hose unobstructed)?

  Yes

  Improve

  No

  N/A

Scaffolds

• Do scaffolds contain only manufacturer designed components, with no mixing or substituting of parts?

  Yes

  Improve

  No

  N/A

• Are the scaffolds erected on stable ground, fully planked, and leveled with appropriate base plates, mud sills, or casters in place?

  Yes

  Improve

  No

  N/A

• Are scaffolds are erected no higher than four times the minimum base width (including outriggers) unless tiebacks or or engineered support devices are installed?

  Yes

  Improve

  No

  N/A

• Are all scaffolds (6' tall or higher) fully protected by guard rails and toe plates (top rail and mid rail or equivalent protection)?

  Yes

  Improve

  No

  N/A

Swing Stage Scaffolds

• Have swing stage scaffolds have been set up by trained qualified employees?

  Yes

  Improve

  No

  N/A

• Have documented swing stage inspections been completed before each day's use?

  Yes

  Improve

  No

  N/A

Support Systems

• Are the support systems set up according to manufacturer's recommendations and company Safe Work Practices?

  Yes

  Improve

  No

  N/A

• Are tiebacks set up at right angles (or at opposing angles for each tieback) to the face of the building and secured to structurally sound points of anchorage (not vents, conduit, or pipes)?

  Yes

  Improve

  No

  N/A

• Is the system directly bolted to a designated structure on the roof or secured by tiebacks?

  Yes

  Improve

  No

  N/A

• Are parapet clamps properly mounted to a structurally sound parapet wall?

  Yes

  Improve

  No

  N/A

• Are all lifeline systems anchored independently from the support system?

  Yes

  Improve

  No

  N/A

• Are all lifelines, electrical cords, etc. properly guarded against damage from sharp edges or heat?

  Yes

  Improve

  No

  N/A

Suspension & Tieback Wire Ropes

• Are wire ropes steel core, properly sized, and free from kinks, rust, thinning spots (loss of > 1/3 the original diameter) or other physical damage?

  Yes

  Improve

  No

  N/A

• Are they protected from physical damage due to heat, electrical contact, or sharp edges?

  Yes

  Improve

  No

  N/A

• Do all wire rope connections have "thimbles" in place?

  Yes

  Improve

  No

  N/A

• Are the ends of all ropes (wire rope or fabric rope) seized, brazed, or terminated to prevent them from unraveling?

  Yes

  Improve

  No

  N/A

• Are all components made in the USA and stamped with the manufacturer's name and rating (no "CHINA" parts)?

  Yes

  Improve

  No

  N/A

• Are all shackles double-locking (or tightly wired shut - if rigging shackles were the only option)?

  Yes

  Improve

  No

  N/A

Stage Unit & Motor Assemblies

• Does the stage (scaffold unit) have all its safety features in place, with the guardrails installed at a proper height?

  Yes

  Improve

  No

  N/A

• Have emergency brake systems been tested before the shift, and are they operating properly?

  Yes

  Improve

  No

  N/A

• Can the employees correctly identify the safe loading limit of the stage?

  Yes

  Improve

  No

  N/A

• Is the stage properly secured against lateral movement (lashing the railing to a hand cup, etc.)?

  Yes

  Improve

  No

  N/A

• Do employees understand the rescue plan, and can they explain how to enact the plan in an emergency?

  Yes

  Improve

  No

  N/A

• Are all employees tied off to a vertical lifeline, and are the lifelines free from entanglements?

  Yes

  Improve

  No

  N/A

• Are lockout / tagout procedures being followed for defective or damaged equipment?

  Yes

  Improve

  No

  N/A

Cranes (and Gantry Cranes)

• Has a documented crane pick plan been completed, and is the authorized NCCO operator lifting below 75% Critical Lift capacity (or is a Risk Management Department approved plan in place)?

  Yes

  Improve

  No

  N/A

• Are the crane pads fully secure (hardwood, correct dimension for pad, serviceable condition), and is the area around the crane guarded to prevent struck-by injuries?

  Yes

  Improve

  No

  N/A

• Has the documented annual "third party" crane inspection been completed?

  Yes

  Improve

  No

  N/A

• Is the maintenance and greasing of the crane current?

  Yes

  Improve

  No

  N/A

• Gantry cranes have been inspected before each day's use, and they are functioning free from defect?

  Yes

  Improve

  No

  N/A

• Is only ONE designated qualified signal person being used at a time, and are the correct crane signals being used?

  Yes

  Improve

  No

  N/A

Rigging

• Has all rigging hardware been manufactured in the USA, operating freely, in good working order, used correctly, and within capacity?

  Yes

  Improve

  No

  N/A

• Are wire rope slings free of kinks, signs of "bird caging", excessive wear, corrosion, or defect, and are synthetic slings in a safe condition (no tears, no visible red stripe, no UV damage)?

  Yes

  Improve

  No

  N/A

• Are tags present on all slings all that list the manufacturer and the recommended safe working load?

  Yes

  Improve

  No

  N/A

Power Cup Units

• Have all power cup units receive documented inspected before each day's use?

  Yes

  Improve

  No

  N/A

• Are the power cup units operating properly, and are they free from obvious physical damage or defect?

  Yes

  Improve

  No

  N/A

• Are all power cup units removed from the material (glass, stone, unitized windows, etc.) before they are turned off to recharge the battery?

  Yes

  Improve

  No

  N/A

• Are power cups properly protected against damage while not in immediate use (cups covered with fabric skirts), or disassembled and stored properly in their packing crates when they are not needed?

  Yes

  Improve

  No

  N/A

Powered Machinery (Aerial lift, Scissor Lift, Forklift, etc.)

• Are documented inspections completed before each day's use?

  Yes

  Improve

  No

  N/A

• Are all pieces of powered industrial equipment operating well without leaks or obvious signs of physical defect, and being operated in a safe manner?

  Yes

  Improve

  No

  N/A

• Have all attachments been approved by the equipment manufacturer and secured against movement?

  Yes

  Improve

  No

  N/A

• Are all equipment operators trained on its proper use and authorized by the company?

  Yes

  Improve

  No

  N/A

• Are employees following lockout / tagout procedures for all defective powered industrial equipment?

  Yes

  Improve

  No

  N/A

Near Misses

• Have employees documented Near Miss events on the Daily Acknowledgement or "First Reports" forms?

  Yes

  Improve

  No

  N/A

• Can employees adequately explain the definition of a Near Miss incident, and have they been active in identifying Near Miss incidents, along with potential corrective actions?

  Yes

  Improve

  No

  N/A

• Are identified corrective actions still in place for recent Near Miss incidents?

  Yes

  Improve

  No

  N/A

Uncommon Issues

• Have all other recognized risks been identified and promptly resolved?

  Yes

  Improve

  No

  N/A

• Auditor Signature

  Sign