Sioux Falls Construction Site Safety Survey

• Superintendent / Job site / Score

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Job Information

• 1.1. OSHA 300 forms posted? (from Feb 1 to April 30)

  Yes

  No

  N/A

• 1.2. State and Federal Posters posted?

  Yes

  No

  N/A

• 1.3. Emergency information / phone numbers posted?

  Yes

  No

  N/A

• 1.4. First Aid supplies available?

  Yes

  No

  N/A

• 1.5. Someone on the job trained in First Aid & CPR?

  Yes

  No

  N/A

• 1.6. Did you conduct a weekly safety meeting?

  Yes

  No

  N/A

• 1.7. Safety Manual on site?

  Yes

  No

  N/A

• 1.8. Employees know location of Safety Manual & (M)SDS?

  Yes

  No

  N/A

• 1.9. Crisis Management Plan / contacts in place?

  Yes

  No

  N/A

• 1.10. Employees are trained on emergency procedures?

  Yes

  No

  N/A

2. Housekeeping

• 2.1. General neatness of work area?

  Safe

  At Risk

  N/A

• 2.2. Is the work area free of trip and fall hazards?

  Safe

  At Risk

  N/A

• 2.3. Projecting nails removed or bent? (or similar items)

  Safe

  At Risk

  N/A

• 2.4. Waste containers?

  Yes

  No

  N/A

• 2.5. Passageways and walkways clear?

  Safe

  At Risk

  N/A

• 2.6. Cords and leads off the floor / clear paths?

  Safe

  At Risk

  N/A

• 2.7. Trucks and Trailers clean and maintained?

  Safe

  At Risk

  N/A

• 2.8. Stairs to job trailers secured and proper railings?

  Safe

  At Risk

  N/A

• 2.9. Logo clean and visible?

  Yes

  No

  N/A

3. Fire Prevention

• 3.1 Adequate fire extinguishers, checked and accessible?

  Safe

  At Risk

  N/A

• 3.2. "No Smoking" posted and enforced near flammables?

  Safe

  At Risk

  N/A

4. Electrical

• 4.1. Extension cords with bare wires or missing grounds taken out of service?

  Safe

  At Risk

  N/A

• 4.2. Ground fault circuit interrupters being used?

  Safe

  At Risk

  N/A

• 4.3. Adequate wiring, well insulated, grounded, protected?

  Safe

  At Risk

  N/A

• 4.4. Electrical panels clear?

  Safe

  At Risk

  N/A

• 4.5. Terminal boxes equipped with required covers?

  Safe

  At Risk

  N/A

5. Hand and Power Tools

• 5.1. Guards in place on power tools?

  Safe

  At Risk

  N/A

• 5.2. Right tool being used for job at hand?

  Safe

  At Risk

  N/A

• 5.3 Tools operation properly?

  Safe

  At Risk

  N/A

• 5.4. Tools and cords in good condition?

  Safe

  At Risk

  N/A

• 5.5. Proper grounding of all tools (3 Prongs)?

  Safe

  At Risk

  N/A

6. Fall Protection / Arrest Equipment

• 6.1. safety rails and cables secured properly?

  Safe

  At Risk

  N/A

• 6.2. Is fall protection safety equipment available?

  Yes

  No

  N/A

• 6.3. Employees exposed to fall hazards are tied off or otherwise protected?

  Safe

  At Risk

  N/A

• 6.4. Employees below protected from falling objects?

  Safe

  At Risk

  N/A

• 6.5. Openings in Floors and Roofs covered properly or guarded?

  Safe

  At Risk

  N/A

• 6.6 Covering material will hold 200 lbs.?

  Safe

  At Risk

  N/A

• 6.7. Check body harnesses, lanyards, and snap hooks for problems?

  Safe

  At Risk

  N/A

• 6.8. Check anchor connectors for holding strength (5,000 lbs.)?

  Yes

  No

  N/A

7. Ladders

• 7.1. Ladders checked and in good condition?

  Safe

  At Risk

  N/A

• 7.2. Extension ladders extend at least 36" above the landing?

  Safe

  At Risk

  N/A

• 7.3. Extension ladders are secured to prevent slip, sliding, falling?

  Safe

  At Risk

  N/A

• 7.4. Stepladders used in full open position?

  Safe

  At Risk

  N/A

• 7.5. No step at top two rungs of stepladder?

  Safe

  At Risk

  N/A

8. Scaffolding / Scissor & Aerial Lifts

• 8.1 Inspected daily by competent person?

  Safe

  At Risk

  N/A

• 8.2. Proper fall protection / rails in place?

  Safe

  At Risk

  N/A

• 8.3. Employees below protected from fallings objects?

  Safe

  At Risk

  N/A

• 8.4. 4:1 ratio height with securement every 20 feet?

  Safe

  At Risk

  N/A

• 8.5. Stable footing / baseplates?

  Safe

  At Risk

  N/A

• 8.6. structurally sound / unaltered?

  Safe

  At Risk

  N/A

• 8.7. Adequate sound planking provided?

  Safe

  At Risk

  N/A

9. Material Handling

• 9.1. Were safety stretches performed?

  Safe

  At Risk

  N/A

• 9.2. Materials properly stored or stacked?

  Safe

  At Risk

  N/A

• 9.3. Employees are using proper lifting methods?

  Safe

  At Risk

  N/A

• 9.4. Proper number of workers for operation?

  Safe

  At Risk

  N/A

10. Traffic Management

• 10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  Safe

  At Risk

  N/A

• 10.2. Lack of training in TMP for all persons on site? (contractors and visitors)

  Safe

  At Risk

  N/A

• 10.3. Inadequate controls for TMP? (physical barriers, speed limits, flashing lights, flaggers, etc.)

  Safe

  At Risk

  N/A

• 10.4. Barricades illuminated or reflectorized at night?

  Safe

  At Risk

  N/A

11. Hoists and Cranes

• 11.1. Cables and sheaves regularly inspected?

  Safe

  At Risk

  N/A

• 11.2. Slings and Chains, Hooks and Eyes inspected?

  Safe

  At Risk

  N/A

• 11.3. Equipment firmly supported / Outriggers used?

  Safe

  At Risk

  N/A

• 11.4. Power lines inactivated, removed or at a safe distance?

  Safe

  At Risk

  N/A

• 11.5. Rated load capacities posted?

  Safe

  At Risk

  N/A

• 11.6. Inspection and maintenance logs maintained?

  Safe

  At Risk

  N/A

• 11.7. Check nylon straps for wear?

  Safe

  At Risk

  N/A

• 11.8. Check steel chokers for kinks and fraying?

  Safe

  At Risk

  N/A

12. Work Methods / Safety Items

• 12.1. Employees are maintaining a positive safety attitude?

  Safe

  At Risk

  N/A

• 12.2. Proper body alignment for the tasks being performed?

  Safe

  At Risk

  N/A

• 12.3. Location in working environment?

  Safe

  At Risk

  N/A

• 12.4. Line of fire. Is the worker in the line of fire?

  Safe

  At Risk

  N/A

• 12.5. Job hazards have been reviewed & discussed?

  Safe

  At Risk

  N/A

• 12.6. Sanitary facilities and potable water available?

  Safe

  At Risk

  N/A

• 12.7. Disposable drinking cups available / container for used cups?

  Yes

  No

  N/A

• 12.8. Lighting adequate for all work tasks?

  Safe

  At Risk

  N/A

• 12.9. Enclosed chute provided when material dropped outside of building from over 20 feet?

  Safe

  At Risk

  N/A

13. Heavy Equipment

• 13.1. Trucks / equipment cabs clean?

  Safe

  At Risk

  N/A

• 13.2. Inspection and maintenance records current?

  Safe

  At Risk

  N/A

• 13.3. Lights, brakes and warning signals operative?

  Safe

  At Risk

  N/A

• 13.4. Wheels chocked when necessary?

  Safe

  At Risk

  N/A

• 13.5. Haul roads well maintained and properly laid out?

  Safe

  At Risk

  N/A

• 13.6. Equipment is properly secured when not in use?

  Safe

  At Risk

  N/A

• 13.7. Roll over protection devices in place?

  Safe

  At Risk

  N/A

• 13.8. Ascending / Descending equipment safely (3 points of contact)?

  Safe

  At Risk

  N/A

14. Impalement Hazards

• 14.1. Vertical hazards and exposed rebar capped?

  Safe

  At Risk

  N/A

• 14.2. Conduit and tubing capped or covered?

  Safe

  At Risk

  N/A

15. Personal Protective Equipment

• 15.1. Hard hats being worn?

  Safe

  At Risk

  N/A

• 15.2. Safety glasses being worn (prescription safety glasses have side shields)?

  Safe

  At Risk

  N/A

• 15.3. Hearing protection being worn when required?

  Safe

  At Risk

  N/A

• 15.4. Gloves being worn when required?

  Safe

  At Risk

  N/A

• 15.5. High Visibility vest apparel being worn?

  Safe

  At Risk

  N/A

• 15.6. Proper PPE available if needed?

  Safe

  At Risk

  N/A

• 15.7. Proper foot wear and clothing?

  Safe

  At Risk

  N/A

16. Welding and Cutting

• 16.1. Equipment in safe operating condition?

  Safe

  At Risk

  N/A

• 16.2. Power cables and hose protected and good repair?

  Safe

  At Risk

  N/A

• 16.3. Fire extinguishers of proper type nearby?

  Safe

  At Risk

  N/A

• 16.4. Surrounding area inspected for fire hazards and flammable materials protected or removed?

  Safe

  At Risk

  N/A

17. Other

• 17.1. Hazardous Condition or Behavior.

  Safe

  At Risk

  N/A

• 17.2. Hazardous Condition or Behavior.

  Safe

  At Risk

  N/A

• 17.3. Hazardous Condition or Behavior.

  Safe

  At Risk

  N/A

18. Special

• 18.1. Hazards not under your control are presenting imminent danger to employees.

  Safe

  At Risk

  N/A

• 18.2. Employees are exposed to imminent danger.

  Safe

  At Risk

  N/A

• 18.3. Was this hazardous condition / behavior corrected immediately?

  Safe

  At Risk

  N/A

19. Job site photographs

• 19.1. Site photos

  Media

Safe behaviors observed-actions taken to encourage safe behavior.

Unsafe behaviors observed-action taken to correct and prevent recurrence.

Corrective Actions

• enter any corrective actions that will be undertaken.

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign