Site Audit (Masonry)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• 100% PPE Hi-Vis, Hard Hat

  Safe

  At Risk

  N/A

• Face Shields (cutting/Mixing/grinding)

  Safe

  At Risk

  N/A

• Eye Protection

  Safe

  At Risk

  N/A

• Respiratory Protection

  Safe

  At Risk

  N/A

• Weather(scaffolding) ice, wind, rain, snow

  Safe

  At Risk

  N/A

• Dust Control

  Safe

  At Risk

  N/A

• First Aid Kit

  Safe

  At Risk

  N/A

• Emergency Actions (Eyewash)

  Safe

  At Risk

  N/A

• Housekeeping (walkways,scaffolds,stairs, Steps)

  Safe

  At Risk

  N/A

Falls / objects (From)

• Holes

  Safe

  At Risk

  N/A

• Scaffolding(tube)

  Safe

  At Risk

  N/A

• Mast Climbers

  Safe

  At Risk

  N/A

Scaffolding (frame)

• Compatible Components

  Safe

  At Risk

  N/A

• Foundation

  Safe

  At Risk

  N/A

• Plumb, Level, Square

  Safe

  At Risk

  N/A

• Baseplate/ Mudsill

  Safe

  At Risk

  N/A

• Cross bracing

  Safe

  At Risk

  N/A

• Fall protection

  Safe

  At Risk

  N/A

• Access

  Yes

  No

  N/A

• Tagged,Signed,Dated

  Safe

  At Risk

  N/A

• Tie-Backs

  Safe

  At Risk

  N/A

• Hangers

  Yes

  No

  N/A

• Planking

  Safe

  At Risk

  N/A

• Toe boards

  Safe

  At Risk

  N/A

• Guard/End Rails

  Safe

  At Risk

  N/A

• Gravity Pins

  Safe

  At Risk

  N/A

Fraco,Hydro Mobile, Hydek

• Foundation/stable/firm

  Safe

  At Risk

  N/A

• Stable ground @ base

  Safe

  At Risk

  N/A

• Level Mast/Base

  Safe

  At Risk

  N/A

• Overhead Clearance

  Safe

  At Risk

  N/A

• Bridge Structure/ extensions

  Safe

  At Risk

  N/A

• Tower Structure

  Safe

  At Risk

  N/A

• Pins/bolts tightened

  Safe

  At Risk

  N/A

• Platform Condition

  Safe

  At Risk

  N/A

• Plank Condition/ Ties

  Safe

  At Risk

  N/A

• Guardrail condition

  Safe

  At Risk

  N/A

• Tower stops

  Safe

  At Risk

  N/A

• Tie-backs/bolts/tightened

  Safe

  At Risk

  N/A

• Load placement

  Safe

  At Risk

  N/A

• Fuel Level Check

  Safe

  At Risk

  N/A

• Hydraulic Hose Condition

  Safe

  At Risk

  N/A

• Battery Condition

  Safe

  At Risk

  N/A

• Daily inspection

  Safe

  At Risk

  N/A

• Platform stop

  Safe

  At Risk

  N/A

• Perimeter Blocked/barricaded

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

• Debris

  Safe

  At Risk

  N/A

• Powerlines

  Safe

  At Risk

  N/A

• Walkways(pedestrian)

  Safe

  At Risk

  N/A

• Operator Training

  Safe

  At Risk

  N/A

Ladders & Stairs

• Ladder/stair needed

  Safe

  At Risk

  N/A

• Proper use/ condition

  Safe

  At Risk

  N/A

• Extended 3ft / tied

  Safe

  At Risk

  N/A

• Stair ramp properly constructed

  Safe

  At Risk

  N/A

• Platforms Railed

  Safe

  At Risk

  N/A

• Unpoured Stairs

  Safe

  At Risk

  N/A

Equipment Tools Machinery

• Seatbelts

  Safe

  At Risk

  N/A

• Audible (horns, back-up)

  Safe

  At Risk

  N/A

• Tires

  Safe

  At Risk

  N/A

• Mounted Fire protection

  Safe

  At Risk

  N/A

• Operators seat

  Safe

  At Risk

  N/A

• Load charts

  Safe

  At Risk

  N/A

• Controls Error Free

  Safe

  At Risk

  N/A

• Brakes/ parking

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Cabs, Doors, Windows

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Boom

  Safe

  At Risk

  N/A

• Forks

  Safe

  At Risk

  N/A

• Gas caps

  Safe

  At Risk

  N/A

• Guards

  Safe

  At Risk

  N/A

• Training

  Safe

  At Risk

  N/A

• Occupants Guarded

  Safe

  At Risk

  N/A

• Operators Manual

  Safe

  At Risk

  N/A

Electrical

• Ground Prong

  Safe

  At Risk

  N/A

• Cords free of , Cuts, Splits, Damage

  Safe

  At Risk

  N/A

• GFCI

  Safe

  At Risk

  N/A

• Temp Lighting

  Safe

  At Risk

  N/A

Fire Safety

• Extinguishers, size, location, inspection

  Safe

  At Risk

  N/A

• Safety Cans

  Safe

  At Risk

  N/A

• LPG, tanks, storage

  Safe

  At Risk

  N/A

• Heating Devices

  Safe

  At Risk

  N/A

• Ventilation

  Safe

  At Risk

  N/A

• Hot work permits

  Safe

  At Risk

  N/A

• Fire watch

  Safe

  At Risk

  N/A

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