SITE AUDIT

Job

• Job Address
  Address

• Job Number

• Conducted on

  Date

• Project Manager

• Supervisor

• Job COMPLETE

  Yes

  No

  N/A

Manpower

• Supervisors

• Workers Including Shop Stewart

• Contractors (if applicable)

Department

• Abatement

• Demolition

• Fireproofing

• Tank and Soil

• Other

Work Performed

• Location

• Percentage Complete

• Location

• Percentage Complete

• Location

• Percentage Complete

• Location

• Percentage Complete

• Location

• Percentage Complete

Safety

• Toolbox Topic

• Injuries

  Yes

  No

  N/A

• Near Miss

Visits

• PAL

  Yes

  No

  N/A

• Name

• Agency

  Yes

  No

  N/A

• OSHA

• DOB

• DEC

• FDNY

• EPA

• SCA

• MTA

• Name and Title of Visitor(s)

Decon Area - Mixing Area

• Floor Clean and Not Wet

  Yes

  No

  N/A

• Charged Fire Extinguisher

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Signs Posted

  Yes

  No

  N/A

Personal Protective Equipment

• Head

• Respirator

• Eye

• Gloves

• Coveralls

• Work Boots

• Harness

Ladder(s)

• Proper Size

  Yes

  No

  N/A

• Used Properly

  Yes

  No

  N/A

• Inspected-Good Condition

  Yes

  No

  N/A

Scaffold

• Yes

  No

  N/A

• Pipe

• Baker

• Suspended-Hanging

• Inspected - Good Condition

  Yes

  No

  N/A

Lift

• Boom

  Yes

  No

  N/A

• Scissor

  Yes

  No

  N/A

• Inspected-good Condition

  Yes

  No

  N/A

Tools or Equipment

• Missing?

  Yes

  No

  N/A

• Condition

  Safe

  At Risk

  N/A

Warehouse

• Received

  Yes

  No

  N/A

• Good Condition (if NOT, why)

• Returned

  Yes

  No

  N/A

• Good Condition (if NOT, why)

• Signature

  Sign

• Photos

  Media

• Draw Information

  Drawing