Site Safety Assesment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Section 1 - Administration

• Project sign in good condition, plumb, level

  Yes

  No

  N/A

• Safety Manual, MSDS, OSHA Posters, OSHA 300 Log, State and Fed Posters

  Yes

  No

  N/A

• Sub-Contractor Safety Plan and MSDS, Proper Labeling

  Yes

  No

  N/A

• Competent Person'(s) Identified

  Yes

  No

  N/A

• "Toolbox" Safety Meeting records kept

  Yes

  No

  N/A

• SWPP Environmental Plan Per //Permits obtained

  Yes

  No

  N/A

• SWPP Best Practices in use

  Yes

  No

  N/A

• SWPP Reports current

  Yes

  No

  N/A

Section 2 - Site/ Public Protection

• Adequate Lighting

  Yes

  No

  N/A

• Barricades Properly Installed

  Yes

  No

  N/A

• Company Rep Present

  Yes

  No

  N/A

• Excavations Protected

  Yes

  No

  N/A

• Falling object protection

  Yes

  No

  N/A

• Perimeter Fencing

  Yes

  No

  N/A

• Public Protection Signage

  Yes

  No

  N/A

• Traffic Control Plan

  Yes

  No

  N/A

Section 3 - Personal Protective Equipment

• Hard hats worn properly and in good condition

  Yes

  No

  N/A

• Hearing protection worn as required

  Yes

  No

  N/A

• Eye protection / Face Shield worn as required

  Yes

  No

  N/A

• Proper foot protection worn for job performed (steel toe)

  Yes

  No

  N/A

• Proper Clothing (Pants, Sleeved Shirt)

  Yes

  No

  N/A

• Safety Vests Worn for Traffic Control

  Yes

  No

  N/A

• Hand protection worn as required

  Yes

  No

  N/A

• Respirators worn as required

  Yes

  No

  N/A

• Visitor PPE Available

  Yes

  No

  N/A

• Water cooler 3' off ground, one time use cups, trash receptacle

  Yes

  No

  N/A

Section 4 - Fall Protection (ALL)

• Ext./Int. Guardrail; Barricades, Floor and Wall Openings Protection, installed, maintained

  Yes

  No

  N/A

• Static lines/lifelines installed properly and capable of supporting 5400 Ibs

  Yes

  No

  N/A

• Personal fall arrest equipment worn properly and in good condition

  Yes

  No

  N/A

• Rebar Caps used; Impalement Hazards covered

  Yes

  No

  N/A

• Roof Edge Protected

  Yes

  No

  N/A

• 100 Fall Protection Used at > 6'

  Yes

  No

  N/A

Section 5 - Excavations (ALL)

• Protective system used for excavations> 5' in depth

  Yes

  No

  N/A

• Access and egress provided every 25 feet, when> 4' in depth

  Yes

  No

  N/A

• Spoils stored at least 2 feet from the trench

  Yes

  No

  N/A

• Adjacent structures properly shored

  Yes

  No

  N/A

• Sloping, Shoring and Shields in good condition

  Yes

  No

  N/A

• Underground utilities located and marked before digging

  Yes

  No

  N/A

• Competent Person Present

  Yes

  No

  N/A

• Excav. > 20' Engineered

  Yes

  No

  N/A

• Water entering excavation

  Yes

  No

  N/A

• Perimeter Properly Protected WI Barricade

  Yes

  No

  N/A

Section 6 - Cranes, Hoisting and Lifting Equipment (ALL)

• All inspections current

  Yes

  No

  N/A

• Proper Crane safety operation

  Yes

  No

  N/A

• Load charts posted and proper hand signals used

  Yes

  No

  N/A

• Certify or Verified Training

  Yes

  No

  N/A

• Fire Ext. in crane

  Yes

  No

  N/A

• Certified Rigger doing lifts

  Yes

  No

  N/A

Section 7 - Vehicles / Mobile Equipment (ALL)

• Lights, brakes, horns and back-up alarms, strobe lights working properly

  Yes

  No

  N/A

• Seat belts provided and used

  Yes

  No

  N/A

• Properly maintained and not leaking fluids

  Yes

  No

  N/A

• Training Documents Available

  Yes

  No

  N/A

• Daily Inspection documentation upon request

  Yes

  No

  N/A

Section 8- Tools and Equipment

• All electrical cords-safe condition and ground prong in place

  Yes

  No

  N/A

• All tools are maintained in a safe condition

  Yes

  No

  N/A

• Strain relief functioning

  Yes

  No

  N/A

• Guards in Place

  Yes

  No

  N/A

• Proper tools used for the job performed

  Yes

  No

  N/A

• Information label on tool

  Yes

  No

  N/A

Section 9 - Fire Protection (ALL) Welding/ Cutting

• Flammables stored and labeled properly

  Yes

  No

  N/A

• Oxygen and combustibles separated

  Yes

  No

  N/A

• Proper fuel Containers Used (OSHA Approved Metal Cans Only)

  Yes

  No

  N/A

• Fire extinguishers readily available,accessible and inspected

  Yes

  No

  N/A

• Emergency Vehicle Access

  Yes

  No

  N/A

• Proper signs in Storage Area

  Yes

  No

  N/A

• Fire Watch when applicable

  Yes

  No

  N/A

• Bottles upright, capped and secured

  Yes

  No

  N/A

• Flash arrest on torches

  Yes

  No

  N/A

• Gauges working properly

  Yes

  No

  N/A

• Torch and Welding leads in good condition

  Yes

  No

  N/A

• Proper PPE used

  Yes

  No

  N/A

• Welding machine ventilated

  Yes

  No

  N/A

• Permit Program in place

  Yes

  No

  N/A

Section 10 - Scaffolds

• Bracing and Pins in place

  Yes

  No

  N/A

• Competent person present and inspected

  Yes

  No

  N/A

• Compatible components used

  Yes

  No

  N/A

• Guardrails in place

  Yes

  No

  N/A

• Properly secured to structure

  Yes

  No

  N/A

• Proper Access

  Yes

  No

  N/A

• Safe work distances

  Yes

  No

  N/A

• Sills, Plates and Jacks installed

  Yes

  No

  N/A

• Proper Decking used and Surface in safe condition

  Yes

  No

  N/A

Section 11 - Electrical

• Cords in good condition with ground prong in place

  Yes

  No

  N/A

• Cords protected from traffic

  Yes

  No

  N/A

• GFCl’s Used

  Yes

  No

  N/A

• Ext. cords rated for Hard or Extra Hard usage

  Yes

  No

  N/A

• Proper use of temporary power boxes, and all energized parts protected

  Yes

  No

  N/A

• Lock Out I Tag Out Procedures

  Yes

  No

  N/A

• Electrical room Protected

  Yes

  No

  N/A

• Signage Present

  Yes

  No

  N/A

Section 12 - Medical/ Emergency

• 1st Aid Kit, Eye Wash available at Jobsite

  Yes

  No

  N/A

• 1st AID/CPR trained person on Site

  Yes

  No

  N/A

• Emergency Evacuation Map

  Yes

  No

  N/A

• Emergency Numbers Posted

  Yes

  No

  N/A

• Map to Medical facility

  Yes

  No

  N/A

Section 13 - Housekeeping

• Scrap material free of protruding nails or other puncture hazards

  Yes

  No

  N/A

• Material or equipment properly stored

  Yes

  No

  N/A

• Project work areas are clean and free of excess trash, debris

  Yes

  No

  N/A

• Clear access to building site

  Yes

  No

  N/A

• Walkways Clear and Unobstructed

  Yes

  No

  N/A

Section 14 - Ladders! / Stairs

• Proper Ladder Use

  Yes

  No

  N/A

• Inspected for defects

  Yes

  No

  N/A

• Area Top and Bottom clear of debris Material

  Yes

  No

  N/A

• Extension ladder 4:1 pitch and 3' above landing

  Yes

  No

  N/A

• Stairs or Ladder provided for access point > 19" high

  Yes

  No

  N/A

• Stairs properly illuminated and clear of material and debris

  Yes

  No

  N/A

• Stair Rails provided along each unprotected side or edge w/4 or more risers

  Yes

  No

  N/A

Section 15 – Scissor Lifts

• Gate or chain secured

  Yes

  No

  N/A

• Harness while in boom lifts

  Yes

  No

  N/A

• Nothing to increase height

  Yes

  No

  N/A

• Operating on flat surface free of holes

  Yes

  No

  N/A

• Operating safe distance from power lines

  Yes

  No

  N/A

Section 16 - Social Responsibility-Labor Camps

• Labor Camp Housekeeping Adequate

  Yes

  No

  N/A

• Fire Exstinguishers are available in sleeping and cooking areas

  Yes

  No

  N/A

• Drinking water meets Potable water standards and is available in all areas?

  Yes

  No

  N/A

• Clean Separate sanitary facilities available for Men and Women

  Yes

  No

  N/A

• Septic system per local codes or is waste removed from site via an approved vendor?

  Yes

  No

  N/A

• Cooking areas separated from sleeping areas? No food preparation in sleeping areas?

  Yes

  No

  N/A

• Pest management program in place?

  Yes

  No

  N/A

• Indications of food/water or pest borne illness?

  Yes

  No

  N/A

• Grievance Mechanism in place to receive Worker Complaints?

  Yes

  No

  N/A

• Eating area (canteeen) clean?

  Yes

  No

  N/A

• Trash recepticles available, used and emptied regularly?

  Yes

  No

  N/A

• Wash areas available and clean?

  Yes

  No

  N/A

• Indications of underage workers?

  Yes

  No

  N/A

Section 17 - Power Equipment

• Machine guards in place on rotating shafts, flywheels?

  Yes

  No

  N/A

• Fuel and Oil systems are maintained and without leaks?

  Yes

  No

  N/A

• Diesel equipmet is in good repair, no excessive exhaust smoke

  Yes

  No

  N/A

• Back up alarms are in working order?

  Yes

  No

  N/A

Section 19- Power Equipment

• Waste is segregated and recycled?

  Yes

  No

  N/A

• Hazardous waste and used oil stored in a dyked and covered area

  Yes

  No

  N/A

• Diesel equipmet is in good repair, no excessive exhaust smoke

  Yes

  No

  N/A

• Fire extinguishers are available and posted not less than 3m (10ft) from storage area?

  Yes

  No

  N/A

• Waste removal documentation showing proper removal and disposal available on site for review?

  Yes

  No

  N/A

Section 20 - Focus Four Hazards - (Anyone of These will result of-50 to -100)

• Fall Protection - 1926 Subpart M

  Yes

  No

  N/A

• Electrical 1926 Sub[art M

  Yes

  No

  N/A

• Struck By (e.g., falling objects, trucks, cranes, equipment.)

  Yes

  No

  N/A

• Caught in Between (e.g., trench hazards, equipment.)

  Yes

  No

  N/A

Observations and Corrective Actions

• Observation

• Observation

• Observation

• Observation

• Safety Manager Signature .

  Sign

• Construction Manager Signature

  Sign

• Date & Time Audit Completed

  Date