Site Safety Audit

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is Addison Smith the General Contractor?

  Yes

  No

  N/A

• List all subcontractors on site

Walking Working Surfaces

• Are all surfaces clear of debris, spills and any trip or slip hazards?

  Yes

  No

  N/A

• Are all surfaces free of impalement hazards?

  Yes

  No

  N/A

• Are all walking/working surfaces stable and secure?

  Yes

  No

  N/A

Fall Protection/Prevention

• Are employees working from heights?

  Yes

  No

  N/A

• Are there proper anchor points?

  Yes

  No

  N/A

• Is fall equipment being properly used, in good condition and has a current inspection?

  Yes

  No

  N/A

• Are all temporary floor openings and holes properly protected with railing, covers or are being attended?

  Yes

  No

  N/A

• Has a roof permit been issued?

  Yes

  No

  N/A

• Is a warning line in place?

  Yes

  No

  N/A

Excavations/Trenches

• Are there any excavation or trenching operations being conducted?

  Yes

  No

  N/A

• Has a digging permit been issued?

  Yes

  No

  N/A

• Has a daily inspection by a competent person been completed and documented?

  Yes

  No

  N/A

• Is the shoring adequate?

  Yes

  No

  N/A

• Are barricades in place?

  Yes

  No

  N/A

• Are all soil piles more than 2 feet from the edge?

  Yes

  No

  N/A

Scaffolding

• Is there any scaffolding in use?

  Yes

  No

  N/A

• Was there a documented pre use inspection conducted by a competent person?

  Yes

  No

  N/A

• Is all bracing in place?

  Yes

  No

  N/A

• Are proper footings in place?

  Yes

  No

  N/A

• Is the scaffolding fully planked?

  Yes

  No

  N/A

• Are the casters locked?

  Yes

  No

  N/A

• Is railing in place?

  Yes

  No

  N/A

Portable Ladders

• Are portable ladders in use?

  Yes

  No

  N/A

• Are all ladders being used made of non conductive material?

  Yes

  No

  N/A

• Have all portable ladders been inspected and are in good condition?

  Yes

  No

  N/A

• Are all ladders one foot out for every four feet up?

  Yes

  No

  N/A

• Is anyone standing on the top 3 rungs of a ladder?

  Safe

  At Risk

  N/A

Barricades/Tape/Flagging

• Are there any barricades/tape/flagging being used to deter people or pedestrians from hazards?

  Yes

  No

  N/A

• Is the type of deterrent being used appropriate for the hazard present?

  Yes

  No

  N/A

• Does the barricade/tape/flagging completely surround the area?

  Yes

  No

  N/A

Confined Space Entry

• Is there any work being conducted in a confined space?

  Yes

  No

  N/A

• Has a confined space entry permit been issued?

  Yes

  No

  N/A

• Was initial air monitoring conducted?

  Yes

  No

  N/A

• Are their atmospheric, configuration or engulfment hazards that would make this a permit required confined space?

  Yes

  No

  N/A

• Is there a documented rescue plan?

  Yes

  No

  N/A

• Is there an attendant that has communication with the worker?

  Yes

  No

  N/A

• Is there a harness/life line in place?

  Yes

  No

  N/A

• Is continuous air monitoring in place?

  Yes

  No

  N/A

Mobile Equipment

• Is there any mobile equipment in use? Forklifts, mobile crane, lull, scissor lift, etc

  Yes

  No

  N/A

• Has a pre shift inspection been completed and documented for each piece of equipment?

  Yes

  No

  N/A

• Are all safety features in place and functional? (lights, alarms, seat belt, etc)

  Yes

  No

  N/A

• Are all loads properly secured?

  Yes

  No

  N/A

• Are operators obeying all traffic rules? Stopping at stop signs, communicating with pedestrians, obeying speed limits, etc

  Yes

  No

  N/A

• Are all loads properly secured?

  Yes

  No

  N/A

• Are spotters being used where needed?

  Yes

  No

  N/A

• If the equipment is unattended is the ignition off and attachments lowered to their safe resting position with the brake set and controls in neutral?

  Yes

  No

  N/A

Aerial Lift

• Are there any aerial lifts in use? (including scissor lifts)

  Yes

  No

  N/A

• Was a pre use inspection completed and documented?

  Yes

  No

  N/A

• Are workers using proper fall protection?

  Yes

  No

  N/A

• Are feet on the lift floor? (employees should not have feet on the mid rail or outside of the lift)

  Yes

  No

  N/A

• Is the drop zone barricaded?

  Yes

  No

  N/A

Cranes

• Are there any cranes in use?

  Yes

  No

  N/A

• Has a lift plan been completed and reviewed?

  Yes

  No

  N/A

• Is the swing radius protected?

  Yes

  No

  N/A

• Is there a light/flag on the boom tip?

  Yes

  No

  N/A

• Is the load properly rigged?

  Yes

  No

  N/A

• Is there a signal person in place?

  Yes

  No

  N/A

• Are slings/rigging properly stored and have a current inspection?

  Yes

  No

  N/A

Material/Equipment Storage

• All equipment and materials are stored in a way that does not create blind spots?

  Yes

  No

  N/A

• All equipment and materials are stored in a way that does not block or protrude into aisles/roads/walkways?

  Yes

  No

  N/A

• All equipment and materials are stored in a way that makes the work zone look generally neat and organized?

  Yes

  No

  N/A

• All equipment and materials are stored in a way in which they are stable and do not create an overhead or falling hazard?

  Yes

  No

  N/A

• The amount of combustible liquids stored inside does not exceed 600 gallons

  Yes

  No

  N/A

Electrical

• Are employees working near high voltage equipment?

  Yes

  No

  N/A

• Is there at least a 10 ft clearance between employees and any high voltage electrical equipment?

  Yes

  No

  N/A

• Is there at least a 3 ft clearance for all electrical panels and disconnects?

  Yes

  No

  N/A

• Are all electric panel doors closed?

  Yes

  No

  N/A

• Are all panels and disconnects labeled?

  Yes

  No

  N/A

Extension Cords

• Are there any extension cords in use?

  Yes

  No

  N/A

• Are all cords in good condition?

  Yes

  No

  N/A

• Do all cords have either a 3 prong ground or are double insulated?

  Yes

  No

  N/A

• Are all cords secured to the ground or flagged to reduce the risk of a trip hazard?

  Yes

  No

  N/A

• Are all cords protected by GFCIs?

  Yes

  No

  N/A

Hot Work

• Is any hot work (welding,cutting,grinding,brazing) being conducted?

  Yes

  No

  N/A

• Has a hot work permit been issued?

  Yes

  No

  N/A

• Is there a 35 ft area that is clear of combustibles and ignitable liquids?

  Yes

  No

  N/A

• Is there a fire watch in place?

  Yes

  No

  N/A

• Is there a fire extinguisher within 20 ft?

  Yes

  No

  N/A

• Are welding curtains in place?

  Yes

  No

  N/A

• Are welders using appropriate PPE? (cotton shirts, welding helmet, welding gloves, FR pants)

  Yes

  No

  N/A

• Are all welding lead connections protected? Gauges not broken? Flash back arrestors and back flow preventors in place?

  Yes

  No

  N/A

• Are employees holding the unguarded part of the grinder away from their body?

  Yes

  No

  N/A

Compressed Gas/Cylinder Storage

• Are there any compressed gas cylinders on site?

  Yes

  No

  N/A

• Are all cylinders secured and capped if necessary?

  Yes

  No

  N/A

• Are all cylinders properly labeled?

  Yes

  No

  N/A

• Are oxygen cylinders separeated from fuel-gas cylinders and combustibles by at least 20 ft?

  Yes

  No

  N/A

PPE

• Are all employees wearing hard hats?

  Yes

  No

  N/A

• Are all employees wearing safety footwear?

  Yes

  No

  N/A

• Are all employees wearing safety glasses? (tinted only allowed outside)

  Yes

  No

  N/A

• Are all employees wearing a high viz outer layer?

  Yes

  No

  N/A

• If required, are all employees wearing ear protection?

  Yes

  No

  N/A

• Are all employees wearing appropriate gloves for the task they are completing?

  Yes

  No

  N/A

• Are employees free from wearing any jewelry, strings, hoods or potential entanglement hazards?

  Yes

  No

  N/A

• If necessary, are face shields or googles being worn?

  Yes

  No

  N/A

• If necessary, are respirators being worn?

  Yes

  No

  N/A

Fire Equipment

• Is there at least one fire extinguisher on site?

  Yes

  No

  N/A

• Is all fire equipment easily accessible and not blocked and has proper clearance? (fire extinguishers, sprinklers, hose connections)

  Yes

  No

  N/A

• Have extinguishers been inspected in the last month?

  Yes

  No

  N/A

• Do all cranes and vehicles have a fire extinguisher?

  Yes

  No

  N/A

Lockout Tagout

• Is any equipment locked out?

  Yes

  No

  N/A

• Does the lock and tag indicate who the owner of the lock is and the company they work for?

  Yes

  No

  N/A

• Were lockout tagout procedures followed?

  Yes

  No

  N/A

• Are the owner of the lock in control of the key?

  Yes

  No

  N/A

Machine Guarding

• Are all machine guards in place and in good condition?

  Yes

  No

  N/A

• Are all grinder tongue guards set at 1/4" and tool rests at 1/8" openings?

  Yes

  No

  N/A

Eyewash

• Is there an eye wash station available?

  Yes

  No

  N/A

• Is the eye wash station easily accessible?

  Yes

  No

  N/A

• Is the eyewash solution within its usage date?

  Yes

  No

  N/A

Containers

• Are all secondary containers labeled and in good condition?

  Yes

  No

  N/A

Fuels/Flammables

• Are there any fuels/flammables being stored on site?

  Yes

  No

  N/A

• Are drums, totes and buckets used for refueling inside or transferring flammable liquids grounded and bonded?

  Yes

  No

  N/A

• Are flammables stored in appropriate cabinets?

  Yes

  No

  N/A

• Are no smoking signs posted where applicable?

  Yes

  No

  N/A

• Is there a stocked spill fit near the fueling station?

  Yes

  No

  N/A

Housekeeping

• Are all areas (work zone, conex, lay down, yard, material storage area, parking etc) clean and organized?

  Yes

  No

  N/A

Start Up

• Was a JHA completed or reviewed at start up?

  Yes

  No

  N/A

• Was a toolbox talk conducted at start up?

  Yes

  No

  N/A

Environmental

• Is the area free of any spills, chemicals, mud or contaminated water going into floor or storm drains, or entering water sources?

  Yes

  No

  N/A

• Is the area free of any containers stored next to drains?

  Yes

  No

  N/A

• Are any chemicals or oil being disposed of in sink drains?

  Yes

  No

  N/A