Site Safety Checklist

• Audit title

• Client / Site

• Conducted on

  Date

• Prepared by:

  Select Mark A. Davis Mark D. Davis Richard Dickinson Anthony Beverly Hugh French Scott Taylor Michael Wright James Brown Lee Ratliff Jason Corbin Chuck Ayers James Shifflett Michael Dwyer Joe Bailey Christopher M. Cole

  • Mark A. Davis
  • Mark D. Davis
  • Richard Dickinson
  • Anthony Beverly
  • Hugh French
  • Scott Taylor
  • Michael Wright
  • James Brown
  • Lee Ratliff
  • Jason Corbin
  • Chuck Ayers
  • James Shifflett
  • Michael Dwyer
  • Joe Bailey
  • Christopher M. Cole
• Location
  Address

• Personnel

Job Site Documentation

• Copy of Construction Environment, Health & Safety Plan (CEHSP) on site?

  Yes

  No

  N/A

• Copy of current OSHA standards? (Electronic on iPad or Hardcopy is acceptable):

  Yes

  No

  N/A

• Copy of Safety Data Sheets (SDS) or reasonably accessible?

  Yes

  No

  N/A

• Safety Center in place, fully stocked and accessible?

  Yes

  No

  N/A

• Safety Center within (75) feet of work force?

  Yes

  No

  N/A

• Appropriate permits?

  Yes

  No

  N/A

• Federal and state required posters?

  Yes

  No

  N/A

• Emergency phone numbers?

  Yes

  No

  N/A

• Documentation of weekly safety meeting through UIG Safety app?

  Yes

  No

  N/A

Housekeeping and Sanitation

• General neatness of the working areas

  Safe

  At Risk

  N/A

• Passageways/walkways/doorways clear?

  Yes

  No

  N/A

• Waste containers provided and used?

  Yes

  No

  N/A

• Regular disposal of waste and trash?

  Yes

  No

  N/A

• Projecting nails removed?

  Yes

  No

  N/A

• Sanitary facilities adequate and clean?

  Yes

  No

  N/A

• Adequate supply of drinking water?

  Yes

  No

  N/A

• Available and use of disposable cups?

  Yes

  No

  N/A

• Adequate safe lighting?

  Yes

  No

  N/A

• First aid equipment on the site?

  Yes

  No

  N/A

PPE

• Eye protection used?

  Yes

  No

  N/A

• Face protection?

  Yes

  No

  N/A

• Hand protection?

  Yes

  No

  N/A

• Foot protection?

  Yes

  No

  N/A

• Head protection?

  Yes

  No

  N/A

• Ear protection?

  Yes

  No

  N/A

• Fall protection provided and used when exposed to a fall hazard greater than 6' and or performing leading edge work?

  Yes

  No

  N/A

• Proper clothing?

  Yes

  No

  N/A

• Specialty safety glasses for welding and cutting?

  Yes

  No

  N/A

• Respirator protection provided and used properly?

  Yes

  No

  N/A

Fire Prevention

• Fire instruction and evacuation given to employees and subcontractors?

  Yes

  No

  N/A

• Fire extinguisher identified, checked?

  Yes

  No

  N/A

• Hydrants clear access to pullback through fare open

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• Smoking area identified, and enforced?

  Yes

  No

  N/A

• Storage of flammable and combustible products in approved containers with adequate ventilation?

  Yes

  No

  N/A

Material Handling and Storage

• Are materials properly stored or stacked?

  Safe

  At Risk

  N/A

• Are passageways kept clear?

  Yes

  No

  N/A

• Are stacks on firm footings and not too high?

  Yes

  No

  N/A

• Are there the proper number of workforce for each job?

  Yes

  No

  N/A

• Are materials protected from weather conditions?

  Yes

  No

  N/A

• Is there protection from falling into hoppers and bins

  Yes

  No

  N/A

• Is traffic controlled in storage areas?

  Yes

  No

  N/A

• Are all containers clearly marked and identified

  Yes

  No

  N/A

• Are flammable products separated and stored in approved storage areas?

  Yes

  No

  N/A

Ladders

• Are ladders inspected before each use?

  Yes

  No

  N/A

• Are ladders tied off and at correct angle?

  Yes

  No

  N/A

• Do side rails extend 36" above the landing area?

  Yes

  No

  N/A

• Are job built ladders constructed properly?

  Safe

  At Risk

  N/A

• Are step ladders only used in open positions?

  Yes

  No

  N/A

• Are rung or cleats no more than 12" apart

  Yes

  No

  N/A

• Are ladders painted?

  Yes

  No

  N/A

• Are metal ladders being used around electricity?

  Yes

  No

  N/A

• Are ladders equipped with safety shoes?

  Yes

  No

  N/A

Hand And Power Tools

• Is the proper tool being used for the job?

  Yes

  No

  N/A

• Are tools being stored and cared for properly?

  Yes

  No

  N/A

• Are damaged tools being removed from use?

  Yes

  No

  N/A

• Are all power tools properly guarded?

  Yes

  No

  N/A

• Are all power tools three wire or double insulated

  Yes

  No

  N/A

• Is PPE being used with powder operated tools?

  Yes

  No

  N/A

• Are tool being used on the intended material?

  Yes

  No

  N/A

• Are powder operated tools and charges protected from unauthorized use?

  Yes

  No

  N/A

Electrical Safety

• Is all electrical equipment grounded?

  Yes

  No

  N/A

• Is all extension cords three wire type?

  Yes

  No

  N/A

• Are all temp outlets, tools and equipment protected by GFCI's or an assured equipment grounding conductor program?

  Yes

  No

  N/A

• Are electrical hazards identified by warning signs?

  Yes

  No

  N/A

• Are all terminal boxes equipped with the required covers?

  Yes

  No

  N/A

• Have concealed electrical lines been located and marked?

  Yes

  No

  N/A

Scaffolds

• Is scaffold equipment equipped with base plates?

  Yes

  No

  N/A

• Does the scaffold bare on mud sills or other adequate firm surfaces?

  Yes

  No

  N/A

• Do scaffolds on mud sills run under two consecutive supports and extend 2' beyond the supports?

  Yes

  No

  N/A

• Is scaffold fully planked?

  Yes

  No

  N/A

• Is scaffold fully level and square with cross bracing?

  Yes

  No

  N/A

• Is proper access provided for scaffolds?

  Yes

  No

  N/A

• Is the scaffold <14" from the working surface?

  Yes

  No

  N/A

• Is fall protection provided for scaffolds at 10' and up?

  Yes

  No

  N/A

• Do all scaffolds using guard rails have toe boards?

  Yes

  No

  N/A

• Can the top rails with stand 200 lbs of force and the rest of the rails withstand 150 lbs.?

  Yes

  No

  N/A

• Are the top rails of guard rails 42" high?

  Yes

  No

  N/A

• Are scaffolds that are 4x higher than the least with secured to the structure every 26' V and 30' H?

  Yes

  No

  N/A

• Have all employees working on scaffold undergone safety training?

  Yes

  No

  N/A

• Are all employees using arial lifts use the required fall protection?

  Yes

  No

  N/A

• Are scaffold walkways at least 18" wide and equipped with guard rails?

  Yes

  No

  N/A

• Are employees on suspension scaffolding wearing fall protection?

  Yes

  No

  N/A

• Are all components used on a scaffold secured from movement with proper pins?

  Yes

  No

  N/A

• Is fall protection being worn while scaffolds are being erected and dismantled?

  Yes

  No

  N/A

• Are the scaffolds inspected daily prior to use?

  Yes

  No

  N/A

• Are scaffolds erected, dismantled, or repaired under the supervision of a competent person?

  Yes

  No

  N/A

• Are scaffolds being used during high winds?

  Yes

  No

  N/A

Barricades

• Are floor and wall openings barricaded?

  Safe

  At Risk

  N/A

• Are roadways and sidewalks effectively protected?

  Yes

  No

  N/A

• Is traffic controlled at the site?

  Yes

  No

  N/A

• Are barricades placed at least 6' from the hazard and do they completely isolate the hazard?

  Yes

  No

  N/A

• Are ropes used as barricades flagged every 6' horizontally from the rope to the working surface?

  Yes

  No

  N/A

Hoists/Cranes/Derricks

• Are guards over moving parts in place?

  Yes

  No

  N/A

• Are cables and sheaves inspected regularly?

  Yes

  No

  N/A

• Is equipment firmly supported?

  Yes

  No

  N/A

• Are outriggers used if needed?

  Yes

  No

  N/A

• Are power lines inactive, grounded, removed, or at a safe distance?

  Yes

  No

  N/A

• Are proper loading and lifting limits being observed?

  Yes

  No

  N/A

• Are signalmen used where needed?

  Yes

  No

  N/A

• Is equipment properly lubricated and maintained?

  Yes

  No

  N/A

• Are inspection and maintenance logs maintained?

  Yes

  No

  N/A

Excavations

• Are excavations more than 5' deep properly sloped, shored, or shielded?

  Yes

  No

  N/A

• Are adjacent structures properly braced?

  Yes

  No

  N/A

• Is material stored at least 2' from edge of excavation?

  Yes

  No

  N/A

• Is equipment operated a safe distance from the edge of the excavation?

  Yes

  No

  N/A

• Are ladders provided so no more than 25' of travel is required to exit the excavation?

  Yes

  No

  N/A

• Are equipment ramps adequate?

  Yes

  No

  N/A

• Have all underground utility lines been ID'd and marked?

  Yes

  No

  N/A

• Is a competent person on site at all times?

  Yes

  No

  N/A

Welding and Cutting

• Are operators qualified?

  Yes

  No

  N/A

• Are screens or shields being used?

  Yes

  No

  N/A

• Is proper PPE being used?

  Yes

  No

  N/A

• Are power cables protected and in good repair?

  Yes

  No

  N/A

• Are fire extinguishers located nearby?

  Yes

  No

  N/A

• Are gas cylinders secured upright?

  Yes

  No

  N/A

• Is electrical equipment grounded?

  Yes

  No

  N/A

• Are gas lines protected and in good condition?

  Yes

  No

  N/A

• Are cylinder caps in use?

  Yes

  No

  N/A

• Are fuel and oxygen cylinders separated by 20' or a 5' high wall?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

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