Site Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1) EHS Management Systems

• Pre Job Briefings are completed

  Yes

  No

  N/A

• All visitors are required to review and sign before entering work zone

  Yes

  No

  N/A

• JHA's completed, documented in use

  Yes

  No

  N/A

• Workers are familiar with JHA

  Yes

  No

  N/A

• Applicable Permits are posted

  Yes

  No

  N/A

• Procedures being followed(i.e. LOTO, Confined Space, Lead, Asbestos, mold, insulation etc)

  Yes

  No

  N/A

• First Aid, BBP kits, fire extinguishers, eye wash stations set onsite reality accessible-workers know location

  Yes

  No

  N/A

2) Housekeeping

• Project work areas are kept uncluttered

  Yes

  No

  N/A

• All pathways are clear of slip/trip fall hazards if possible or have been identified

  Yes

  No

  N/A

• Proper storage of all materials, equipment and tools

  Yes

  No

  N/A

• Electrical cords, hoses, welding leads routed to prevent trip/bump hazards

  Yes

  No

  N/A

• All scrap material disposed of properly

  Yes

  No

  N/A

• Trash receptacles are provided for work areas and emptied regularly

  Yes

  No

  N/A

• Barricades are installed as required

  Yes

  No

  N/A

• Rebar Caps or other impalement protection provided

  Yes

  No

  N/A

• Oily rags / wastes disposed of or stored as required

  Yes

  No

  N/A

• Storage rooms / areas are kept orderly and neat

  Yes

  No

  N/A

• Lighting is provided to meet requirements for safe work

  Yes

  No

  N/A

• Drinking water / restrooms are available for employees

  Yes

  No

  N/A

3) Personal Protective Equipment (PPE)

• All PPE identified on JHA is in use as required

  Yes

  No

  N/A

• All PPE is inspected as required

  Yes

  No

  N/A

• All PPE is in good, safe condition

  Yes

  No

  N/A

4) Fall Protection

• Fall protection plan has been completed

  Yes

  No

  N/A

• Fall protection plan requirements are in use

  Yes

  No

  N/A

• All PFAS (Personal Fall Arrest System) has been inspected and in use as required

  Yes

  No

  N/A

5) Trenching and Excavations

• Competent person is onsite and completes daily inspection / classifies soil / supervises protection systems

  Yes

  No

  N/A

• > 4' ladder in place 3' over the edge

  Yes

  No

  N/A

• >5' wall stabilization, sloping, benching, shoring or shielding

  Yes

  No

  N/A

• >6' add fall protection

  Yes

  No

  N/A

• Access and egress provided every 25'

  Yes

  No

  N/A

• Spoils kept at least 2' from edge of trench

  Yes

  No

  N/A

6) Scaffolds and Ladders

• Competent person for the scaffolding on site

  Yes

  No

  N/A

• All workers trained for use

  Yes

  No

  N/A

• Proper access and egress provided

  Yes

  No

  N/A

• Scaffold Plan complete

  Yes

  No

  N/A

• Scaffolds inspected and tagged correctly

  Yes

  No

  N/A

• Scaffolds > 10' fall protection is in place

  Yes

  No

  N/A

• All ladders have been inspected before use

  Yes

  No

  N/A

• Proper ladder for the job in use properly

  Yes

  No

  N/A

• Extension ladders extend at least 3' above landing

  Yes

  No

  N/A

• Extension ladders are used as required

  Yes

  No

  N/A

• Fixed ladder access platforms are guarded

  Yes

  No

  N/A

• Step ladders are used properly

  Yes

  No

  N/A

• Ladders not in use are properly stored

  Yes

  No

  N/A

6a) Aerial man lifts / scissor lifts

• All equipment has been inspected before use

  Yes

  No

  N/A

• Workers have been trained to operate lift

  Yes

  No

  N/A

• PFAS in use where required

  Yes

  No

  N/A

• Good housekeeping maintained on lifts 

  Yes

  No

  N/A

7) Hoisting and Lifting Equipment

• Lift Plan has been completed as needed

  Yes

  No

  N/A

• All equipment is inspected by a competent worker for safe operation

  Yes

  No

  N/A

• All equipment has been set up as required to ensure safe operation

  Yes

  No

  N/A

• Crane operator has required license for crane in use

  Yes

  No

  N/A

• Trained signal man is identified and trained rigger in use

  Yes

  No

  N/A

• Plastic sheeting has been placed under the crane

  Yes

  No

  N/A

8) Vehicles / Operated Equipment

• Daily inspections have been completed

  Yes

  No

  N/A

• Good housekeeping maintained on and in the equipment

  Yes

  No

  N/A

• Spill Kit OnBoard

  Yes

  No

  N/A

• Operator License or certifications as required

  Yes

  No

  N/A

9) Fire Protection

• Fire extinguishers properly located, fully charged and inspected

  Yes

  No

  N/A

• Hot Work Permit is in use as required

  Yes

  No

  N/A

• Fire watch in place as required

  Yes

  No

  N/A

• Flammables and combustibles properly stored

  Yes

  No

  N/A

• Oxygen and acetylene cylinders separated by at least 20' or barrier/divider when in storage

  Yes

  No

  N/A

• Containers properly labeled as to their contents

  Yes

  No

  N/A

• Compressed gas cylinders properly maintained and stored

  Yes

  No

  N/A

• UL / DOT approved safety cans with flash arrestors / screens are used for flammable liquids

  Yes

  No

  N/A

• Walk / passage ways beneath hot work operations are barricaded with appropriate signage

  Yes

  No

  N/A

• Firefighting hoses in good condition and not used for other purposes

  Yes

  No

  N/A

• Smoking is only permitted outside fire hazard areas

  Yes

  No

  N/A

10) Tools and Equipment

• All hand tools are inspected before use

  Yes

  No

  N/A

• Hand tools are properly carried and used

  Yes

  No

  N/A

• Hand tools are in good safe condition

  Yes

  No

  N/A

• Hand tools are stored properly

  Yes

  No

  N/A

• All air and water lines, connectors, working parts are inspected before use

  Yes

  No

  N/A

• Rotating plant equipment is properly guarded

  Yes

  No

  N/A

• All hand and mounted tools are properly guarded

  Yes

  No

  N/A

• Proper adjustment on work rest and wheels properly dressed on bench grinders

  Yes

  No

  N/A

• Grindr RPM rating is less than disk/stone

  Yes

  No

  N/A

• Tools are used for the job in accordance with manufacturer

  Yes

  No

  N/A

• No modified or fabricated tools are in use without proper authorization

  Yes

  No

  N/A

• Dropped objects prevention program is in place

  Yes

  No

  N/A

• Power cords and plugs on the tools are as required for safe use

  Yes

  No

  N/A

11) Electrical

• All drop cords are in safe working condition

  Yes

  No

  N/A

• Electrical tools, cords, light stringers are in safe condition with current safety inspection<br>

  Yes

  No

  N/A

• GFCI in use as required<br>

  Yes

  No

  N/A

• Electrical panels are labeled as required<br>

  Yes

  No

  N/A

• "DANGER - High Voltage" signage is on all installations of 600V or more

  Yes

  No

  N/A

• Motors are in safe condition<br>

  Yes

  No

  N/A

• Insulated tools are used as required

  Yes

  No

  N/A

• Breakers / switch panel doors are closed and knockouts covered

  Yes

  No

  N/A

• Receptacles are not overloaded

  Yes

  No

  N/A

• LOTO and electrical work permits in use as required

  Yes

  No

  N/A

12) Exits & Evacuation

• All exits are clearly marked and lit

  Yes

  No

  N/A

• Exit doors are unlocked

  Yes

  No

  N/A

• Exit passages are free of flammable and combustible materials<br>

  Yes

  No

  N/A

• Emergency lighting words and is tested monthly and test documented

  Yes

  No

  N/A

• Evacuation Plan is in place and affected employees know their roles<br>

  Yes

  No

  N/A

• Drills are conducted to test the effectiveness of the plan

  Yes

  No

  N/A

• Evacuation routes and assembly areas are marked

  Yes

  No

  N/A

13) Water Quality

• Storm water permits and controls in place<br>

  Yes

  No

  N/A

• SPCC Plan documented and implemented<br>

  Yes

  No

  N/A

• Storm drains have been identified and plans in place to prevent spills<br>

  Yes

  No

  N/A

14) Air Quality

• All applicable permits in place<br>

  Yes

  No

  N/A

• All sources identified

  Yes

  No

  N/A

15) Hazardous Waste

• Proper labeling in place

  Yes

  No

  N/A

• Proper handling, storage, disposal and/or shipping of waste

  Yes

  No

  N/A

• Proper recycling program established

  Yes

  No

  N/A

16) Hazardous Chemicals

• M(SDS) are accessible to workers

  Yes

  No

  N/A

• Chemicals properly stored

  Yes

  No

  N/A

• Required labels in use

  Yes

  No

  N/A

• Regulatory-required reporting completed<br>

  Yes

  No

  N/A

17) Work Zone

• Proper work zone established

  Yes

  No

  N/A

• Reflective traffic vests worn by workers

  Yes

  No

  N/A

• Proper signage erected<br>

  Yes

  No

  N/A

• Workers appropriately trained

  Yes

  No

  N/A

18) Hazard Evaluation

• Appropriate surveys performed to identify possible utilities pro to penetrating walls, ceilings, floors and/or ground<br>

  Yes

  No

  N/A

• Other workers in the vicinity have been notified of hazards that may affect them<br>

  Yes

  No

  N/A

Environmental

• Bodies of water are protected; silt fences in place if required<br>

  Yes

  No

  N/A

• Protected plants and animals identified- no contact by workers

  Yes

  No

  N/A

• Spill kits locations identified; workers know what to do if a hazardous spill occurs

  Yes

  No

  N/A

• Contractor Representative :

• Contractor Representative Signature

  Sign