Information
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THIS SITE HAS BEEN RATED:
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- B
- C
- D
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Job Name
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Job #
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Document No.
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Conducted on
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Safety Person Conducting Audit
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Location
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Personnel Participating
ADMINISTRATIVE
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INCIDENT AND INJURY FREE (IIF)
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Does the Job have an IIF or "Why I'm Safe" board?
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What percentage of project coworkers have attended the 4hr IIF Orientation?
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Have this project reported any incident this Week?
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SUPERVISION INVOLVEMENT
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Conduct a Job site safety survey?
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Attend or conduct a tool box talk safety meeting?
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Lead or participate in morning stretch and flex?
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STRETCH & FLEX
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Are Stretch and Flex posters located in stretching areas? (Available from Safety)?
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Are Coworkers following the Baker Stretch & Flex program (at a minimum)?
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Is enough time devoted to each stretch?
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Do the PE / PM / Super / Gen. Super participate?
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MTAs
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Are MTA's conducted and documented for each crew?
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Does it contain an adequate description of the work being performed?
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Is there a history of completed MTA's for each crew? (check last 7 days)
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Does the project team properly store & track MTA documents?
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Are Safety hazards thoroughly addressed along with controls the hazards on the form?
TOOLBOX TALKS
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Are toolbox meetings being conducted and documented?
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Is a toolbox talk completed every week?
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Is the topic applicable to our work?
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FIRST AID / INJURY CARE / HEALTH
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Are CPR & First Aid certified coworkers on the project?
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Is a well stocked First Aid kit available?
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Is the Incident Reporting Procedure posted in the office or elsewhere?
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Have all First Aid Logs been sent to Safety department?
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Are required posters (OSHA 5 in 1 & required EEO policy) in place?
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Is there adequate eye wash immediately available at working areas
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Is Neutrality available to neutralize wet concrete that may have contacted a coworker skin?
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Is drinking water readily available?
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Are water kegs cleaned regularly and labeled?
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Are drinking cups provided and properly disposed of?
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Are toilets clean & properly stocked with paper?
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Are any Carbon monoxide hazard in our work areas?
PERSONAL PROTECTIVE EQUIPMENT (PPE) & WORK WEAR
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Are all coworkers wearing hardhats, and eye protection?
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Are co-workers wearing face-shield or special eye protection (burning goggles) where required?
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Are co-workers wearing high visibility work wear and / or vest where they are required?
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Are coworkers wearing proper work clothing and work boots?
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Are coworkers wearing hearing protection where they are required?
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Are co-workers wearing appropriate gloves for the task?
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Are co-workers wearing respirators when grinding or working on a dusty environment?
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Did coworkers inspect their PPE prior to the start of their shift?
PERSONAL FALL ARREST SYSTEM (FALL PROTECTION)
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Have the coworkers exposed to an immediate fall hazard?
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Are there any open edge left unprotected?
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Are all holes (2" & larger) securely covered & marked?
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Are warning signs posted at leading edge barriers? (Available from Safety)
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Is the Miler edge being used correctly?
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Are coworkers at the leading edge adequately protected?
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Are Horizontal lifelines being installed, inspected & used correctly?
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Are proper tie-off points used?
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Are coworkers exposed to swing fall hazard?
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Are all components of Personal Fall Arrest System (harness, SRLs, anchorage) in good condition?
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Are dual SRL (twin turbo, Diablo) properly connected to harnesses (if used)?
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Are coworkers trained for the fall protection system in use?
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Are damage / defective fall protection components tagged and removed from service?
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Are the guardrails properly built to Baker Engineering standards (top-rail, mid-rail and toe-board)
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Are wooden 2x4 stanchions no greater than 8ft apart?
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Are cable handrails flagged every 6ft with high visibility material?
HAND & POWER TOOLS
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Are all hand and power tools maintained in a safe condition & inspected before each use?
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Are all electric power tools grounded or double insulated?
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Are power cords in good condition with ground pin (when required)?
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Are pneumatic power tools secured to the hose by clip, wire or whip check?
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Are all tools properly equipped with the guards or safety features they were designed to have?
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Are the right tools used for the right task?
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If used, are coworkers trained to operate powder Actuated tools?
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ELECTRICAL (OTHER THAN TOOLS)
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Are GFCI's provided for all temporary power sources?
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Are GFCI's regularly inspected & in good repair?
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Have damaged / defective unsafe hand or power tool been tagged and removed from service?
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Are electrical panels properly labeled & fully enclosed?
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Are generators properly grounded?
CHEMICAL & FIRE HAZARD
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Has this job performed a GHS / chemical safety refresher training?
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Are Safety Data Sheets (SDS) available for ALL chemicals on site?
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Are ALL chemicals containers (fuel cans, spray cans, spray bottles, buckets, etc.)) labeled?
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Is fuel stored only in approved safety cans?
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Are bulk fuel tanks protected from vehicular traffic?
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Is a fire extinguisher located 25 to 75ft. from bulk storage tanks?
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Are "NO SMOKING" signs posted in fuel storage areas?
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Is there a fire extinguisher provided for each 3,000 square feet of building area?
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Is there a fire extinguisher within 100ft of all work areas?
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Is a spill kit available to address chemical spills?
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Are fire extinguishers provided at or near fuel powered equipment?
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Do fuel cans have flame arrest screens & self-closing lids?
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Are compressed gases properly stored?
RIGGING & SIGNALING - Supplement C
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Are only Baker coworkers or NCCO Trained coworker allowed to rig loads & signal cranes?
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Are Subcontractors personnel properly trained?
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Are riggers / Signal persons properly identified (hard hat stripes and / or vest?
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Are whistles used to alert others when hoisting / landing loads ?
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Are tag lines properly attached & used to control loads?
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Are coworkers keeping their hands free of rigging & loads while hoisting?
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Is rigging inspected before use?
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Is there a current documented annual inspection for each chain sling on site?
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Are chain slings tagged & in proper condition?
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Are nylon slings tagged & in proper condition?
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Are wire rope slings tagged & in proper condition?
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Are damaged / defective rigging components removed from service?
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Are proper rigging procedures in use for all observed lifts?
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Are formwork rigging accessories (clamps, shake-out pins, shackles, hooks) used propperly?
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Is the shackles moussed or bolt type used in permanent connections?
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CRANE OPERATIONS
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Is the annual inspection current?
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Are daily inspections documented?
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Is the operator certified (NCCO). Are the operator's qualifications readily available?
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Is the operator's manual and load chart in the crane?
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Is regular maintenance of the crane being performed?
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Are approved voice commands & hand signals being used?
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Are two way radios used to communicate with the operator?
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Does each crane have a dedicated radio channel?
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Are cranes located a safe distance from power lines?
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Are weather conditions adequate for hoisting?
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Is safe access provided for the tower crane operator?
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Mobile: Has the GC ensured that the ground (on which the crane will operate) is sufficiently firm and level?
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Mobile: Has the GC provided the location of hazards beneath the crane set-up area?
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Mobile: If outriggers are used, are they fully extended and on a level surface
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Mobile: is proper cribbing or matting used?
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Mobile: Is the swing radius of the crane barricaded?
WALLS
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Are the wall rack tie off points with retractable on it or fully guardrailed?
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Is there clear access to the wall racks?
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Are the walls placed on a firm surface?
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Are walls placed evenly on the racks?
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Are Ladders being provided and secured on top and bottom?
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Are wall forms secured to the storage racks to prevent tipping?
RESPIRATORY HAZARD
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Are coworkers adequately protected when performing activities known to generate silica dust (chipping, grinding, cutting concrete?
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Are there procedures to control silica dust during sweeping activities?
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FOR THOSE COWORKERS WEARING RESPIRATORS:
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Does each coworker have a current medical clearance (within 2 calendar years)?
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Is there documentation of respirator training?
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Is the fit test current (within 1 calendar year)?
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Are respirator kept in a sanitary condition?
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Are coworkers following facial hair guidelines?
SCAFFOLDS
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Have coworkers received documented scaffold training
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Have Scaffolds been inspected & tagged by a competent Person?
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Are scaffolds set on firm, secure footings with base plates and mud sills?
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Are casters (on rolling scaffolds) locked when scaffold is occupied?
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Are scaffold components inspected & in good condition?
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Have damaged / defective components been removed from service?
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Is the scaffold properly assembled?
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Are working platforms fully planked?
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Are wallkboards properly overlapped or secured with cleats?
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Are platforms free of excessive tools, material and debris?
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Are scaffolds adequately supported (when height -to-base width ratio > 4:1)?
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Is proper access provided to the working platform?
LADDERS & STAIRWAYS
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Are ladders in good condition?
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Are manufacturer's labels affixed & legible?
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Are job build ladders properly constructed?
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Are coworkers climbing ladders properly?
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Do side rails of ladders extend 36" above landings?
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Is the ladder placed at a proper angle (4:1 ratio)?
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Are ladders properly secured top and bottom?
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Are ropes provided to move material without carrying up/down ladder?
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Is clear access provided at top & bottom of access ladder?
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Are two ladders provided when 25+ coworkers are on elevated decks?
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Have damaged / defective ladders or components been removed from service?
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STAIRWAYS
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Are sides & edges of stairways protected by a guardrails system?
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Are rails in place on any stairways with more than 4 risers?
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Are slab openings at stairways protected by toe boards?
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Are stairs clean & unobstructed?
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If temporarily closed, are stairs adequately barricaded with signage?
FRAMING / FORMING
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Are formwork drawing available on site?
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Are elevated decks inspected by a qualified person?
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Are coworkers trained to work with these form system?
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Are nonessential coworkers / other trades prevented from walking beneath the leading edge of decks under construction?
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Are coworkers aware of pinch points & hand hazards associated with these systems?
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Are overhead materials (plywood, panels) left unsupported?
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Are props and / or frames plumb & set on a firm surface capable of supporting the intended load?
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Are braces properly installed?
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Have damaged / defective forms been removed from service?
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Are coworkers manually moving materials following framing / forming procedures?
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STRIPPING FORMWORK / RESHORING
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Has concrete reached sufficient strength for stripping?
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Is the stripping area barricaded and with signage?
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Is stripped material lowered safely or allowed to "free fall?
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Is stripped material kept clear of walkways & egress routes?
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Are protruding nails pulled or bend over?
HOUSEKEEPING (PREVENTING SLIP, TRIP & FALLS)
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Is there adequate lightning in all walkways & work areas?
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Is task lighting adequate?
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Are all aisle -ways and emergency routes clear of materials and debris?
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Are material storage areas orderly & navigable?
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Are there receptacles for lunch trash?
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Are Caution & Danger tape barricades removed when they are no longer needed?
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Is all exposed rebar caped to protected coworkers from injury,
SKIP PANS, TRASH BOXES, OUTRIGGERS
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Are skip pans / trash boxes equipped with proper rigging that is tagged (or stamped with rated capacity) and in good condition)?
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Is there a visible load rating on each skip pan / trash box?
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Are skip pans / trash boxes free of damage (no broken welds)?
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Is material not stacked beyond the sides of skip pans / trash boxes?<br>
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Are outriggers installed per Baker Engineering requirements?
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Are removable handrails installed at the slab edge to prevent coworker fall exposure when outrigger doors are open?
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Are self-retracting lifelines installed to allow coworkers to “tie off” when working on outriggers?
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Are Outrigger Warning Signs installed to remind coworkers of fall hazards & outrigger capacity?
HEAVY EQUIPMENT & TRUCKING
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Are seat belts being used by operators?
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Are other coworkers prohibited from ridding on equipment?
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Does equipment have a functional back up alarm?
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Are the operators driving equipment at a safe speed?
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Is the operator qualified / certified?
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Has a documented daily inspection of the equipment been performed?
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Is the parking brake set and all forks / buckets lowered to ground when equipment is not in use?
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Does the equipment have fire extinguishers and required manufacturer labels?
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Are coworkers using safe means to access flat bed trailers?
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Are spotters used to assist backing concrete trucks?
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Are trained flagman used to control traffic during deliveries?
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Are the mud flaps present and in good conditions?
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TX DOT Insurance, Inspection Decal, and Certificate present
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Is the load secure?
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Are the straps in good working condition?
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Height / wide load clearance meet DOT requirements?
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Are the lights, horn, flashers and brakes working?
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Is the insurance card current?
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Accident kit (accident form, camera) present in the truck?
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Is a fire extinguisher available and charged?
Office Trailer
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Are office trailers clean and organized?
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being all wasted bins emptied?
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Are electrical panels secured and safe?
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If generator is in used it is a safe distance and have a fire extinguisher within 25'?
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SCORING
A = Compliant or 95 - -100%
B = Positive effort or 85 - 94 %
C = Average effort or 75 - 84%
D = Serious or 0 - 74% -
This audit reflects the condition of the job-site at the time of inspection and limited by the portion of the site that was inspected.
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Superintendent's Name
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Personnel Present
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Safety Officer
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"COMMITTED TO CREATING A HEALTHY LIFE, FREE OF INJURY, FOR ALL CO- WORKERS"
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"TOMORROW IS YOUR REWARD FOR WORKING SAFELY TODAY"