South Valley Commercial

• General Contractor

• Project Manager

• General Contractor/Project Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

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General Contractor

• Are trash cans & dumpsters near by adequate?

  Yes

  No

  N/A

• Safety rails needed on any open areas exposing a fall hazard?

  Yes

  No

  N/A

• Toilets clean?

  Yes

  No

  N/A

• Materials from other trades out of our way?

  Yes

  No

  N/A

• Fire extinguisher in trailer/fire extinguisher notification posted?

  Yes

  No

  N/A

• SDS, Hazcom & Safety Policy located with General Contractor?

  Yes

  No

  N/A

• Are ladders being used for access? Do the ladders meet the ladder standard?

  Yes

  No

  N/A

• First aid kit properly stocked?

  Yes

  No

  N/A

• Emergency phone numbers posted?

  Yes

  No

  N/A

Fall Protection / Scaffolding / Ladders

• Footing must be sound "no 2"x4"s or bricks".

  Yes

  No

  N/A

• Scaffold over 10' requires safety rails or being tied off.

  Yes

  No

  N/A

• Safety rails required on perry's at 6'.

  Yes

  No

  N/A

• All working areas of a scaffold must be fully planked.

  Yes

  No

  N/A

• All braces must be in place.

  Yes

  No

  N/A

• Base plates or casters must be used.

  Yes

  No

  N/A

• All casters must have brakes.

  Yes

  No

  N/A

• Competent person on site? If no please explain? Identify competent person.

  Yes

  No

  N/A

• Are stilts being inspected daily and in good repair?

  Yes

  No

  N/A

• Harness-lanyards being used when exposed to fall hazards? Inspected before each use?

  Yes

  No

  N/A

• Fall protection being used on articulating aerial lifts?

  Yes

  No

  N/A

• Are extension ladders, step ladders, and benches being used properly and inspected on a regular basis?

  Yes

  No

  N/A

• Was the scaffold correctly assembled, stilts in good repair, fall protection being utilized when necessary, and ladders being used in accordance with OSHA standards per sections 1926.500(Fall Protection),1926.450(Scaffolding), and 1926.1053(Ladders)?

  Safe

  At Risk

  N/A

Aerial and Articulating lifts

• Daily inspection of the unit(fluid leaks, pneumatics, hydraulic lines, banjo bolts, decals, damaged equipment, platform and ground controls operations, and platform rails & gate entry) complete?

  Yes

  No

  N/A

• Fall protection required for the unit? If yes, are the correct anchor points being used?

  Yes

  No

  N/A

• Has a pre-operation( platform & ground controls functioning, audible alarms, emergency stop, steering functions, and test drive)been completed

  Yes

  No

  N/A

• Was the work area inspected for(over head hazards, location of personnel, uneven or unstable ground, leading edges, or any other potential) hazards.

  Yes

  No

  N/A

• Are the operation, owners, and instructions manual located on the machine?

  Yes

  No

  N/A

• Have the operators been trained and certified in the use of the specific lift being used?

  Yes

  No

  N/A

• Do the operators have their certification?

  Yes

  No

  N/A

• Was the aerial and articulating lift utilized correctly, and operators receive proper training and certification on the use, in accordance with OSHA standards per section 1926.453(a)(1)(Aerial lifts)?

  Safe

  At Risk

  N/A

Personal Protection Equipment (PPE)

• Hard hats being worn?

  Yes

  No

  N/A

• Are gloves being worn when working with sharp materials?

  Yes

  No

  N/A

• Ear plugs being used?

  Yes

  No

  N/A

• Safety glasses being worn? or side shields used with glasses?

  Yes

  No

  N/A

• Face shield being used when using chopsaw?

  Yes

  No

  N/A

• Welding hoods must not have cracks or scratched lens?

  Yes

  No

  N/A

• Work boots being worn?

  Yes

  No

  N/A

• Was PPE being worn and utilized correctly, when necessary, in accordance with OSHA standards per section 1926.95(Personal Protective and Life Saving Equipment)?

  Safe

  At Risk

  N/A

Electrical

• Extension cords being connected to a Ground Fault Circuit Interrupter(GFCI) with ground prong intacted?

  Yes

  No

  N/A

• Tools grounded or double insulated, tool cords free of damage, and proper plug ends on tools?

  Yes

  No

  N/A

• Extension cords are in good conditions?

  Yes

  No

  N/A

• Guards are in place on power tools?

  Yes

  No

  N/A

• Were GFCI's in place, proper/damage free extension cords being used, and the power tools in good repair in accordance with OSHA standards per sections 1926.300(Power Tools), 1926.404(GFCI), 1926.405(Extension Cords)?

  Safe

  At Risk

  N/A

House Keeping / Trip Hazards

• Work areas & hallway clean & free of trip hazards for employees working from stilts?

  Yes

  No

  N/A

• Scraps picked up or stacked out of the way?

  Yes

  No

  N/A

• Was the house keeping in accordance with OSHA standards per section 1926.25(House Keeping)?

  Safe

  At Risk

  N/A

Fire Prevention & Protection

• Fire extinguisher on site & close to hot work?

  Yes

  No

  N/A

• Flammable storage properly isolated?

  Yes

  No

  N/A

• ANSI approved fuel cans? Clearly marked?

  Yes

  No

  N/A

• Do not store flammables in enclosed space, next to stairways or near an exit.

  Yes

  No

  N/A

• Proper warning signs posted?

  Yes

  No

  N/A

• Adequate fire watch precautions taken?

  Yes

  No

  N/A

• Was the necessary fire protection on site being used in accordance with OSHA standards per section 1926.150(Fire Protection)?

  Safe

  At Risk

  N/A

Powder/Gas Actuated Tools / Lasers

• Laser & Powder Actuated Tool warning placards posted?

  Yes

  No

  N/A

• License for all operators using powder/gas actuated tools.

  Yes

  No

  N/A

• Proper disposal of misfired live and used rounds?

  Yes

  No

  N/A

• Guns are properly stored?

  Yes

  No

  N/A

• Was the powder actuated tool and laser being used in accordance with OSHA standards per section 1926.302(e)(Powder Actuated Tools) and 1925.54(Lasers)?

  Safe

  At Risk

  N/A

Completion of Safety Audit and Documentation

• Forman, leadman, and crew pretasking?<br>- What were the tasks?<br>- What will be needed(materials or equipment)?<br>- What are the hazards when performing those tasks?<br>- What steps are being taken to eliminate those hazards?

  Yes

  No

  N/A

• Are near miss reports turned into the office on the same day?

  Yes

  No

  N/A

• Are accident reports turned into the office on the same day?

  Yes

  No

  N/A

• Site free of Safety Violation?

  Safe

  At Risk

  N/A

• Corrective actions taken to eliminate any potential hazards.

• Closing comments.

Person conducting the safety audit.

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