Information

  • Builder

  • Supervisor

  • Builder/Project Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Builder

  • Are trash cans & dumpsters near by adequate.

  • Toilets clean?

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

  • Materials from other trades out of our way?

  • MSDS, Hazcom & Safety Policy located with General Contractor or Builder?

  • Fire extinguisher in trailer/fire extinguisher notification posted?

  • First aid kit properly stocked?

  • Emergency phone numbers posted?

What is the current stage of the site?

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Fall Protection / Scaffolding / Ladders

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

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

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

  • All braces must be in place.

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

  • Base plates or casters must be used.

  • All casters must have brakes.

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

  • Fall protection being used when safety rails are not feasible or working above 6'?

  • Are stilts being inspected daily and in good repair?

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

  • 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)?

Personal Protection Equipment (PPE)

  • Hard hats being worn?

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

  • Are gloves being worn when working with sharp materials?

  • Work boots being worn?

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

Electrical

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

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

  • Extension cords are in good conditions?

  • Guards are in place on power tools?

  • 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)?

House Keeping / Trip Hazards

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

  • Scraps picked up or stacked out of the way?

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

Fire Prevention & Protection

  • Fire extinguisher on site & close to hot work?

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

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

Completion of Safety Audit and Documentation

  • Forman/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?

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

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

  • Site free of Safety Violations?

  • Corrective actions taken to eliminate any potential hazards.

  • Closing comments.

Superintendent or Supervisor conducting safety audit.

  • Add signature

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