Southern Pan Services

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HOUSEKEEPING

• General neatness

  Safe

  At Risk

  N/A

• Passageways clear

  Yes

  No

  N/A

• Scrap lumber piles together

  Yes

  No

  N/A

• No protruding nails

  Safe

  At Risk

  N/A

• Adequate trash containers

  Yes

  No

  N/A

LADDERS

• Ladders in good condition

  Yes

  No

  N/A

• Stepladders fully open in use

  Yes

  No

  N/A

• Proper size ladder for job

  Yes

  No

  N/A

• Proper use

  Yes

  No

  N/A

• Area around top and bottom clear

  Yes

  No

  N/A

• Job-made secured top and bottom

  Yes

  No

  N/A

• Side rails extended 36" above work deck

  Yes

  No

  N/A

• Offset rail installed in front of ladder

  Yes

  No

  N/A

• Adequate guardrails around ladder opening

  Yes

  No

  N/A

Guardrails

• Standard rails with top, intermediate, and toe boards

  Yes

  No

  N/A

• Wall openings- protected from fall above 6'

  Yes

  No

  N/A

• Floor openings greater than 2" diameter- covered and marked "HOLE"

  Yes

  No

  N/A

• Every open sided floor 6' above ground or adjacent floor

  Yes

  No

  N/A

• Scaffold= Guardrails in place for work above 6'

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Approved body harness- Good condition

  Yes

  No

  N/A

• Approved Lanyards- Good condition

  Yes

  No

  N/A

• Proper use

  Yes

  No

  N/A

• Safety Glasses 100%

  Yes

  No

  N/A

• Tied off properly- No swing fall hazard

  Safe

  At Risk

  N/A

CONTROLLED ACCESS ZONE

• Controlled access zone installed properly

  Yes

  No

  N/A

• Stripping warning line installed properly

  Yes

  No

  N/A

• CAZ lines in place

  Yes

  No

  N/A

SAFE-T-STRAP EQUIPMENT

• Proper use of restraint line system

  Yes

  No

  N/A

• Safe-t-strap inspected in good condition

  Yes

  No

  N/A

• Proper installation of restraint line

  Yes

  No

  N/A

PAN PRO ANCHOR and RETRACTABLES

• Proper installation of Pan Pro

  Yes

  No

  N/A

• Impalement protection on Pan Pro

  Yes

  No

  N/A

• Proper use of retractable

  Yes

  No

  N/A

• Pan Pro and retractables in good condition

  Yes

  No

  N/A

RIGGING EQUIPMENT

• Safety latches on hooks

  Yes

  No

  N/A

• Lifting slings in safe condition and working condition

  Yes

  No

  N/A

• Load rating labels on slings

  Yes

  No

  N/A

• Load ratings legible

  Yes

  No

  N/A

POWER CORDS and TOOLS

• Power tools- safe working condition

  Yes

  No

  N/A

• Power cords & 3 way- safe working condition

  Yes

  No

  N/A

TRAINING DOCUMENTS

• Daily leading edge- completed and up to date

  Yes

  No

  N/A

• Daily stripping safety- completed and up to date

  Yes

  No

  N/A

• Weekly safety meetings completed and specific to current site conditions

  Yes

  No

  N/A

• Safety documents filed in secure location

  Yes

  No

  N/A

HAZARD COMMUNICATION

• All MSDS for chemicals being used onsite

  Yes

  No

  N/A

• All containers for chemical labeled

  Yes

  No

  N/A

OSHA

• 300 log posted in office

  Yes

  No

  N/A

• Employee rights displayed

  Yes

  No

  N/A

PHYSICIANS PANEL and FEDERAL & STATE POSTINGS

• Physicians panel posted

  Yes

  No

  N/A

• 5 in 1 poster displayed- federal & state labor laws

  Yes

  No

  N/A

• Comments

• Add media

  Media

• Superintendent

  Sign

• Project Manager

  Sign

• Safety Manager

  Sign