STRUCTURAL West Manager's Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1)      PERSONAL PROTECTIVE EQUIPMENT

• a)      Hard hats worn?

  Yes

  No

  N/A

• b)      Eye and face protection is adequate?

  Yes

  No

  N/A

• c)      Hearing protection worn in high noise areas?

  Yes

  No

  N/A

• d)      Proper gloves being worn?

  Yes

  No

  N/A

• e)      Employees have leather safety toe workboots?

  Yes

  No

  N/A

• f)       Proper work clothing (long pants, sleeved shirts)?

  Yes

  No

  N/A

• g)      FRC Clothing (proper fit, zipped, buttoned, good condition)?

  Yes

  No

  N/A

• h)      Chemical protection (Tyvek/Rain Suit)?

  Yes

  No

  N/A

• i)        Are reflective vests available where needed?

  Yes

  No

  N/A

2)      HOUSEKEEPING

• a)      Are rebar caps used to eliminate impalement potential?

  Yes

  No

  N/A

• b)      Debris kept clear of work areas, passageways and stairs?

  Yes

  No

  N/A

• c)      Combustible debris regularly removed to control fire hazards?

  Yes

  No

  N/A

• d)      Formwork and other scrap lumber free from protruding nails?

  Yes

  No

  N/A

• e)      Containers available for disposal of waste materials (dumpster, trash container)?

  Yes

  No

  N/A

• f)       Are waste containers regularly emptied to avoid overfilling?

  Yes

  No

  N/A

• g)      Are hoses and cords managed to prevent trip hazards?

  Yes

  No

  N/A

• h)      Is work are free from ice, oil and other slip hazards?

  Yes

  No

  N/A

• i)        Bagged concrete materials stacked/stored to prevent falling, collapse, sliding?

  Yes

  No

  N/A

• j)        Aisles and passageways clear and adequate for safe material handling?

  Yes

  No

  N/A

• k)      Pedestrian walkways free of trip and slip hazards?

  Yes

  No

  N/A

3)      STRUCTURE SAFETY AND PROTECTION

• a)      Loose and delaminated concrete removed prior to working?

  Yes

  No

  N/A

• b)      Is shoring installed according to the shoring plan?

  Yes

  No

  N/A

• c)      Is shoring system maintained?

  Yes

  No

  N/A

• d)      Is structure capable of supporting construction equipment/debris?

  Yes

  No

  N/A

• e)      Point loading of debris on elevated decks is managed to prevent collapse?

  Yes

  No

  N/A

• f)       Material stored at least 10 feet away from edges/handrails or other wise prevented from falling?

  Yes

  No

  N/A

4)      RESPIRATORY PROTECTION/HAZARD COMMUNICATION

a)      Respiratory Protection

• i)        Have employees received respiratory protection training?

  Yes

  No

  N/A

• ii)      Have respirator users been medically qualified for respirator use?

  Yes

  No

  N/A

• iii)    Respirator users have a fit test card indicating a fit test performed within the last 12 months?

  Yes

  No

  N/A

• iv)    Do the make, model and size of the respirator being worn correspond with the fit test card?

  Yes

  No

  N/A

• v)      Is Respirator adequate for the specific respiratory hazard?

  Yes

  No

  N/A

• vi)    Are respirators properly stored, cleaned and disinfected?

  Yes

  No

  N/A

• vii)  Respirators properly used (user seal check, worn correctly, clean shaven, etc)?

  Yes

  No

  N/A

viii)Breather Box

• (1)   Calibrated within the last month?

  Yes

  No

  N/A

• (2)   Installed and used according to STRUCTURAL West Breathing Air Guidelines?

  Yes

  No

  N/A

b)      Hazard Communication

• i)        Have employees received Hazard Communication training?

  Yes

  No

  N/A

• ii)      Have employee reviewed the MSDS for specific materials in use?

  Yes

  No

  N/A

• iii)    Are MSDS on site and available to employees?

  Yes

  No

  N/A

• iv)    Are containers labeled with contents?

  Yes

  No

  N/A

5)      FALL PROTECTION

• a)      Have employees received Fall Protection Training?

  Yes

  No

  N/A

• b)      Is fall protection equipment inspected prior to each use?

  Yes

  No

  N/A

• c)      Changes in elevation greater than 6ft are protected with guardrails or equivalent?

  Yes

  No

  N/A

• d)      Floor openings are covered/clearly marked or guarded?

  Yes

  No

  N/A

• e)      Handrails are properly constructed with top-rail, mid-rail and toe board?

  Yes

  No

  N/A

• f)       Employees using personal fall arrest systems when exposed to falls?

  Yes

  No

  N/A

• g)      Employees practicing 100% tie off?

  Yes

  No

  N/A

• h)      Anchorage points rated for 5000 lbs/employee connected?

  Yes

  No

  N/A

6)      EQUIPMENT USE, INSPECTION & MAINTENANCE

a)      Compressed Air Equipment/Manifold System

i)        Mobile Air Compressor

• (1)   Inspected before use?

  Yes

  No

  N/A

• (2)   Maintenance performed according to schedule?

  Yes

  No

  N/A

ii)      Receiver Manifold (Pig)

• (1)   Equipped with a safety relief valve, pressure gauge, and operable drain (petcock) valve?

  Yes

  No

  N/A

• (2)   Receiver Pressure is not more than 120 psi?

  Yes

  No

  N/A

• (3)   Legible ASME B&PV Code, Section VIII data plate on manifold?

  Yes

  No

  N/A

iii)    Hoses

• (1)   Inspected before use?

  Yes

  No

  N/A

• (2)   Whip checks installed at each connection?

  Yes

  No

  N/A

• (3)   Chicago couplings secured with pins (no tie wire)?

  Yes

  No

  N/A

• (4)   Hoses placed to minimize tripping hazards?

  Yes

  No

  N/A

iv)    Chipping guns

• (1)   Inspected before use?

  Yes

  No

  N/A

• (2)   Retainer ring in good shape?

  Yes

  No

  N/A

• (3)   In line oiler installed, has oil in it and is set between 15 and 30?

  Yes

  No

  N/A

b)      Access Equipment

i)        Suspension Scaffolds

• (1)   Have employees received swing stage scaffold user training?

  Yes

  No

  N/A

• (2)   Suspension scaffold properly constructed & inspected competent person before each shift

  Yes

  No

  N/A

• (3)   Roof setup for suspension scaffold properly constructed & inspected competent person before each shift?

  Yes

  No

  N/A

• (4)   Weight of employees, tools & equipment within scaffold rating?

  Yes

  No

  N/A

• (5)   Employees not over reaching limits of scaffolds?

  Yes

  No

  N/A

• (6)   Hand rails complete?

  Yes

  No

  N/A

ii)      Supported Scaffolds

• (1)   Scaffold properly constructed & inspected competent person before each shift?

  Yes

  No

  N/A

• (2)   Weight of employees, tools & equipment within scaffold rating?

  Yes

  No

  N/A

• (3)   Landing areas and platforms free of debris and trip hazards?

  Yes

  No

  N/A

• (4)   Employees not over reaching limits of scaffold?

  Yes

  No

  N/A

• (5)   Hand rails complete

  Yes

  No

  N/A

iii)    Ladders and Stairways

• (1)   Have employees received Ladder/Stairway training?

  Yes

  No

  N/A

• (2)   Ladder at proper angle, tied off @ top and extends 3 ft. above landing?

  Yes

  No

  N/A

• (3)   Ladders constructed of non-conductive material?

  Yes

  No

  N/A

• (4)   Ladders inspected before each use and not damaged?

  Yes

  No

  N/A

• (5)   Stair rails provided for stairs with 4 or more risers?

  Yes

  No

  N/A

• (6)   Stairways free of debris, sand, oil, ice, elect. cords, airlines?

  Yes

  No

  N/A

• (7)   Stairways not used for storage of materials?

  Yes

  No

  N/A

• (8)   Stairway or ladder provided when break in elevation is > 19"?

  Yes

  No

  N/A

iv)    Aerial Lifts

• (1)   Have employees received Aerial Lift training?

  Yes

  No

  N/A

• (2)   Has the aerial lift been inspected daily before use?

  Yes

  No

  N/A

• (3)   Is the operating area stable and reasonably level?

  Yes

  No

  N/A

• (4)   Are employees tied off at all times to basket?

  Yes

  No

  N/A

• (5)   Aerial lift not used to lift materials?

  Yes

  No

  N/A

• (6)   Weight of employees, tools and equipment within manufacturer's specification?

  Yes

  No

  N/A

• (7)   Fire extinguisher mounted and inspected?

  Yes

  No

  N/A

• (8)   Operated safely?

  Yes

  No

  N/A

• (9)   Running equipment not left unattended?

  Yes

  No

  N/A

v)      Scissor Lifts

• (1)   Have employees received scissor lift training?

  Yes

  No

  N/A

• (2)   Has the scissor lift been inspected daily before use?

  Yes

  No

  N/A

• (3)   Is the operating area stable and reasonably level?

  Yes

  No

  N/A

• (4)   Are employees tied off at all times to platform?

  Yes

  No

  N/A

• (5)   Scissor lift not used to lift materials?

  Yes

  No

  N/A

• (6)   Weight of employees, tools and equipment within manufacturer's specification?

  Yes

  No

  N/A

• (7)   Fire extinguisher mounted and inspected?

  Yes

  No

  N/A

• (8)   Operated safely?

  Yes

  No

  N/A

c)      Construction Equipment

i)        Skid Steers

• (1)   Have operators received skid steer operator training?

  Yes

  No

  N/A

• (2)   Has the skid steer been inspected daily before use?

  Yes

  No

  N/A

• (3)   Is the operating area stable and reasonably level?

  Yes

  No

  N/A

• (4)   Skid steer used properly?

  Yes

  No

  N/A

• (5)   Fire extinguisher mounted and inspected?

  Yes

  No

  N/A

• (6)   Operated safely, seat belt worn?

  Yes

  No

  N/A

• (7)   Running equipment not left unattended?

  Yes

  No

  N/A

• (8)   Equipment cleaned & free of debris?

  Yes

  No

  N/A

ii)      Concrete Buggies

• (1)   Have operators received operator training?

  Yes

  No

  N/A

• (2)   Has the concrete buggy been inspected daily before use?

  Yes

  No

  N/A

• (3)   Is the operating area stable and reasonably level?

  Yes

  No

  N/A

• (4)   Concrete buggy used properly?

  Yes

  No

  N/A

• (5)   Fire extinguisher mounted and inspected?

  Yes

  No

  N/A

• (6)   Operated safely?

  Yes

  No

  N/A

• (7)   Running equipment not left unattended?

  Yes

  No

  N/A

• (8)   Equipment cleaned & free of debris?

  Yes

  No

  N/A

iii)    Forklifts

• (1)   Have operators received forklift operator training?

  Yes

  No

  N/A

• (2)   Has the forklift been inspected daily before use?

  Yes

  No

  N/A

• (3)   Is the operating area stable and reasonably level?

  Yes

  No

  N/A

• (4)   Forklift used properly?

  Yes

  No

  N/A

• (5)   Operated safely, seat belt worn?

  Yes

  No

  N/A

• (6)   Forks lowered to ground when not in use?

  Yes

  No

  N/A

• (7)   Running equipment not left unattended?

  Yes

  No

  N/A

• (8)   Equipment cleaned & free of debris?

  Yes

  No

  N/A

d)      Other Equipment and Tools

• i)        Equipment/Tools disconnected from power source before changing bits/blades?

  Yes

  No

  N/A

ii)      Hammer Drills

• (1)   Only Hilti Brand with ATC feature available for use?

  Yes

  No

  N/A

• (2)   Employee keeping body parts out of the “line of fire”

  Yes

  No

  N/A

iii)    Grinders

• (1)   Are guards and handles in place?

  Yes

  No

  N/A

• (2)   Grinding discs/blades have rpm rating greater than grinder spindle speed?

  Yes

  No

  N/A

iv)    Circular Saws

• (1)   Guards operate properly?

  Yes

  No

  N/A

• (2)   Employees operating with two hands?

  Yes

  No

  N/A

• (3)   Equipped with electric brake or worm drive?

  Yes

  No

  N/A

v)      Sand Pot

• (1)   Have employees received training?

  Yes

  No

  N/A

• (2)   Has the sand pot been inspected daily before use?

  Yes

  No

  N/A

vi)    Pressure Washer/Water Blaster

• (1)   Have operators received training?

  Yes

  No

  N/A

• (2)   Has the equipment been inspected daily before use?

  Yes

  No

  N/A

• (3)   Equipment being used properly?

  Yes

  No

  N/A

vii)  Grout Pump (Epoxy, Chemical, Concrete)

• (1)   Have employees received training?

  Yes

  No

  N/A

• (2)   Has the equipment been inspected daily before use?

  Yes

  No

  N/A

e)      Motor Vehicles

• i)        In safe operating condition (lights, windshield, horn, tires, brakes, gauges operable)?

  Yes

  No

  N/A

• ii)      State inspection current?

  Yes

  No

  N/A

• iii)    License/Registration current?

  Yes

  No

  N/A

• iv)    Driver has valid state issued driver’s license and designated as an approved driver?

  Yes

  No

  N/A

• v)      Trailer/equipment connected properly (safety chains, lights, hitch, and brakes)?

  Yes

  No

  N/A

• vi)    Load is stable, secured properly, does not overload vehicle?

  Yes

  No

  N/A

• vii)  Fire extinguisher mounted in bed of pickup?

  Yes

  No

  N/A

• viii)Operat0065d safely, seat belt worn?

  Yes

  No

  N/A

• ix)    Running equipment not left unattended?

  Yes

  No

  N/A

• x)      Cab and truck bed cleaned & free of debris?

  Yes

  No

  N/A

7)      JOBSITE SAFETY REQUIREMENTS

a)      Postings

• i)        6 IN 1 Poster (0SHA, Minimum Wage, Discrimination, etc.)

  Yes

  No

  N/A

• ii)      Emergency Action Plan poster is completely filled out and posted?

  Yes

  No

  N/A

b)      Medical/First Aid

• i)        Local clinic for injury treatment identified in the Safety Execution Plan?

  Yes

  No

  N/A

• ii)      Local hospital with emergency room facilities identified in the Safety Execution Plan?

  Yes

  No

  N/A

• iii)    Trained First Aid/CPR provider been identified by name in the Safety Execution Plan?

  Yes

  No

  N/A

• iv)    First Aid/CPR provider has unexpired FA/CPR Training card?

  Yes

  No

  N/A

• v)      First aid kit is available on site and inspected regularly?

  Yes

  No

  N/A

• vi)   Is emergency eyewash station available when corrosive or other injurious materials are used?

  Yes

  No

  N/A

• vii)  Bloodborne pathogens kits available

  Yes

  No

  N/A

c)      Electrical Safety

• i)        GFCI’s in use or assured grounding program implemented?

  Yes

  No

  N/A

• ii)      Electric cords inspected before use?

  Yes

  No

  N/A

• iii)    Electric panels properly constructed with covers & inspected?

  Yes

  No

  N/A

d)      Sanitation

• i)        Is an adequate supply of drinking water available?

  Yes

  No

  N/A

• ii)      Portable drinking water containers cleaned, sanitized and rinsed daily and properly marked/dated?

  Yes

  No

  N/A

• iii)    Disposable cups and trash receptacle available?

  Yes

  No

  N/A

• iv)    Adequate number of toilets/wash facilities provided (1 toilet/50 employees or less; 1/each additional 50)?

  Yes

  No

  N/A

• v)      Do mobile crews have transportation to toilet/wash facilities nearby?

  Yes

  No

  N/A

• vi)    Are eating/drinking areas located to prevent exposure to harmful materials?

  Yes

  No

  N/A

• vii)  Trash disposal available at eating/drinking areas?

  Yes

  No

  N/A

a)      Gas Cylinder Safety

• i)        Compressed cylinders stored and secured vertically?

  Yes

  No

  N/A

• ii)      Caps on cylinders when not in use?

  Yes

  No

  N/A

• iii)    O 2 and fuel gases stored 20' apart?

  Yes

  No

  N/A

• iv)    Flash back arresters on torch handle & at cylinder?

  Yes

  No

  N/A

• v)      Compressed gas cylinders handled and moved safely?

  Yes

  No

  N/A

f)       Fuel Handling and Flammable Liquids

• i)        OSHA fuel cans with flash arrester?

  Yes

  No

  N/A

• ii)      Equipment turned off while fueling?

  Yes

  No

  N/A

• iii)    Fuel storage area: Signs/Containment/> 20lbs Extinguisher?

  Yes

  No

  N/A

• iv)    Proper storage of flammable liquid construction products?

  Yes

  No

  N/A

g)      Fire Protection

• i)        Adequate fire extinguishers: Inspection/placement/size?

  Yes

  No

  N/A

• ii)      Welding, burning, cutting: No combustibles in area?

  Yes

  No

  N/A

• iii)    Fire watch provided when necessary?

  Yes

  No

  N/A

• iv)    Oily rags stored in proper container?

  Yes

  No

  N/A

• v)      Designated smoking area provided/No smoking signs posted?

  Yes

  No

  N/A

• vi)    Fire extinguishers being maintained?

  Yes

  No

  N/A

• vii)  Employees trained in proper use of fire extinguishers?

  Yes

  No

  N/A

h)      Ventilation

• i)        20 air changes per hour in confined space?

  Yes

  No

  N/A

• ii)      Provides clean, breathable air (Constant Monitoring)?

  Yes

  No

  N/A

• iii)    Air flow sufficient to reduce contaminants to a safe level?

  Yes

  No

  N/A

i)        Other

i)        Confined Space

• (1)   Following Confined Space Entry Permit process?

  Yes

  No

  N/A

• (2)   Employees trained in Confined Space Entry?

  Yes

  No

  N/A

• (3)   Entry Supervisor Trained?

  Yes

  No

  N/A

• (4)   Rescue services available?

  Yes

  No

  N/A

ii)      Working On, Over or Near Water

• (1)   Life vests available?

  Yes

  No

  N/A

• (2)   Life Ring w/ 90 ft. of line present every 200 ft.?

  Yes

  No

  N/A

• (3)   Rescue skiff available?

  Yes

  No

  N/A

iii)    Excavation/Trenching

• (1)   Following trenching procedures

  Yes

  No

  N/A

• (2)   Employees competent in trenching procedures

  Yes

  No

  N/A

• (3)   Qualified person assessing effective trench Procedures

  Yes

  No

  N/A

• (4)   Shoring, Benching, Sloping engineered

  Yes

  No

  N/A

• (5)   Proper entry and exits provided

  Yes

  No

  N/A

iv)    Third Party Safety (other contractors, general public)

• (1)   Public warning/hazard signs, signals or communication?

  Yes

  No

  N/A

• (2)   Traffic control: signs, direction, barrels, barricades?

  Yes

  No

  N/A

• (3)   Dust/Vapor: Dust curtains, tape doors/windows, ventilated area?

  Yes

  No

  N/A

• (4)   Public Protected from flying/spilled construction debris/chemicals?

  Yes

  No

  N/A

• (5)   Pedestrian walkways protected from trip & slip hazards?

  Yes

  No

  N/A

• (6)   Adequate pedestrian barriers/fences/gates/flagging?

  Yes

  No

  N/A

• (7)   Overhead protection from falling/flying debris/tools/equip.?

  Yes

  No

  N/A

• j)        Adequate lighting in all areas?

  Yes

  No

  N/A

• k)      Embedded utilities located?

  Yes

  No

  N/A

8)      SAFETY CULTURE

• a)      Safety Execution Plan developed and on site?

  Yes

  No

  N/A

• b)      Front Line Safety Initiatives implemented?

  Yes

  No

  N/A

• c)      Project Manager dedicates time to ensure safety related obligations are fulfilled?

  Yes

  No

  N/A

• d)      JSA's when new tasks start?

  Yes

  No

  N/A

• e)      Pre Project Planning (PrePP) done for changed conditions?

  Yes

  No

  N/A

• f)       Pre Task Planning (PreTP) done prior to starting new tasks?

  Yes

  No

  N/A

• g)      Site specific safety training from PrePP completed?

  Yes

  No

  N/A

• h)      Follow-up on action items from JSA's, MSA's, PrePP, PreTP?

  Yes

  No

  N/A

• i)        Site Specific Safety Plan from PrePP implemented?

  Yes

  No

  N/A

• j)        New emp. given Standard Orientation prior to starting work?

  Yes

  No

  N/A

• k)      “Danger - Do Not Use” tags available and in use where needed?

  Yes

  No

  N/A

9)      COMPETENT PERSONS

• a)      Personal Protective Equipment:

• b)      Respiratory Protection:

• c)      Fall Protection:

• d)      Scaffolds, Platforms and Ladders:

• e)      Motorized Access Equipment:

• f)       Confined Space:

• g)      Forming:

• h)      Grouting:

• i)        Trenching:

• j)        Cranes/Hoists & Rigging:

• k)      Welding:

Signatures

• Job Site Supervisor

  Sign

• Auditor

  Sign