Summit Homes Weekly Audit - DVV

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Preliminary Supervisor Meeting

• Have there been any accidents, near misses, or damage since our last visit?

  Yes

  No

  N/A

• If yes, how were they corrected?

  Yes

  No

  N/A

• Are you conducting site specific orientations with all new site workers?

  Yes

  No

  N/A

• Do you utilize a daily site visitor sign in sheet?

  Yes

  No

  N/A

• Do you have a safety checklist for visitors to your site?

  Yes

  No

  N/A

General Safety and Health Provisions - Subpart C - 1926.20

• Jobsite properly fenced, signed, and secured?

  Yes

  No

  N/A

• Adequate dumpsters for trash and recyclables?

  Yes

  No

  N/A

• Housekeeping was in good condition. The jobsite was clean and safe?

  Yes

  No

  N/A

Occupational Health and Environmental Controls - Subpart D - 1926.50

• Adequate supply of water and individual drinking containers provided?<br>

  Yes

  No

  N/A

• Adequate Toilets available for employees on site?<br># of employees|# of toilets<br>< 20.................| 1<br>> 20.................| 1 toilet seat and 1 urinal/40 workers<br>> 200...............| 1 toilet seat and 1 urinal/50 workers<br>

  Yes

  No

  N/A

Personal Protective Equipment - Subpart E - 1926.95

• Standard PPE - Safety Boots worn by everyone where required? 1926.96

  Yes

  No

  N/A

• Standard PPE - Hardhats worn by everyone where required? 1926.100

  Yes

  No

  N/A

• Standard PPE - Safety Glasses worn by everyone where required? 1926.102

  Yes

  No

  N/A

• Standard PPE - Safety Vests worn by everyone where required?

  Yes

  No

  N/A

• Additional PPE is being utilized as necessary (Hearing Protection, gloves, welding hoods, cutting goggles, face shields)?

  Yes

  No

  N/A

• Respirators are being worn correctly, where required? All users have current Fit Test(s)?

  Yes

  No

  N/A

• Proper clothing being worn by all employees (shirts w/ sleeves, work boots, pants)?

  Yes

  No

  N/A

Fire Safety - Subpart F - 1926.150

• Fire Extinguishers on site (1 for every 3000 SF), 1 per floor in multistory locations?

  Yes

  No

  N/A

• Fire Extinguisher has up to date annual inspection completed?

  Yes

  No

  N/A

• Fire Extinguisher has up to date monthly inspection completed?

  Yes

  No

  N/A

• Metal gas cans properly labeled with flame arrestor? (Plastic cans are not allowed)

  Yes

  No

  N/A

• Smoking in authorized area's only?

  Yes

  No

  N/A

Material Handling & Storage - Subpart H - 1926.250

• All materials are stacked so as to prevent sliding, falling, or collapse?

  Yes

  No

  N/A

• Nails,screws, and staples have all been removed from all stored lumber or bent over?

  Yes

  No

  N/A

• No employees are under suspended loads?

  Yes

  No

  N/A

• Tag lines being used?

  Yes

  No

  N/A

• Materials staged a safe distance from leading edge?

  Yes

  No

  N/A

Tools (Hand and Power) - Subpart I - 1926.300

• Power tools are grounded or double insulated and cord is in good condition?

  Yes

  No

  N/A

• Tools are properly guarded per manufacturer's requirements?

  Yes

  No

  N/A

• Fuel powered tools are shut off prior to refueling?

  Yes

  No

  N/A

• Fuel powered equipment used indoors have adequate ventilation?

  Yes

  No

  N/A

• Powder actuated tools are being used by properly trained employees?

  Yes

  No

  N/A

Electrical - Subpart K - 1926.400

• Assured grounding program in place, or GFCI's used and checked?

  Yes

  No

  N/A

• Permanent power is GFCI protected?

  Yes

  No

  N/A

• Cords, plugs in good condition? Protected from traffic and damage?

  Yes

  No

  N/A

• Temporary lighting - Properly set up, in good condition, protected from damage?

  Yes

  No

  N/A

• Task lighting properly set up?

  Yes

  No

  N/A

• Panels marked and/or labeled, secured, and weather resistant?

  Yes

  No

  N/A

• All live wiring properly guarded or protected from employee exposure?

  Yes

  No

  N/A

• Lock out/tag out being used where required?

  Yes

  No

  N/A

Scaffold - Subpart L -1926.450

• Planking meets OSHA requirements and is in good condition?

  Yes

  No

  N/A

• Working level is fully planked?

  Yes

  No

  N/A

• Planking properly installed? (Overlap or cleats)

  Yes

  No

  N/A

• Guardrails and toe boards (as necessary) in place?

  Yes

  No

  N/A

• Tie-ins, pins, braces installed as required?

  Yes

  No

  N/A

• Footing (cribbing, mudsills, screw-jacks, and baseplates/wheels) properly installed?

  Yes

  No

  N/A

• Height exceeds a 4:1 ratio without proper restraint to prevent tipping, 2:1 if using wheels?

  Yes

  No

  N/A

• All wheels locked?

  Yes

  No

  N/A

• Each employee is using independent anchor point for fall protection?

  Yes

  No

  N/A

• Aerial lifts are working within their limits?

  Yes

  No

  N/A

• Gates are closed or chains are in place on all aerial lifts?

  Yes

  No

  N/A

• Proper PPE being used on aerial/scissor lifts?

  Yes

  No

  N/A

• Employees in aerial lifts have their feet firmly on the ground?

  Yes

  No

  N/A

Fall Protection - Subpart M - 1926.500

• All floor and/or roof openings adequately protected or covered and marked accordingly?

  Yes

  No

  N/A

• Overhead protection provided where necessary?

  Yes

  No

  N/A

• Guardrails in place and able to withstand 200# of outward downward force?

  Yes

  No

  N/A

• Guardrails consist of a top rail, mid rail, and a toe board, installed at proper height?

  Yes

  No

  N/A

• Guardrails are smooth and there is no potential of snags, cuts, or punctures?

  Yes

  No

  N/A

• All employees are using 100% fall protection above 6'?

  Yes

  No

  N/A

• Proper anchor points are being utilized? Overhead? Rated for 5000#?

  Yes

  No

  N/A

Motor vehicles, Mechanized equipment - Subpart O - 1926.600

• Daily Inspection is complete and on the equipment?

  Yes

  No

  N/A

• All equipment - Level/stable work pad, proper distance from excavations/trenches?

  Yes

  No

  N/A

• Is there a working fire extinguisher on all pieces of equipment, as required?

  Yes

  No

  N/A

• Equipment back-up alarms functional and audible?

  Yes

  No

  N/A

• All equipment is equipped with an audible warning device (Horn)?

  Yes

  No

  N/A

• Reflective devices are clean and working?

  Yes

  No

  N/A

• Equipment turned off and parking brake set while unattended.

  Yes

  No

  N/A

• All raise able implements lowered to the ground prior to operator leaving it unattended.

  Yes

  No

  N/A

• Equipment is equipped with seat belt(s) and operator is using?

  Yes

  No

  N/A

Excavations - Subpart P - 1926.650

• Utilities located (current and documented)?

  Yes

  No

  N/A

• Ramps/Ladders every 50' (25' either direction) when 4' or deeper?

  Yes

  No

  N/A

• Existing utilities shored/supported properly?

  Yes

  No

  N/A

• Trenches/excavation deeper than 5', cave in protection provided (trench box, shoring, sloping, benching).

  Yes

  No

  N/A

• Open excavations, road drop offs, trenches, manholes, uneven surfaces - barricaded and have proper notification?

  Yes

  No

  N/A

• Spoil piles at least 2' away from edge of excavation?

  Yes

  No

  N/A

Concrete and Masonry Construction - Subpart Q - 1926.700

• Concrete is able to support all loads placed upon it?

  Yes

  No

  N/A

• Rebar protection (e.g. caps) used?

  Yes

  No

  N/A

• Rebar stakes are not impalement hazard?

  Yes

  No

  N/A

• Shoring/bracing properly installed?

  Yes

  No

  N/A

Stairways - Ladders - Subpart X - 1926.1050

• Stairrails on stairs and exposed edges?

  Yes

  No

  N/A

• Stairwells clear and unobstructed?

  Yes

  No

  N/A

• Stairs with >4 risers or >30" high, equipped with stairrails?

  Yes

  No

  N/A

• All elevation changes of 19" or more have a ladder, ramp, or stair?

  Yes

  No

  N/A

• Ladders extend 3' above landing?

  Yes

  No

  N/A

• Ladders secured from movement?

  Yes

  No

  N/A

• Ropes or other means provided for material/tool retrieval?

  Yes

  No

  N/A

• Ladders properly set up?

  Yes

  No

  N/A

Toxic and Hazardous Substances - Subpart Z

• Employees have the proper level of silica awareness training?

  Yes

  No

  N/A

• Is the silica policy up to date?

  Yes

  No

  N/A

• Do subs on site have updated silica policy?

  Yes

  No

  N/A

• Are tools in good condition and connected to a HEPA filter when working on silica containing products?

  Yes

  No

  N/A

Cranes & Derricks - Subpart CC - 1926.1400

• Outriggers are fully extended?

  Yes

  No

  N/A

• Outriggers are on adequate pads?

  Yes

  No

  N/A

• Crane and hoisting operations are sufficient distance from energized power lines (20' or more)?

  Yes

  No

  N/A

• The operator remains in the cab while load is suspended?

  Yes

  No

  N/A

• Proper distance maintained from all power lines?

  Yes

  No

  N/A

• Hooks have appropriate latches and are in good working order?

  Yes

  No

  N/A

Miscellaneous Items

• Positive Items noted?

• Site Contact: Name and Signature

  Sign