Superintendent Safety Audit Form

• Project Manager/Job number/Date (John Doe 8111334 01212103)

• Client-City, State /Month/Safety Report (Chuys-Richmond, VA January Safety Report)

• Add location
  Address

• Conducted on

  Date

• Prepared by

Program Administration

• Is the OSHA and government regulations posters hung up?

  Yes

  No

  N/A

• Picture of posters

  Media

• Has the two week safety checklist been completed?

  Yes

  No

  N/A

• Is Parkway safety book on site ?

  Yes

  No

  N/A

• Are emergency telephone numbers posted?

  Yes

  No

  N/A

• Is drinking water available on site?

  Yes

  No

  N/A

• Is the OSHA 300 log posted Feb 1-Apr 30?

  Yes

  No

  N/A

Hazard Communications

• Are MSDS forms for Parkway purchased items available on site?

  Yes

  No

  N/A

• Do subcontractors have their MSDS sheets on site?

  Yes

  No

  N/A

• Deficiencies Found

Medical

• Is first aid kit available and properly stocked?

  Yes

  No

  N/A

• Picture of first aid kit

  Media

• Deficiencies Found

• Is there at least one employee with a current first aid card on the job site?

  Yes

  No

  N/A

Fire prevention and protection

• Are the proper type and number of fire extinguishers available and in operating condition?

  Yes

  No

  N/A

• Picture of fire extinguisher

  Media

• Is the fire extinguisher tag current?

  Yes

  No

  N/A

• Are flammable liquids stored in metal safety cans and properlylabeled?

  Yes

  No

  N/A

• Are all work areas clear of combustible scraps and debris?

  Yes

  No

  N/A

• Are fire lanes free of debris so emergency vehicles can enter the site?

  Yes

  No

  N/A

• Are monthly inspections on the fire extinguishers being done and recorded?

  Yes

  No

  N/A

• Deficiencies Found

Personal protective equipment

• Are hardhats being worn at all times?

  Yes

  No

  N/A

• Picture of hardhats being worn

  Media

• Is eye and face protection being used when needed?

  Yes

  No

  N/A

• Is proper footwear being worn by all personnel?

  Yes

  No

  N/A

• Is hearing protection being used when needed?

  Yes

  No

  N/A

• Is respiratory protection being used when needed?

  Yes

  No

  N/A

• Is fall protection being used when required?

  Yes

  No

  N/A

• Are personnel using gloves when handling sharp or rough material?

  Yes

  No

  N/A

• Deficiencies Found

• Are rubber gloves with protectors-insulators being used when needed?

  Yes

  No

  N/A

• Deficiencies Found

Ladders

• Are ladder inspections being performed and records being kept?

  Yes

  No

  N/A

• Is the proper ladder for the job being used?

  Yes

  No

  N/A

• Picture of ladders

  Media

• Are ladders in good condition (no missing or broken rungs)?

  Yes

  No

  N/A

• Are ladders tied off or secured at top?

  Yes

  No

  N/A

• Do siderails extend 36 inches above the top of opening or has a handgrip been put in place 36 inches high?

  Yes

  No

  N/A

• Are there safety cleats/shoes on bottom of ladders?

  Yes

  No

  N/A

• Are ladders being leaned at a 4 to 1 ratio?

  Yes

  No

  N/A

• Are step ladders fully open when in use?

  Yes

  No

  N/A

• Are defective ladders immediately withdrawn from service and marked "do not use" or destroyed?

  Yes

  No

  N/A

• Deficiencies Found

Scaffolding

• Has scaffolding been erected correctly under the supervision of a competent person?

  Yes

  No

  N/A

• Picture of scaffolding

  Media

• Do rolling scaffolds have locking wheels and are locked when used?

  Yes

  No

  N/A

• Are scaffolds fully planked?

  Yes

  No

  N/A

• Are toeboards and guardrails in place on scaffolding?

  Yes

  No

  N/A

• Is scaffold erected on a firm and substantial surface?

  Yes

  No

  N/A

• Is a signed competent person form onsite?

  Yes

  No

  N/A

• Deficiencies Found

• Have employees who use the scaffold been trained in its safe use?

  Yes

  No

  N/A

• Deficiencies Found

Tools

• Are cords in good condition not frayed, damaged or missing ground pins?

  Yes

  No

  N/A

• Picture of tools

  Media

• Are handles, shields, and guards on all tools in good condition and being used correctly?

  Yes

  No

  N/A

• Are hoses on air or hydraulic tools in good condition and attached securely?

  Yes

  No

  N/A

• Deficiencies Found

Electrical

• Are weekly GFCI testing and inspections being done and records being kept?

  Yes

  No

  N/A

• Are all switch panels and devices that are energized marked and guarded to prevent accidental contact?

  Yes

  No

  N/A

• Are lockout devices used on all circuits that could become energized while work is being performed?

  Yes

  No

  N/A

• Are temporary circuits properly guarded and grounded with GFCI protection?

  Yes

  No

  N/A

• Are all temporary lights in work areas and supply trailers protected with guard? Are guards closed, bulbs in place, and not burned out?

  Yes

  No

  N/A

• Picture of temp lighting

  Media

• No bent or broken ground prongs on chords?

  Yes

  No

  N/A

• Are there any visual signs of outlet overloading?

  Safe

  At Risk

  N/A

• Are temporary receptacles affixed to walls or stands?

  Yes

  No

  N/A

• Are extension cords not damaged, frayed, missing ground pins, and are of the three wire type?

  Yes

  No

  N/A

• Are extension cords being correctly used? They are not fastened with staples, hung from nails, or suspended by wire?

  Yes

  No

  N/A

• Are OSHA approved type extension cords being used on job site?

  Yes

  No

  N/A

• Is temporary lighting hung by non-conductive material?

  Yes

  No

  N/A

• Deficiencies Found

Trenching and excavation

• Do the subs have a competent person on site when someone is in the trench?

  Yes

  No

  N/A

• Has the competent person form for trenches been signed?

  Yes

  No

  N/A

• Are all trenches and excavations properly barricaded?

  Yes

  No

  N/A

• Picture of trenches

  Media

• Is all excavated material properly stored 2 feet or more from edge?

  Yes

  No

  N/A

• In trenches more than 4 feet deep, are ladders within 25 feet travel distance?

  Yes

  No

  N/A

• Is proper sloping and/or shoring being used for trenches over 5 feet deep?

  Yes

  No

  N/A

• Deficiencies Found

• Is there a confined space program for subcontractor?

  Yes

  No

  N/A

• Is trenching being inspected on a daily basis?

  Yes

  No

  N/A

Welding

• Have all cylinders been chained upright with valve caps in place?

  Yes

  No

  N/A

• Are hoses and gauges in good working order?

  Yes

  No

  N/A

• Are all shields, helmets and goggles in place and in good condition?

  Yes

  No

  N/A

• Picture of PPE for Welding

  Media

• Has a hot work permit been obtained and on-site?

  Yes

  No

  N/A

• Is a fire extinguisher within range of welding work?

  Yes

  No

  N/A

• Are fire blankets being used where needed?

  Yes

  No

  N/A

• Are inspections for fire hazards be done when welding is completed?

  Yes

  No

  N/A

• Deficiencies Found

General

• Are competent person forms for each sub on site?

  Yes

  No

  N/A

• Are all openings in floors and walls through which employees can fall protected?

  Yes

  No

  N/A

• Are all holes covered, secured, and marked?

  Yes

  No

  N/A

• Are rebar caps in place when needed?

  Yes

  No

  N/A

• Picture of rebar caps

  Media

• Are sanitary systems and supplies available and adequate?

  Yes

  No

  N/A

• Is proper personal protective equipment being used when required?

  Yes

  No

  N/A

• Are Hardhats being worn at all times; until the ceilings throughout the building are completely finished; all overhead hazards and hazards where there is the possibility of injury to the head from impact from falling objects no longer exists?

  Yes

  No

  N/A

• Is adequate lighting provided in all work areas?

  Yes

  No

  N/A

• Are proper housekeeping procedures being performed daily?

  Yes

  No

  N/A

• Are all tools and materials properly stored and placed so as not to produce slip or trip hazards?

  Yes

  No

  N/A

• Is jobsite secure so that unauthorized persons are not at danger from tools, equipment and materials?

  Yes

  No

  N/A

• Are subcontractors being notified in writing when violations are found?

  Yes

  No

  N/A

• Are copies of notifications being kept in jobsite safety manual?

  Yes

  No

  N/A

• Have subcontractors been notified of any discrepancies?

  Yes

  No

  N/A

• Deficiencies Found

• Notes

• Subcontractors on site today

• Picture of violation

  Media

• Picture of violation

  Media