Supervisor Paperwork Audit

• Client / Site

• Conducted on

  Date

• Malcolm Punch, CSP

• Personnel

• Location
  Address

Licensing and Certifications

• List All of the Safety Professional License or certifications with their expiration dates?<br>If their SSM or SSC lic. Expires with in 6- months have they scheduled themselves for a refresher class?

  Yes

  No

  N/A

Equipment

• List all equipment that TSC has issued to you.

  Yes

  No

  N/A

Job-site Conditions

• Have you walked the site and what are some of the glaring issues that you notice?

  Yes

  No

  N/A

• Are there any HOT ITEMS or long lasting issues that are not being addressed and the Safety Professional could use a hand from upper management to try and have addressed.

  Yes

  No

  N/A

• Does it appear that the Safety Professional has a working relationship with the GC/CM, Subcontractor to get most items addressed.

  Yes

  No

  N/A

Misc. Paperwork

• Is the PW-2 up to date with the current SIte Safety Professional

  Yes

  No

  N/A

• Is the Site Safety Professional sending out their time sheets and maintaining a hard/electronic copy of the signed time sheet

  Yes

  No

  N/A

Site Safety Paperwork

• Is the job site library/ postings/ paperwork neatly filed:<br>a. Contractor/ Subcontractor safety programs on file<br>b. Reference material: 1926 OSHA Guidelines, NYCDOB Chpt. 33<br>CSFSM-Manual, NYC Fire Code Chpt. 14,<br>

  Yes

  No

  N/A

• Is the Safety Professional sending out an email with a Daily Blurb and their Daily Log

  Yes

  No

  N/A

• Is the Safety Professional maintaining a daily log and is it up to date:<br>A. Are they using the TSC daily log wIth the Phase, Cause & Exposure codes included. <br>B. Does the log reflect the job-site conditions? <br>C. Is it balanced with both positive and negative observations?<br>D. Do their log entries contain the following: <br>1.The date the unsafe acts or conditions was first observed<br>2. Are they including the responsible party.<br>3. the date the unsafe act or condition has been corrected.

  Yes

  No

  N/A

• Does the Safety Professional have in their possession or access to the design drawings for equipment, netting (horizontal & Vertical) Sidewalk shed, Perimeter Fencing and other temporary platforms?

  Yes

  No

  N/A

• Has the Safety Professional conducted incident investigation and reporting?<br>Are they filling out TSC accident report/TSC Supplemental Report and giving a full description of the incident <br>(Including Who, What, Why, Where and How)<br>

  Yes

  No

  N/A

• Is the Incident log is current, detailing man hours and OSHA recordables - using the updated version 4/15/12.

  Yes

  No

  N/A

• Is the Safety Professional performing safety meetings to discuss the actions to be taken to assure compliance with safety standards?<br>a. Are they preparing and Agenda using TSC format and then following up with meeting minutes

  Yes

  No

  N/A

• Is a permit log being maintained. Does the Safety Professional have access to the permit log. Are all permits are up to date?

  Yes

  No

  N/A

• 8. The Safety Professional is performing new worker orientations on site and certifications are being collected?<br>a. Orientations on file.<br>b. Training Certs (OSHA/ 4hr User) on file.<br>C. Is an Orientation Log being maintained.

  Yes

  No

  N/A

• Is the Safety Professional is collecting and filing Competent Persons/ Safety Representative/ Concrete Safety Manager forms from the contractors/ subcontractors.?<br>Are they updating this information on the regular basis?

  Yes

  No

  N/A

• Are the Sub-Contractors handing in Toolbox Talks and the Daily Huddles on the weekly basis?<br>Is the Safety Professional maintaining a Matrix to track this paper work. <br>Has the GC/CM been notified of delinquent Subcontractors.

  Yes

  No

  N/A

• Is the job a Site Safety Project? <br>Does the plan match the site conditions?<br>Did TSC do the SSP

  Yes

  No

  N/A

• Is the Safety Pofessional getting copies of equipment checklist from the trades (Scaffolds, Cranes, Earth Moving Equipment, Aerial lifts)

  Yes

  No

  N/A

• Is the Safety Professional performing sidewalk shed inspections. Is their a file up to date?

  Yes

  No

  N/A

• Is the Site Safety Manager performing a dual role with Fire Safety or is there a separate Fire Safety Manager?

  Yes

  No

  N/A

• Is the Safety Professional performing severe weather checklist when weather alerts are sent? Is their a file up to date?

  Yes

  No

  N/A

• Is the Safety Professional maintaining an electronic copies of all their paper work (Scanning TBT, Orientations, Sidewalk shed, etc)

  Yes

  No

  N/A

• Site Safety Professional

  Sign

Construction Site Fire Safety Manager Paperwork

• List all of the Safety Certifications and are they all current?

  Yes

  No

  N/A

• Is the CSFSM in the 18-month apprenticeship?<br>Are their monthly summaries being maintained and up to date?

  Yes

  No

  N/A

• What logs are the CSFSM maintaining?

  Yes

  No

  N/A

• Is the Fire Safety Manager supervising the issuance of hot work permits for all hot work operations?<br>Are the hot work permits being returned and closed out at the end of the day?

  Yes

  No

  N/A

• Is the Fire Safety Manager monitoring operations of the Fire Guards?<br>a. Current/ Appropriate Certificate of Fitness for all Fire Guards<br>b. Fire guard log book.

  Yes

  No

  N/A

• Is the Fire Safety Manager maintaining a record of all Certificate of Fitness being used on the job?

  Yes

  No

  N/A

• Is the Fire Safety Manager maintaining proper signage throughout the job-site (Exit, Fire extinguishers, stair signage and emergency evacuation signage)

  Yes

  No

  N/A

• Is the Fire extinguishers inspections up to date? Are the correct amount of fire extinguishers being maintained by the GC/CM

  Yes

  No

  N/A

• Has the Fire Safety Manager performed basic fire safety training? Has personnel been being briefed with basic fire safety practices, procedures and how to use a fire extinguisher during the new worker orientation.

  Yes

  No

  N/A

• Has there been any Emergency Evacuation Drills?

  Yes

  No

  N/A

• Is the Fire Safety Manager maintaining and filing copies of Emergency Evacuation Plan and the Pre-fire Plan?<br>Are these plans current?

  Yes

  No

  N/A

• Is the Fire Safety Manager tracking all FDNY permits? Are they up to date? <br>Where are the cabinets and cages being stored?

  Yes

  No

  N/A

• FDNY First Responders Box: The Construction Manager has established at a location readily accessible to fire personnel responding to a site emergency. <br>Are the contents of the box being maintained on the regular basis?

  Yes

  No

  N/A

• CSFSM

  Sign

• Supervisor

  Sign