Umpqua Roofing Job site Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Yes

  No

  N/A

Fall Hazards

• Is there a potential for a fall?

  Safe

  At Risk

  N/A

• Is fall protection in use?

  Yes

  No

  N/A

• Is fall protection worn properly?

  Safe

  At Risk

  N/A

• Is the fall protection anchored properly?

  Yes

  No

  N/A

• Is equipment in good shape?

  Yes

  No

  N/A

• Has equipment been inspected annually?

  Yes

  No

  N/A

• Does worker understand how to pick the most correct anchore point?

  Safe

  At Risk

  N/A

• Is a warning line in use? Is there a monitor in place? Is the line in the right material and is it the right distance from the hazard?

  Yes

  No

  N/A

Ladder Usage

• Is ladder set up correctly?

  Safe

  At Risk

  N/A

• Is the ladder the right one for the assigned task?

  Safe

  At Risk

  N/A

• Is the worker on the ladder correctly?

  Yes

  No

  N/A

• Is the ladder in good condition?

  Safe

  At Risk

  N/A

• Is there a step down area that requires step?

  Yes

  No

  N/A

Scaffold

• Has scaffold been inspected?

  Yes

  No

  N/A

• Are there any deficiencies with the scaffolding? IE toe boards, bracing, and or trip hazards

  Safe

  At Risk

  N/A

• Has scaffolding been tagged with the right tag?

  Yes

  No

  N/A

• Is the scaffolding within safe working load?

  Safe

  At Risk

  N/A

Lifting and Rigging Equipment

• Is equipment being used in a safe manner? IE over persons, within requirements, operations

  Safe

  At Risk

  N/A

• Are workers working with equipment trained?

  Yes

  No

  N/A

• Is there a barricade up where needed? And does it block access where others need to get? Clear directions?

  Safe

  At Risk

  N/A

• Does rigging appear to be in good working order?

  Safe

  At Risk

  N/A

• Has equipment been inspected and is it tracked?

  Yes

  No

  N/A

Pre Work Inspection

• Have workers filled out a pretask for the day?

  Yes

  No

  N/A

• Does the pretask identify all associated hazards?

  Safe

  At Risk

  N/A

• Has worker updated pretask or gotten a new one for different work?

  Yes

  No

  N/A

• Has worker addressed all hazards to prevent injuries and or property damages?

  Safe

  At Risk

  N/A

• Has all needed equipment been inspected and documented? IE Forklift, sizer lift, and man lift.

  Yes

  No

  N/A

• Has employees been trained on all hazards and equipment?

  Safe

  At Risk

  N/A

• Is assured grounding up to date?

  Safe

  At Risk

  N/A

Hazcom

• Does employee know where to find SDS information?

  Yes

  No

  N/A

• Does employee know how to read the information provided?

  Safe

  At Risk

  N/A

• Does employee have the proper PPE for the product being used?

  Safe

  At Risk

  N/A

• Are all needed equipment for the first aid, rescue, or like eye wash-showered available?

  Safe

  At Risk

  N/A

• Does the employee know where the equipment is?

  Safe

  At Risk

  N/A

• Are other trades working in the area aware of the work you are doing and their exposure?

  Safe

  At Risk

  N/A

• Does all the affected personnel have the right training?

  Safe

  At Risk

  N/A

• Are materials stored properly? To include containment or in cabinets?

  Safe

  At Risk

  N/A

Slip, Trips, and Falls

• Is area organized and are all materials off the floor?

  Safe

  At Risk

  N/A

• Are there any trip hazards that need addressing?

  Safe

  At Risk

  N/A

• Is there any equipment that needs relocating?

  Safe

  At Risk

  N/A

• Should there be a traffic pattern for people or equipment through the area?

  Yes

  No

  N/A

• Is good house keeping in place?

  Yes

  No

  N/A

PPE

• Are all employees wearing all needed PPE as required by the general contractor?

  Safe

  At Risk

  N/A

• Do the employees have the required PPE for their task?

  Safe

  At Risk

  N/A

• Does the PPE look to be in good condition ?

  Safe

  At Risk

  N/A

LO / TO procedures

• Are there LO / TO in use?

  Safe

  At Risk

  N/A

• If yes, has the process and procedures been followed? I E Paperwork or Permits?

  Safe

  At Risk

  N/A

• Has every employee or other trade affected by the work locked out?

  Safe

  At Risk

  N/A

• Is there a lock and tag for each employee working on the system?

  Yes

  No

  N/A

Is working environment safe

• Are there hazards from other contractors?

  Safe

  At Risk

  N/A

• If yes can they be addressed?

  Safe

  At Risk

  N/A

• Are they being addressed?

  Safe

  At Risk

  N/A

• Is there any hazard that the General contractor can assist with?

  Yes

  No

  N/A

• Is there sufficient wash amenities? To include toilets and wash areas

  Yes

  No

  N/A

• Is there adequate lighting?

  Safe

  At Risk

  N/A

Environmental Safety

• Is dust being controlled?

  Yes

  No

  N/A

• Are the storm drains protected and identified?

  Yes

  No

  N/A

GF and Foreman procedures

• Are weekly tool box meetings being conducted?

  Yes

  No

  N/A

• Are supervisors checking pretask plans?

  Yes

  No

  N/A

• Are Foreman and GF insuring a weekly job site inspection is being done?

  Yes

  No

  N/A

• Are permits being filled out? IE. Hot work, confine space

  Yes

  No

  N/A

• Are GF and Foreman insuring employees have training?

  Yes

  No

  N/A

• Are safety incidents being reported in a timely manner?

  Yes

  No

  N/A

What correction action was taken?

• Is there any follow up that needs done?

  Yes

  No

  N/A

Signature of who filled out report

• Add signature

  Sign