Information

  • Contractor

  • Work Area

  • Date and Time

  • Survey completed by

  • Superintendent

  • Foreman

  • Crew size in work area

  • Number of workers on site

  • Contractor's Safety Representitive

Administrative:

  • Is their JHA covering the scope of work being preformed?

  • Was a PTP filled out for scope of work and did it cover the hazards of their work?

  • Are there any additional hazards found not noted on the PTP/JHA?

  • Is employee knowledge of GHS and hazards noted on the SDS of products being used?

  • Was an equipment inspection preformed by the operator before using the equipment?

  • Does the operator have proof that he has been trained to operate the equipment?

Conditions

  • Are tools being used in a proper and safe manner?

  • Are safe work practices in material handling being used?

  • For the work being preformed is the correct PPE being used?

  • Are there less than two employees working together in any one area or task?

  • What training has employee received from his employer before performing this task or scope of work?

  • Are any conditions present found to be in violation of the OSHA 1926 standards?

  • How long have you been on this site?

  • How long have you been in the construction industry?

Employee's perception of their role in safety and their perception of management

  • What would be the most likely cause or condition for something to go wrong within your task today?

  • In this mornings Daily Huddle what hazard did you become most aware of?

  • Did you do your stretch and flex this morning or after lunch?

  • Did the meeting wake you up for the day?

  • Have you ever identified something that was not on the PTP/JHA or that was missed by the crew?

  • Has anyone given you praise for working safely?

  • Do you feel that you have the correct PPE and tools for the task or job you are performing?

  • If you saw a hazard in the work place would you do something?

  • Is near miss reporting encouraged within your company?

  • Have you ever reported a near miss?

  • Does reporting an accident/incident cause you to worry about what your employer would do or say to you?

  • If you were involved in an incident would you feel like you could lose your job?

  • What would you like tho see more of that would help you do your job?

Foreman's perception of their role in safety and providing a work area free of recognized hazards

  • Have you ever made a safety suggestion to your management or site management?

  • Have you ever reported a near miss?

  • What safety conversation did you have with your crew today?

  • What risks do other trades pose to your employees in the area?

  • When hazards are identified do you feel that BARC or your company's management will address the hazard noted?

  • Who many times has your crew been stopped today/this week for this safety survey?

  • How many subcontractors do you have working under you?

Additional Comments

  • Additional comments:

  • Signature of foreman, superintendent, or crew leader

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