The Bosworth Company - Construction Audit (HVAC & PLUMBING) - duplicate

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• 

• Property Owner:

• Builder:

• Date/Time:

  Date
• Address:
  Address

• Construction Stage:

  Select HVAC rough-in (duct) HVAC hang unit HVAC grill out Plumbing rough-in Plumbing top out Plumbing fixtures HVAC Demo Plumbing Demo

  • HVAC rough-in (duct)
  • HVAC hang unit
  • HVAC grill out
  • Plumbing rough-in
  • Plumbing top out
  • Plumbing fixtures
  • HVAC Demo
  • Plumbing Demo

Administrative Procedures

• Have you completed your JSA/JHS prior to the start of work?

  Yes

  No

  N/A

• Have you signed in with the construction site representative?

  Yes

  No

  N/A

• Have you obtained appropriate permits prior to starting your work?<br>(Hot work, confined space, permit to work, dig, etc.)

  Yes

  No

  N/A

• Have you been trained and/or certified for the work you will be performing?

  Safe

  At Risk

  N/A

• Have you received your site specific orientation and/or general contractor’s orientation?

  Yes

  No

  N/A

• Routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• SDS/GHS on-site and readily available for inspection?

  Safe

  At Risk

  N/A

• Are you conducting or participating in weekly tailgate talks?

  Yes

  No

  N/A

• Administrative procedures media

  Media

• Comments:

General Work Environment

• Are all work areas clean and dry?

  Safe

  At Risk

  N/A

• Is trash removed daily?

  Yes

  No

  N/A

• Are aisles, walkways, doorways, and exit routes clear and unobstructed?

  Yes

  No

  N/A

• Are toilets and washing facilities provided, kept clean, and safe?

  Safe

  At Risk

  N/A

• Are all measures in place to protect the public from exposure to work activities and equipment?

  Safe

  At Risk

  N/A

• Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

  Safe

  At Risk

  N/A

• General Work Environment Media:

  Media

• Comments:

First Aid and Emergency Equipment

• Are emergency telephone numbers posted on the job site?

• Is there at least one person on site trained in CPR?

• Are first aid kits accessible, inspected, and stocked at least once a month?

• First Aid and Emergency Equipment media:

  Media

• Comments:

Personal Protective Equipment

• Eye and Face Protection

  Yes

  No

  N/A

• Is Eye and Face Protection being worn correctly?

  Yes

  No

  N/A

• Are Safety Glasses ANSI Z87.1 approved?

  Yes

  No

  N/A

• Are prescription eye glasses ANSI Z87.1?

  Yes

  No

  N/A

• Is employee wearing Side Shields?

  Yes

  No

  N/A

• Are Face Shields worn?

  Yes

  No

  N/A

• Is Face Shield ANSI Z87.1 approved?

  Yes

  No

  N/A

• Are Hard Hats worn?

  Yes

  No

  N/A

• Are Hard Hats ANSI Z89.1 approved?

  Yes

  No

  N/A

• Was the Hard Hat put into service longer than 5 years ago?

  Yes

  No

  N/A

• Does the Hard Hat need to be replaced due to wear and tear?

  Yes

  No

  N/A

• Are appropriate gloves worn for the task?

  Yes

  No

  N/A

• Type of gloves

  Select Cotton Leather Cotton with Neoprene Heat resistant Impact resistant Latex/Nitrite Arc Flash Kevlar (Cut Resistant) Rubber (Chemical Resistant)

  • Cotton
  • Leather
  • Cotton with Neoprene
  • Heat resistant
  • Impact resistant
  • Latex/Nitrite
  • Arc Flash
  • Kevlar (Cut Resistant)
  • Rubber (Chemical Resistant)

• Are workers wearing Safety-toe Footwear?

  Yes

  No

  N/A

• Is the Steel visible on the safety-toe footwear?

  Yes

  No

  N/A

• Is Body Protection being worn?

  Yes

  No

  N/A

• Type of Body Protection

  Select Hi-Viz Reflective Vest Tyvek Suit Flame Resistant (FR) Outerwear Arc Flash Gear

  • Hi-Viz Reflective Vest
  • Tyvek Suit
  • Flame Resistant (FR) Outerwear
  • Arc Flash Gear

• Is Hearing Protection Required? twa: 90dB

  Yes

  No

  N/A

• Type of Hear Protection

  Select Ear plugs Ear muffs Both

  • Ear plugs
  • Ear muffs
  • Both

• Is Respiratory Protection required?

  Yes

  No

  N/A

• Type of Respirator

  Select Dust Mask Half-face Respirator (Compliance required) Full-face Respirator (Compliance required) Loose-fitting Powered-air-purifying Respirator (Compliance required) Self-Contained Breathing Apparatus (Compliance required) Supplied Air - Working Unit & Air Trailer (Compliance required)

  • Dust Mask
  • Half-face Respirator (Compliance required)
  • Full-face Respirator (Compliance required)
  • Loose-fitting Powered-air-purifying Respirator (Compliance required)
  • Self-Contained Breathing Apparatus (Compliance required)
  • Supplied Air - Working Unit & Air Trailer (Compliance required)

Fire Protection and Prevention

• Is there at least one “Multi-purpose dry chemical” fire extinguisher (ABC) in place every 3000 sq ft of work area, or every 75 ft of travel distances? (50 ft of travel distance for high fire hazards)

  Safe

  At Risk

  N/A

• Are fire extinguishers clearly visible and unobstructed at all times?

  Safe

  At Risk

  N/A

• Are fire extinguishers inspected monthly for proper tags, pull pin, hoses - not cracked or plugged, fully charged (in the green), and tags up to date?

  Safe

  At Risk

  N/A

• Are fuel gas cylinders and oxygen cylinders secured, separated by 20 ft or have a fire resistant barrier (5ft in height, with a 30 minute burn rating) while in storage?

  Safe

  At Risk

  N/A

• Are employees “competent” in the use of portable fire extinguishing equipment?

  Yes

  No

  N/A

• Fire Protection media:

  Media

• Comments:

Fall Protection

• Are holes and other openings guarded by a grate, cover, guardrail, or equivalent on all sides (except at entrances to stairways or ladders)?

  Safe

  At Risk

  N/A

• Are there stair rails or handrails on all stairways having 4 or more steps?

  Safe

  At Risk

  N/A

• Are railings provided on ramps?

  Safe

  At Risk

  N/A

• Do all elevated surfaces include: guardrails at least 42 inches high, mid-rails at 21 inches high, and toe boards 4 inches high?

  Safe

  At Risk

  N/A

• Can all handrail systems support 200 pounds of an outward pushing force?

  Safe

  At Risk

  N/A

• Are all elevated surfaces equipped with a safe means of access?

  Safe

  At Risk

  N/A

• Are Fall Protection harnesses and lanyards used by every employee working 6 ft (or best practice) or higher above the ground or lower working surface, or on steeply pitches roofs, 6/12 or greater?

  Safe

  At Risk

  N/A

• Are Fall Protection harnesses and lanyards a minimum of 1/2 inch nylon or equivalent, and short enough to prevent employees from falling more than 6 feet?

  Safe

  At Risk

  N/A

• Are lifelines (lanyards) secure above the point of operation to an anchor point that will withstand 5000 pounds of force from each attached worker?

  Safe

  At Risk

  N/A

• Are harnesses, lanyards, and other fall Protection equipment inspected prior to use?

  Safe

  At Risk

  N/A

• Where a job site has protruding steel rebar below the work level, is the steel rebar protected by covers to prevent impaled injuries?

  Safe

  At Risk

  N/A

• Fall Protection media:

  Media

• Comments:

Portable Ladders

• Are ladders being used for their designed purpose only? (step ladders/extension ladders)

  Yes

  No

  N/A

• Are ladders being used beyond their maximum intended load?

  Safe

  At Risk

  N/A

• Are all ladders maintained in good condition and inspected before each use? Are broken and defective ladders taken out of service IMMEDIATELY?

  Yes

  No

  N/A

• Are ladder rungs/steps slip-resistant and free of dirt, grease, oil, ice, snow, etc.?

  Safe

  At Risk

  N/A

• Are employees facing the ladder when climbing up and down the ladder?

  Safe

  At Risk

  N/A

• Are employees standing below the top 2 steps when using step ladders?

  Safe

  At Risk

  N/A

• When ladders are used to gain access to elevated platforms, does the ladder ALWAYS extend at least 3 feet above the elevated surface, and secured properly?

  Safe

  At Risk

  N/A

• Are ladders placed on dry, stable footing, and properly secured?

  Safe

  At Risk

  N/A

• Portable Ladder media:

  Media

• Comments:

Materials - Handling, Storage, and Disposal

• Are compressed gas cylinders (propane, acetylene, etc.) secured and stored properly, and blocked from traffic and vehicle hazards?

  Safe

  At Risk

  N/A

• Are cylinders stored in the upright position with the protective cap installed and secured with a chain or other equivalent securing methods?

  Safe

  At Risk

  N/A

• Are concrete batch/plants/mixing facilities properly inspected for electrical and other potential hazards or damage?

  Safe

  At Risk

  N/A

• Materials - Handling, Storage, and Disposal media:

  Media

• Comments:

Scaffolding

• Scaffolding

  Yes

  No

  N/A

• Are scaffolds set up on level, stable ground with dry footing?

  Safe

  At Risk

  N/A

• Has the scaffold been assembled and inspected by a “competent” person?

  Safe

  At Risk

  N/A

• Was the scaffold inspected prior to use and documentation properly filled out?

  Safe

  At Risk

  N/A

• Do all scaffolds higher than 4 feet have 42-inch-high guardrails and mid rails halfway between the to and platform with a toe board?

  Safe

  At Risk

  N/A

• Are the planks used in the scaffold regulation?

  Safe

  At Risk

  N/A

• Are scaffolds in good condition with no damage or missing parts?

  Safe

  At Risk

  N/A

• Do all planks on scaffolds fit tightly with no open spaces between the boards?

  Safe

  At Risk

  N/A

• Where planks are overlapped are they lapped over the supports?

  Safe

  At Risk

  N/A

• Do all scaffold planks extend 6-8” beyond the end of the scaffold frame?

  Safe

  At Risk

  N/A

• Are all ladders or stairs used to access scaffolds either tied or welded to the scaffolds for safe access? Are ladders positioned to provide direct access?

  Safe

  At Risk

  N/A

• Are materials being stockpiled on scaffold? Are all materials removed from scaffold at the end of the day?

  Safe

  At Risk

  N/A

• Are open sides of scaffold less than 14 inches from the face of the work?

  Safe

  At Risk

  N/A

• Are platforms of 10 feet or less extended over their end supports no more than 12 inches?

  Safe

  At Risk

  N/A

• Are guardrails in place at the open ends of the scaffold?

  Safe

  At Risk

  N/A

• Has the movement of occupied scaffold been prohibited (unless designed by a registered professional engineer)?

  Yes

  No

  N/A

• Have toe boards been installed to prevent falling objects?

  Safe

  At Risk

  N/A

• Is “X” bracing installed on the ends of the scaffold on every third set of post horizontally and every forth runner vertical?

  Yes

  No

  N/A

• Are all pins installed where required and locked?

  Yes

  No

  N/A

• Are castors pinned into the frames or adjustment screws?

  Safe

  At Risk

  N/A

• Scaffold media:

  Media

• Comments:

Electrical

• Are all cord-connected, electrically-operated tools and equipment double insulated or effectively grounded?

  Safe

  At Risk

  N/A

• Are ground-fault circuit interrupters provided on all temporary electrical circuits?

  Safe

  At Risk

  N/A

• Are all electrical rooms/panels secured and have proper signage?

  Safe

  At Risk

  N/A

• Do all extension cords have 3-prong plugs and all 3 prongs intact?

  Safe

  At Risk

  N/A

• Are all electrical cords inspected and in good working condition (i.e. no splices, frays, or the ground prong removed)?

  Safe

  At Risk

  N/A

• Are extension cords a No. 12 or larger gauge and properly marked?

  Safe

  At Risk

  N/A

• Where electrical cords must cross roads, driveways, or walkways, are they protected by solid, weather-resistant bridges to prevent damage to the cords?

  Safe

  At Risk

  N/A

• Are multiple plug adapters (octopus plugs) prohibited?

  Safe

  At Risk

  N/A

• Are electrical circuits and equipment shut off, de-energized, and locked out before equipment installation, repairs, maintenance, or servicing?

  Safe

  At Risk

  N/A

• Are unused switches, receptacles, and junction boxes covered with tight-fitting covers or plates?

  Safe

  At Risk

  N/A

• Electrical media:

  Media

• Comments:

Trenching and Shoring

• Trenching and Shoring

  Yes

  No

  N/A

• Are spoils, materials, and equipment set back a minimum of 2 feet from the edge of the excavation?

  Safe

  At Risk

  N/A

• Are barriers in place around excavation areas?

  Yes

  No

  N/A

• Is a means of egress available in all trenches that are 4 feet deep or more?

  Safe

  At Risk

  N/A

• Are means of egress within 25 lateral feet of workers?

  Safe

  At Risk

  N/A

• Is high visible PPE worn by all employees working in and around trenches?

  Safe

  At Risk

  N/A

• Are employees protected from loose rock or soil?

  Safe

  At Risk

  N/A

• If needed, are trench boxes/shoring used?

  Safe

  At Risk

  N/A

• For the soil type, is the excavation sloped properly?

  Safe

  At Risk

  N/A

• Has a “competent” person inspected the excavation before entry?

  Safe

  At Risk

  N/A

• Excavation and Shoring media

  Media

• Comments:

Scissor lifts, Manlifts, and Aerial lifts.

• Scissor lift, man lift and aerial lift

  Yes

  No

  N/A

• Are only trained and authorized personnel operating the lift?

  Yes

  No

  N/A

• Are the lifts being inspected prior to use?

  Yes

  No

  N/A

• Is the operator’s manual available for operation, inspection, and training needs?

  Yes

  No

  N/A

• Is Fall Protection being utilized during the operation of the lift?<br>(i.e. handrail system, full body harness, etc.)

  Yes

  No

  N/A

• Are the manufacturer’s capacity limits being followed?

  Yes

  No

  N/A

• Are weather precautions, such as high wind, being observed?

  Yes

  No

  N/A

• Are overhead hazards, such as power lines, being observed?

  Yes

  No

  N/A

• Are outriggers and stabilizers being used when needed?

  Yes

  No

  N/A

Power-Actuated Tools/Hand and Power Tools

• Are tools maintained in a safe condition?

  Safe

  At Risk

  N/A

• Are power-actuated tools inspected for obstructions or defects before use?

  Safe

  At Risk

  N/A

• Are damaged and defected tools removed from service and repaired as soon as true damage or defect is found?

  Safe

  At Risk

  N/A

• Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?

  Safe

  At Risk

  N/A

• Power-Actuated Tools/Hand and Power Tools media:

  Media

• Comments:

Traffic Control

• Are proper signs placed on roads to alert drivers of construction danger ahead?

  Safe

  At Risk

  N/A

• Are cones used in the street at least 28 inches high?

  Safe

  At Risk

  N/A

• Do Flagger stations provide 2 safe means of egress in the event of an emergency?

  Safe

  At Risk

  N/A

• Have flaggers been properly trained and carry their flagging certification card?<br>

  Yes

  No

  N/A

• Traffic Control media

  Media

• Comments:

• Superintendent/Representative:

  Sign

• Bosworth Representative:

  Sign