Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

TCC Office

  • 1.) Project Specific Safety Plan complete and updated

  • 2.) Orientation video, signature log and stickers

  • 3.) Subcontractor Safety Policies on site

  • 4.) MSDS current

  • 5.) Jobsite injury records

  • 6.) Visitor Release form in use

  • 7.) Scaffold / Equipment release

  • 8.) OSHA Postings and other standard posters posted

  • 9.) Emergency numbers posted

  • 10.) Evacuation plan / map posted

  • 11.) Fire extinguisher in trailer

  • 12.) First Aid Kit

  • 13.) Toolbox talks and safety meetings documented

  • 14.) Safety goals posted

  • 14.1) Pre-task plans / JHA's completed by subcontractors and adequate for tasks being performed?

  • 14.2) At least one TCC employee trained in first aid/CPR on site?

TCC Field

  • 15.) TCC Safety signage visible

  • 16.) Pedestrian protection in place

  • 17.) Site Security

  • 18.) Housekeeping

  • 19.) TCC PPE - safety glasses, hardhats, footwear, high visibility vest

OSHA Considerations

Housekeeping and Sanitation

  • 20.) General neatness of work areas - aisles clean, scrap removed, extension cords orderly.

  • 21.) Regular disposal of waste and trash

  • 22.) Passageways and walkways clear

  • 23.) Sanitary facilities adequate and clean

  • 24.) Adequate supply of drinking water, cups and waste bins at convenient locations.

Fire Protection

  • 25.) Adequate number, type of fire extinguishers. Tagged and visible

  • 26.) Fire extinguishers located near refueling locations

  • 27.) Hydrants clear, access to public thoroughfare open

  • 28.) No smoking posted and enforced where needed

  • 29.) All fire hazards checked frequently

  • 30.) Hot Work Permits used where needed

Electrical Installations

  • 31.) Wiring appears properly installed and grounded

  • 31.1. ). Temporary lighting - bulbs installed, cages intact, wire nuts secured, hanging properly and in good operating condition

  • 32.) GFCI's in use

  • 33.) Electrical dangers posted

  • 34.) Terminal boxes equipped with correct covers

  • 34.1.). All circuits labeled as to their purpose

  • 34.2) Extension cords in good condition, organized in a manner which prevents damage and tripping hazards

Power Tools

  • 35.) Tools and cords in good condition

  • 36.) All mechanical safeguards in place

  • 37.) Tools neatly stored when not in use

  • 38.) Correct tools being used for job at hand

  • 39.) Safety goggles and faceshields

  • 40.) Powder Actuated Tools - operators trained (spot check for cards). Tools stored properly. NO loaded guns left unattended.

  • 41.) Pneumatic tools/air hoses have proper safeguards, secured connections.

Stairways and Ladders

  • 42.) Ladders inspected and in good condition

  • 43.) Properly secured

  • 44.) Side rails 36" above top of access or landing - offset protection installed at top ladder access point

  • 45.) No metal ladders

  • 45.1) Stepladders fully open when in use, no standing on top two steps

  • 46.) Stairs, ramp or runway installed and secured - where break in elevation is +19"

  • 46.1) Proper handrails installed

  • 46.2) Metal pan stairs poured, filled or barricaded from use

Scaffolding

  • 47.) Scaffold properly erected and connections secure, proper ladder access

  • 47.1.) If this is a scaffold provided by TCC, have all users signed the scaffold indemnification agreement?

  • 48.) Work surfaces and areas free of debris, snow , ice, or grease

  • 49.) Barricades erected where required

  • 50.) Guardrails, intermediate rails and toeboards

  • 51.) Maximum height = 4 to 1 (four times the minimum base dimension)

Heavy Equipment

  • 52.) Regular inspection and maintenance logs maintained

  • 53.) Lubrication and repair appears adequate

  • 54.) Lights, brakes, warning signals operative

  • 55.) Signal men where needed

  • 56.) Seat belts being used

Walking and Working Surfaces Protection

  • 57.) Floor openings planked over or barricaded, marked and signed

  • 57.1.) Cable or wooden guard rails installed and in good condition

  • 57.2.) Tripping hazards guarded

  • 57.3) Roof edge / leading edge adequately guarded and signed if necessary for a warning line system

  • 57.4) Loading zones on multi-level structure defined with guardrails, signage and proper anchorage for tie-off.

  • 58.) Adequate lighting

  • 59.) Roadways and sidewalks effectively protected

  • 60.) Traffic controlled

Handling and Storage of Materials

  • 61.) Materials properly stored or stacked

  • 62.) Passageways and emergency exits clear

  • 63.) Materials protected from weather

  • 64.) Dust protection observed

  • 65.) Extinguishers and other fire protection for combustibles

  • 66.) Traffic controlled in storage areas

Excavation and Shoring

  • 67.) Adjacent structures properly shored

  • 68.) Tabulated data for trench box onsite

  • 69.) Excavations barricaded, fenced and light provided if necessary

  • 70.) Equipment and material stored a safe distance from edge of excavation

  • 71.) Ladders provided where needed at 50 foot intervals

  • 72.) Equipment ramps adequate

  • 73.) Banks sloped with proper angle of repose

  • 73.1.) Utilities located (markings visible on ground)

  • 73.2.) Site utility drawing with known utilities highlighted posted on wall in trailer / office

Explosives

  • 74.) Qualified personnel and supervision

  • 75.) Storage constructed according to regulations and safely locked

  • 76.) No smoking signs posted and observed where appropriate

Flammable Gases and Liquids

  • 77.) All containers clearly identified

  • 78.) Fire hazards check in proper extinguishers nearby

  • 79.) Proper storage temperatures and protection

  • 80.) Carts for moving cylinders

  • 81.) Cylinders properly secured in transport and storage

  • 82.) Cylinder storage area designated and being used

Welding and Cutting

  • 83.) Screens and shields used where needed

  • 84.) Adequate goggles, gloves, clothing

  • 85.) Equipment in good operating condition

  • 86.) Inspection for fire hazards and proper extinguishers nearby - hot work permit used where needed/ required

  • 87.) Flammable materials and electrical cables protected

  • 88.) Gas cylinders chained up right

  • 89.) Gauges removed from cylinders and caps used as required

Steel Erection

  • 90.) Taglines being used as required for tools and materials

  • 91.) Floor openings covered, barricaded, marked and signed

  • 92.) Ladders, stairs or other access provided

  • 93.) Adequate perimeter cables installed and maintained - 39 to 45" in height, no more than 3" deflection under 200# load, flagged every 6 feet.

  • 94.) Subcontractor has good practices in place for checking fall protection daily before use

  • 95.) Steel erection notification letter sent as required to subcontractor

Painting

  • 96.) Proper ventilation is in place

  • 97.) Materials safely stored as required

  • 98.) Excess materials and cleanup disposed of properly

  • 99.) MSDS for products on site

Concrete

  • 100.) Forms properly installed and braced

  • 101.) Shoring in place until strength is attained

  • 102.) Proper curing and procedures in place

  • 103.) Check heating devices

  • 104.) Protection from cement dust/silica in place

  • 105.) Nails stripped from material

  • 106.) Proper guard rails and toe kicks in place on working platforms

  • 106.1.) Rebar protective caps in place as required

Masonry

  • 107.) Proper scaffolding in place

  • 108.) Restricted zones set up as required including documentation from masonry contractor

  • 108.1.) Map of restricted zone placed on wall in TCC office.

  • 109.) Masonry saws properly equipped, dust protection provided as required

  • 110.) Safe hoisting operations observed

  • 110.1) Eye wash station for masonry mixing stations

  • 110.2). Masonry walls over 8 feet adequately braced

Personal Protective Equipment

  • 111.) Eye protection and face shields used where needed

  • 112.) Hi visibility vest and shirts as required

  • 113.) Respirators and masks where needed

  • 114.) Hard hats worn at all times

  • 115.) Gloves, aprons and sleeves; rubber or plastic, designed to afford protection from alkalis and acids

  • 116.) Respirator for harmful dust, sandblasting, welding, lead paint and cadmium

  • 117.) Confined spaces tested and proper recording logs in order

  • 118.) Taglines and watchmen used when needed

  • 119.) Fall protection gear in working order

Cranes

  • 120.) Certified operator as required

  • 121.) Annual inspection at the site ( with crane)

  • 122.) Swing radius protected

Aerial Lifts

  • 123.). Operator trained and certified to use lifts

  • 124.). Gates closed / chains fastened

  • 125.). Manufactured attachment when setting glass

  • 126.). Fall protection as required

Traffic Control

  • 127.) Traffic plan per MUTCD, local, county or state inspections

  • 128.) Advance warning signs

  • 129.) Trained flag gets used when directing traffic w/proper PPE, proper stop/slow paddles and flagged ahead signs warning traffic

Unsafe Acts and/or Practices Observed

  • Explain conditions observed

  • Add media

General Notes or Comments

  • Explain conditions observed

  • Add media

Corrective Actions Taken

  • Please respond to all noted deficiencies with: corrective action taken, when it was corrected and by whom

  • Add media

Signatures

  • Safety Manager ( Don Staley)

  • Superintendent

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.