Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Hagerman Foreman
SAFETY ADMINISTRATION
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All personnel have been IUCSAT verified? <br>
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Each employee has received Hagerman safety orientation and all paperwork completed?
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An Occupational Health Clinic is set- up for injured employees and drug screens?
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Required jobsite postings (OSHA postings, Labor Law, etc)?
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Emergency numbers / contacts posted?
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Emergency action plan posted / up to date?
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The Hagerman Group Corporate Safety & Health Manual on site?
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MSDS on site for products being used/ 3E Poster/Decals posted?
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Field Safety Training Completed and roster Submitted to office?
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First aid kit onsite and adequately stocked?
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Fire extinguishers?
HOUSEKEEPING
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Work areas kept clean and orderly?
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Break areas kept clean and orderly?
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Storage areas kept clean and orderly?
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Gas cans / cylinders stored properly with fire extinguishers present?
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Adequate lighting?
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Jobsite free of slips, trips and fall hazards?
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Jobsite signs posted (Hard hat, safety glasses, no smoking, no trespassing, etc.)?
HAND AND POWER TOOLS
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GFCI Protection being utilized?
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Hand tools in good working order?
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Electric cords with damaged insulation, splices or missing ground pins removed from service?
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All mechanical safeguards in use?
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Handles not broke / splinter free?
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Saws have blade guard in place, and it is not disabled?
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Mortar Mixer grill guard in place and in the down position while in operation?
EQUIPMENT
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All Forklift Operators have been certified and trained?
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Brakes, lights, signals, and alarms operative?
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Daily inspections filled out?
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Seat belts worn?
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Aerial lift (JLG) Harnesses and lanyards being used?
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Scissor Lift : Safety chain is in use?
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Cranes - proper setup including distance to power lines?
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Cranes - ground conditions verified and safe for operation (underground wells, vaults, etc.)?
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Cranes- swing radius protected - level?
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Rigging equipment inspected - tag showing?
LADDERS
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Ladders in good condition?
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Side rails extend 36 inches above landing?
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Proper for job and secure?
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Step ladders are opened up and locked into place?
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Placement of ladder safe?
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Stair Towers being used if scaffold structures over (2) Scaffold Bucks High?
SCAFFOLDING
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Fall Protection on all scaffold on all scaffold above 6 feet?
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Was scaffold assembled by a "Competent Person?
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Top Rail is 42 inches (+/- 3 ) with a mid rail half way in between?
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Guardrails/protection installed on all open ends of scaffolds?<br><br>
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Is there a scaffold tag and has it been inspected?
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Work surface is is fully planked (minimum width 18 inches) and level?
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All scaffolds plumb and level?
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Scaffold plank are not damaged?
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Are adequate sills and base plates being used?
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Work side of the scaffold is no more than 14 inches away from the wall?
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Are scaffold planks installed past their end supports no less than 6 inches and no more than 12 inches?
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Maximum extension for screw jacks is 18 inches?
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To protect from falling objects, are toe boards installed or barricades installed?
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Toe boards at least 3 1/2 inches in height?
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Are pigtails in place to prevent uplift?
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Is fall protection being used in areas where required
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Is their a safe access ladder, steps or equivalent means for safe access to the scaffold
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Is the scaffold rated for the proper weight capacity
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Scaffold is secured every 30 inches horizontally and 24 inches vertically against movement if taller than 4 times its base width?
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Is the competent person performing daily scaffold inspections?
FIRE PREVENTION
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Are hot work permits required?
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Fire extinguishers immediately available and inspections current?
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Propane tanks - barricade installed - labeled -( flammable,no smoking, fuel type)
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Compressed gas cylinders secured- upright- protected from damage
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Cutting torch (tanks secured, hoses, etc.)
PPE
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Hard hats worn
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Eye protection being worn and adequate for the work activity
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Face shields being used where required
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Gloves being worn and adequate for the work activity
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Welding hoods being worn in conjunction with safety glasses
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Safety harness and lanyards utilized with adequate anchorage points
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Hearing protection
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Respirators and masks utilized, when needed
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High visible clothing in use by all personnel?
MISC.
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A "Limited Access Zone" (LAZ) is in place in front of masonry wall under construction and is 4' deeper than height of wall?
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Only Hagerman employees building the wall are allowed in the LAZ?
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Walls over 8' are braced against collapse until supported by permanent structure?
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Exposed rebar/bolts are covered, bent over, cut off, etc. to prevent implement?
SUBCONTRACTORS
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Subs wearing proper PPE
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All subs using safe practices
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Site Safety Inspection Report Completed By: