Safety Assessment

1. PPE (Personal Protective Equipment)

1.1 Lack of, or inadequate PPE (including sun protection)

1.2 Respiratory protection/equipment?

2. Safety Documents/Postings

2.1 OSHA posters/permits/workers comp postings?

2.2 Lack of, or inadequate system to review SWP/IIPPas needed?

2.3 Lack of/or inadequate Site Safety Plan?

2.4 Lack of, or inadequate, routine inspections, monitoring, audits?

2.5 Lack of/or inadequate Job Hazard Analysis (JHA) for high- risk work?

2.6 Lack of/or inadequate training, licenses, skills, experience?

2.7 P.A.T./LASER/Fireproofing signage posted?

3. Positions & Actions of People

3.1 Lack of training in risk controls and safe lifting/team lifting techniques?

3.2 Lack of identification/assessment of hazardous manual tasks?

3.3 Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

4. Equipment (chop saws, drills, mixers, pumps, etc.)

4.1 Lack of inspection regime?

4.2 Unlicensed operators?

4.3 Lack of safe work instructions?

4.4 Unsafe or damaged equipment? (including missing or damaged guards, relief/safety devices)

4.5 Incorrect equipment for job? (e.g. grinding discs for cutting)

4.6 Unsafe or incompatible attachments used with equipment?

4.7 Unsafe safe operation, clean-up and maintenance?

4.8 Is Fire Protection available?

5. Slips, Trips & Falls

5.1 Unprotected/unsecured/unmarked holes or depressions (>2" dia)?

5.2 Trip Hazards?

6. Scaffolds

6.1 Mobile scaffold wheels locked?

6.2 Lack of inspection protocol for scaffold?

6.3 Unsafe or incomplete scaffold (missing handrails, planks, etc.)?

6.4 Incompatible scaffold components? Unlabelled or do not meet SAIA standards?

6.5 Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

7. Working at Heights

7.1 Fall risks (6 ft. or more, including voids, pits, and trenches)?

7.2 Unprotected change of elevation >18"?

7.3 Unsafe or incomplete edge protection?

8. Fall Protection

8.1 Lack of inspection protocol for equipment?

8.2 Inadequate training for PFAS?

8.3 Unsafe or damaged harness, lanyards, hooks or equipment?

8.4 Unlabelled or does not meet Manufacturers standards?

8.5 Unsafe or uncertified anchor points?

8.6 Is PFAS stored properly?

9. Ladders

9.1 Unsafe or damaged ladders?

9.2 Unsafe positioning of ladders?

9.3 Ladder not properly secured?

9.4 Is all labeling attached and legible?

10. Lifting Equipment (scissor, boom, fork)

10.1 Lack of daily inspection protocol?

10.2 Unlicensed operators?

10.3 Is Operators Manual on equipment?

10.4 Does Forklift have a Fire Extinguisher attached?

10.5 Unsafe operation observed?

11. Electrical Hazards

11.1 Unsafe/damaged electrical cords? (damaged, cut, frayed, etc.)

11.2 Lack of GFCI protection?

11.3 Hazardous issues ( contact with overhead electrical lines, near water, overloaded, near hazardous chemicals)?

11.4 Trip Hazard?

12. Work Environment

12.1 Inadequate housekeeping?

12.2 Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

12.3 Insufficient lighting?

12.4 Lack of, or inadequate noise/ vibration control?

12.5 Is there adequate & Safe Access & Egress?

12.6 Air quality acceptable?

13. Emergency Response

13.1 Lack of, or inadequate first aid kits aid equipment for site?

13.2 Lack of drinking water available? (2 gallons, per person, per 8 hour shift)

13.3 Emergency procedures, available, reviewed and displayed at site?

13.4 Fire Extinguishers secured/available/functioning/inspected?

14. Traffic Management

14.1 Inadequate controls and Traffic Management Plan (TMP) I place? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

15. Hazardous Chemical (including fuel and oil)?

15.1 Inadequate spill containment equipment?

15.2 Unsuitable/missing/damaged Fire protection (fire extinguisher)

15.3 Safety Data Sheets not accessible on site?

15.4 Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

15.5 Insufficient ventilation?

16. Environmental Hazards

16.1 SWPPP

16.2 PACM/PLCM-ACM/LCM (Asbestos/Lead)?

16.3 Lack of/or inadequate, dust suppression system?

17. Miscellaneous

17.1 Safe / At Risk?

Notes, Comments & Corrective Actions

Sign Off
On site representative
Auditor's signature KIRK WILLIAMSON, The RAYMOND Group Director of Safety
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.