Trane Mid America - General Field Safety Audit

• Location of audit

• Technician audited

• Conducted on

  Date

• Prepared by

• General audit comment's

PPE - Observation was technician wearing

• Safety glasses

  Yes

  No

  N/A

• Proper gloves

  Yes

  No

  N/A

• Hard hat

  Yes

  No

  N/A

• Steel toed boots

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Face protection

  Yes

  No

  N/A

• Compliant with NFPA 70E PPE (Balaclava, Face Shield, Class 0 rubber electric gloves inspected last 6mo?, leather gloves, ear plugs, safety glasses or goggles FR RATED uniform, all in good condition?)

  Yes

  No

  N/A

General safety practices

• Fall Issues? Fall Protection: (Techs usage / non-usage what possible solutions?

  Safe

  At Risk

  N/A

• Proper Staffing? (Enough personnel to safely perform job task?

  Safe

  At Risk

  N/A

• Any unsafe work practices observed<br>(improper lifting, rushing, wrong tool, etc...)

  Yes there were some

  None at this time

• Define unsafe practice

• Good housekeeping

  Yes

  No

  N/A

• Are hand and power tools in good working condition

  Yes

  No

  N/A

• Is proper electrical equipment and extension cords used and in good condition

  Yes

  No

  N/A

• Was fire extinguisher needed

  Yes

  No

  N/A

• Was the fire extinguisher available

  Yes

  No

  N/A

• Was hot work preformed

  hot work was preformed

  hot work was not preformed

• Is technician familiar with emergency procedures

  Yes

  No

  N/A

• Was hotwork permiting procedures followed

  Yes

  No

  N/A

• Is appropriate material handling being performed<br>(Proper lifting devices, ropes, cables, tool bag, cart, etc....)

  Yes

  No

  N/A

• First aid kit available

  Yes

  No

  N/A

• MSDS/SDS available

  Yes

  No

  N/A

• Is walking and working area free of slips trips and fall hazards

  Yes

  No

  N/A

• Are specific site safety requirements in place? Being met by employee?

  Yes

  No

  N/A

Ladder Safety

• Is the correct ladder being used safely and in good working condition with readable ANSI OSHA Label?

  Yes

  No

  N/A

• Is the extension ladder being used at the 4:1 ratio properly? (For every 4ft up; 1ft out from the wall at the base?

  Yes

  No

  N/A

• Is the top of the extension ladder at least 3ft past the top height of the wall / roof top?

  Yes

  No

  N/A

Other Observations

• Observation photos

  Media
Additional information or safety concerns

• Additional information

Signatures

• Auditor signature

  Sign

• Employee signature

  Sign