Information

  • Document No.

  • Audit Title

  • Project Number

  • Client / Site

  • Location

  • Conducted on

  • Prepared by

  • Personnel

General

  • Is the TRC Project Specific Safety Plan (PSSP) or Health and Safety Plan (HASP) available onsite?

  • Is the Emergency Action Plan (EAP), which include muster point and emergency numbers onsite?

  • TRC Signage in place for site control?

  • Pre-Job Briefing/Tailboard Complete?

  • Competent Person onsite?

  • Qualified Workers?

Housekeeping and Sanitation

  • General neatness of work areas?

  • Passageways and walkways clear?

  • Adequate lighting?

  • Adequate water provided?

  • Sanitary facilities furnished/maintained?

  • Are cool or shaded break/rest areas provided?

Aerial Lifts

  • Are there any aerial lifts onsite?

  • Do all employees have appropriate aerial lift training?

  • Workers standing firmly on platform floor?

  • Harness/lanyard worn in accordance with requirements?

  • Lanyard attached to manufactures specified anchorage point?

  • Minimum Approach Distance (MAD) from overhead power lines maintained?

  • Is a ground person or spotter provided?

  • Is a drop zone established around elevated work?

  • Other?

Confined Spaces

  • Are there any confined spaces onsite?

  • Do all employees have appropriate confined space training?

  • All personnel can explain what a confined space is, and are aware that entry into a confined space requires specific training, permitting, and safety procedures

  • Personnel who may enter a confined space can explain how to conduct a hazard assessment, including examples of hazards that may be created by their work (e.g. CO from oxy/acetylene torches, hydrocarbons from paint or solvent, etc.).

  • Air monitoring was conducted at the appropriate time and frequency, continuous monitoring is being conducted if necessary (see CP008 Confined Space Program), gas monitor is properly calibrated.

  • Employees properly classify whether a confined space is a non-permit required confined space or a permit required confined space (or confirm they are all treated as Permit Required Confined Space[PRCS]).

  • Confined spaces are labeled properly.

  • The PRCS has a valid permit posted in the area.

  • LOTO requirements have been met.

  • Attendant is present at all times when entrants are in the Confined Space, and has no other assignments that might interfere with his/her duties.

  • Emergency response resources are available, and have been notified that the PRCS has been entered. Appropriate retrieval tools and rescue plans are available for the PRCS.

  • Effective means of communication between the attendant and entrant(s) is being used.

  • Entrant and attendant all know the conditions that would prompt immediate evacuation (e.g. Hazardous atmosphere, gas monitor fails, uncontrolled hazard is suspected or observed, entrant experiences symptoms of exposure or medical emergency, communication link fails, outside conditions threaten entrant or attendant, etc.).

  • Entrants, entry supervisor, and attendant can explain the specific hazards in the PRCS, and can explain all necessary control measures.

Electrical (Subpart K)

  • Is work being performed on or with electrical equipment 600 volts or less?

  • Do all exposed employees have appropriate electrical training?

  • Temporary wiring systems installed/protected?

  • Covers installed on energized panels?

  • Proper lockout/tagout procedures used?

  • GFCI protection used where required?

  • Extension cords in acceptable condition?

  • Extension cords routed to eliminate trip hazards?

  • Extension cords routed to minimize damage to the cord and is not run through doorways?

  • Temporary lighting adequately routed and protected?

  • Other?

Electrical Transmission, Distribution and Substations (Subpart V)

  • Is there work being performed on or near power lines, substations or other high voltage components in excess of 600 volts?

  • Qualified electrical workers?

  • Line properly de-energized and grounded?

  • Adequate additional protections in place? (one shot, fuse, etc.)

  • Is Minimum Approach Distance (MAD) being maintained?

  • Is proper FR Clothing being worn?

  • Is adequate protective cover-up installed?

  • Adequate bonding and grounding (EPZ)?

  • 100% wood pole fall protection in place?

  • Pole top/Bucket/Tower rescue equipment available?

  • Other?

Excavation/Trenching/Shoring

  • Are there any underground operations on site?

  • Do all employees working in and around excavations and trenches have appropriate training?

  • One call contacted and locate ticket is onsite for the work location?

  • Utilities have been properly identified?

  • Soil classification made by competent person?

  • Trench inspected daily by competent person?

  • Proper access/egress provided for excavations with a depth 4 feet or greater?

  • Access/egress points within 25 feet of workers?

  • Proper sloping/shielding/shoring for excavations 5 feet (4 feet in CA) in depth or greater?

  • Spoil piles, tools and equipment is positioned at least two feet back from edge?

  • Adequate barricades in place?

  • Stop logs/warning system in place for vehicles?

  • Precautions have been taken to protect employees from hazards posed by water accumulation?

  • An inspection of the excavation, adjacent areas, and protective system is performed and documented after each rainstorm?

  • Other?

Fall Protection

  • Are employees exposed to falling hazards that are greater than 4 or 6 feet based on site requirements?

  • Do all employees wearing fall protection and working at elevated surfaces have appropriate training?

  • Employees protected from falls with 100% fall protection at 4 or 6 feet (depending on site requirements)?

  • Employees utilizing adequate anchorage points?

  • Harness/lanyards in acceptable condition?

  • Standard guardrails in compliance?

  • Openings to lower level properly protected?

  • Floor openings covered, secured and marked?

  • Is there protection from falling objects?

  • Other?

Fire Prevention and Protection

  • Are fire extinguishers required for the work operation?

  • Fire extinguishers are fully charged and inspected?

  • Adequate number of fire extinguishers for work location?

  • Hot work permits issued when required?

  • Flammable liquids stored in approved containers?

  • Proper storage practices for flammables observed?

  • Other?

Hand and Power Tools

  • Are hand or power tools used at this location?

  • Visible physical damage to tool?

  • Damaged and defective tools are tagged and removed from service?

  • Shields and guards in place?

  • GFCI protection used?

  • Proper use of tool?

  • Certification for powder actuated tool operation?

  • Safety clips/pins in place on air hose connections?

  • Air compressors are equipped with safety relief valves?

  • Other?

HAZWOPER

  • Is this a HAZWOPER site?

  • Do all employees have appropriate HAZWOPER training?

  • Are appropriate exclusion zones present?

  • Are TRC Employees working within exclusion zones?

  • Is there soil segregation occurring?

  • Are there appropriate dust mitigation procedures present?

  • Does the jobsite have appropriate Industrial Hygiene Plan with a review of current site operations?

  • Has the Industrial Hygiene Plan been reviewed with in the past year?

  • Is there dust monitoring?

  • Is substance specific monitoring conducted as needed?

  • Are soil stockpiles covered at the end of each day?

  • Are there appropriate protections in place for storm drains?

  • Other?

Ladders

  • Are ladders in use at work location?

  • Do all employees have proper ladder training?

  • Ladders are in good condition?

  • Non-conductive ladders used when risk of contact with energized components is present?

  • Extension ladders properly secured when in use?

  • Side rails extend a minimum of 36 inches above top landing when used for access?

  • Step ladders are used in the fully open and locked position?

  • Other?

Lifting/Rigging

  • Are lifting/rigging operations occurring at the work location?

  • Crane operators have proper certifications?

  • Lift Plan performed?

  • Minimum approach distance (MAD) from overhead power lines maintained?

  • Outriggers/pads placed and used for all lifts?

  • Documented Inspections (annual/monthly/daily)?

  • Proper barricade around swing radius of crane?

  • Load charts available in crane cab?

  • Signal charts available?

  • Load Line/Hook/Crane Component Condition?

  • Sling/Shackle Condition?

  • Designated Rigger/Spotter?

  • Workers are not under suspended loads?

  • Tag Line Used?

  • Other?

Material Handling

  • Mechanical lifts used where practical?

  • Material staged to minimize lifting and carrying?

  • Are forklifts being utilized at the work location?

  • Operators properly trained/certified?

  • Alarm/Spotter is view is obstructed?

  • Seat belts worn by operators?

  • Operating horn and back up alarm?

  • Appropriate type of forklift is utilized for the environment?

  • Other?

Medical Services & First Aid

  • Are personnel adequately trained to render first aid if a hospital, clinic, or infirmary aren't in near proximity?

  • Are employees aware of WorkCare and understand TRC's injury reporting process?

  • Is a first aid kit readily accessible and inspected monthly?

  • Are eye wash stations or bottles readily accessible, marked, and inspected monthly?

Motor Vehicle/DOT/Earth Moving Equipment

  • Are motor vehicles being used at this location?

  • Vehicle Inspection (DVIR) completed for both DOT and Non-DOT Vehicles?

  • Proper insurance and registration is in vehicle?

  • Seat belts properly worn?

  • Are vehicles/equipment properly set up?

  • Are vehicles parked where the first move is forward where possible?

  • Are vehicles and/or trailers wheels chalked when neccessary?

  • Proper load securement?

  • Are there DOT regulated vehicles at this location?

  • Drivers log complete?

  • DOT inspection current?

Personal Protective Equipment (PPE)

  • Approved eye protection with side shields worn where required?

  • Head protection worn where required?

  • Hand protection worn when engaged in physical activity?

  • Reflective safety vest/clothing worn where required?

  • Approved safety footwear worn where required?

  • Hearing protection worn in designated areas?

  • Face shield worn where required?

  • Fire Resistance (FR) clothing utilized where required?

  • Are respirators being worn at this work location?

  • Did workers complete pulmonary function test and fit test?

  • Are respirators being worn in compliance with regulator requirements?

  • Other?

Scaffolds

  • Are scaffolds being used at the work location?

  • Do all employees have appropriate scaffolds training?

  • Competent person available onsite?

  • Scaffold properly tagged/inspected by competent person?

  • Guardrails/toe boards on scaffold over 6 feet?

  • Ladder provided for access to scaffold platform?

  • Platform fully decked and of scaffold grade?

  • Scaffold free of visible damage?

  • All pins/braces in place and locked?

  • Wheels locked on rolling scaffolds when in use?

  • Scaffold erected on firm and substantial surface?

  • Other?

Toxic and Hazardous Substances

  • Are there toxic and hazardous substances at the work location?

  • Do all employees have HAZCOM training?

  • Was an appropriate job safety analysis performed for the work activity, identifying the hazards and implementing controls? Did the work instructions address use of specific PPE such as safety glasses with side shields, rubber gloves, aprons, hood, etc.?

  • Is there a list of hazardous chemicals known to be present using a product identifier that also provides a reference to appropriate Safety Data Sheets (SDSs)?

  • Are SDSs readily available during each work shift to employees in their workplace for each hazardous chemical?

  • Were workers provided the opportunity to review and understand the SDSs for chemicals associated with the activity?

  • Can workers describe the correct response to an emergency involving chemical hazards?

  • Is each container containing a hazardous chemical labeled, tagged, or marked with the identity of the chemical, and appropriate hazard warnings? (Labels are not required on portable containers into which chemicals are transferred from labeled containers and which are intended only for immediate use of the employee who made the transfer)

  • Are suitable fire control devices, such as fire extinguishers, available at locations where flammable or combustible liquids are stored?

  • Are users of flammable/combustible liquids familiar with the hazard classification of the liquid?

  • Are incompatible chemicals/materials segregated to prevent accidental contact with another? (i.e. storing oxidizing acids and flammable solvents in separate locations) NFPA Standard 45, 7-2.3.4

  • Are safety showers and/or an eyewash stations provided within the work area for immediate emergency use?

  • Are there flammable storage cabinets/rooms in the work area?

  • Do flammable storage cabinets contain less than 60 gallons of Class I or CLass II liquids or less than 120 gallons of Class III liquids?

  • Are flammable storage cabinets conspicuously labeled "Flammable Keep Fire Away"?

  • Does the flammable storage cabinet meet the design requirements of 29 CFR 1910.106 (d)(3)(ii)(a)?<br><br>Metal cabinets shall:<br> **the bottom, top, door and sides of cabinet shall be at least No 18 gage sheet iron and double walled with 1.5" air space<br> **Joints shall be riveted welded or made tight by some equally effective means<br> ** Doors shall be provided with three-point lock, and the door sill shall be raised at least 2 inches above the bottom of the cabinet

  • Do flammable storage rooms meet the requirements of 29 CFR 1910.106(d)(4) for room design, quantiy of liquid stored, ventilation, storage spacing, electrical requirements, etc.?

  • Other?

Welding and Burning Operations

  • Are there welding or cutting operations at the work location?

  • Do all employees have appropriate hot work training?

  • Hot work permit completed if required?

  • Combustible's removed or cover with fire blankets?

  • Fire watch present with fire extinguisher when required?

  • Welding screen used when required?

  • Welding goggles, gloves and clothing being worn as required?

  • Areas inspected for fire hazards after welding stops?

  • Other?

Work Zones

  • Is there traffic concerns associated with the work operation?

  • Do all employees setting up and working within work zones have appropriate training?

  • Traffic control devices appropriate for work location?

  • Signage appropriate for work location?

  • Properly trained flaggers used where appropriate?

  • Other?

Other

  • Are there other unsafe acts or conditions that need to be documented?

  • Other?

Signatures

  • Supervisor

  • Auditor

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