UCONN Public Safety Complex - Project #201703 - Audit Report

• Date of Visit

  Date

• Weather

• Total Workers On-Site

• Summary of Work

• Prepared by

Category/Key Points Audited

• Compressed Gas: Properly secured, separated by at least 20 feet, gauges removed when not in use.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Cranes: Permit properly completed, no oil leaks, pads under outriggers, lift plan, overhead lines?

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Electrical: GFCI used at source, aware of pre-existing electrical lines.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Elevated Work Locations: Competent person responsible, planks, access, rails, toe board, span.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Equipment: No oil leaks, inspected, marked and inspected slings, equipment grounded.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Environmental: heat stress, cold, insects.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Excavations: Are excavations properly sloped and or shored?

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Fall Prevention: Anchor point, max 6' fall, workers educated, ladder tied, guardrails, distance checked.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Flammable or Combustible Liquids: Metal container, labeled in flammable storage, self-closing lid.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Floor or Wall Openings: Covered and marked or guarded, toe boards.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Fire Prevention: Fire extinguishers for hot work.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Housekeeping/Liability: Trash emptied daily, no housekeeping issues, no public liability issues.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Motor Vehicle: Is there proper segregation between the public, traffic and the worksite or crew?

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Occupational Hygiene: Silica, dust, or related occupational health issues

  Acceptable

  Not Acceptable

  Corrected

  N/A

• PPE: ANSI Z 87 safety glasses/shields, hardhat, safety-toed boots, high visibility clothing.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Scaffold: Competent person, properly erected, not overloaded, daily inspection.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Slips/Falls: Fall hazards/trip hazards controlled.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Steel Erection: Rigging inspected, 100% tie off.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Struck By: Are struck by exposures controlled?

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Toolbox Meetings: Performed weekly/documented; JHA's done, morning brief done, EVAC discussed daily.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Welding: Permits secured for any sparking, etc.; fire watch in place.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Worker Observation: Focus, working safely not rushing, good pace/not hurried or working haphazardly.

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Other Risks Not Identified Above

  Acceptable

  Not Acceptable

  Corrected

  N/A

• Daily Hazard Analysis

  Acceptable

  Not Acceptable

  Corrected

  N/A

• General Comments/Corrective Actions:

• Audit performed by:

  Sign

• Date of this Report:

  Date