V GENERAL SITE Hazard Assessment

• Audit Title

• Client / Site

• Job #

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Notes

Environmental Hazards

• Is the work area clean?

  Yes

  No

  N/A

• All materials handled and stored correctly

  Yes

  No

  N/A

• Air quality

  Good

  Fair

  Poor

  N/A

• Noise levels in work area

  Good

  Fair

  Poor

  N/A

• Weather conditions

• proper sanitary facilities

  Good

  Fair

  Poor

  N/A

Working at Heights

• Is working at heights audited ?

  Yes

  No

  N/A

• Fall protection/Harness used properly when required?

  Yes

  No

  N/A

• Workers using boom type elevated lifts using proper fall protection at all times

  Yes

  No

  N/A

• Danger to others working above or below?

  Yes

  No

  N/A

• Scaffold/bakers/Benches inspected and acceptable ?

  Safe

  At Risk

  N/A

• Elevated platform ground conditions

  Good

  Fair

  Poor

  N/A

• Elevated platform hazards (power lines, curbs, protrusions from structure)

  Safe

  At Risk

  N/A

Ergonomic Hazards

• Repetitive motions?

  Yes

  No

  N/A

• Heavy or awkward lifting?

  Yes

  No

  N/A

Work Environment Hazards

• Slips or trips

  Safe

  At Risk

  N/A

• Limited access

  Safe

  At Risk

  N/A

• Enclosed space permit required

  Yes

  No

  N/A

• Proper PPE for conditions

  Safe

  At Risk

  N/A

• Exposure to electrical hazards

  Safe

  At Risk

  N/A

• Exposure to other hazards

  Safe

  At Risk

  N/A

• Lighting [ if required ]

  Safe

  At Risk

  N/A

Emergency

• Muster point identified with proper sign

  Safe

  At Risk

  N/A

• Evacuation routes identified

  Yes

  No

  N/A

• First aid personnel identified

  Yes

  No

  N/A

• First aid kits fully stocked & readily available

  Compliant

  Non-Compliant

  N/A

• SDS information is readily available at all times

  Compliant

  Non-Compliant

  N/A

• OSHA, workmans comp & other required information posted or available as required.

  Compliant

  Non-Compliant

  N/A

Equipment / Workers

• All operators trained/certified to operate equipment

  Compliant

  Non-Compliant

  N/A

• Workers trained/certified to operate explosive actuated tools when needed

  Compliant

  Non-Compliant

  N/A

• All equipment is kept in good condition

  Compliant

  Non-Compliant

  N/A

• Back up alarm & other warning devices working correctly

  Compliant

  Non-Compliant

  N/A

• Toolbox talks at least weekly and recorded

  Compliant

  Non-Compliant

  N/A

• cold / hot weather conditions [ cool water available, shade available, proper rest periods]

  Compliant

  Non-Compliant

  N/A

• Workers / classification

• Equipment in use

• Type of work being performed

• Future work

Personal Protective Equipment

• Hard hat required and worn at all times

  Compliant

  Non-Compliant

  N/A

• Safety boots required and worn at all times

  Compliant

  Non-Compliant

  N/A

• Safety glasses/Gloves/Masks when task requires

  Compliant

  Non-Compliant

  N/A

• Face shield when needed

  Compliant

  Non-Compliant

  N/A

• Hearing protection when needed

  Compliant

  Non-Compliant

  N/A

• Proper traffic control equipment and training

  Compliant

  Non-Compliant

  N/A