Vercon

• Document No.

• Jobsite Safety Audit

• Client/Site

• Conducted on April 28th, 2014

  Date

• Prepared by:

• Location
  Address

• Personnel

Jobsite Inspection

Job trailer or construction office

• Does the job trailer have the required safety essentials? (First Aid Kit, OSHA 300, Labor Posters, MSDS, Site Emergency Info, etc.)

  Yes

  No

  N/A

• Are weekly toolbox talks being conducted and sent in?

  Yes

  No

  N/A

• Are construction barricades/fencing and construction signage erected to warn of potential hazards?

  Yes

  No

  N/A

Fire Protection

• Are fire extinguishers on site and are they being monthly inspected?

  Yes

  No

  N/A

• Do we have a fire extinguisher for every 3,000 sq feet of the protected building and located not more than 100 feet from each other?

  Yes

  No

  N/A

• Are fire extinguishers placed by egress/EXIT doors?

  Yes

  No

  N/A

• Are approved flammable containers labeled as to contents?

  Yes

  No

  N/A

• Are LP Gas tanks barricaded?

  Yes

  No

  N/A

• Is PPE being worn and in compliance with site and OSHA requirements?

  Yes

  No

  N/A

Housekeeping

• Housekeeping being conducted and paths of travel free of debris?

  Yes

  No

  N/A

• Are areas of egress lit and indentified?

  Yes

  No

  N/A

• Are materials secured against falls/wind?

  Yes

  No

  N/A

PPE (Personal Protective Equipment)

• Are workers observing PPE requirements where required (Hi-Vis vests, hard hat, safety glasses, steel toed boots)

  Yes

  No

  N/A

• Is CO monitoring being used?

  Yes

  No

  N/A

Electrical Safety

• Are GFCI's being used on all temporary power and frequently tested?

  Yes

  No

  N/A

• Are all temporary lights fully caged to prevent accidental breakage and are they secured properly?

  Yes

  No

  N/A

• Are all extension cords in compliance and not exposed to sharp edges and vehicle traffic?

  Yes

  No

  N/A

Fall Protection

• Is there a fall protection plan in place for roofing activities and is it being followed?

  Yes

  No

  N/A

• Are all employees exposed to fall hazards of 6' or more being protected by fall protection?

  Yes

  No

  N/A

• Are all floor holes 2" or larger covered, labeled & secured?

  Yes

  No

  N/A

• When guardrails are used for fall protection are they at the right height and capable of withstanding of force of at least #200?

  Yes

  No

  N/A

• Are employees who are wearing PFAS (Fall Arrest- harness, retractable, etc.) properly trained in in how it works?

  Yes

  No

  N/A

• Have PFAS been inspected prior to use for wear & tear or needed maintenance?

  Yes

  No

  N/A

• Are metal pan stairs filled?

  Yes

  No

  N/A

Trenching/Excavating

• Is there a competent person on site while performing trenching/excavating?

  Yes

  No

  N/A

• Is there adequate cave-in protection for employees working in trenches/excavations greater than 5' in depth?

  Yes

  No

  N/A

• Is there an access/egress ladder in the trench/excavation and is it within 25' of the workers?

  Yes

  No

  N/A

• Are the spoil piles back at least 2' from the face of the excavation?

  Yes

  No

  N/A

• Are all audible alarms in operation on earthmoving equipment and loud enough to hear?

  Yes

  No

  N/A

• Are all employees exposed to or working adjacent to moving motors vehicles wearing at least a class 2 high visibility garment?

  Yes

  No

  N/A

Cranes

• If performing craning operations, is your operator certified?

  Yes

  No

  N/A

• Has a daily inspection been performed on the crane and is there an annual inspection document/sticker available?

  Yes

  No

  N/A

• Is the swing radius area of the crane barricaded?

  Yes

  No

  N/A

• Does the Crane have load charts accessible and in the cab?

  Yes

  No

  N/A

Ladders

• Are step ladders in good condition and being used for their designed purpose?

  Yes

  No

  N/A

• Are extension ladders in good condition and if used for access do they extend at least 3' and are they secured?

  Yes

  No

  N/A

• Are daily inspections being conducted on ALL motorized equipment and are the operators trained and authorized by their employer?

  Yes

  No

  N/A

• If an aerial lift basket is used on a construction forklift, is it the right size (does not exceed more than 10" of the wheelbase), secured and fall protection provided?

  Yes

  No

  N/A

Tools & Equipment

• Are machine guards in place on all rotating and reciprocal tools/equipment?

  Yes

  No

  N/A

• Are all hand tools free from visible defects and in good condition (including power cords)?

  Yes

  No

  N/A

Heavy equipment

• Are audible alarms on equipment functioning?

  Yes

  No

  N/A

• Is forklift being inspected daily?

  Yes

  No

  N/A

Scaffolding

• Has the scaffold been erected/dismantled by a competent person?

  Yes

  No

  N/A

• As a best practice, is the scaffold tagged "ready for use" or "not ready for use"?

  Yes

  No

  N/A

• Is the scaffold bearing on baseplates and mudsills and is it level?

  Yes

  No

  N/A

• Are ALL of the open sides and ends of the scaffold barricaded for fall protection?

  Yes

  No

  N/A

Concrete & Masonry

• Is all rebar or other protrusions capped?

  Yes

  No

  N/A

• Are eye protection & face masks being worn when cutting & mixing?<br>

  Yes

  No

  N/A