Verkler - Job Site Safety Audit

• Contractor / Client

• Project Name

• Division (If Applicable)

• Conducted on

  Date

• Prepared by

• Personnel participating in inspection.

1. Working at Heights

• 1.1 Are all fall exposures over 6' protected with proper fall protection equipment and techniques? This includes guard rails, fall restraint, or fall arrest.

  Yes

  No

  N/A

• 1.2. Are all leading edges properly protected?

  Yes

  No

  N/A

• 1.3 Is proper overhead protection in place?

  Yes

  No

  N/A

• 1.4 Is fall protection being used properly?

  Yes

  No

  N/A

• 1.5 Are all fall protection items free from damage?

  Yes

  No

  N/A

• 1.6 Are all impalement hazards adequately protected? ( rebar, pipes, stakes)

  Yes

  No

  N/A

• 1.7 Are wall and floor holes properly covered, marked, and secured?(capacity of 2x intended load)

  Yes

  No

  N/A

2. Fire Protection

• 2.1 Are there Fire Extinguishers on site? ( adequate number, type, maintained, inspected)

  Yes

  No

  N/A

• 2.2 Are all hot work activities being managed properly to prevent fires? This includes fire extinguishers, hot work permits, and fire watches (If Applicable)

  Yes

  No

  N/A

• 2.3 Has Smoking policy been established and followed?

  Yes

  No

  N/A

• 2.4 Are Compressed Gas Cylinders being used properly, including: (storage, proper separation, use)?

  Yes

  No

  N/A

• 2.5 Fire Hydrants, standpipes, hoses, and fire fighting equipment accessible to Fire Dept?

  Yes

  No

  N/A

3. Scaffolds

• 3.1 Are scaffolds properly tagged and dated?

  Yes

  No

  N/A

• 3.2. Are scaffolds free from damage and are they complete?

  Yes

  No

  N/A

• 3.3. Are documented scaffold inspections being conducted?

  Yes

  No

  N/A

• 3.4. Are all scaffold components compatible?

  Yes

  No

  N/A

• 3.5 Is the scaffold properly anchored to the structures and sitting on an adequate base? (Mud sills, cribbage)

  Yes

  No

  N/A

• 3.6 Is the competent person present and able to to make decisions regarding scaffold safety?

  Yes

  No

  N/A

• 3.7 Are loads imposed on the scaffold within its Safe Work Load (SWL)? (tools, stored materials, number of persons)

  Yes

  No

  N/A

• 3.8 During Erection and Dismantling tasks are fall protection and proper procedures being used?

  Yes

  No

  N/A

• 3.9 Is there proper access to scaffolding? (Frame scaffolds over two frames high require a stair tower, ladders are not acceptable)

  Yes

  No

  N/A

• 3.10 If the scaffold is over 10' high, does it have an adequate top rail, mid rail, and toe board?

  Yes

  No

  N/A

4. Cranes, forklifts and rigging

• 4.1. Is all equipment on site free from damage and recognized hazards? ( including forklifts and cranes?

  Yes

  No

  N/A

• 4.2. Are loads lifted in a safe manner? Avoiding Loads lifted over persons, close proximity to obstacles incl. overhead power lines? (20' cranes)

  Yes

  No

  N/A

• 4.3. Are proper maintenance and documented inspections being conducted on the cranes and forklifts on site?

  Yes

  No

  N/A

• 4.4 Are loads being rigged properly using the correct type and configuration of rigging for the load?

  Yes

  No

  N/A

• 4.5 Are all pieces of rigging safe, properly labeled and undamaged? (Ex. wire ropes, shackles, slings, chains, spreader bars, hooks)

  Yes

  No

  N/A

• 4.6 Is the crane's swing radius adequately protected?

  Yes

  No

  N/A

• 4.7 Do all crane and forklift operators have proper training and certifications for the equipment they are using?

  Yes

  No

  N/A

• 4.8 Are there proper LOTO procedures for cleaning, servicing and maintenance?

  Yes

  No

  N/A

• 4.9 Are seat belts being worn?

  Yes

  No

  N/A

• 4.10 Are tag lines being used on all loads?

  Yes

  No

  N/A

• 4.11 Do riggers and signal persons have documentation of qualifications?

  Yes

  No

  N/A

5. Equipment (boom lifts, scissor lifts, loaders, excavators, etc.)

• 5.1 Is all equipment including boom lifts, scissor lifts, and excavation equipment free from recognized hazards and free from damage?

  Yes

  No

  N/A

• 5.2 Is equipment being operated properly and in a safe manner?

  Yes

  No

  N/A

• 5.3 Are seat belts being worn on all equipment that requires seat belts?

  Yes

  No

  N/A

• 5.5 Are all employees operating equipment properly trained or certified?

  Yes

  No

  N/A

• 5.4 Are all lights, mirrors, back up alarms and safety systems working properly?

  Yes

  No

  N/A

6. Ladders/ Stairs

• 6.1 Are all ladders on site safe and free from damage?

  Yes

  No

  N/A

• 6.2 Are all ladders onsite being used in a safe manner that is consistent for the use they were intended?

  Yes

  No

  N/A

• 6.3 Are all Ladders properly secured?

  Yes

  No

  N/A

• 6.4 Does the ladder meet minimum OSHA requirements? (Proper weight rating for the work being done)

  Yes

  No

  N/A

• 6.5 Are all stairs on the project safe and free of recognized hazards?

  Yes

  No

  N/A

• 6.6 Are the stairs on site properly constructed? ( Metal pan stairs filled, hand rails, proper rise to run, properly secured, and slip resistant)

  Yes

  No

  N/A

• 6.7 Are stairs free from materials and debris?

  Yes

  No

  N/A

7. Power and hand tools

• 7.1 Are all power and hand tools in proper working order and without damage?

  Yes

  No

  N/A

• 7.2 Are all tools properly guarded?

  Yes

  No

  N/A

• 7.3 Are all tools being used properly?

  Yes

  No

  N/A

• 7.4 Are tools properly grounded or labeled as double insulated?

  Yes

  No

  N/A

8. Hazardous Chemicals (including fuel and oil)

• 8.1. Are chemicals stored in a safe location? (flammables away from ignition sources, spills would not enter stormwater drains, etc)

  Yes

  No

  N/A

• 8.3. Is there spill containment equipment on site?

  Yes

  No

  N/A

• 8.4. Are Safety Data Sheets accessible on site?

  Yes

  No

  N/A

• 8.7. Is there sufficient ventilation from potential fumes?

  Yes

  No

  N/A

• 8.9. Are containers suitable for the products in it?

  Yes

  No

  N/A

• 8.10 Are all containers properly labeled.

  Yes

  No

  N/A

9. Emergency Response

• 9.1 Are clinics identified and posted on the project?

  Yes

  No

  N/A

• 9.2. Emergency procedures are defined and readily available for review?

  Yes

  No

  N/A

• 9.3 Is there a fully stocked first aid kit available for use?

  Yes

  No

  N/A

• 9.4 Is there access to formally trained First Aiders for all shifts?

  Yes

  No

  N/A

10. Traffic Management

• 10.1. Is there a Traffic Management Plan (TMP) in place for work being conducted in the roadway?

  Yes

  No

  N/A

• 10.2. Are flaggers properly trained?

  Yes

  No

  N/A

• 10.3. Do controls for TMP function properly and are free from damage? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Yes

  No

  N/A

11. Personal Protective Equipment (PPE)

• 11.1 Are all employees following company PPE requirements? (I.E. Hard hats, Safety glasses, High Vis, Work boots, Gloves)

  Yes

  No

  N/A

• 11.2. If needed based on task, is specialty PPE being used properly? (Face shields, hearing protection, gloves etc.)

  Yes

  No

  N/A

• 11.3. Is all personal protective equipment in use safe and free from recognized hazards?

  Yes

  No

  N/A

• 11.4 Is there hearing protection available and in use where needed?

  Yes

  No

  N/A

12. Work Environment

• 12.1. Does the project have an adequate number of amenities? (toilets, wash areas, potable water, etc)

  Yes

  No

  N/A

• 12.2. Is lighting sufficient for the tasks being performed?

  Yes

  No

  N/A

• 12.3. Is housekeeping adequate?

  Yes

  No

  N/A

• 12.4 Are workers free from exposure and/or not exposing others to harmful or hazardous substances? ( Silica, Lead, Flammable gases)

  Yes

  No

  N/A

• 12.5 Are all structures secure and stable? (Masonry walls, false work, steel etc.)

  Yes

  No

  N/A

• 12.6 (Hospitals). Are infection control procedures and protection in place properly?

  Yes

  No

  N/A

• 12.7 Are all potential silica exposures are being properly mitigated? ( use of water or point of operation vacuums)

  Yes

  No

  N/A

• 12.8 Have health hazards such as asbestos or lead been mitigated prior to starting general construction?

  Yes

  No

  N/A

• 12.9 (Masonry) Limited access zone is in place on the non scaffold side and is back 4' plus the wall height.

  Yes

  No

  N/A

13. Electrical Hazards

• 13.1. Are all electrical cords free from any and all damage?

  Yes

  No

  N/A

• 13.2. Is there GFCI protection?

  Yes

  No

  N/A

• 13.3 Are employees maintaining safe distance away from live electrical lines unless properly trained and protected (PPE)?

  Yes

  No

  N/A

• 13.4 Are outlets and circuits free from overloads

  Yes

  No

  N/A

• 13.5 Are electrical cords protected from being placed on sharp ground or hung by conductive metal?

  Yes

  No

  N/A

• 13.6 Are electrical cords and equipment in a safe location, not near flammables, or lying in water?

  Yes

  No

  N/A

• 13.7 Is electrical work being conducted on de energized locked and tagged equipment. (LOTO)

  Yes

  No

  N/A

14. Excavations

• 14.1 Is there proper access to the excavation?

  Yes

  No

  N/A

• 14.2 Is cave in protection needed and properly installed?

  Yes

  No

  N/A

• 14.3 Is the excavation safe?

  Yes

  No

  N/A

• 14.4 Are utilities or other underground items properly marked and protected?

  Yes

  No

  N/A

• 14.5 Are utility locates current and undisturbed?

  Yes

  No

  N/A

• 14.6 Are spoils set back 2' from edge of excavation.

  Yes

  No

  N/A

15. Documentation

• 15.1. Is there a copy of the site safety plan readily available for review?

  Yes

  No

  N/A

• 15.2. Are permits being used for permit required work? Such as: (Excavation, Hot Works, Confined Space etc)

  Yes

  No

  N/A

• 15.3. Is a site safety orientation conducted and documented for employees and subcontractors?

  Yes

  No

  N/A

• 15.4. Is there adequate supervisory arrangements for the project?

  Yes

  No

  N/A

• 15.5 When required, do all employees have the needed training, licenses, skills, experience?

  Yes

  No

  N/A

• 15.6. Are Pre Task plans being conducted and documented on a daily basis?

  Yes

  No

  N/A

• 15.7 Are weekly tool box talks being performed and documented?

  Yes

  No

  N/A

• 15.8 Are weekly project field safety audits being performed and documented?

  Yes

  No

  N/A

• 15.9 Is all signage present and posted (OSHA poster, PPE, SDS, etc)

  Yes

  No

  N/A

16. Confined Space

• 16.1 Has space been evaluated? (Atmosphere test completed and documented - permit or non permit required)

  Yes

  No

  N/A

• 16.2 Proper permit documentation complete?

  Yes

  No

  N/A

• 16.3 Proper entry protocol in practice?

  Yes

  No

  N/A

Other Observations?

• Please describe in detail any other safety observations that were found during the inspection that are not covered in the categories above.

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign