Vogel Bros. Building Co. - D/W

• Client / Site

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

First Aid and Emergency

• Stocked/Current first aid kit on-site

  Yes

  No

  N/A

• Crisis Management Kit on-site

  Yes

  No

  N/A

• Stokes Basket on-site and accessible

  Yes

  No

  N/A

PPE

• Hardhat, Safety Glasses, Work Gloves, Proper Boots

  Yes

  No

  N/A

• FR Clothing

  Yes

  No

  N/A

• High Visibility Clothing

  Yes

  No

  N/A

• Respiratory protection used as necessary

  Yes

  No

  N/A

• Hearing protection used as necessary

  Yes

  No

  N/A

• No shorts/sleeveless shirts

  Yes

  No

  N/A

• Other PPE (face protection; specialty equipment; etc.)

  Yes

  No

  N/A

Fall Protection

• Proper fall protection at 6' or greater

  Yes

  No

  N/A

• Personnel below are protected from falling objects

  Yes

  No

  N/A

• Controlled access zones used

  Yes

  No

  N/A

• Warning lines 6'-10' from edge

  Yes

  No

  N/A

• Wall opening guarded

  Yes

  No

  N/A

• Open sided floors or platforms 6' or more from lower level equipped with proper guardrail

  Yes

  No

  N/A

• Floor openings 2" or more properly barricaded/protected/secured/marked/covered

  Yes

  No

  N/A

• Guardrails in place/replaced after each load received

  Yes

  No

  N/A

Electrical

• Assured Grounding Program up to date

  Yes

  No

  N/A

• All electrical equipment in good condition

  Yes

  No

  N/A

• Lighting cords and wiring secured with NON-conductive material

  Yes

  No

  N/A

• Power tools are protected with GFCI or internal grounding

  Yes

  No

  N/A

• Pinch/drive-over hazards eliminated

  Yes

  No

  N/A

• Terminal boxes properly covered

  Yes

  No

  N/A

• Exposed light bulbs equipped with protective cage and bulbs in place

  Yes

  No

  N/A

• Good work practices (cords out of pathways, kept out of water, etc.)

  Yes

  No

  N/A

• Adequate Arc Flash Protection

  Yes

  No

  N/A

• Arc Flash Equipment inspected and in good condition

  Yes

  No

  N/A

Confined Space

• Declared Permit or non-permit

  Yes

  No

  N/A

• Rescue Plan communicated and understood

  Yes

  No

  N/A

• Air monitor on site (properly calibrated, properly used)

  Yes

  No

  N/A

• Atmosphere test results documented

  Yes

  No

  N/A

• Energy sources locked out/tagged out

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

Excavations

• Competent person on-site

  Yes

  No

  N/A

• Was one-call system contacted

  Yes

  No

  N/A

• Protective system

  Yes

  No

  N/A

• Holes, trenches, excavations, etc. are identified and protected

  Yes

  No

  N/A

• Surface encumbrances protected/supported

  Yes

  No

  N/A

• Ladder or ramp within 25' of all employees in trenches 4' or greater in depth

  Yes

  No

  N/A

• Utilities protected/supported

  Yes

  No

  N/A

• Spoil piles minimum of 2' from edge of excavation

  Yes

  No

  N/A

• Overhead power lines minimum distance of 20'

  Yes

  No

  N/A

• Only Vogel Bros employees using Vogel Bros equipment

  Yes

  No

  N/A

Other items found

• Yes

  No

  N/A

• Yes

  No

  N/A

Positive Insight

• Comments

  Yes

  No

  N/A

• Safety Representative

  Sign

• Superintendent

  Sign

• Foreman

  Sign