WD [Weis Builders] Safety Audit-Safety Dept

• Document No.

• Project

• Location: City, State

• Group

  Select Chicago Dallas Minneapolis Rochester National Retail Arizona

  • Chicago
  • Dallas
  • Minneapolis
  • Rochester
  • National Retail
  • Arizona

• Conducted on

  Date

• Superintendent

• Prepared by

• Days without a Lost Time Accident as of Today's date

• FOR ALL ITEMS - ANSWER YES IF THE ITEM MEETS REQUIREMENTS, NO IF NOT. FOR NO RESPONSES, ADD NOTES AND PHOTO IF POSSIBLE.

• Items marked with an asterisk (*) must be inspected even if they are not being used during the audit. Scaffold that is in use or ready to be used should be inspected. Scaffolds being assembled or disassembled should not be considered "in use".

A. GENERAL SAFETY & HEALTH REQUIREMENTS

• 1. Housekeeping

  Yes

  No

  N/A

• 2. 100% Hard hat policy compliance

  Yes

  No

  N/A

• 3. 100% safety eyeware compliance

  Yes

  No

  N/A

• 4. Other personal protective equipment

  Yes

  No

  N/A

• 5. Walkways free of slip/ trip hazards

  Yes

  No

  N/A

• 6. Carbon monoxide monitoring

  Yes

  No

  N/A

• 7. Other observations in this category

  Yes

  No

  N/A

B. FIRE PREVENTION & FIRE PROTECTION (29 CFR 1926 Subpart F)

• 1. Extinguishers: 1 per every 3,000 sq. ft.

  Yes

  No

  N/A

• 2. Fuel tanks, combustibles, cylinders

  Yes

  No

  N/A

• 3. Temp heat safely set & ventilated

  Yes

  No

  N/A

• 4. Extinguishers by temp heaters (25 ft.)

  Yes

  No

  N/A

• 5. Hot works permit issued

  Yes

  No

  N/A

• 6. Other observations in this category

  Yes

  No

  N/A

C. ELECTIRCAL (29 CFR 1926 Subpart K)

• 1. Extension cords & GFCI protection

  Yes

  No

  N/A

• 2. Temporary lights & power

  Yes

  No

  N/A

• 3. Distribution boxes

  Yes

  No

  N/A

• 4. Lockout/ Tagout program

  Yes

  No

  N/A

• 5. Other observations in this category

  Yes

  No

  N/A

D. STAIRWAYS AND LADDERS (29 CFR 1926 Subpart X)

• 1. Stairs (4+ Risers) have handrails

  Yes

  No

  N/A

• 2. Metal pan stairs filled

  Yes

  No

  N/A

• 3. Ladders secured and safely used

  Yes

  No

  N/A

• 4. Ladder access has offset approach

  Yes

  No

  N/A

• 5. Ladders are in good condition

  Yes

  No

  N/A

• 6. Other observations in this category

  Yes

  No

  N/A

E. FALL PROTECTION (29 CFR 1926 Subpart M)

• 1. Falling object protection

  Yes

  No

  N/A

• 2. Materials secured (wind displacement)

  Yes

  No

  N/A

• 3. Lumber guard rail / barricade construction

  Yes

  No

  N/A

• 4. Cable guardrail: Tension/ Flagging

  Yes

  No

  N/A

• 5. All guardrail systems have toeboards

  Yes

  No

  N/A

• 6. Personal fall arrest systems in use

  Yes

  No

  N/A

• 7. Balcony fall arrest systems installed

  Yes

  No

  N/A

• 8. Fall restraint systems in use

  Yes

  No

  N/A

• 9. Leading edge, CAZs, CDZs

  Yes

  No

  N/A

• 10. Roof fall protection methods*

  Yes

  No

  N/A

• 11. Steel erection guidlines followed

  Yes

  No

  N/A

• 12. Wood-frame policies followed

  Yes

  No

  N/A

• 13. Other observations in this category

  Yes

  No

  N/A

F. FLOOR AND WALL OPENINGS (29 CFR 1926 Subpart M)

• 1. Floor openings / holes protected

  Yes

  No

  N/A

• 2. Door openings: 3 guardrails (min.)

  Yes

  No

  N/A

• 3. Window openings: 2 guardrails (min.)

  Yes

  No

  N/A

• 4. Balcony door signage posted

  Yes

  No

  N/A

• 5. Other observations in this category

  Yes

  No

  N/A

G. TRENCHING AND EXCAVATIONS (29 CFR 1926 Subpart P)

• 1. Slope, shoring, box (5+ feet deep)

  Yes

  No

  N/A

• 2. Spoil pile (2+ feet from edge)

  Yes

  No

  N/A

• 3. Fall protection at edge if over 5 feet

  Yes

  No

  N/A

• 4. Exits provided every 25 feet

  Yes

  No

  N/A

• 5. Competent person on site

  Yes

  No

  N/A

• 6. Other observations in this category

  Yes

  No

  N/A

H. SCAFFOLDING, AERIAL LIFTS & SCISSOR LIFTS (29 CFR 1926 Subpart L)

• Items marked with an asterisk (*) in this section must inspected even if they are not being used during the audit. Scaffold that is in use or ready to be used should be inspected. Scaffolds being assembled or disassembled should not be considered "in use."

• 1. Tied/ guyed if height = 4 x width *

  Yes

  No

  N/A

• 2. Guardrails and toeboards (6+ ft. ht.) *

  Yes

  No

  N/A

• 3. Mudsills and planking *

  Yes

  No

  N/A

• 4. Means of access (i.e. ladders, stairs) *

  Yes

  No

  N/A

• 5. Hydro-Mobile type scaffolding *

  Yes

  No

  N/A

• 6. Mobile scaffold towers *

  Yes

  No

  N/A

• 7. Aerial lifts: guardrail systems *

  Yes

  No

  N/A

• 8. Aerial lifts: tied off in basket

  Yes

  No

  N/A

• 9. Scissor Lifts: guardrail systems *

  Yes

  No

  N/A

• 10. Other observations in this category

  Yes

  No

  N/A

I. CONCRETE AND MASONRY (29 CFR 1926 Subpart Q)

• 1. Rebar guarded by caps or troughs

  Yes

  No

  N/A

• 2. Shoring and/or wall bracing

  Yes

  No

  N/A

• 3. Masonry saw blade has guard

  Yes

  No

  N/A

• 4. Respiratory protection / PPE

  Yes

  No

  N/A

• 5. Other observations in this category

  Yes

  No

  N/A

J. MOTOR VEHICLES AND EQUIPMENT

• 1. Back-up alarms : on-site equipment

  Yes

  No

  N/A

• 2. Back-up alarms : delivery trucks

  Yes

  No

  N/A

• 3. Traffic control/ flaggers as needed

  Yes

  No

  N/A

• 4. Seatbelts provided and worn if in use

  Yes

  No

  N/A

• 5. Forklift trash basket warning signs *

  Yes

  No

  N/A

• 6. Traffic obstructions/ hazards

  Yes

  No

  N/A

• 7. Other observations in this category

  Yes

  No

  N/A

K. PUBLIC PROTECTION

• 1. Plan elements in compliance

  Yes

  No

  N/A

• 2. Separation of public from work areas

  Yes

  No

  N/A

• 3. Parking lot / traffic patterns

  Yes

  No

  N/A

• 4. Pedestrian protection

  Yes

  No

  N/A

• 5. Public sidewalks protected

  Yes

  No

  N/A

• 6. Uneven walking surfaces marked

  Yes

  No

  N/A

• 7. Fencing and gates adequate

  Yes

  No

  N/A

• 8. Necessary signage in place

  Yes

  No

  N/A

• 9. Other observations in this category

  Yes

  No

  N/A

ADDITONAL COMMENTS

• Additional Comments

COMPLETION

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