Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Previous Assessment Log
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Have all corrective actions noted in the previous log been closed out?<br>
Management Controls
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Response Key:
Excellent (100% compliance and no IDLH findings)
Good (>95% compliance and no IDLH findings)
Fair (>90 compliance and no IDLH findings)
Unacceptable (<90% compliance or IDLH finding)
Not Appliacble -
Work permit is in place and correctly completed
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STA is available and completed correctly
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Any other permits that may be required (hot work, confined space, critical lift, etc.) are in place and correctly completed
Housekeeping
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Project areas are clean and free of excess trash and debris
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Walkways and passageways are clear and free of trip hazards
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Material and equipment is properly stored
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Electrical cords, hoses, welding leads etc. are elevated or protected to prevent trip hazards
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Scrap material is free of protruding nails or other puncture hazards
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Barricades, caution tape, signage is installed and maintained as appropriate
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Rebar caps are installed and maintained
Personal Protective Equipment (PPE)
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Hard hats worn and maintained
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Hearing protection worn as required
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Eye protection worn as required and in the proper manner (clear glasses at night)
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Proper footwear worn for the job performed
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Face shield, welding hood or goggles worn as required for the job task
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Respirators, gloves or chemical resistant garments worn as required (appropriate gloves for welding, concrete, material handling etc.)
Working at Heights
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Persons working at heights must have documented evidence of proper training. Project requirements include 100% tie off at all time while working at height.
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Full body harness worn in the proper manner
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Lanyards are adequately secured to to suitable anchorage
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Perimeter guarding or guardrails are in place to preclude injury from falling objects
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Lifelines are installed to proper anchorages and can support 5,200 lbs. of force
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Fall protection equipment is maintained in good condition with current inspections in place
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Fall protection equipment is used only for fall protection
Excavations
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Excavations include trenching as well as pits and are characterized by having limited access and egress and the potential for the engulfment of persons working within.
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Trenches and excavations are sloped, benched or shored properly
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Proper access and egress is provided
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Trenches and excavations are barricaded appropriately
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Trenches and excavations have documented inspections daily done by a competent person to ensure their integrity before entrance by workers
Scaffold and Ladders
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Scaffolds are inspected and tagged by a competent person
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Proper access and egress is in place
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Scaffolds are correctly tagged
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Proper ladder is used for the job performed and it is properly secured
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Ladders are set at proper angle and extend beyond the landing (3 ft or 0.9 m)
Hoisting and Lifting Equipment
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Chainfalls, come-a-longs, chokers and rigging is in good condition and has current inspection
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Softeners are used as required
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Proper rigging techniques are used
Vehicles and Heavy Equipment
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Seat belts are used at all times
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Daily inspection checklists are available and filled out correctly
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Operators licenses/certifications are available for review
Chemical/Hazardous Material Storage
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Containment or bunding is in place at storage area(s)
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Storage area is properly ventilated
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MSDS (material safety data sheet) is available
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Fire extinguisher is available
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Hazard Communication (HAZCOM) signages are in place
Electrical Equipment and Tools
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Electrical cords are in good condition and have current inspection
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Tools are in good condition and electric tools have current inspection. There are no homemade tools
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All machine guards are in good condition and in place
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GFCI's are in place on all electrical equipment
Fire Protection and Flammable Gases
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Flammable materials are properly stored in designated storage location
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Oxygen and Acetylene tanks are properly separated in storage areas
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Compressed gas cylinders are stored upright and secured
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Gas regulator gauges are properly attached and flash arrestors are installed
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Fire watch is in place when required
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Hot work areas are contained and welding screen are in place
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Fire extinguishers are properly located and have current inspections
Confined Spaces
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Confined spaces include manholes, pits/tanks, pipes/culverts and other restricted access/enclosed spaces. A specific risk assessment carried out in compliance with the Permit to Work must be carried out. Only appropriately trained and qualified personnel are allowed to participate in confined space entries, including those with duties outside the confined space.
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An appropriate risk assessment has been completed and the confined space entry permit is correctly completed
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All control systems such as air monitoring, entry control lists, space ventilation systems, rescue systems etc, are in place and address the findings of the risk assessment.
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Confined space permits are cancelled and closed at the completion of daily work
Environmental
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All earth storage and disturbances are in compliance with existing storm water permits
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Spill kits and bunding are in place at and around diesel storage tanks
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Concrete washout facilities have capacities suitable to accommodate upcoming concrete pouring activities
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Dust generation is minimized through control procedures
Demolition
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All hazardous material removal contractors are trained and qualified in compliance with all applicable regulatory requirements
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Hazardous materials are disposed using only approved transporters and disposal sites
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Demolition activities are planned and supervised by qualified personnel
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Demolition activities do not leave unstable structures in place at the completion of shift
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Non-hazardous demolition wastes are disposed of in a timely manner and not accumulated
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Appropriate barricading is in place to prevent entry of unauthorized personnel into demolition areas or areas where unstable debris may be present
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Observations
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Observation Photos
