Weekly Safety Audit 2016

• Name of project

• Owner's name

• Conducted on

  Date

• Safety audit performed by:

• Helmkamp Project Supervisor

• Helmkamp project manager

• Number of Helmkamp employees on-site today and all subcontractor companies on site today.

General Safety

• Any vehicle traffic or pedestrian traffic.

  Safe

  At Risk

  N/A

• Emergency phone number and medical provider has been provided for this project?

  Safe

  At Risk

  N/A

• Adequate lighting is provided in the work area?

  Safe

  At Risk

  N/A

• First aid kit and eyewash is available on the jobsite?

  Safe

  At Risk

  N/A

• Fire extinguisher is in good condition with a current inspection tag and is readily accessible?

  Safe

  At Risk

  N/A

• Mobile equipment has been inspected with operable back up alarm - seat belts worn?

  Safe

  At Risk

  N/A

• Rebar caps are in place on concrete project?

  Safe

  At Risk

  N/A

• Utilities have been located/excavation work/ floor penetrations/saw cutting/wall demo?

  Safe

  At Risk

  N/A

Safe Start Critical Errors:

• Eyes and Mind are focused on the work task?<br>

  Safe

  At Risk

  N/A

• Struck by hazards or line of fire hazards have been addresses/controlled/eliminated?

  Safe

  At Risk

  N/A

• Traction, balance, grip?<br>

  Safe

  At Risk

  N/A

Housekeeping Maintained:

• Area is clean, organized, maintained?

  Safe

  At Risk

  N/A

• Pathways are clear?

  Safe

  At Risk

  N/A

• Cords, leads, and hoses routed safely?

  Safe

  At Risk

  N/A

• Barricades, gates, and signs are in place to announce work activity or hazard in area?

  Safe

  At Risk

  N/A

PPE worn, in good condition, and appropriate for task being performed:

• Workers are in compliance with basic PPE site requirements?

  Safe

  At Risk

  N/A

• Additional PPE needs such as face shield, hearing, gloves, burn, respirator or other?

  Safe

  At Risk

  N/A

• Is PPE matched for the task? Does it fit properly? Is it in good condition?

  Safe

  At Risk

  N/A

Equipment & Tool Operation:

• Inspected and in good working condition with guards in place.

  Safe

  At Risk

  N/A

• Used properly?

  Safe

  At Risk

  N/A

• Best equipment for task?

  Safe

  At Risk

  N/A

• GFCI used on on all power tools?

  Safe

  At Risk

  N/A

Paperwork, permits, lock out tag out:

• Proper LOTO in control of all electrical, hydraulic, pneumatic, chemical, thermal, mechanical, or any other energy or stored energy.

  Safe

  At Risk

  N/A

• Proper documentation on file (JSA, tool box talk, equipment inspections, safe work permits, utility locate)?

  Safe

  At Risk

  N/A

• Safe work permits authorizing and verifying conditions are acceptable for the work to begin have been posted (hot work, confined space, excavation, lift plans, etc.)

  Safe

  At Risk

  N/A

Manual Material Handling:

• Pinch point and struck by hazards identified and controlled?

  Safe

  At Risk

  N/A

• Good body and hand position?

  Safe

  At Risk

  N/A

• Not using excessive force, reach, pull, or push?

  Safe

  At Risk

  N/A

Working at heights:

• Ladders, lifts, scaffold?

  Safe

  At Risk

  N/A

• Set up and used properly?

  Safe

  At Risk

  N/A

• Personal fall arrest equipment being used properly....anchors, harnesses, connectors are in good condition and being used properly?

  Safe

  At Risk

  N/A

Coworkers correcting unsafe acts:

• Mentoring new employees?

  Safe

  At Risk

  N/A

• Not taking short cuts?

  Safe

  At Risk

  N/A

• Stop work authority exercised?

  Safe

  At Risk

  N/A

• All rules are considered important and are being followed on this project?

  Safe

  At Risk

  N/A