Information
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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
1. Personal Protective Equipment
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Eye Protection Utilized
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Hard Hats Worn
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Hi-Viz Safety Vests Worn
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Gloves Available
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Dust Masks Utilized
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Hearing Protection Utilized
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Proper Footwear
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Harnesses & Lanyards Utilized
2. Vehicles
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Inside of Truck Cab is Clean & Organized
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Bed of Truck is Clean & Organized (Items in Bed are Secure)
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Registration Tags on Plates are Current & Correct
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Service is Not Overdue
3. Cutting & Grinding
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Cutting/Grinding Area is Away from Flammable Gases/Liquids
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Workers Aware of Spark Area when Cutting/Grinding
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Proper Personal Protective Equipment Utilized (Gloves, Safety Glasses, Face Shield)
4. Scaffolding
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Scaffold is Tied to Structure
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Guardrails - Top, Mid, & Toe Boards are in Place
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Protection from Falling Objects
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Planking Cleats in Place
5. Ladders
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Equipment is in Good Condition
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Ladders Fully Open & Locked when in Use.
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Proper Ladder for the Task & is Secure
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Side-Rails Extend 36" (3') above Landing
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Ladders in Good Working Condition
6. Excavation & Shoring
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Excavation Barricaded or Fenced Off
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Spoils Setback at Least 3 Feet
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Necessary Access Provided (Ladders, Ramps, Steps)
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Adjacent Structures Properly Shored
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Shoring Proper for Soil & Depth
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Equipment Away from Edge
7. Material Storage / Handling
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Dust Protection Adequate
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Materials Properly Stored/Stacked
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SDS (MSDS) Books are Accessible
8. Barricades & Fencing
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Work Area is Caution Taped or Roped Off
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Access/Traffic Controlled
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Roadways & Sidewalks Protected
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Job-site Fenced
9. Heavy Equipment
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Equipment Being Used is Right For the Task
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No Apparent Damages, in Good Working Order
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Operators Cockpit is Clear of Debris/Trash
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Service/Maintenance Is Not Overdue
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Equipment is Clean
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Operators Using Equipment Have Been Trained
10. Hand & Power Tools
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Tools Grounded or Double Insulated
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Proper Tools Utilized for Each Job
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All Safeguards are in Use
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Cords in Good Condition
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Hand Tools in Good Working Condition
11. Electrical
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Extension Cords are In Good Condition, Not Damaged
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Ground Plugs on Extension Cords are Not Missing
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GFCI is Available & Being Used
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Portable Generators are in Good Working Order
12. Fire Prevention
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Fire Extinguishers Available
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Extinguishers Clear of Obstructions
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Correct Extinguishers for the Job
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Extinguishers recently serviced (Annual Inspection Tag is Attached)
13. Housekeeping
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Job-Trailers Organized & Clean (Tools Hung Up or Stored on Shelves)
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Work Area Clear of Debris
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Passageway & Walkways Clear
14. Environmental Hazards
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Lack of/or Inadequate Erosion Control Plan
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Lack of/or Inadequate Systems to Prevent Contaminates Entering Stormwater Drains
15. Corrective Actions
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Any Corrective Actions that will be Undertaken
Sign Off
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On Site Representative
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Auditor's Signature