Weekly Safety Audit

• Document No.

• Conducted On:

  Date

• DOC Project Number:

• Project Name:

• Prepared By:

General Information

• Project Manager:

• Superintendent:

• Subcontractors On Site:

• Weather Conditions:

• Temperature (°F)

• SECTION 1 - Administration (questions answered on initial visit and every 6 months throughout construction)

  Applicable

  Not Applicable

• Frequent/regular safety inspections conducted?

  Yes

  No

• SDS manual on site?

  Yes

  No

• OSHA 300 log posted?

  Yes

  No

• Safety meetings held regularly?

  Yes

  No

• Safety manual on site?

  Yes

  No

• Federal, state, insurance postings?

  Yes

  No

• Visitor PPE available?

  Yes

  No

• Visitor sign-in form in use?

  Yes

  No

• SECTION 2 - Medical / Emergency - questions answered on initial visit and every 6 months throughout construction

  Applicable

  Not Applicable

• First-aid kit on site?

  Yes

  No

• First-aid/CPR certified personnel identified?

  Yes

  No

• Emergency action plan posted?

  Yes

  No

• Emergency numbers posted?

  Yes

  No

• Eye wash available?

  Yes

  No

• Required fire extinguishers present?

  Yes

  No

• Map to medical facility posted?

  Yes

  No

• Team contact numbers available?

  Yes

  No

• Air horn on site?

  Yes

  No

• SECTION 3 - Pre-Task Planning Review

  Applicable

  Not Applicable

• Add line for each subcontractor reviewed

Sub

• Subcontractor Name:

• Adequate steps listed?

  Yes

  No

• Complete and documented?

  Yes

  No

• Completed by foreman?

  Yes

  No

• Has the potential for injuries/hazards been identified?

  Yes

  No

• Hazard controls identified?

  Yes

  No

• Reviewed with crew?

  Yes

  No

• SECTION 4 - Site / Public Protection - questions answered on initial visit and every 6 months throughout construction

  Applicable

  Not Applicable

• Adequate site lighting?

  Yes

  No

• Barricades installed properly?

  Yes

  No

• Excavations protected?

  Yes

  No

• Falling object protection adequate?

  Yes

  No

• Perimeter fences in place?

  Yes

  No

• Public protection signage in place?

  Yes

  No

• Traffic control plan available and in use?

  Yes

  No

• SECTION 5 - Excavations - list sub observed in notes

  Applicable

  Not Applicable

• Competent person identified and on site?

  Yes

  No

• If depth of trench > 6' is fall protection in use?

  Yes

  No

• Daily inspections documented and available for review?

  Yes

  No

• Access/egress points within 25' of work?

  Yes

  No

• Excavation > 20' engineered?

  Yes

  No

• Perimeter protection/barricade in place?

  Yes

  No

• Sloped, benched, or support of excavation done properly?

  Yes

  No

• If trench box in use, is tabulated data available?

  Yes

  No

  N/A

• Spoils pile 2'-3' from edge?

  Yes

  No

• Surface encumbrances identified?

  Yes

  No

• Surface traffic exposure protected from exposure?

  Yes

  No

• Proper controls in place for the presence of water?

  Yes

  No

• SECTION 6 - Fall Protection - list sub observed in notes

  Applicable

  Not Applicable

• Fall protection at 6' ?

  Yes

  No

• Fall protection properly anchored?

  Yes

  No

• Fall protection harness & lanyard properly worn?

  Yes

  No

• Exterior/interior guardrails at proper height?

  Yes

  No

• Floor/wall opening protected?

  Yes

  No

• Floor covers adequate, secure, labeled?

  Yes

  No

• Roof edge protected?

  Yes

  No

• Controlled access zone setup correctly?

  Yes

  No

• Proper impalement protection? (rebar caps, etc)

  Yes

  No

• Are stair/ramp/walkway protections adequate?

  Yes

  No

• SECTION 7 - Ladders / Stairs - list sub observed in notes

  Applicable

  Not Applicable

• Ladders 3' above landing/secured properly?

  Yes

  No

• Are corrals/barricades present at top of landing?

  Yes

  No

• Ladders clear of debris/materials?

  Yes

  No

• Extension ladder 4:1 pitch?

  Yes

  No

• Ladders inspected for defects?

  Yes

  No

• Job-built ladders to ANSI standard?

  Yes

  No

• Job-built ladders secured?

  Yes

  No

• Landings and treads filled?

  Yes

  No

• Proper use of ladder?

  Yes

  No

• Rails at stairs/landings?

  Yes

  No

• Safe working distance from energized lines?

  Yes

  No

• Slip/trip exposure eliminated?

  Yes

  No

• Stairs illuminated?

  Yes

  No

• SECTION 8 - PPE - list sub observed in notes

  Applicable

  Not Applicable

• Yes

  No

  N/A

• Safety glasses/face shields worn and used properly?

  Yes

  No

• Are gloves being properly used?

  Yes

  No

• Are hard hats being worn?

  Yes

  No

• Is hearing protection being worn as needed?

  Yes

  No

• Is high visibility outerwear being worn?

  Yes

  No

• Proper footwear worn as required?

  Yes

  No

• Other PPE requirements met? (face shield, welding chaps, etc)

  Yes

  No

• SECTION 9 - Respirator Use - list sub observed in notes

  Applicable

  Not Applicable

• Has respirator been cleaned prior to use?

  Yes

  No

• Has the user been fit tested?

  Yes

  No

• Has the user been medically qualified?

  Yes

  No

• Respirator program available for review?

  Yes

  No

• Qualified person identified?

  Yes

  No

• Right respirator for the job being used?

  Yes

  No

• Respirators not in use properly stored?

  Yes

  No

• Training records available for review?

  Yes

  No

• SECTION 10 - Scaffolds - list sub observed in notes

  Applicable

  Not Applicable

• Competent person identified and on site?

  Yes

  No

• Scaffold designed by qualified engineer if over 125' ?

  Yes

  No

• Is the scaffold deck within acceptable distance from the structure?

  Yes

  No

• Proper grade of scaffolding in use? (light, medium, heavy)

  Yes

  No

• Daily inspections documented and available for review?

  Yes

  No

• Bracing and pins in place?

  Yes

  No

• Casters locked?

  Yes

  No

• Compatible components used?

  Yes

  No

• Exterior/interior guardrails at proper height?

  Yes

  No

• Full planking/toeboards?

  Yes

  No

• Scaffold secured to structure?

  Yes

  No

• Proper access to platforms?

  Yes

  No

• Proper loading of materials?

  Yes

  No

• Safe work distance from energized lines?

  Yes

  No

• Scaffold grade planks being used?

  Yes

  No

• Sills, plates, jacks installed?

  Yes

  No

• Working surface in safe conditions, free of accumulated snow and debris?

  Yes

  No

• SECTION 11 - Scissor / Arial Lifts - list sub observed in notes

  Applicable

  Not Applicable

• Proper connection of electrical feed to controls?

  Yes

  No

• Equipment loaded properly?

  Yes

  No

• Gate or chain secured?

  Yes

  No

• Workers tied-off properly while in boom lifts?

  Yes

  No

• Are workers working from boom lift platform safely?

  Yes

  No

• Lift operating on flat surface?

  Yes

  No

• Proper operator training?

  Yes

  No

• Proper use of lift?

  Yes

  No

• Safe work distances from energized lines?

  Yes

  No

• Boom lift platform free of holes?

  Yes

  No

• SECTION 12 - Cranes & Hoisting Equipment - list sub observed in notes

  Applicable

  Not Applicable

• Crane placement survey completed?

  Yes

  No

• Equipment inspected and properly rated for task?

  Yes

  No

• Annual inspection current?

  Yes

  No

• Daily inspections current?

  Yes

  No

• 3 months of daily inspections present?

  Yes

  No

• Boom angle indicator working?

  Yes

  No

• Is operator certified or qualified?

  Yes

  No

• Crane supported and level?

  Yes

  No

• Minimum approach distances from energized lines maintained?

  Yes

  No

• Fire extinguisher in crane?

  Yes

  No

• Flagman identified?

  Yes

  No

• Load chart posted?

  Yes

  No

• Lift plan on file?

  Yes

  No

• Loads properly secured?

  Yes

  No

• Means of communication adequate?

  Yes

  No

• Operator manual in crane?

  Yes

  No

• Outriggers extended properly and on cribbing?

  Yes

  No

• Safety latches used?

  Yes

  No

• Swing radius barricaded?

  Yes

  No

• Tag lines used?

  Yes

  No

• Weight of load verified?

  Yes

  No

• Has rigging been inspected?

  Yes

  No

• SECTION 13 - Steel Erection - list sub observed in notes

  Applicable

  Not Applicable

• Falling object protection?

  Yes

  No

• Lay down area barricaded appropriately?

  Yes

  No

• Limited access to lay down area?

  Yes

  No

• Critical lift procedure being utilized?

  Yes

  No

• Site layout/sequence plan completed and available?

  Yes

  No

• Structural flooring requirements met?

  Yes

  No

• SECTION 14 - Motorized Equipment - list sub observed in notes

  Applicable

  Not Applicable

• Back-up alarm functioning?

  Yes

  No

• Fire extinguisher in cab?

  Yes

  No

• Flagman used?

  Yes

  No

• Glass free of obstructions and cracks?

  Yes

  No

• Horn functioning?

  Yes

  No

• Roll over protection?

  Yes

  No

• Seat belts used?

  Yes

  No

• SECTION 15 - Hand and Power Tools - list sub observed in notes

  Applicable

  Not Applicable

• Tool in good condition?

  Yes

  No

• Cord in good condition?

  Yes

  No

• Ground prong in place?

  Yes

  No

• Guards and handles in place?

  Yes

  No

• Proper tool for the job?

  Yes

  No

• If lasers are in use, is proper signage posted?

  Yes

  No

• SECTION 16 - Powder Actuated Tools - list sub observed in notes

  Applicable

  Not Applicable

• Proper disposal of mis-fire cartridges?

  Yes

  No

• Adequate tool condition?

  Yes

  No

• Training documentation available?

  Yes

  No

• SECTION 17 - Electrical - list sub observed in notes

  Applicable

  Not Applicable

• Adequate temporary lighting?

  Yes

  No

• Adequate task lighting?

  Yes

  No

• Cords in good condition?

  Yes

  No

• Cords protected from traffic?

  Yes

  No

• Electrical room protected?

  Yes

  No

• Energized parts protected?

  Yes

  No

• GFCI's used properly?

  Yes

  No

• Permanent power in use?

  Yes

  No

• If temporary power boxes are in use, is location of feed labeled on box?

  Yes

  No

• Voltage posted on temporary power box?

  Yes

  No

• SECTION 18 - Fire Protection - list sub observed in notes

  Applicable

  Not Applicable

• Emergency vehicle access adequate?

  Yes

  No

• Fire extinguisher accessible, charged and inspected?

  Yes

  No

• Fire suppression equipment available?

  Yes

  No

• Fire watch properly conducted?

  Yes

  No

• Proper signs in storage areas?

  Yes

  No

• Proper fuel containers used?

  Yes

  No

• SECTION 19 - Housekeeping - list sub observed in notes

  Applicable

  Not Applicable

• Is housekeeping being maintained/adequate?

  Yes

  No

• Are protruding nails properly taken care of?

  Yes

  No

• Clear access to building/site?

  Yes

  No

• Proper material storage?

  Yes

  No

• Roadway around project clear?

  Yes

  No

• Have slip, trip, or fall hazards been addressed?

  Yes

  No

• Trash in protected containers?

  Yes

  No

• Walkways clear?

  Yes

  No

• Adequate means of egress?

  Yes

  No

• SECTION 20 - Material Storage / Handling - list sub observed in notes

  Applicable

  Not Applicable

• Cylinder storage/secured?

  Yes

  No

• Material stacked/racked properly and securely?

  Yes

  No

• Non-compatible gases separated?

  Yes

  No

• Proper distance from edge?

  Yes

  No

• Proper equipment used?

  Yes

  No

• Proper lifting procedures?

  Yes

  No

• SECTION 21 - Confined Space - list sub observed in notes

  Applicable

  Not Applicable

• Atmospheric conditions tested and appropriate?

  Yes

  No

• Permit entry requirements followed?

  Yes

  No

• Harness/extraction equipment inspected?

  Yes

  No

• Regular inspections and air monitored?

  Yes

  No

• Rescue plan/emergency #'s/map established?

  Yes

  No

• Ventilation adequate?

  Yes

  No

• Confined space entry checklist completed and available for review?

  Yes

  No

• SECTION 22 - Hazard Communication/GHS - list sub observed in notes

  Applicable

  Not Applicable

• Copy of program on site?

  Yes

  No

• Training documentation available for review?

  Yes

  No

• Chemical inventory list available?

  Yes

  No

• SDS's (site specific) available?

  Yes

  No

• Proper labels on containers?

  Yes

  No

Additional Comments & Notes

• Notes:

• Additional Photos:

  Media

Project Leadership Signatures

• Safety Signature - Person Completing Audit

  Sign

• DOC Project Rep Signature

  Sign

• Additional Signature

  Sign

• Additional Signature

  Sign