Weekly Safety Evaluation - Novelis

• Job #

• Job Name

• Conducted on

  Date

• Prepared by

Incident and Injury Free (IIF)

• Is supervision participating in the MTA's

  Yes

  No

  N/A

• Percentage of co-workers gone through IIF orientation

• Have this project reported any incident this month?

  Pass (No)

  Fail (Yes)

  N/A

OSHA and B | DC, General Requirements and Posting

• Is a well stocked first aid cabinet on site and inspected weekly?

  Media

• Is incident reporting procedure posted?

  Yes

  No

  N/A

• Is the Grab N Go Packet posted?

  Yes

  No

  N/A

• Are toolbox meetings being conducted and documented?

  Yes

  No

  N/A

• Are STA's/MTA's conducted and documented?

  Yes

  No

  N/A

• Are there First Aid / CPR trained co-workers on site?

  Compliant

  Non-Compliant

  N/A

Personal Protective Equipment (PPE)

• Are all coworkers wearing hardhats (With Chin Straps), and eye protection? (Clear lenses in the night/morning)

  Compliant

  Non-Compliant

  N/A

• Are coworkers wearing ear plugs where they are required?

  Compliant

  Non-Compliant

  N/A

• Are co-workers wearing face-shield when shipping, blowing the deck or cutting steel?

  Yes

  No

  N/A

• Are co-workers wearing appropriate gloves for the task?

  Yes

  No

  N/A

• Are co-workers wearing respirators when graining or working on a dusty environment?

  Yes

  No

  N/A

• Are coworkers wearing proper clothing (Long Sleeve) and work boots?

  Yes

  No

  N/A

• Do coworkers have tarsal guards on during pile demo tasks?

  Compliant

  Non-Compliant

  N/A

Personal Fall Arrest System

• Are coworkers using these PFAS system when required?

  Compliant

  Non-Compliant

  N/A

• Have the coworkers been trained in the use of these system and using system correctly?

  Yes

  No

  N/A

• Is the equipment installed correctly and in good condition?

  Compliant

  Non-Compliant

  N/A

• Are proper tie-off points used?

  Yes

  No

  N/A

Sanitation

• Are toilet facilities adequate and reasonably clean?

  Yes

  No

  N/A

• Is trash picked up and placed into the trash containers?

  Yes

  No

  N/A

• Are recycling containers available and being utilized?

  Yes

  No

  N/A

• Are water coolers free from debris, trash, and dirt?

  Yes

  No

  N/A

Fire Protection

• Are extinguishers inspections current and extinguishers are in good working order?

  Compliant

  Non-Compliant

  N/A

• Is there a fire extinguisher within 100 feet of all work areas?

  Yes

  No

  N/A

• Is a fire extinguisher located 25 to 75 feet from outside storage tanks and the storage tank(s) grounded?

  Compliant

  Non-Compliant

  N/A

• Are adequate "NO SMOKING" signs provided in fuel storage areas?

  Yes

  No

  N/A

• Are portable storage containers properly marked?

  Yes

  No

  N/A

Signs and Barricades

• Are signs and barricades used to protect the public from job hazards?

  Compliant

  Non-Compliant

  N/A

• Are excavation signage and barricades adequate?

  Yes

  No

  N/A

• Is caution and danger tape being used properly and removed when not needed?

  Yes

  No

  N/A

• Are barricades 2' off the toe of the excavation?

  Compliant

  Non-Compliant

  N/A

House Keeping, Material Handling, and Rigging

• Are all aisle-ways and emergency routes clear of materials and debris?

  Yes

  No

  N/A

• Are materials stored away from guardrails or leading edge?

  Yes

  No

  N/A

• Are nails removed from scrap lumber?

  Yes

  No

  N/A

• Is picking eye available and used on forklift?

  Yes

  No

  N/A

• Is rigging inspected daily and in good condition when in use?

  Compliant

  Non-Compliant

  N/A

• Are nylon straps free from cuts, frayes, or damage?

  Compliant

  Non-Compliant

  N/A

• Do wire ropes have legible tags and free from damage? (Not kinked, crushed or bird caged) ?

  Compliant

  Non-Compliant

  N/A

• Are whistles being used when flying material overhead?

  Yes

  No

  N/A

Tools

• Are tools requiring guards equipped and in good working order?

  Good

  Fair

  Poor

  N/A

• Are accessory handles present on drills, grinders?

  Compliant

  Non-Compliant

  N/A

• Are carpenters using two hands on saw?

  Yes

  No

  N/A

• Are electrical cords in good condition?

  Pass (No)

  Fail (Yes)

  N/A

• Are tools being inspected and used properly for the task?

  Yes

  No

  N/A

• Are hoses on the air compressor secured?

  Yes

  No

  N/A

• Has the saw depth been checked prior to cutting?

  Pass (No)

  Fail (Yes)

  N/A

• Are coworkers trained to operate powder actuated tools?

  Yes

  No

  N/A

Electrical

• Are GFCIs being inspected on a weekly basis and in good working order?

  Yes

  No

  N/A

• Are temporary lights properly suspended?

  Yes

  No

  N/A

• Are all electrical boxes, cords, receptacles, breakers, etc. being used for their intended use per NFPA, NEC, OSHA and their UL rating?

  Yes

  No

  N/A

• Are cords running from boxes protected from cutting or pulling from box?

  Yes

  No

  N/A

• Are extension cords being inspected daily?

  Yes

  No

  N/A

• Are ground pin present on tools?

  Compliant

  Non-Compliant

  N/A

Ladders

• Are ladders inspected and in good condition with all required labels?

  Compliant

  Non-Compliant

  N/A

• Do side rails extend 36 inches above landings or ladder extensions installed?

  Compliant

  Non-Compliant

  N/A

• Are extension or job made ladders tied off or is an coworker holding the ladder?

  Yes

  No

  N/A

• Are doorways barricades when ladders are set in from of them and a clear access/egress to the ladder?

  Yes

  No

  N/A

• Are coworkers using ladders properly?

  Yes

  No

  N/A

• Are job made ladder built properly (no double-headed nails)?

  Compliant

  Non-Compliant

  N/A

• Is the ladder placed at the proper angle (1-4)?

  Yes

  No

  N/A

• Are double ladder or 2nd ladder when 25 + co-workers on deck?

  Yes

  No

  N/A

• Are the manufacturer's labels affixed and legible?

  Yes

  No

  N/A

Excavations

• Are coworkers protected from falling into pier or similar holes?

  Safe

  At Risk

  N/A

• Is the competent person present?

  Compliant

  Non-Compliant

  N/A

• Are excavations that are 4 feet or deeper in depth properly sloped, benched or shored?

  Safe

  At Risk

  N/A

• Have provisions been made to control water accumulation?

  Yes

  No

  N/A

• Have excavations of 20 feet or more in depth been designed by a PE?

  Yes

  No

  N/A

• Is heavy equipment kept a safe distance from the edge and the spoil pile a minimum of 2' from the excavation?

  Pass (No)

  Fail (Yes)

  N/A

• Has proper access and egress been provided? (1 ladder every 25 coworker or every 25')

  Compliant

  Non-Compliant

  N/A

• Is excavation properly barricaded and signs posted?

  Compliant

  Non-Compliant

  N/A

Floor and Wall Openings, Stairways and Roofs

• Are hole covers secured, marked "hole" or "cover" and capable of supporting intended loads?

  Safe

  At Risk

  N/A

• Are coworkers protected from falling objects?

  Safe

  At Risk

  N/A

• Are stacked materials kept at a safe distance from the toe boards?

  Safe

  At Risk

  N/A

• Do guardrails and stair nails meet OSHA requirements?

  Pass (No)

  Fail (Yes)

  N/A

• Are steel stair pan treads filled?

  Yes

  No

  N/A

• Is proper fall protection provided when needed?

  Yes

  No

  N/A

Structural

• Is there proper access/egress on elevated decks?

  Compliant

  Non-Compliant

  N/A

• Is there proper fire extinguishing equipment available?

  Compliant

  Non-Compliant

  N/A

• Are all protruding vertical and horizontal rebar capped?

  Safe

  At Risk

  N/A

• Is shoring and scaffolding installed properly and inspected before pour?

  Yes

  No

  N/A

• Is housekeeping on elevated deck in order?

  Good

  Fair

  Poor

  N/A

Heavy Equipment

• Are seat belts being used by operators?

  Pass (No)

  Fail (Yes)

  N/A

• Does equipment have a functional back-up alarm?

  Compliant

  Non-Compliant

  N/A

• Are the operators driving equipment at safe speeds?

  Yes

  No

  N/A

• Is the operator trained?

  Compliant

  Non-Compliant

  N/A

• Has the equipment been inspected and in good working order?

  Compliant

  Non-Compliant

  N/A

• Are picking eyes readily available for lifts?

  Yes

  No

  N/A

• Is equipment attended to while running?

  Yes

  No

  N/A

• Is parking brake set and all forks and buckets lowered to ground when equipment is not in use?

  Yes

  No

  N/A

• Does equipment have fire extinguishers and required manufacturer labels?

  Compliant

  Non-Compliant

  N/A

Welding and Cutting - Supplement A

• Are all cylinders secured in an upright position?

  Compliant

  Non-Compliant

  N/A

• Is proper eye protection being used?

  Compliant

  Non-Compliant

  N/A

• Is there at least one 10 lb. extinguisher within 50 feet of oxygen and acetylene storage areas?

  Compliant

  Non-Compliant

  N/A

• Are oxygen and acetylene bottles stored 20 feet apart?

  Compliant

  Non-Compliant

  N/A

• Is there a fire watch for welding or cutting above combustible materials

  Yes

  No

  N/A

• Is cutting torch in good working order?

  Compliant

  Non-Compliant

  N/A

Scaffolds - Supplement B

• Is fall protection provided for coworkers erecting or dismantling scaffold?

  Compliant

  Non-Compliant

  N/A

• Are scaffold set on firm, secure footings with base plates and mud sills?

  Compliant

  Non-Compliant

  N/A

• Are scaffolding components inspected and in good condition?

  Pass (No)

  Fail (Yes)

  N/A

• Has the scaffold been tied off every 25 feet in height (ties must be installed when the height of the scaffold is more than 4 times than the minimum base width)

  Yes

  No

  N/A

• Are scaffold boards properly overlapped and secured? (12")

  Yes

  No

  N/A

• Are rolling scaffolds moved correctly? (Not being surfed from platform)

  Yes

  No

  N/A

• Is fall protection and falling object protection provided?

  Yes

  No

  N/A

• Have coworkers been trained in the hazards associated with scaffolds and scaffold work?

  Compliant

  Non-Compliant

  N/A

• Is the area below the scaffolding barricaded or toe-boards erected?

  Yes

  No

  N/A

• Have the scaffolding been inspected and tagged?

  Pass (No)

  Fail (Yes)

  N/A

Cranes - Supplement C

• Is the annual inspection current?

  Compliant

  Non-Compliant

  N/A

• Are the daily inspections being conducted?

  Yes

  No

  N/A

• Is the operator's manual and load chart in the crane?

  Yes

  No

  N/A

• Has the crane received the proper routine maintenance?

  Yes

  No

  N/A

• Are operator's record of maintenance & crane company work-orders kept?

  Yes

  No

  N/A

• Does the LMI and Anti-Two block work?

  Yes

  No

  N/A

• Is there a fire extinguisher on the crane?

  Compliant

  Non-Compliant

  N/A

• Is the crane cab free from window crack?

  Yes

  No

  N/A

• Is all rigging in good condition and inspected before each use?

  Pass (No)

  Fail (Yes)

  N/A

• If outriggers are used, are they on a level surface?

  Yes

  No

  N/A

• Is proper cribbing or matting used?

  Yes

  No

  N/A

• Is the entire swing radius barricaded?

  Yes

  No

  N/A

• Can the crane operator see the signal-person?

  Yes

  No

  N/A

• Are the ANSI approved hand signals being used?

  Yes

  No

  N/A

• Are two way radios being used to communicate with the opperator?

  Yes

  No

  N/A

• Are cranes located a safe distance from power lines?

  Yes

  No

  N/A

• Are chain sling inspected and documented (Monthly)?

  Yes

  No

  N/A

• Is the rigging appropriate for the lift?

  Yes

  No

  N/A

• Are tag-lines being used to control the load?

  Yes

  No

  N/A

• Is weather conditions adequate for lifts?

  Yes

  No

  N/A

• Is the crane appropriately sized?

  Yes

  No

  N/A

• Is there a copy of the crane operator's qualification on file?

  Compliant

  Non-Compliant

  N/A

Aerial Lifts - Supplement D

• Are coworkers using proper fall protection?

  Yes

  No

  N/A

• Are coworkers remaining on the platform at all times?

  Yes

  No

  N/A

• Is the gate or chain closed when occupied?

  Yes

  No

  N/A

• Are lifts set on level ground, per manufacturer's recommendations?

  Yes

  No

  N/A

• Is operator trained?

  Compliant

  Non-Compliant

  N/A

• Are tools and materials secured from displacement?

  Yes

  No

  N/A

• Has the equipment been inspected prior to use?

  Compliant

  Non-Compliant

  N/A

• Is the lifting capacity visible and appropriate for the task?

  Yes

  No

  N/A

• Are lanyards / retractable attached to proper anchorage points?

  Yes

  No

  N/A

Hazard Communication

• Do the co-workers know the location of the master MSDS book?

  Pass (No)

  Fail (Yes)

  N/A

• Are MSDS sheets maintained on each product in use?

  Compliant

  Non-Compliant

  N/A

• Are MSDS labels on each chemical container that is unmarked?

  Yes

  No

  N/A

• Are co-workers properly trained on hazardous chemical present?

  Yes

  No

  N/A

Office Trailer

• Are office trailer clean and organized?

  Pass (No)

  Fail (Yes)

  N/A

• Have all waste bins emptied?

  Yes

  No

  N/A

• Are electrical panels secured and safe?

  Yes

  No

  N/A

• If generator is used it is at a safe distance and have fire extinguisher within 25'?

  Compliant

  Non-Compliant

  N/A

• Name of Person Completing the Audit

  Sign

• Date & Time:

  Date

• Scoring:
  5 = Compliant or 95 - 100%, 4 = Positive Effort or 75 - 94%, 3 = Other or 50 - 74%, 2 = Serious or 25 - 49%,
  1 = Repeat Serious or 0 - 24%

• This audit should be done on a weekly basis by the Safety Dept and turned in to the Regional Safety Manager, Superintendent, Project Manager and a copy of the audit should be filed in the job office.