Information
Project Name and Job Number
Audit Prepared by:
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Conducted on
Access
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Designated access ways provided
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Access signage in place & effective
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Access free of trip or other hazards
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Stair rails @ 30" in height or 4 risers
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Stairs when elevation changes > 19"
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Ramps at least 18" wide & secured
Public / Pedestrian Controls
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Designated Public Access Ways
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Signage in Place & Effective
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Barricades/Fencing as req.
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Flaggers/Spotters as req.
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No Slip, Trip, or Fall Hazards Present
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All Work/Material Inside Zone
Housekeeping
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Site Neat/Clean/Orderly
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Material staged properly
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Material on Carts enforced
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Trash & Debris Managed
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No Hazardous Waste on-site
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Nothing Hits The Deck In Place
Lighting
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Passageways/access well lit
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Task lighting as needed
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Lighting covers/guards in place & single power source
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Cords grounded - GFCI's
PPE
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PPE use per site plan/AHA
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High Vis outerwear in use
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Respirators used as req.
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Hearing protection used as req.
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100% Safety glasses in use
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Gloves used as required
Electrical
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Cord management in place
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Cords protected from damage
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100% GFCI protection in place
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LOTO procedures as required
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Energized panels have covers & breakers are labeled?
Fire Control
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Sufficient Fire Extinguishers on site & inspected periodically
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Emergency exit routes established
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Flammables in metal cans & stored in Flame Locker when not in use
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Combustible debris removed daily
Tools
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Grinders have guards in place
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Portable & table saws guarded
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Pneumatic tool hoses secured
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Proper tool for job being used
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Compressed gas cylinders secured upright with caps
Ladders
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Correct type/size used
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Ladders secured as required
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Step ladders used safety
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Ext ladders safely used
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3 or > rungs above for access
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Jobsite built ladder per code
Fall Protection
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All working/walking surfaces guarded/protected above 4'
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All other fall hazards above 4' controlled or guarded
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All fall protection gear properly used by trained employees
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Wall openings/holes covered or guarded
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Guardrails (42" +/- 3") with mid rail - toe boards in place?
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Cable guardrails are taught with less than 3" deflection?
Environmental
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Air quality/dust issues controlled
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No Health Hazard 3 or > material on site
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Noise exposure controlled/acceptable level
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No run off from site present to public areas
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Applicable number/type of spill kits available
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Work adjacent to occupied space evaluated
Aerial Lifts
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Qualified operators only
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Lifts inspected prior to use
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Gates/chains closed when in use
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No standing/climbing on rails
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Scissor lift used on flat/level surface
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Fall protection used in boom lifts
Forklifts
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Qualified operators only - documented training
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Inspected daily with documented inspection
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Forklift and attachments used properly per design
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No loads rigged under forks or to mast
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Loads properly secured/carried
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Operator demonstrates safe operating skills
Cranes
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Qualified operators only - documented certs
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Cranes certification verified
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Inspected daily - inspection log maintained
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All operational hazards identified/controlled
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Qualified riggers assigned - rigging inspected
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Critical lift/Pre-lifts meeting when required
Work Platforms
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Platforms fully planked (min 36")
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Safe access to platforms in place
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100% guardrails including end returns
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Control zones/falling object protection
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Platform fully supported/correctly installed
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Fall protection for assembly/disassembly
Trenching / Excavations
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Cave in protection system/design when >4' deep
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Soil spoils are greater than 2' from the excavation
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Inspected daily when workers in trench/excav
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Safe access provided - ladders every 25 feet
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Fall protection/control zones when >6 feet deep
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Standing water/other hazards control
Scaffolds
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Scaffolding erected per manufacturers design
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Safe access on/off scaffolds
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Qualified scaffold users/erectors
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Daily inspections performed/logs maintained
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Control zones under scaffolding as required
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Guardrails in place on scaffolding above 4'
Confined Space
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Permit required/issued/checked
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Air monitoring required/in place
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Rescue equipment/plan in place
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Lighting/Ventilation established
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All space entrants have harnesses on
Demolition Work
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Dust/environment conditions controlled
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No unidentified/suspect hazardous material
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Identify energized/no-demo conduits and piping
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PPE - cut resistant gloves/sleeves used
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Debris control/removal means in place
Hot Work and Concrete Penetrations
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City/jurisdiction permit current/on file
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Sellen Burn Permit issued/signed
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Fire watch protocols established/in place
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Areas of hot work/spark travel inspected
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Gas cylinders/torches properly used/secured<br>
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Drill Permit Protocols are followed
Infection Controls
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Are required neg air machines working properly
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Are the sticky floor mats intact/ being changed as appropriate
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Are the barriers secure and unbroken and sealed
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Are required defuser's sealed and properly installed
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Are ICRA logs filled out and signed daily
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Is manometer reading meeting or exceeding established standard of -0.005mmHg
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All mechanical vents sealed- new and existing.
SUBCONTRACTOR EVALUATION: (Evaluate a Subcontractor's Safety Performance)
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Company:
General Notes:
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Add media
Corrective Actions Required:
Assigned To:
Corrective Actions Carried Over From Previous Inspections / Not Completed:
Assigned To:
Status / Comp By Date:
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Select date
Personnel Present During Inspection:
Foreman Signature
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Add signature
Safety Rep Signature:
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Add signature
Superintendent Signature:
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Add signature
Project Manager Signature:
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Add signature
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Send copy of completed inspections to the Safety Department and maintain copies on file at project site.
