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
Housekeeping
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Project work area are clean and free of excess trash and debris
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Walkways and passageways clear
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Materials and equipment properly stored
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Electrical cords, hoses, welding leads, etc. elevated to prevent trip hazards
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Scrap metal free of protruding nails or other puncture hazards
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Trash receptacles are provided for work areas and water kegs
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Sufficient sanitary facilities located near all work areas
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Barricades installed, tagged, and maintained
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Other:
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Deduct point?
Personal Protective Equipment
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Clothing in good condition and suitable for task being performed
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Hard hats worn and maintained as required
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Hearing protection worn as required
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Eye protection worn as required, in proper manner
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Proper foot protection worn for job performed
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Work gloves worn as required
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Face shield and googles worn as required
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Fire retardant clothing, if required, in good condition
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6' height exposure rule being observed
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Respirators, gloves, chemical, resistant garments
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Other
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Deduct point?
Fall Protection
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Perimeter guarding installed properly and identified
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Fall protection properly maintained
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Full body harness worn in a proper manner
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Lanyards are adequately secured
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Tie off points are capable of supporting 5,400 lbs
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Fall protection equipment is used only for fall protection
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Horizontal / Static / Rat lines installed and capable of supporting 5,400 lbs
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Proper use of self-retracting lifelines (yo-yo)?
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Other
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Deduct point?
Scaffolds and Ladders
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Scaffolds: Built per specification
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Scaffolds: Rigid, plumb, and square
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Scaffolds: Proper access and egress provided
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Scaffolds: Tagged correctly (Red, Yellow, Green)
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Scaffolds: Good housekeeping practices
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Ladders: Proper ladder for the job performed
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Ladders: Proper angle and secured to prevent slipping
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Ladders: Proper fall protection where required
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Ladders: In good mechanical condition, free from mud, grease, etc
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Other
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Deduct point?
Hoisting and Lifting Equipment
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Chain falls, come-a-longs, and chokers in good physical condition
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All equipment in apparent good mechanical condition
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Softeners used as required
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Proper rigging techniques used
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Rigging is protected from cutting, burning, and welding operations
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Rigging is protected from chemical exposure
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Other
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Deduct point?
Vehicles and Mobile Equipment
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Daily document equipment inspections have been performed
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Lights, brakes, horns, and alarms working properly
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Seat belts provided and used
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Properly maintained; no leaks, drips, or smoke
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Proper equipment for the job being performed
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Operators license or certifications as required
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Fire extinguishers on forklifts
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Other
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Deduct point?
Tools and Equipment
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Electrical cords and plugs in good condition
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Tools are maintained In a safe condition
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Tools have guards as supplied by the manufacturer
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Tools are properly carried and stored
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Pneumatic / hydraulic hose connections properly stored
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Proper tools used for the job performed
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Bench grinder: work rest properly adjusted and wheels dressed
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Broken / defective tools are secured to prevent use
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Other
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Deduct point?
Fire Protection
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Flammables stored properly
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Oxygen and combustibles separated
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Containers labeled
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Fire extinguisher properly located and inspected
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Flash arresters installed
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Compressed gas cylinders properly stored and maintained
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Containment of hot work and welding screens as required
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Regulator gauges properly attached and maintained
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Other
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Deduct point?
Project - Facility / Safety & Legal Documentation
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Materials safety data sheet (MSDS) Book available and current
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Project safety policy manual available and current
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Federal posters are in an accessible area and current
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State posters are in a accessible area and current
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"Posted Panel of Physician" or other WC poster is accessible and current
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Other
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Deduct point?
Job & Safety Task Permits
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Applicable permits posted
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JSA completed and correct
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JSA and Permit procedures being followed
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Crew members are knowledgeable about permits and JSAs
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Other
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Deduct point?
IDLH ( Imminently Dangerous to Life or Health )
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IDLH violations?
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Deduct point?
Work progress report
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Floor number
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- 30
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Current work being performed / floor number
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Floor number
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- 30
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Current work being performed / floor number
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Floor number
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Current work being performed / floor number
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Floor number
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Current work being performed / floor number
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Floor number
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Current work being performed / floor number
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Floor number
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- 9
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Current work being performed / floor number
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Floor number
- 1
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- 9
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Current work being performed / floor number
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Floor number
- 1
- 2
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- 4
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- 6
- 7
- 8
- 9
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- 11
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- 30
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Current work being performed / floor number
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Floor number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
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- 11
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- 30
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Current work being performed / floor number
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Floor number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
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- 15
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- 17
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- 21
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- 26
- 27
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- 30
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Current work being performed / floor number
