Weekly Safety Site Audit

• Project Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Green Canopy Staff on site

• Subs on site

• For each item below that is unsafe or unsatisfactory, describe both the unsafe conditions observed and the corrective action taken.

• Please include photos where applicable to document safety concerns.

Personal Protective Equipment (PPE)

• Hard Hats

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Proper Work Attire

  Yes

  No

  N/A

• Proper Footwear

  Yes

  No

  N/A

• Hand Protection

  Yes

  No

  N/A

• Eye / Face Protection

  Yes

  No

  N/A

Housekeeping

• Access & Egress Clear (Stairs, Isles, Walkways)

  Yes

  No

  N/A

• Material Properly Stacked / Stored

  Yes

  No

  N/A

• Debris / Trash Removal

  Yes

  No

  N/A

• Nails - Bent / Removed

  Yes

  No

  N/A

Ladders / Stairs

• Stair Railings / Hand Rails / Pan Fillers

  Yes

  No

  N/A

• Secured / Tied Off

  Yes

  No

  N/A

• Extends 3' Above Landing

  Safe

  At Risk

  N/A

• Proper Use / Corral at Top

  Yes

  No

  N/A

Fall Protection

• Guardrail / Mid-Rail / Toe board / Perimeter cable

  Yes

  No

  N/A

• Floor Hole Covers / Secure / Labelled

  Yes

  No

  N/A

• Personal Fall Arrest / Fall Restraint / Proper design / Swing Fall

  Yes

  No

  N/A

Scaffolding / False Work / Shoring / Decking / Concrete

• Planks / Decks / Platforms Installed Properly

  Yes

  No

  N/A

• Impalement Protection / Rebar Caps / Troughs

  Yes

  No

  N/A

• Proper Access / Ladder / Inspection

  Yes

  No

  N/A

• Proper Bracing / Re-Shore / Pads

  Yes

  No

  N/A

• Inspected / Secured / Structurally Sound

  Yes

  No

  N/A

Electrical

• Adequate Lighting - Task / Area

  Yes

  No

  N/A

• Grounding / Inspection / GFCI Use

  Yes

  No

  N/A

• Cords Elevated / Receptacles / Plugs / Inspected

  Yes

  No

  N/A

Fire Protection / Prevention

• Adequate Extinguishers (Area & Task) / Inspected / Nearby

  Yes

  No

  N/A

• Flammable Materials Storage

  Yes

  No

  N/A

Tools - Hand & Power

• Good Condition / Inspected

  Yes

  No

  N/A

• Guarded / Guards in Place

  Yes

  No

  N/A

• Used Properly

  Yes

  No

  N/A

Site / Public Protection

• Barricading / Fences / Pedestrian Canopy

  Yes

  No

  N/A

• Adequate Signage / Lighting

  Yes

  No

  N/A

• Traffic Control Plan / Flagging

  Yes

  No

  N/A

Emergency Preparedness / First Aid

• Emergency phone numbers posted

  Yes

  No

  N/A

• First Aid Kits / Supplies

  Yes

  No

  N/A

• Adequate Sanitation / Hand washing / Water

  Yes

  No

  N/A

Programs / Information / Right to Know

• Safety Orientation held for Sub

  Yes

  No

  N/A

• All required signage posted

  Yes

  No

  N/A

• "No Trespassing"

  Yes

  No

  N/A

Underground / Overhead / Confined Space

• Confined Spaces - Identified / Training / Permits

  Yes

  No

  N/A

• Excavations / Trenches barricaded - Shoring / Benching / Sloping / Access / PE > 20'

  Yes

  No

  N/A

• Equipment / Material At least 10' from Powelines

  Yes

  No

  N/A

• Additional comments or safety concerns?

• Photos to document safety concerns

  Media

• Signature

  Sign