Western National Construction Jobsite Safety Audit

• Jobsite Safety Audit

• Conducted on

  Date

• Client / Site

• Location
  Address

• Project Name or Number

• Prepared by

• Personnel and/or Subcontractors

PPE - Personal Protective Equipment Is PPE being utilized following site and OSHA compliance.

• Hard Hats

  Safe

  At Risk

  N/A

• Face Shields

  Safe

  At Risk

  N/A

• Eye Protection

  Safe

  At Risk

  N/A

• Welding Shield

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Respiratory Protection

  Safe

  At Risk

  N/A

• High Visibility Vest

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Knee Pads

  Safe

  At Risk

  N/A

• Other - Explain Below.

  Safe

  At Risk

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

Fall Protection

• Is work being performed at height, with fall hazards 6 feet or greater?

  Yes

  No

  N/A

• Type of Fall Protection Utilized:

  Select Guardrail Personal Fall Protection

  • Guardrail
  • Personal Fall Protection

• Top Rail, mid rail, toe board adequate?

  Safe

  At Risk

  N/A

• Competent person identified for jobsite?

  Yes

  No

  N/A

• Adequate Anchor Point identified and utilized (5000 lb capacity, located to allow fall arrest)?

  Safe

  At Risk

  N/A

• Adequate lanyard or self retracting lifeline?

  Safe

  At Risk

  N/A

• Clear fall zone - no obstacles or hazards present?

  Safe

  At Risk

  N/A

• Potential for swing fall hazard addressed?

  Safe

  At Risk

  N/A

• Harness in good condition and adequately worn?

  Safe

  At Risk

  N/A

• Retrieval plan?

  Yes

  No

  N/A

• Rebar adequately capped?

  Safe

  At Risk

  N/A

• Are all floor holes 2" or larger covered, labeled and secured?

  Safe

  At Risk

  N/A

• Other - Explain Below.

  Safe

  At Risk

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

Elevated Work Platforms

• Scaffolding in use on jobsite?

  Yes

  No

  N/A

• Scaffolding competent person identified for jobsite?

  Yes

  No

  N/A

• Inspection tag filled out?

  Yes

  No

  N/A

• Scaffold erected properly?

  Safe

  At Risk

  N/A

• Scaffold level?

  Safe

  At Risk

  N/A

• Scaffold braced?

  Safe

  At Risk

  N/A

• Are ALL of the open sides and ends of the scaffold barricaded for fall protection?

  Safe

  At Risk

  N/A

• Ladders in use on jobsite?

  Yes

  No

  N/A

• Appropriate ladder in use for task?

  Safe

  At Risk

  N/A

• Appropriate ladder in use as designed?

  Yes

  No

  N/A

• Ladders in good condition?

  Safe

  At Risk

  N/A

• Ladder secured to prevent tipping?

  Safe

  At Risk

  N/A

• When extension ladder used to access work area, 3 feet of extension above access point?

  Safe

  At Risk

  N/A

• Other - Explain Below.

  Safe

  At Risk

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

Electrical Safety

• All electrical cords and extension cords in good condition? No missing ground prongs, damaged insulation, exposed wiring, etc.

  Safe

  At Risk

  N/A

• Extension cords protected from sharp edges and vehicle traffic, etc?

  Safe

  At Risk

  N/A

• Welder leads in good condition?

  Safe

  At Risk

  N/A

• Are all temporary lights fully caged to prevent accidental breakage and are they secured properly?

  Safe

  At Risk

  N/A

• GFCI in use?

  Safe

  At Risk

  N/A

• Other - Explain Below.

  Yes

  No

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

Equipment

• Forklift present on the jobsite?

  Yes

  No

  N/A

• Inspected within the past year?

  Yes

  No

  N/A

• Daily inspection completed? Documentation present?

  Yes

  No

  N/A

• Only trained and certified operators allowed to utilize the forklift?

  Yes

  No

  N/A

• Forklift operator utilizing safety belt?

  Safe

  At Risk

  N/A

• Aerial lift present on the jobsite?

  Yes

  No

  N/A

• Inspected within the past year?

  Yes

  No

  N/A

• Daily inspection completed? Documentation present?

  Yes

  No

  N/A

• Only trained and certified operators allowed to utilize the aerial lift?

  Yes

  No

  N/A

• Personal fall protection utilized as required?

  Safe

  At Risk

  N/A

• Crane present on the jobsite?

  Yes

  No

  N/A

• Inspected within the past year?

  Yes

  No

  N/A

• Daily inspection completed? Documentation present?

  Yes

  No

  N/A

• Crane operator is trained and certified?

  Yes

  No

  N/A

• Is the swing radius of the crane barricaded?

  Safe

  At Risk

  N/A

• Rigging equipment in compliance?

  Safe

  At Risk

  N/A

• Are all other trades out of the area when craning operations are being performed? Area barricaded?

  Safe

  At Risk

  N/A

• Other - Explain Below.

  Yes

  No

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

General Jobsite Premises

• Signs and placards present?

  Safe

  At Risk

  N/A

• Jobsite safeguarded for public? Are construction barricades and construction signage erected to warn of potential hazards?

  Safe

  At Risk

  N/A

• Emergency contacts posted?

  Yes

  No

  N/A

• First aid kit present and stocked?

  Yes

  No

  N/A

• Overall jobsite housekeeping in order?

  Safe

  At Risk

  N/A

• Subcontractor forms available?

  Yes

  No

  N/A

• Jobsite analysis completed?

  Yes

  No

  N/A

• Jobsite orientation for all workers?

  Yes

  No

  N/A

• Other - Explain Below.

  Yes

  No

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

Miscellaneous Jobsite Considerations

• Safety manual on-site?

  Yes

  No

  N/A

• Safety Data SHeets (SDS's) available?

  Yes

  No

  N/A

• Drinking water available?

  Yes

  No

  N/A

• Toilets and amenities available?

  Yes

  No

  N/A

• Are toolbox talks being conducted?

  Yes

  No

  N/A

• Fire extinguishers present, and in good working order?

  Safe

  At Risk

  N/A

• Adequate clearance from overhead power lines maintained?

  Safe

  At Risk

  N/A

• Trenches barricaded?

  Safe

  At Risk

  N/A

• Material handling devices utilized?

  Safe

  At Risk

  N/A

• Other - Explain Below.

  Yes

  No

  N/A

• Description of At Risk Violations.

• Safety Violations Handed Out? Explain in Description of At Risk Violations.

  Yes

  No

• Any Site Removals? Explain in Description of At Risk Violations.

  Yes

  No

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