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
Jobsite Inspection
Houskeeping
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Doors open and close properly
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Building structure intact, leaks, broken windows, etc.
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Handrails on stairways in good condition
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No storage under stairways
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Stairways and walkways free of obstructions
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Standing water on floor
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Oil or grease on floor cleaned up properly
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Area cleaned up and free of trash and debris
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Trash receptacles properly marked and emptied appropriately
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Work tables clean of unnecessary clutter
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Tools organized and stored properly
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Parts and materials organized neatly
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Chemicals labeled and stored properly
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Doors on storage cabinets and lockers shut
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Load rating capacities posted
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Stacked materials are secure
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Materials and tools stored in places that do not block aisles or walkways
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Ample room around stored materials for retrieval
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Gang boxes, work trucks organized and free of trash
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Welding leads and extension cords stored properly
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Ventilation is adequate
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Temporary heating device is at least 10 feet from combustivles
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Restrooms clean, hand soap and towels available
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Drinking water cups and trash receptacle is available at water location
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Pest control available
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Housekeeping level acceptable
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Enclosed chute required when dropping materials more than 20 feet outside exterior of building
Compressed Gasses
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Cylinders stored upright, chained and capped
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No storage on top of gas cylinders
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Oxygen bottles separated by 20 feet from gas cylinders
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Valves closed and capped if not in use
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Contents marked and segregated by item
Confined Space
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Employee properly trained for work
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Emergency Rescue Plan in place
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Fire Department notified before and after entry (where applicable)
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Air monitor inspected & calibrated
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Confined Space Permit filled out properly
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Rescue equipment in place and inspected
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Proper communication process being used
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Attendant trained on responsibilities
Electrical
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Cords and hoses not pinched
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Cords routed overhead and/or out of walkways
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Cords not fastened with staples, hung from nails, or suspended by wire
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Cords in good condition
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Plug/prongs in good condition
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Light bulbs working properly
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Covers on light fixtures
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Outlets in good condition
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GFCI being used where needed
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All extension cords at least 14 AWG wire, with grounding plug
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All electrical panels, conduit, and junction boxes closed or plugged
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No storage in front of circuit boxes- minimum of 3 feet
Excavations
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Iowa ONE-CALL notified
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Daily excavation inspection performed
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Excavation protective system is necessary (Shielding/Trench Box)
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Excavated material 2 feet from edge of excavation
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Ramp or ladder every 25' in excavation over 4' deep
Fall Protection
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Fall protection needed when above 4 foot
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Fall protection being used
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Equipment being used correctly
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Proper attachment point
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Possible swing hazard
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Other equipment needed
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Retractable lifelines needed or in use
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Equipment in good repair/inspected
Fire Protection
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Fire protection needed
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Hot Work Permit issued
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Fire extinguisher present
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Fire extinguisher sign present if needed
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Fire extinguisher readily accessible
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Fire extinguisher inspected monthly
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Fire Watch present
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Combustibles/flammables removed
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Combustibles within 35 feet removed or covered
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Welding screens/blankets used when necessary
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Other fire protection methods
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containers; Red-Gasoline; Yellow- Diesel; Blue-Kerosene; etc.
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Flammable chemicals stored in flammable cabinet with doors closed
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Flammable chemicals 25 feet or more from exits
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Used oily rags kept in proper containers
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All exit doors market and clear of obstructions
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Emergency fire equipment clear of equipment or obstructions
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Non-exit doors clearly marked "NOT AN EXIT"
First Aid Kits and Emergency Postings
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First Aid Kits are inspected, stocked and accessible
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OSHA log posted (where applicable)
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Emergency phone numbers posted
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Emergency Evacuation Plan posted
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Emergency exits marked
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Safety signs and labels are visible
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SDS's are available
Hand & Power Tools
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Tools inspected before use
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Tools in good condition
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Using proper tool for job
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Discs, blades, and bits in good condition
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Chisels, punches, etc., with mushroomed heads reconditioned or replaced
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Portable fans provided with full guards or screens
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Safety guards are in to prevent physical contact with moving part
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Emergency stops are operable
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Work rests on grinders adjusted to within 1/8" of wheel and tongue guard within 1/4"
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Pneumatic tools, hoses deteriorated
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Cords in good condition, not frayed or split
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Cords and hoses not pinched
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Acceptable routing of cords/hoses
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Plugs and prongs in good condition
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Equipment in intrinsically safe
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Whip checks/wires on air hoses
Ladders
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Proper type of ladder being used
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Ladders inspected for defects
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Extension ladder at 4 to 1 ratio
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Ladders extended 3 foot above landing
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Step ladders folded out and locked
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Ladder is properly secured
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Ladder on solid footing
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Area at base of ladder clear of debris; cords, welding leads, tools, etc.
Lockout Tagout
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Properly trained LOTO
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Equipment properly locked out
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System double verified according to LOTO procedure
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All affected employees notified
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ID tags used with locks
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All employees' personal LOTO padlocks on lockbox
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LOTO audit is performed
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LOTO padlock is not used for any other purpose
Mobile Equipment
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Daily Inspections being performed and documented
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Equipment that does not pass inspection is tagged and scheduled for repair
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Employee trained for equipment being operated
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Is chain or access gate closed
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Employees tied off in aerial lifts
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Employees wearing seat belts in mobile equipment
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Back up alarm on mobile equipment operable
PPE
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Safety glasses with side shields being worn
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Hard hats being worn
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Hearing Protection being worn
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Correct gloves for the task being worn
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Correct foot protection
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Appropriate clothing being worn
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Additional eye protection used as needed
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Respiratory equipment used as needed
Permits & PJHA
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Permit at work site
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Employees trained on permits
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Permits filled out properly
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Permits dated with all required signatures
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Permits closed out properly at end of job
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PJHA filled out properly
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Electrical PJHA being used (where applicable)
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All employees on crew signed PJHA
Rigging
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All rigging equipment inspected and labeled
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Load capacity labeled on floor cranes, chain falls, chokers, etc.
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Communication plan between crane operator and worker
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Man basket inspected b y competent person
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Tag line being used
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Proper attachment points
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Proper training on rigging
Scaffolding
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Users have had proper training
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Scaffolding erected by trained by competent person daily
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Scaffolding inspected by competent person daily
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Proper tagging of scaffolding
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100% fall protection on yellow tag scaffold
Signs & Barricades
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Danger or Caution tape used where needed
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Danger/Caution tape has ID tag on it
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Danger/Caution tape removed at end of job
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Area labeled properly when using chemicals
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Area below is taped off for hot work or falling debris from above
Welding/Hot Work
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Welding helmet or correct face shield worn
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Long sleeves being worn
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Fire extinguisher immediately available
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Fire watch 30 minutes after hot work
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Welding screens used when necessary
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Combustibles within 35 feet moved or covered
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Boot caps on welders
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Cords and welding leads in good condition
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Connectors on welding cables at least 10 feet away from holder
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Electrodes not in holder when unattended or not in use
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Welding cables repaired by correct heat shrink tape
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Welding and cutting assemblies equipped with flashback protective equipment
Signatures
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Foreman Signature
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Job Superintendent Signature
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Safety Personnel Signature