Information
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Audit Title & Customer Name
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Conducted on
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Prepared by
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Location
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Foreman Name:
Site Details
JSA?SPA Job Safety Analysis
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Are SPA's being completed every day?
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Are the JSA/SPA's being submitted each day?
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Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly to At Risk items.
Work Areas
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Do you wish to examine work areas on this safety walk?
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General Housekeeping (neat, tidy, dust free)
- All observed work site areas organized and neatly kept.
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Impalement Hazards (none present, or adequately marked)
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Material Storage/Lay Down (neat and tidy)
Personal Protective Equipment (PPE)
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Do you wish to examine PPE on this safety walk?
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Hard Hats (available, worn by crew and in safe condition)
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Safety Glasses with Side Shields (available, worn by crew and in safe condition)
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Face Shield / Goggles (available, worn by crew and in safe condition)
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Respiratory Protection (available, worn by crew and in safe condition)
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Hearing Protection (available, worn by crew and in safe condition)
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Appropriate Clothing (in safe condition)
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Gloves (available, worn by crew and in safe condition)
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Foot Protection (fit for task, worn by crew and in safe condition)
Silica Exposure & Prevention
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Did you witness any examples of drilling or grinding?
- Informational Only. Not Scored
- Opportunity For Improvement (OFI)
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Observations
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Were HEPA filters or Vac's with HEPA filters being used during the cutting or drilling process?
- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
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Is HEPA equipment available for use at this jobsite?
- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
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- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
Fall Protection Equipment
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Do you wish to examine fall protection equipment on this safety walk?
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Fall protection equipment inspected inspected regularly and before use
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Appropriate for task and used properly by crew where applicable
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Suitable Anchorage Points
Ladders
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Do you wish to examine ladders on this safety walk?
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Ladders are well maintained and in satisfactory condition
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Ladder base, footing and set up is to standard
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Proper Ladder for Task
Tools and Equipment
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Do you wish to examine tools and equipment on this safety walk?
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General condition of tools
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Right tools are being used for tasks
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Crew members are trained to be competent in the tools appropriate for their work tasks
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Do all work carts, dollies and manual material moving equipment have locking wheels or locking mechanism to prevent unauthorized movement?
- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
Electrical Safety
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Do you wish to examine electrical safety on this safety walk?
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Ground fault circuit interrupters in use
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Extension Cords are not causing trip hazards or used inappropriately
Personnel
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Do you wish to check personnel and this safety walk?
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Behavior is orderly and professional
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Clear communication is possible without needing to shout
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Team lifts being performed for any large/awkward or item weighing 50lbs or more?
LOTO
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Did you witness LOTO procedures?
- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
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Were the proper LOTO tools being used?
- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
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Were the LOTO tags signed or identified?
- Yes
- No
- N/A
- Observation only. Discussed with crew. No points missed
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Were there errors with LOTO process?
People Safety
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Do you wish to check work crew safety knowledge at this inspection?
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Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.
Team Member
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Add signature
General Comments
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
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Please add any corrective actions to the appropriate questions above before completing this report
Sign Off
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Name & Signature of Inspector
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Name & Signature of Site Supervisor / Foreman