Woodruff Construction Job Site Hazard Identification and Risk Assessment

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Housekeeping

• 1.1. Are walking surfaces clear of debris?

  Yes

  No

  N/A

• 1.2. Are waste/trash containers provided?

  Yes

  No

  N/A

• 1.3. Does each trade clean up for themselves?

  Yes

  No

  N/A

• 1.4. Materials stacked and stored in an orderly fashion?

  Yes

  No

  N/A

• 1.5. Break area clean?

  Yes

  No

  N/A

• 1.6. Portable toilets kept in good condition?

  Yes

  No

  N/A

• 1.7. Adequate supply of potable water?

  Yes

  No

  N/A

• 1.8. Office area clean and organized?

  Yes

  No

  N/A

• 1.9. Does worksite look clean and organized?

  Yes

  No

  N/A

• 1.10. Company and project signage in place?

  Yes

  No

  N/A

2. Hazard Communication

• 2.1. List of hazardous chemicals

  Yes

  No

  N/A

• 2.2. MSDS

  Yes

  No

  N/A

• 2.3. Container labeling

  Yes

  No

  N/A

• 2.4. Employee training

  Yes

  No

  N/A

• 2.5. Postings

  Yes

  No

  N/A

3. Medical

• 3.1. Are first aid kits available?

  Yes

  No

  N/A

• 3.2. Are emergency phone numbers posted?

  Yes

  No

  N/A

• 3.3. Are employees aware of the address to give directions to?

  Yes

  No

  N/A

• 3.4. Is anyone trained in first aid and CPR?

  Yes

  No

  N/A

4. Excavation/Trenching

• 4.1. Have utility companies been notified - "ONE CALL"?

  Yes

  No

  N/A

• 4.2. Are overhead utility lines noted and precautions taken?

  Yes

  No

  N/A

• 4.3. Are spoil piles at least 2ft from the edge of the excavation?

  Yes

  No

  N/A

• 4.4. Are excavations inspected daily or as conditions warrant?

  Yes

  No

  N/A

• 4.5. If needed, are barricades properly placed?

  Safe

  At Risk

  N/A

• 4.6. Has soil classification been made by a competent person?

  Yes

  No

  N/A

• 4.7. Are excavations 5ft or deeper properly benched, sloped, etc.?

  Safe

  At Risk

  N/A

• 4.8. Ladder or other means of egress provided for excavations that are 4ft or deeper?

  Safe

  At Risk

  N/A

• 4.9. Are ladders extended and secured properly?

  Safe

  At Risk

  N/A

• 4.10. Are trenches being back filled in a timely manner?

  Yes

  No

  N/A

5. Ladders

• 5.1. Are proper ladders being used for the job?

  Yes

  No

  N/A

• 5.2. Are ladders in good condition?

  Safe

  At Risk

  N/A

• 5.3. Are ladders tied off at the top?

  Safe

  At Risk

  N/A

• 5.4. Does the side rail extend 3 ft past the landing?

  Safe

  At Risk

  N/A

• 5.5. Are step ladders fully opened when in use?

  Safe

  At Risk

  N/A

6. Electri

• 6.1. Are switch gear, panels, devices guarded or marked?

  Yes

  No

  N/A

• 6.2. Are panels labeled?

  Yes

  No

  N/A

• 6.3. Knockout covered on panels?

  Safe

  At Risk

  N/A

• 6.4. Are GFCI's being used?

  Safe

  At Risk

  N/A

• 6.5. Temporary lighting provided?

  Yes

  No

  N/A

• 6.6. Are bulbs protected?

  Safe

  At Risk

  N/A

• 6.7. Sufficient number of temporary outlets?

  Yes

  No

  N/A

7. Scaffolding

• 7.1. Are scaffold components free from visible defects?

  Safe

  At Risk

  N/A

• 7.2. Scaffold properly pinned and braced?

  Safe

  At Risk

  N/A

• 7.3. Are rolling scaffolds equipped with locking wheels?

  Yes

  No

  N/A

• 7.4. Is scaffold erected on a firm stable surface?

  Safe

  At Risk

  N/A

• 7.5. Scaffold supported on appropriate mud sills?

  Yes

  No

  N/A

• 7.6. Is planking of scaffold grade and in good condition?

  Yes

  No

  N/A

• 7.7. Is working surface fully planked and planks secure?

  Safe

  At Risk

  N/A

• 7.8. Planks overlap the end of the scaffold at least 6", Jo more than12"?

  Safe

  At Risk

  N/A

• 7.9. Overlapping planks extend 12" from the center of bar?

  Yes

  No

  N/A

• 7.10. Not > 1" between planks?

  Safe

  At Risk

  N/A

• 7.10. Not >9" space on backside of planking?

  Safe

  At Risk

  N/A

• 7.11. 1/60 of length to determine weight limit (10' plank not > 2" bow)

  Safe

  At Risk

  N/A

• 7.12. Are toe boards and guard rails in place for scaffold over 10 ft?

  Safe

  At Risk

  N/A

• 7.13. Gates or bars used to enclose the top level?

  Safe

  At Risk

  N/A

• 7.14. Scaffold is tied off when height reaches 4 times the base, then every 26 ft vertically and every 30 ft horizontally?

  Safe

  At Risk

  N/A

• 7.15. Tent around scaffold uses double ties ?

  Yes

  No

  N/A

8. Masonry

• 8.1. Are free standing walls supported and braced?

  Safe

  At Risk

  N/A

• 8.2. Limited access zones have been established?

  Safe

  At Risk

  N/A

• 8.3. Load limits being observed?

  Safe

  At Risk

  N/A

9. Personal Protective Equipment

• 9.1. Is hearing protection available?

  Yes

  No

  N/A

• 9.2. Is respiratory protection available?

  Yes

  No

  N/A

• 9.3. Are personnel wearing gloves when required?

  Yes

  No

  N/A

• 9.4. Are hard hats worn when required?

  Yes

  No

  N/A

• 9.5. Is proper attire being worn? (Boots, shirts, pants, etc.)

  Yes

  No

  N/A

• 9.6. Are face shields being worn when required?

  Yes

  No

  N/A

10. Toools: Hand & Power

• 10.1. Are tools free of obvious physical damage?

  Yes

  No

  N/A

• 10.2. Are tools inspected for frayed or damaged cords?

  Yes

  No

  N/A

• 10.3. Are tools properly grounded? (Ground pins in good condition)

  Yes

  No

  N/A

• 10.4. Are the handles on tools used and in good condition?

  Yes

  No

  N/A

• 10.5. Are shields and guards in place and in good condition?

  Safe

  At Risk

  N/A

• 10.6. Qualified operators for powder actuated tools?

  Yes

  No

  N/A

• 10.7. Discharged loads disposed of properly? (Bucket of water)

  Yes

  No

  N/A

• 10.8. Are cords free from abrasion and cuts?

  Yes

  No

  N/A

11. Welding and Cutting

• 11.1. Proper clothing being worn?

  Safe

  At Risk

  N/A

• 11.2. Welding and ground cables in good condition?

  Yes

  No

  N/A

• 11.3. Area free of flammables and combustibles?

  Safe

  At Risk

  N/A

• 11.4. Adequate ventilation?

  Safe

  At Risk

  N/A

• 11.5. Proper storage of fuel cylinders?

  Yes

  No

  N/A

• 11.6. Are hoses, cart, torches and regulators in good condition?

  Safe

  At Risk

  N/A

• 11.7. Fire extinguishers within work area?

  Yes

  No

  N/A

• 11.8. Are screens/shields used when required?

  Yes

  No

  N/A

12. Cranes, Hoists, & Derricks

• 12.1. Is the crane inspection log kept to date with crane?

  Yes

  No

  N/A

• 12.2. Are load capacities posted in cab?

  Yes

  No

  N/A

• 12.3. Does the crane have the swing radius flagged or barricaded?

  Safe

  At Risk

  N/A

• 12.4. Are power lines at a safe distance?

  Safe

  At Risk

  N/A

• 12.5. Is the surface stable? Crane mats used?

  Safe

  At Risk

  N/A

• 12.6. Are the outriggers fully extended?

  Yes

  No

  N/A

• 12.7. Are the weights of the lifted objects known?

  Yes

  No

  N/A

• 12.8. Is the overhead path known and workers alerted?

  Safe

  At Risk

  N/A

• 12.9. Is the cab of the crane clean?

  Yes

  No

  N/A

13. Floor, Wall Openings, & Stairways

• 13.1. Floor and roof opening securely covered or guarded?

  Safe

  At Risk

  N/A

• 13.2. Are stairways with 4 or more risers equipped with a handrail?

  Safe

  At Risk

  N/A

• 13.3. Are openings in walls guarded with railings and toe boards?

  Safe

  At Risk

  N/A

• 13.4. Is framing capable of withstanding a 200lb load?

  Safe

  At Risk

  N/A

• 13.5. Are open sided floors protected with guard rails or equivalent?

  Safe

  At Risk

  N/A

• 13.6. Roped guard rails are marked at 6ft with highly visible material?

  Safe

  At Risk

  N/A

14. Concrete

• 14.1. Proper clothing to protect skin?

  Yes

  No

  N/A

• 14.2. PPE - gloves, tee, face protection, rubber boots?

  Safe

  At Risk

  N/A

• 14.3. Formwork designed and fabricated to support loads?

  Safe

  At Risk

  N/A

• 14.4. Scaffolding or platforms properly designed to support loads?

  Safe

  At Risk

  N/A

• 14.5. Scaffold platforms equipped with guard rails?

  Safe

  At Risk

  N/A

• 14.6. Swing path of concrete bucket not allowed over personnel?

  Safe

  At Risk

  N/A

• 14.7. Reinforcing steel protected from impalement hazards.

  Safe

  At Risk

  N/A

• 14.8. Safe access for equipment and employees?

  Safe

  At Risk

  N/A

15. Structural Steel

• 15.1. Permanent or temporary flooring requirements met?

  Safe

  At Risk

  N/A

• 15.2. Employees using required fall protection?

  Yes

  No

  N/A

• 15.3. Company fall protection program in place?

  Yes

  No

  N/A

• 15.4. Danger zone established to limit work to those erecting steel?

  Safe

  At Risk

  N/A

• 15.5. Hoisting equipment and accessories in good condition?

  Safe

  At Risk

  N/A

• 15.6. Tag lines used to control loads?

  Yes

  No

  N/A

• 15.7. Power bolting and erection procedures followed?

  Safe

  At Risk

  N/A

• 15.8. Floor, roof, and wall openings protected as they appear?

  Safe

  At Risk

  N/A

• 15.9. Ladders, stairways, lifts for safe means of access?

  Safe

  At Risk

  N/A

16. Heavy Equipment

• 16.1. Backup alarms operational?

  Yes

  No

  N/A

• 16.2. Seat belts in good condition and utilized?

  Yes

  No

  N/A

• 16.3. Equipment clean and free of debris?

  Yes

  No

  N/A

• 16.4. Moving parts protected by guards?

  Safe

  At Risk

  N/A

• 16.5. Glass free from defects?

  Safe

  At Risk

  N/A

• 16.6. Employees prohibited from riding?

  Yes

  No

  N/A

• 16.7. Lights, reflectors, tires, brakes, etc. in good condition?

  Safe

  At Risk

  N/A

17. Aerial Lifts

• 17.1. Employees trained in use and training documented?

  Yes

  No

  N/A

• 17.2. Unit on solid, level ground?

  Safe

  At Risk

  N/A

• 17.3. Load limits being observed?

  Yes

  No

  N/A

• 17.4. Employees using fall protection when required?

  Safe

  At Risk

  N/A

• 17.5. Employees aware of hazards and personnel on the ground?

  Yes

  No

  N/A

• 17.6. Scissor lifts: employees of floor drains/knockouts?

  Yes

  No

  N/A

18. Fire Protection and Prevention

• 18.1. Are flammable liquid containers clearly identified?

  Safe

  At Risk

  N/A

• 18.2. Are flammable containers UL or FM listed?

  Safe

  At Risk

  N/A

• 18.3. Are extinguishers readily accessible and serviced (100 ft radius)?

  Yes

  No

  N/A

• 18.4. Are gas cylinders chained upright/ valve caps fastened?

  Safe

  At Risk

  N/A

• 18.4. Oxygen and acetylene stored 50 ft apart?

  Safe

  At Risk

  N/A

• 18.5. Are temporary heaters a safe distance from flammables?

  Safe

  At Risk

  N/A

• 18.6. Is ventilation adequate for temporary heaters?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

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