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
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Cover all findings and assigned actions with the person in charge prior to leaving the site. Forward this checklist to Safety Manager daily. Perform this checklist on every site visited.
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50% of all equipment and/or vehicles on site inspected? List equipment inspected. Basic Machine Maintenance etc.
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Inspected all paperwork on the equipment and/or vehicles checked in question 1? Forward in abnormal findings to Safety Manager by COB.
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Pre And Post Trip?
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Permits?
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Registration/cab card?
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Insurance?
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Inspection tags, inspection card?
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Driving JSA and trip report?
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Three Ring binder for all mandated items? Traffic control scenarios, laminated Matt weight chart, log exemption form etc.?
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Inspect all JSA's on site. Assure personnel are following outlined work steps and associated hazard mitigations. Note at least 2 observations.
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Coached at least 2 employees on a topic applicable to the operation and related to the weekly safety report? Record what is discussed and with whom.
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Inspected 100% use of all needed PPE? Note a minimum of two observations here.
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Attended and actively participated in tailboard or debriefing session? Note any Near Miss Lessons Learned here and assure they are turned in.
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Performed 360 degree walk down of site to identify issues with such items as housekeeping, slip trip fall hazards, flagging etc.? Note at least one observation here.
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Visited with the PM or person in charge to discuss any findings and/or issues they may have? Note accordingly.
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Completed a minimum of one weekly safety manual focus audit (each week)?
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Visited with any clients on site? Discussed and noted any issues we might be of assistance with?
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Observed and inspected proper equipment set up and evaluated risks? Note a minimum of one observation here.
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Observed any deficiencies with site production? Report to PM or person in charge prior to leaving the site. Record at least one observation here.
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Inspected all personnel Power Safe Cards and company assigned cards? Assure they are on person. (Heat stress card, spotter card, NM/LL book etc.)
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Observed and noted 100% of all spotter operations? Radio use, position etc. Note all here.
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Inspected any hazards associated with OSHA’s focus four: Caught between hazards, fall hazards, electrical hazards and struck by hazards. Assure they are captured on JSA. Note at least one observation here.
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Inspected 100% of all lifting and rigging operations/equipment? Note at least one observation here.
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100% inspection on the use of barricades and flagging? 10’ rule etc. Note at least one observation here.
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Observed and noted all deficiencies with safe driving? Note at least one observation here. Check at least one cell phone against sage quest each week. Note findings here.
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Talked to at least two employees' and identified any issue with being fit for duty? Examples: Quiz them on what shifts they have worked, when their last day off was etc..Note at least one observation here.
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Observed and noted any issues with 3 points of contact? Perform 360 walk around 50% of site equipment to identify any needed hand/foot hold needs.
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Asked all employees spoken with if they were aware of any injuries, equipment damage or issues with safety leadership? Note at least one observation here
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Walked through and/or drove site to identify any issues with traffic control? Note at least one observation here.
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Observed and noted any ergonomic hazards? Note at least one observation here.
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Add any additional Pictures here. Describe what the focus is.
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Inspectors signature here
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Person in charge of site sign here