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Work-In-Progress Audit Checklist Example

date

project description

namescompany name

names

Compliance with OBSERVED Items Only

1 Ref. Spec GENERAL YES N/A ACTION RESPONSIBILITYCompletion

Date

A.A policy for Accident/Incident reports and Safety Inspection reports, including

subcontractors in place when necessary.

B. Daily Tool Box Safety Meeting conducted and documented.

C. Other JSA's BEING USED FOR HIGH HAZARD WORK

2 EMERGENCY RESPONSE YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Do contractors know the alarm code for the area they are working in?

B.Do contractors know the location of the nearest safety shower and fire

extinguisher?

C.Do contractors know where the check-off point is in the event of an

emergency?

D. Other

3 OFFICE SAFETY YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Are electrical cords kept out of aisles or walkways?

B. Are electrical cords and equipment in good conditions?

C. Is the paper cutter arm in the safe position? (i.e. not up or open)

AUDIT ACTION ITEMS

Week of:

Proj:

Inspected By:

Contractor:

Owner Proj MGR:

D.Is the work area clear of tripping hazards such as storage boxes, pile of

paper, etc?

E. Are all cabinet drawers closed except when being used and attended?

4 HOUSEKEEPING YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Materials stored in safe and orderly fashion.

B.Inspection performed daily with cleanup of work, fabrication, and personnel

areas.

C.All stairways, walkways, and scaffolds kept clean of tripping hazards and

obstructions.

D. Plant roads free of debris resulting from performance of contractor's work.

E.Safety Equipment in the work area is accessible including Safety Showers/Eye

baths, fire extinguishers, etc.

F. Other

5 PERSONAL PROTECTIVE EQUIPMENT YES N/A ACTION RESPONSIBILITYCompletion

Date

A. 1926.100 Hard hats provided and worn by all employees.

Appendix

E

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Compliance with OBSERVED Items Only AUDIT ACTION ITEMS

B. 1926.102Eye (including safety glasses) and face protection provided and worn be all

employees when exposed to potential eye or face injury.

C. Chemical goggles provided and carried by all employees.

D. 1926.101Hearing protective devices provided and worn by all employees where noise

levels are excessive

E. Hard toe safety shoes provided and worn by all employees.

F. Proper clothing worn by all employees (sleeved shirts, full length trousers).

G.Jewelry policy adhered to (NO rings or loose/dangling jewelry worn while

performing work).

H.Safety harness and double lanyard with shock absorber and anchor point used

as required.

I. 1926.103Employees using respiratory protective devices have been medically evaluated

and fit tested.

J.1926.103 (c)

(1)

Employees using respiratory protective devices have been thoroughly trained

in their use.

K. 1926.103Respiratory protective devices provided and worn when employees are

exposed to harmful dusts, fumes, gases.

L. Other

6 PORTABLE POWER AND HAND TOOLS YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.302 (b)

(1)

Devices provided and in use on air power tools to prevent from becoming

accidentally disconnected from hose.

B.1926.302 (e)

(1 &11)

Power actuated tools provided with safety shield/guard. Operator has

evidence of special training in their use.

C.1926.301 (b)

(3)

Defective tools/equipment are tagged as unsafe or controls locked in off

position and has been physically removed from job site.

D. 1926.300 (b) All guards in place on power tools.

E.1926.301 (a-

d)Hand tools in good repair.

F. Handles installed on all files.

G. Other

7 SCAFFOLDS YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Inspection / Tagging system in use.

B.

1926. 451 (a)

(3) Competent person supervising all scaffold erection, alteration, moving etc

C.Scaffolds have toe plates, handrails and proper access provided to scaffold

platforms extended 3 feet above guard rails.

D.If handrails do not meet the standard, 100% tie-off is being practiced and an

elevated work checklist has been completed.

E. Other

8 STAIRWAYS AND LADDERS YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.1053

(b) (15 & 16)

Ladders regularly inspected (monthly with tags affixed and destroyed when

found defective.

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B.1926.1053

(b) (1)Side rails extend 36 inches above landing or provision of grab rails.

C. Tops of all ladders tied off.

D. 1926.1053(b) (4)

Ladders used only for the purpose for which they were designed.

E.

1926.1053

(b) (20, 21 &

22)

Employees ascending/descending ladders while facing it with at least one

hand holding the ladder and not carrying any loads.

F.When there is possible exposure to an electrical hazard, wooden or fiberglass

ladders are used. (Wooden ladders must be treated.)

G.1926.1053

(b) (9)Area clear around top and bottom of ladder.

H.1926.1053

(b) (5)

Ladder on proper angle (horizontal distance from the top support to the foot

of the ladder is about one quarter of working length.

I.Employees using step ladders are standing so that their waists are below the

top of the ladder.

J. Other

9 ABRASIVE BLASTING YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Proper PPE worn by all personnel involved in blasting operation.

B. Dust accumulation kept to a minimum.

C. Area around equipment being cleaned is barricaded-off.

D. Other.

10 HIGH PRESSURE WATER BLASTING YES N/A ACTION RESPONSIBILITYCompletion

Date

A.Is the area around the equipment to be cleaned, roped-off for a distance of 30

feet?

Are all ersonnel wearin ro er ersonal rotective e ui ment for h dro-

B. blasting work? (minimum of hard hat, safety shoes, goggles, face shield, and

hearing protection)

C.Are hoses, fittings, lances, and nozzles inspected and pressure tested before

each use?

D.Has hydro-blasting equipment been provided with a dump valve which will

immediately reduce system pressure when release by operator?

E. Has hydro-blasting equipment been lift pressurizers and equipment?

11 WELDING, CUTTING AND BRAZING YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.353 (e)

(2)Proper PPE provided, in good condition and being used.

B. 1926.350 (h) All oxygen and acetylene gauges in working condition.

C. 1926.350 (h) All oxygen and acetylene hoses in good condition.

D.1910.252 (a)

(5) (b)Back flow preventers in use.

E.1926.350 (g)

(3)Torches lighted by friction lighters or other approved device.

F.1926.350 (g)

(3)

Oxygen and acetylene hoses properly located so as to avoid a tripping hazard

and potential damage to the hoses.

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F.1910.252 (a)

(2) (iv) (c)

At least 20 ft. or noncombustible barrier at least 5 ft. high separates oxygen

cylinders from fuel gas.

G. Other

14 FIRE PROTECTION & PREVENTION YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Do contractors know the location of the fire alarm system?

B. Is smoking practiced only in designated areas?

C. Are all fire extinguishers provided by the contractor inspected monthly?

D. Other

15 STEEL ERECTION YES N/A ACTION RESPONSIBILITYCompletion

Date

A. 100% fall protection implemented when fall potential greater than 6 feet.

B. Training provided for all employees using 100% fall protection equipment.

C.1926.750 (b)

(1) (iii)

On levels with flooring/handrails, or 1/2 inch wire rope or equivalent installed

around the perimeter approximately 42 inches high.

D.1926.750 (b)

(1) (iii)Tools and material hoisted/lowered in suitable containers.

E.Working personnel straddling beams when traveling from the point to another

(A.N.S.I. A10.13-1978 (8) (8.3)

F. Other

16 CONCRETE, CONCRETE FORMS AND SHORING YES N/A ACTION RESPONSIBILITYCompletion

Date

A. 1926.701 (b) Protruding reinforcing steel guarded to eliminate impalement hazard.

B.1926.701 (e)

(1)Employees not working under concrete buckets while buckets are elevated orlowered into position.

C.1926.701 (e)

(2)

Elevated concrete buckets routed so that NO employee is exposed to the

possibility of a falling bucket.

D.1926.706 (f)

(2)

Employees wearing safety harness when 6 feet or more above adjacent work

surfaces.

E.1926.706 (a)

(1-5)A limited access zone established for construction of masonry walls.

F. PPE is being used to eliminate routine skin contact with fresh poured concrete.

G. Other

17 HAZARDOUS WORK PERMITS YES N/A ACTION RESPONSIBILITY CompletionDate

A.

A hot work permit obtained for all welding burning, cutting, torch heating,

grinding, or similar operations using an electric arc or open flame, or any

other flame or spark-producing operation.

B.Adequate fire watch is provided with proper extinguishing agent for the type

of hot work being performed.

C.Confined Space Entry Permit obtained for all work in closed or confined

spaces.

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D.Line entry procedure followed for all entries into pipelines and process

equipment and has been returned to the control room at the end of work.

E. When appropriate, an elevated check list was completed.

F.All rotating or moving equipment, valve or any other potential energy source

locked out and tagged before work begins.

G.Personal locks being used have discrete identification of the individual it

belongs to.

H. Other

18 ELECTRICAL SAFETY YES N/A ACTION RESPONSIBILITYCompletion

Date

A. 1926.404 (b)Ground fault circuit interrupters AND Assured Equipment Grounding Conductor

Program in use to protect employees from electrical shock.

B.

1926.416 (e)

(1) All tools and cords inspected for good physical condition.

C.1926.405 (a)

(2) (ii) (G)

Portable electric lighting used in wet and or conductive locations is 12 Volts or

less, 120 volt lights used if protected by GFCI.

D.1926.416 (e)

(2)Electrical cords are properly suspended. (not suspended by wire or nails)

E.Other Because of the environment NO trees are available on this site, cords

are managed.

19 HOT TAPPING YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Have all necessary permits been issued?

B.

Have the hot-tapping equipment operators been trained, qualified,and

certified for the equipment?C. Has the welder been certified to weld the hot tap nozzles?

D. Is the proper welding machine being used? (i.e. electrical)

E. Does safety equipment conform to what is listed on the Hot Tap Permit?

20 TRENCHING AND EXCAVATION YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.651 (j)

(2)

Excavated material effectively stored and retained at least 2 feet or more from

edge of excavation.

B. 1926.651 (f)Substantial stop logs or barricades installed when mobile equipment working

adjacent to excavation.

C. 1926.652 (a)Excavations and trenches over 4 feet in depth shored to standard, laid back tostable slopes or provided with other equivalent protection where hazard of

moving ground exists.

D.1926.651 (c)

(2)

Excavations and trenches less than 4 feet in depth examined daily by a

competent person for indication of potential cave-in.

E.1926.651 (c)

(2)

Excavations and trenches 4 feet deep or more are provided with ladders

located so that NO more than 25 feet of lateral travel is required for egress.

F.Confined space entry permit issued if excavations and trenches are 4 feet

deep or greater.

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G.

Employees in excavations or trenches greater than 4 feet in depth equipped

with safety harness and standby person present as per confined space entry

permit.

Other

21 FLOOR AND WALL OPENINGS/BARRICADES YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1910.23 (a)

(9)

All floor openings wider than 1 inch protected by a secure cover to prevent

tools or materials from falling through.

B.1926.500 (b)

(8)

All floor holes into which persons can accidentally walk guarded by standard

railing and toe board or a secured cover. Floor hole covers must be clearly

marked or tagged Do Not Remove Floor Hole Cover.

C.1926.500

(d) (1)Every open-sided floor or platform guarded by standard railing with toeboard.

D.Necessary actions taken to identify and mark off danger zones created by the

work. Barricade system in place to control entry into the danger zone.

E. Other

22 DEMOLITION AND DISMANTLING YES N/A ACTION

A.Has and engineering survey been made and documented by a competent

person?

B. Have all applicable permits been issued?

C. Have you observed material properly transferred to lower levels?

D.Have safe walkways been provided to reach any point without walking on

exposed beams?

E. Are employee entrances protected by sidewalk sheds, canopies, or both?

F.Have floor openings been provided with necessary protection to prevent

equipment from running over the edges of upper floors?

G.

Have all openings in floors not used as material drops, been covered over with

material substantial eNOugh to support the weight of any load that might be

imposed?

23 HAZARD COMMUNICATION YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.59 (e)

(1)

Contractor has written hazard communication program developed,

implemented and maintained at the work place.

B.1926.59 (e)

(l) (i)

Employees informed of the availability of program, including required list(s) of

hazardous chemicals, and Material Safety Data Sheets required.

C.1926.59 (f)

(5) (i) (ii)

Each contractor of hazardous chemicals is labeled, tagged, or marked with

identity of hazardous chemicals inside and shows hazard warnings for

employee protection.

D.1926.59 (h)

(1)

Employees provided with information and training on hazardous chemicals in

their work area at initial assignment and when a new hazard is introduced into

their work area.

E.

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24 ASBESTOS ABATEMENT YES N/A ACTION RESPONSIBILITYCompletion

Date

A.

Does contractor have written program for protection of all contractor

employees and location personnel from exposure to asbestos?

B.Does contractor require asbestos related medical examinations and

evaluations?

C. Does contractor hold asbestos related training?

D. Is contractor disposing of asbestos properly?

25 LEAD EXPOSURE YES N/A ACTION RESPONSIBILITYCompletion

Date

A.Does contractor have written program for protection of all contractor

employees and location personnel from exposure to lead?

B. Does contractor require lead related medical examinations and evaluations?

C. Does contractor hold lead related training?

D.Is contractor using the appropriate personal protective equipment when

exposed to lead?

26 VEHICLE SAFETY YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Vehicle in good repair (tires, brakes, windshield, etc.)

B. Seat belts worn by all operators and passengers.

C. Back up alarm on vehicle when rear view is obstructed.

D. Other

27 CRANES AND HOISTING EQUIPMENT YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.550 (a)

(2)Rated capacity posted on all lifting, hoisting equipment clearly visible to theoperator.

B.1926.550 (a)

(4)Illustration of crane signals posted at the job site.

C.1926.550 (a)

(6)

Annual inspection made of crane hoisting machinery and record kept of dates

and results.

D.1926.550 (a)

(5)

Competent person designated to inspect equipment prior to and during use, to

ensure a safe operating condition.

E.1926.550 (a)

(9)

Accessible areas within the swing radius are barricaded to prevent an

employee from being struck.

F.1926.550

(15) (i-ii)

NO part of crane or its load closer than 10 ft. energized electrical lines.

G. Load Chart and Boom angle indication is readily visible to the operator.

H. Other

28 PILE DRIVING YES N/A ACTION RESPONSIBILITYCompletion

Date

A.Are stop blocks provided for the leads to prevent the hammer from being

raised against the head block?

B.Are guards in place across the top of the head block to prevent the cable from

jumping out of the sheaves?

C.Are engineers and winchmen accepting signals only from a designated

signalman?

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D. Are all employees kept clear when piling is being hoisted into the leads?

29 MOBILE/POWERED CONSTRUCTION EQUIPMENT YES N/A ACTION RESPONSIBILITYCompletion

Date

A. 1926.602(a)(9)(i).

Bi-directional equipment equipped with a horn?

B.1926.602

(c)(l)(i)Rated capacity posted on all lift trucks, stackers, etc?

C. Fire extinguisher available on all mobile/powered equipment.

D. Refueling takes place while the engine is not running.

E. Other

30 WASTE MANAGEMENT YES N/A ACTION RESPONSIBILITYCompletion

Date

A.Identify, treat, store, and handle waste consistent with EPA and state

regulations.

B. Waste generated on location is disposed of as approved by the CMR.

C.Employees working where hazardous waste is present have been properly

trained and certified per 29 CFR 1910.120

31 GROUND & SERVICE WATER PROTECTION YES N/A ACTION RESPONSIBILITYCompletion

Date

A. Measures have been taken to prevent spills and releases.

B. Contractor has a written plan to contain and clean up any spill.

32 OCCUPATIONAL MEDICINE YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.50 (d)

(2)First aid kit well stocked and available on job site.

B. Person on job site adequately trained and current qualification to render firstaid.

.

33 EXTENSIBLE AND ARTICULATING BOOM PLATFORMS YES N/A ACTION RESPONSIBILITYCompletion

Date

A.1926.556 (b)

(2) (ii)Only authorized persons operating aerial lift.

B.1926.556 (b)

(2) (iv)

Employees standing firmly on floor of basket not climbing or sitting on edge of

basket or using planks or ladders for a work position.

C.Work platform/basket of lift free of all trash, debris, and unnecessary tools

and material.

D.

1926. 556 (b)

(2) (v) Safety harness with lanyard worn and attached to boom or basket.E. Other

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