Work-In-Progress Audit Checklist Example

Week of: Proj: Inspected By: Contractor: Owner Proj MGR:

date project description names company name names

Compliance with OBSERVED Items Only 1

A. B. C. Ref. Spec

AUDIT ACTION ITEMS

YES N/A ACTION RESPONSIBILITY Completion Date

GENERAL
A policy for Accident/Incident reports and Safety Inspection reports, including subcontractors in place when necessary. Daily Tool Box Safety Meeting conducted and documented. Other JSA's BEING USED FOR HIGH HAZARD WORK

2
A. B. C. D.

EMERGENCY RESPONSE
Do contractors know the alarm code for the area they are working in? Do contractors know the location of the nearest safety shower and fire extinguisher? Do contractors know where the check-off point is in the event of an emergency? Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

3
A. B. C. D. E.

OFFICE SAFETY
Are electrical cords kept out of aisles or walkways? Are electrical cords and equipment in good conditions? Is the p paper (i.e. not up p cutter arm in the safe position? p ( p or open) p ) Is the work area clear of tripping hazards such as storage boxes, pile of paper, etc? Are all cabinet drawers closed except when being used and attended?

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

4
A. B.

HOUSEKEEPING
Materials stored in safe and orderly fashion. Inspection performed daily with cleanup of work, fabrication, and personnel areas. All stairways, walkways, and scaffolds kept clean of tripping hazards and obstructions.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

C. D. E. F.

Appendix E

Plant roads free of debris resulting from performance of contractor's work. Safety Equipment in the work area is accessible including Safety Showers/Eye baths, fire extinguishers, etc. Other

5
A. 1926.100

PERSONAL PROTECTIVE EQUIPMENT

Hard hats provided and worn by all employees.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-1

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

B. C. D. E. F. G. H. I. J. K. L. 1926.103 1926.103 (c) (1) 1926.103 1926.101 1926.102

AUDIT ACTION ITEMS

Eye (including safety glasses) and face protection provided and worn be all employees when exposed to potential eye or face injury. Chemical goggles provided and carried by all employees. Hearing protective devices provided and worn by all employees where noise levels are excessive Hard toe safety shoes provided and worn by all employees. Proper clothing worn by all employees (sleeved shirts, full length trousers). Jewelry policy adhered to (NO rings or loose/dangling jewelry worn while performing work). Safety harness and double lanyard with shock absorber and anchor point used as required. Employees using respiratory protective devices have been medically evaluated and fit tested. Employees using respiratory protective devices have been thoroughly trained in their use. Respiratory protective devices provided and worn when employees are exposed to harmful dusts, fumes, gases. Other

6
A. B. C. D. E. F. G. 1926.302 (b) (1) 1926.302 (e) (1 &11) 1926.301 (b) (3) ( ) 1926.300 (b) 1926.301 (ad)

PORTABLE POWER AND HAND TOOLS

Devices provided and in use on air power tools to prevent from becoming accidentally disconnected from hose. Power actuated tools provided with safety shield/guard. Operator has evidence of special training in their use. Defective tools/equipment are tagged as unsafe or controls locked in off position and has been physically p p y y removed from job j site. All guards in place on power tools. Hand tools in good repair. Handles installed on all files. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

7
A. 1926. 451 (a) B. (3) C. D. E.

SCAFFOLDS
Inspection / Tagging system in use. Competent person supervising all scaffold erection, alteration, moving etc Scaffolds have toe plates, handrails and proper access provided to scaffold platforms extended 3 feet above guard rails. If handrails do not meet the standard, 100% tie-off is being practiced and an elevated work checklist has been completed. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

8
A. 1926.1053 (b) (15 & 16)

STAIRWAYS AND LADDERS

Ladders regularly inspected (monthly with tags affixed and destroyed when found defective.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-2

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

B. C. D. E. F. G. H. I. J. 1926.1053 (b) (9) 1926.1053 (b) (5) 1926.1053 (b) (4) 1926.1053 (b) (20, 21 & 22) 1926.1053 (b) (1)

AUDIT ACTION ITEMS

Side rails extend 36 inches above landing or provision of grab rails. Tops of all ladders tied off. Ladders used only for the purpose for which they were designed. Employees ascending/descending ladders while facing it with at least one hand holding the ladder and not carrying any loads. When there is possible exposure to an electrical hazard, wooden or fiberglass ladders are used. (Wooden ladders must be treated.) Area clear around top and bottom of ladder. Ladder on proper angle (horizontal distance from the top support to the foot of the ladder is about one quarter of working length. Employees using step ladders are standing so that their waists are below the top of the ladder. Other

9
A. B. C. D.

ABRASIVE BLASTING
Proper PPE worn by all personnel involved in blasting operation. Dust accumulation kept to a minimum. Area around equipment being cleaned is barricaded-off. Other.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

10
A. B. C. D. E.

HIGH PRESSURE WATER BLASTING

Is the area around the equipment to be cleaned, roped-off for a distance of 30 feet? Are all pe personnel personal protective equipment ea so e wearing ea g proper p ope pe so a p otect e equ p e t for o hydroyd o blasting work? (minimum of hard hat, safety shoes, goggles, face shield, and hearing protection) Are hoses, fittings, lances, and nozzles inspected and pressure tested before each use? Has hydro-blasting equipment been provided with a dump valve which will immediately reduce system pressure when release by operator? Has hydro-blasting equipment been lift pressurizers and equipment?

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

11
A. B. C. D. E. F. 1926.353 (e) (2) 1926.350 (h) 1926.350 (h) 1910.252 (a) (5) (b) 1926.350 (g) (3) 1926.350 (g) (3)

WELDING, CUTTING AND BRAZING

Proper PPE provided, in good condition and being used. All oxygen and acetylene gauges in working condition. All oxygen and acetylene hoses in good condition. Back flow preventers in use. Torches lighted by friction lighters or other approved device. Oxygen and acetylene hoses properly located so as to avoid a tripping hazard and potential damage to the hoses.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-3

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

G. H. I. J. K. L. M. N. O. 1926.350 (j) 1926.351 (b) (1) (2) 1926.351 (d) (5) 1926.351 (d) (5) 1926.352 (a)

AUDIT ACTION ITEMS

Electric and welding cables in good condition and properly attached by lugs to welding machine. Ground connected directly to material being welded. Shields provided to protect other workers from flash burns. All welding cable positioned to eliminate tripping hazards and eliminate potential damage to the cables. All flammable material removed from welding, cutting, and burning operations area. Sewers in the area have been covered to prevent exposure to sparks or slag. Protection provided to prevent slag, etc. from falling on workers below. Hot work permit procedure followed with trained fire watch (remaining at site at least 30 minutes after completion of work ) and fire extinguisher. Other
Completion Date

12
A. B. C. D. E. F. G. H. I. J. 1910.184 (d) 1910.184 (i) (9) (i-v) 1910.184 (f) (5) (i-vii)

SLINGS, CHAINFALLS AND COME-ALONGS

Slings, fastenings, and attachments inspected by competent person for damage or defects. Synthetic slings are free of snags, punctures, tears, cuts, broken or worn stitches, and distortion of fittings. Wire rope slings are free of broken wires, wear or scraping, kinking, crushing, worn or deformed end attachments, or defective hooks. Safety latch on hanging hook and load hook on chainfall/come-along. Chain/ Cable and hook on chainfall / come come-along along in good physical condition. Load chain/cable of chainfall/ come-along not being used as a sling. Hanging hook of chainfall/ come-along free to pivot. Capacity of chainfall / come-along adequate for job. If monorail is being used, the design capacity is visible on the monorail. Other

YES

N/A

ACTION

RESPONSIBILITY

13
A. B. C. D. E. 1926.350 (a) (1) 1926.350 (a) (2) 1926.350 (a) (4) 1926.350 (b) (1) 1910.252 (a) (2) (ii) (b)

COMPRESSED GAS CYLINDERS

When transporting, moving, and storing compressed gas cylinders, valve protection caps in place and secured. Gas cylinders are in an upright position. Cylinders hoisted with cradle, slingboard or pallet. (Large argon cylinders can be lifted with eYES provided by manufacturer.) Cylinders secured and in vertical position when transported by a powered vehicle. Cylinders placed so sparks, slag, flame from welding or cutting will not reach them. Cylinders stored in well-protected, well ventilated, dry location, at least 20 feet from highly combustible materials.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-4

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

F. G. 1910.252 (a) (2) (iv) (c)

AUDIT ACTION ITEMS

At least 20 ft. or noncombustible barrier at least 5 ft. high separates oxygen cylinders from fuel gas. Other

14
A. B. C. D.

FIRE PROTECTION & PREVENTION

Do contractors know the location of the fire alarm system? Is smoking practiced only in designated areas? Are all fire extinguishers provided by the contractor inspected monthly? Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

15
A. B. C. D. E. F. 1926.750 (b) (1) (iii) 1926.750 (b) (1) (iii)

STEEL ERECTION
100% fall protection implemented when fall potential greater than 6 feet. Training provided for all employees using 100% fall protection equipment. On levels with flooring/handrails, or 1/2 inch wire rope or equivalent installed around the perimeter approximately 42 inches high. Tools and material hoisted/lowered in suitable containers. Working personnel straddling beams when traveling from the point to another (A.N.S.I. A10.13-1978 (8) (8.3) Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

16
A. B. C. D. E. F. G. 1926.701 (b) 1926.701 (e) (1) 1926.701 (e) (2) 1926.706 (f) (2) 1926.706 (a) (1-5)

CONCRETE, CONCRETE FORMS AND SHORING

Protruding reinforcing steel guarded to eliminate impalement hazard. Employees not working under concrete buckets while buckets are elevated or lowered into position. Elevated concrete buckets routed so that NO employee is exposed to the possibility of a falling bucket. Employees wearing safety harness when 6 feet or more above adjacent work surfaces. A limited access zone established for construction of masonry walls. PPE is being used to eliminate routine skin contact with fresh poured concrete. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

17
A. B. C.

HAZARDOUS WORK PERMITS

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. Adequate fire watch is provided with proper extinguishing agent for the type of hot work being performed. Confined Space Entry Permit obtained for all work in closed or confined spaces.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-5

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

D. E. F. G. H.

AUDIT ACTION ITEMS

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. When appropriate, an elevated check list was completed. All rotating or moving equipment, valve or any other potential energy source locked out and tagged before work begins. Personal locks being used have discrete identification of the individual it belongs to. Other

18
A. B. C. D. E. 1926.404 (b) 1926.416 (e) (1) 1926.405 (a) (2) (ii) (G) 1926.416 (e) (2)

ELECTRICAL SAFETY
Ground fault circuit interrupters AND Assured Equipment Grounding Conductor Program in use to protect employees from electrical shock. All tools and cords inspected for good physical condition. Portable electric lighting used in wet and or conductive locations is 12 Volts or less, 120 volt lights used if protected by GFCI. Electrical cords are properly suspended. (not suspended by wire or nails) Other Because of the environment NO trees are available on this site, cords are managed.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

19
A. B. C. D. E.

HOT TAPPING
Have all necessary permits been issued? Have the hot-tapping equipment operators been trained, qualified,and certified for the equipment? Has the welder been certified to weld the hot tap nozzles? Is the proper welding machine being used? (i.e. electrical) Does safety equipment conform to what is listed on the Hot Tap Permit?

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

20
A. B. C. D. E. F. 1926.651 (j) (2) 1926.651 (f) 1926.652 (a) 1926.651 (c) (2) 1926.651 (c) (2)

TRENCHING AND EXCAVATION

Excavated material effectively stored and retained at least 2 feet or more from edge of excavation. Substantial stop logs or barricades installed when mobile equipment working adjacent to excavation. Excavations and trenches over 4 feet in depth shored to standard, laid back to stable slopes or provided with other equivalent protection where hazard of moving ground exists. Excavations and trenches less than 4 feet in depth examined daily by a competent person for indication of potential cave-in. 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. Confined space entry permit issued if excavations and trenches are 4 feet deep or greater.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-6

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

G.

AUDIT ACTION ITEMS

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
A. 1910.23 (a) (9) 1926.500 (b) (8) 1926.500 (d) (1)

FLOOR AND WALL OPENINGS/BARRICADES

All floor openings wider than 1 inch protected by a secure cover to prevent tools or materials from falling through. 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. Every open-sided floor or platform guarded by standard railing with toeboard. 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. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

B.

C. D. E.

22
A. B. C. D. E. F. G.

DEMOLITION AND DISMANTLING

Has and engineering survey been made and documented by a competent person? Have all applicable permits been issued? Have you observed material properly transferred to lower levels? Have safe walkways been provided to reach any point without walking on exposed beams? Are employee entrances protected by sidewalk sheds, canopies, or both? Have floor openings been provided with necessary protection to prevent equipment from running over the edges of upper floors? 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?

YES

N/A

ACTION

23
A. B. 1926.59 (e) (1) 1926.59 (e) (l) (i) 1926.59 (f) (5) (i) (ii) 1926.59 (h) (1)

HAZARD COMMUNICATION
Contractor has written hazard communication program developed, implemented and maintained at the work place. Employees informed of the availability of program, including required list(s) of hazardous chemicals, and Material Safety Data Sheets required. Each contractor of hazardous chemicals is labeled, tagged, or marked with identity of hazardous chemicals inside and shows hazard warnings for employee protection. 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.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

C.

D. E.

E-7

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only 24

A. B. C. D.

AUDIT ACTION ITEMS

YES N/A ACTION RESPONSIBILITY Completion Date

ASBESTOS ABATEMENT
Does contractor have written program for protection of all contractor employees and location personnel from exposure to asbestos? Does contractor require asbestos related medical examinations and evaluations? Does contractor hold asbestos related training? Is contractor disposing of asbestos properly?

25
A. B. C. D.

LEAD EXPOSURE
Does contractor have written program for protection of all contractor employees and location personnel from exposure to lead? Does contractor require lead related medical examinations and evaluations? Does contractor hold lead related training? Is contractor using the appropriate personal protective equipment when exposed to lead?

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

26
A. B. C. D.

VEHICLE SAFETY
Vehicle in good repair (tires, brakes, windshield, etc.) Seat belts worn by all operators and passengers. Back up alarm on vehicle when rear view is obstructed. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

27
A. B. C. D. E. F. G. H. 1926.550 (a) (2) 1926.550 (a) (4) 1926.550 (a) (6) 1926.550 (a) (5) 1926.550 (a) (9) 1926.550 (15) (i-ii)

CRANES AND HOISTING EQUIPMENT

Rated capacity posted on all lifting, hoisting equipment clearly visible to the operator. Illustration of crane signals posted at the job site. Annual inspection made of crane hoisting machinery and record kept of dates and results. Competent person designated to inspect equipment prior to and during use, to ensure a safe operating condition. Accessible areas within the swing radius are barricaded to prevent an employee from being struck. NO part of crane or its load closer than 10 ft. energized electrical lines. Load Chart and Boom angle indication is readily visible to the operator. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

28
A. B. C.

PILE DRIVING
Are stop blocks provided for the leads to prevent the hammer from being raised against the head block? Are guards in place across the top of the head block to prevent the cable from jumping out of the sheaves? Are engineers and winchmen accepting signals only from a designated signalman?

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-8

Work-In-Progress Audit Checklist Example

Compliance with OBSERVED Items Only

D.

AUDIT ACTION ITEMS

YES N/A ACTION RESPONSIBILITY Completion Date

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

29
A. B. C. D. E. 1926.602 (a)(9)(i). 1926.602 (c)(l)(i)

MOBILE/POWERED CONSTRUCTION EQUIPMENT

Bi-directional equipment equipped with a horn? Rated capacity posted on all lift trucks, stackers, etc? Fire extinguisher available on all mobile/powered equipment. Refueling takes place while the engine is not running. Other

30
A. B. C.

WASTE MANAGEMENT
Identify, treat, store, and handle waste consistent with EPA and state regulations. Waste generated on location is disposed of as approved by the CMR. Employees working where hazardous waste is present have been properly trained and certified per 29 CFR 1910.120

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

31
A. B.

GROUND & SERVICE WATER PROTECTION

Measures have been taken to prevent spills and releases. Contractor has a written plan to contain and clean up any spill.

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

32
A. B. C C. 1926.50 (d) (2)

OCCUPATIONAL MEDICINE
First aid kit well stocked and available on job site. Person on job site adequately trained and current qualification to render first aid. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

33
A. B. C. D. E. 1926. 556 (b) (2) (v) 1926.556 (b) (2) (ii) 1926.556 (b) (2) (iv)

EXTENSIBLE AND ARTICULATING BOOM PLATFORMS

Only authorized persons operating aerial lift. Employees standing firmly on floor of basket not climbing or sitting on edge of basket or using planks or ladders for a work position. Work platform/basket of lift free of all trash, debris, and unnecessary tools and material. Safety harness with lanyard worn and attached to boom or basket. Other

YES

N/A

ACTION

RESPONSIBILITY

Completion Date

E-9