CHECK LIST-CONST.

100 WR NA Site PPE – Requirements: Yes No NA Administrative: Use Inc NA Check List (Using or Incomplete)
      Hard Hats: 100% or When Required       OSHA Partnership – Alliance – VPP       Fall Protection:
      Eye Protection       Contract Agreements – In Written       Fall Protect: Harn – Lany – Anchor
      Respirator Protection       Site Safety Plan – Safety Manual       Training Records on Fall Prot.
      Hearing Protection       Safety Rules & Enforced       Competent Per. – Inspect Equipt.
      Steel Toe Shoes       Jobsite Orientation       Guardrailing
      Traffic Vest       Emergency Action Plan – Onsite       Falling Object Protection
      Other:       First-Aid – CPR Responders       Scaffold: Frame – Tube – Susp – Mobile
Yes No NA Hazard Assessment:       Inspections – Daily  -  Weekly       Competent Per. – Inspect – Traing
      Weather Cond: Hot  Cold  Wind       Safety Meetings – Daily  -  Weekly       Lifts: Scissor – Aerial – Fork
      Slip – Trip – Fall Hazards       Report Near Misses       Other:
      Good Lighting Yes No NA Material Items “Onsite”       Ladders: Step – Extension – Other
      Falling Objects – Holes       OSHA Poster       Set up – Inspected – Train
      Absorption (Chem – Bio – Radiation)       300 Log: On-Site – HDQ.       Excavation – Trenching:
      Inhalation – Fume, Mist, Dust, Vapors       300 summary (2/1-4/30) posted       Competent Per. – Inspect – Traing
      Violence       Emerg. Alarm: Voice – Cell – Horn       Utilities called & marked
      Impalement Hazards (Nails – Rebar)       Emergency Numbers Posted       Protected: Box – Slope – Bench
      Traffic: Street, Road, Parking Area       First Aid Kit       Electric:
      Vibration – Ergonomics – Noise       Bloodborne Path Kit       Powerlines: Marked – Covered
Yes No NA Type of Work: Com – Resid.       Eye Wash Station       GFCI: Port – Wall – Breaker
      Inside                Outside       Toilet Facilities       Extention Cords – Temp. Lighting
      Number of Floors:       Drinking Water       Panels: Covers – Secure – Marked
      Shift Work: 1,  2,  3       Site Signage (Front)       Worker Qualified – Lockout
Yes No NA Progress: Stage 1 – 2 – 3 – 4 – 5       Street Workzone and Sign Needed       Tools & Equip:Hand – Power – Pn – Hyd
      Demo – Site Clearing       Material Safety Data Sheets       Guards – Hose Clip – Insp.
      Excavation – Trenching       Co. Safety Manual – OSHA Book       Cranes:Tower – Mobile – Hoist
      Concrete – Rest – Form – Chipping Yes No # Sub-Contractor:       Slings & Attach: Mark – Inspect
      Steel Erection       Number of Sub-Contractors Onsite       Operator Qualified – Trained
      Framing – Truss – Siding – Roofing       Safety Person Onsite       Confined Space:Type
      HVAC – Electrical – Plumbing       Competent Person Onsite       Permit – Monitor – Train – Rescue
      Drywall – Painting       Co. Safety Manual – OSHA Book       Workzone: Street – Road – Inter – Park
      Glass – Windows – Trim – Doors       Safety Meetings,  Site Inspections       Signage – Worker Vest – WZ Map
      Landscape       Safety Training – Workers       Haz. Com:
Yes No NA Safety Training:       Sub of Sub Notification to G.C.       List – Prog – Label – MSDS – Traing
      OSHA 30 Hr.- Emp  Supv.  Manage       Fire Extinguishers – First Aid Kit       Other:
      OSHA 10 Hr.- Emp  Supv.  Manage       MSDS Onsite       Fire Hazard Area’s ID – Signage
      Specific: Yes No NA Behavior Observed:       Heavy Equipment – Vehicles
Yes No NA Site Condition:       Jobsite Attitude – Good – Helpful       Weld – Permit – Fire Extg – Watch
      Housekeeping – Good       PPE – Workers Using PPE Properly       Concrete – Underground – Tunnel
      Exits Paths – Maintained       Reported items to the Company       Blasting – Explosives – Qualified
      Fire Extinguishers Provided       Company Rep:       Lead – Asbestos – Mold: Abated
                       
Due to the constantly changing nature of government regulations, conditions, and the human factors involved, no safety audit can possibly reveal all conditions existing at the audit site that may lead to injury, property damage, or fines.  Furthermore, no safety audit can possibly render an opinion on conditions existing at the inspection site before or after the performance of the audit. The Company understands that it must also provide or conduct frequent and regular inspections on the job site. The audits performed by Safety Alliance LLC shall be used only to aid not relieve the company in complying with this requirement. Safety Alliance will have no authority to stop, correct or supervise employees but will inform company representative of any specific safety concerns known to it. This is considered a walk through inspection not a comprehesive safety inspection.  This form may not be complete for your site.  You will need to review and revise this form to your type of work. REVISED FORM: 8/6/08
 
 
 
 
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