Safety Self Audit Check List Form (Page 2 of 2) in pdf

BRIESER CONSTRUCTION COMPANY

SELF AUDIT CHECK LIST ADDITIOINAL INFO

2) PPE CHECKLIST (OSHR 1926.28, 100thru 106)

Hard hat, safety glasses, goggles, ear plugs, dust mask, face shield, toe protectors, rubber gloves, reflective vest, safety harness, lanyard, lifeline.

5) HOUSEKEEPING (OSHR 1926.25)

Aisle ways clear, adequate illumination, garbage can available & empty. exits clear, material neatly stored

6) Good lifting techniques, hand carts & dollies used

7) PERSONAL SAFETY EQUIPMENT (OSHR 1926.51)

Cups available for drinking water with waste receptacle.

Chemical toilet available for every 20 workers

Posters-eeo, minimum wage, polygraph, work comp, unemployment.

9) TOOLS - guards in place (0SHfl 1926.300thru305)

10) ASSURED GROUNDING (OSHR 1926.404)

Jan - Mar. white, Apr - June green, Jul y - Sept. orange, Oct - Dec. red, twist lock used where needed.

Cords in good condition, no cuts outer sheathing, connections between plug & cord OK

11) COMPRESSED AIR (OSHA 1926.302)

Couplings properly retained, safety valve in use, blow pipe w/chip guard and pressure reducer.

Hose in good condition, safety clips in place

12) COMPRESSED GAS CYLINDERS & TORCH SAFETY (OSHR 1926.350thru354)

Cylinders upright & secured (regulators off, valves off & capped when not in use or being moved)

Tinted goggles used, strikers used.

13) EQUIPMENT LIFTING (OSHR 1926.251)

Pre-lift form completed. Slings checked & ratings adequate & adequately stored, tag lines being used.

14) JOBSITE BARRICADED (OSHA 1926.202)

Excavations & work area adequately barricaded. Floor opening, trenches, etc. guarded.

15) TRUCKS, FORK TRUCKS AND MECHANIZED EQUIPMENT RELIABLE (OSHR 1926.602)

Lights, signals, backup alarm working properly, windows free of defects, wipers operable, exhaust system in good repairs, operator

qualified, hydraulic systems properly functioning(no leaks)

Fork trucks – Daily Inspection Completed, forks carried low when empty, load properly loaded and operator trained

16) CONFINED SPACE (OSHR 1910.146)

Entry permits being followed.

17) LOCK OUT/TAG OUT (OSHA 1926.416)

Energy sources identified locked & tags out.

18) EXCAVATION (OSHR 1926.650thru652)

Competent person on site. Ladder or ramp within 25' of workers. Exc. sloped and spoil stockpiled 2' from

excavation.

19) RESPlRATORY POLICY (OSHA 1926.103)

Employees trained in respirator use, half masks &l scba require pulmonary function test, dust masks do not.

Respirators cleaned & stored in plastic bag.

20) HEARING POLICY (OSHA 1926.101)

Ear protection in noisy areas & operating equipment & tools.

21) HAZ-CON PROGRAM (OSHR 1926.59)

Containers labeled, MSDS on site, employees aware of program.

22) LADDERS & STAIRWAYS CHECKLIST (OSHR 1926.1050 thru 1060)

Ladders provided at breaks of 19" or more. Ladders are not defective, rungs clear, area clear, slip resistant bases, ladder secured. Extend 3,

above landing and secured and barricaded. Correct 1/4 slope, no metal ladders near wiring. Employees using correctly-facing ladder, not

carrying tools etc. stepladders open. Ladders properly stored. Inspection sticker signed & dated before use.

SCAFFOLDING (OSHR 1926

Erected & inspected by competent person, adequate ftgs, 4' to 10’, in height and less than 45" in either direction shall have

guardrails, scaffold grater than 10' high shall have guardrails, all platforms shall be fully planked w/ scaffold grade plank, overlap

planks 12" & secure w/cleats, guardrail to be 2 x 4 - 42" high w/midrail and vertical support 8' on center, toeboard to be 4" high.

23) FIRE PREVENTION (OSHR 1926.150 thru 155)

Fire extinguisher in trailers and trucks and on job site. Fire extinguisher charged, pin in place and updated. Garbage cans emptied,

container for cigarette butts. Safety cans for gasoline cans labeled with HAZ-COM. Ignition sources identified & contained. Exits

operating properly and not blocked, exit access is clear.

24) MARINE WORK (OSHR 1926.685 6 1%)

USCG Life jacket, ring buoy w/90' of line every 200', lifesaving skiff available.

Brieser Construction

Section 9

Page

Safety, Health & Environmental Manual

Jobsite Survey & Behavior Observation

Safety Self Audit Check List Form Page 2

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