Monthly Site Safety Audit Report

MONTHLY SITE SAFETY AUDIT REPORT
Project / Job No: Audit Date:
Location:
NOT NOT
SAFETY ASSESSMENT OK SAFETY ASSESSMENT OK
OK OK
ERECTION SCAFFOLDING HOUSEKEEPING
Is the Area barricaded ? Are the gas cylinders properly position/stacked ?
Are base plate provided ? Is the equipment maintained clean ?
Are Toe board provided ? Are the hand tools properly kept in designated areas ?
Are Mid rail provided ? Does the unused end electrodes properly disposed ?
Are hand rail provided ? Are materials properly stocked on site ?
Are Access ladder provided and fixed permanently? Is hoses/cables etc. Properly rolled ?
Over lap maintained properly ? Does the access way kept clean ?
Fall protection worn (FBH with Lanyard) ? Are debris/waste safely removed at site ?
Damage material not in scaffolding ? Is the ground cleared from slippery/oily materials ?
All ladders in use are in good condition ? How is the overall cleanliness of site ?
Are horizontal & Diagonal bracings provided ? How is the general hygienic conditions ?
Are connecting Clamp provided ? Are fire extinguisher and first aid box available ?
Are warning and caution bowl provided ? Is the site office/gate fenced ?
Are scaffolding Tag provided Is the site store properly organized ?
Are scaffolding Tag inspected ? Does sufficient drinking water available ?
Are bay length maintained ? Are the water coolers functioning properly ?
Are helmet worn by the workers ? Are lighting arrangements at site office adequate ?
Is working platform is fastened to scaffold ? MATERIAL HANDLING
A separate work permit taken for scaffolding ? Does the driver have valid license ?
CONFINED SPACE Are the lifting Golden Questions used ?
Is the Work Permit valid ? Are the materials properly tied on the truck ?
Are means for communication system provided? Are helpers provided ?
Whether Hole watcher provided ? Are the vehicle used approved by client ?
Is the Gas test done prior to entry ? Is the materials properly stored ?
Are tag line provided ? Is the truck not overloaded ?
Entry log sheet provided ? Is load properly documented ?
Is a Proper ventilation provided ? Does MSDS provided (if required only) ?
Are Access ladder provided ? Is the Clearence certificate properly filled & signed ?
Are personal gas detector provided ? RADIOGRAPHY
Does Tool Box Talk conducted prior to entry ? Is there a Radiography permit prior of work ?
Is rescue team (If required) ready and briefed ? Is X-ray notification submitted to HSE Dept ?
Are PPE's provided prior to entry ? Are sign boards installed ?
Does SCBA available If required ? Is protective clothing provided by x-ray tech ?
Are Fire Extinguisher provided ? X-ray will be conducted at closing time only ?
Does the Job Safety Analysis done ? Is there a Standby man available ?
EXCAVATION Is the area barricaded?
Is the Work permit valid ? FIRST AID TREATMENT
Does Tool box Talk conducted ? Does a certified First Aider available ?
Are the PPE's worn ? First Aid box Available on site ?
Sign Boards/Barricade/ladder/Blinker Light provided? Is standby emergency vehicle on site ?
Does Shoring/Slope/Benching is provided ? Does first aid box contents audited ?
Is work supervisor on site ? No expired medecines in the box ?
Did the trail pit scanning completed ? Are all required document maintained ?
Does undergoing services properly checked ? Is the Radiography/X-Ray Control Form filled & signed
Are proper alleys provided ? accordingly ?
Page 1 of 3
Location:
NOT NOT
OK OK
Are manual Excavation tools in good condition ? HOT WORK OXYGEN ACETYLENE
Is Mechanical M/Cs used are in good condition ? Is the Hot work permit valid ?
Are Excavated earth material away from the edge ? Does Tool box talk conducted before work start ?
Is existing facilities protected ? Are the required PPE provided ?
INSPECTION OF EQUIPMENTS Are Fire watcher available on site ?
Are working at safe speed ? Is all fire fighting equipments available on site ?
Working with guards which are not damaged ? Are the workers performing the job trained ?
Are using tools & equipment without defects ? Is cylinders body condition good ?
Are using equipment in safe way ? Are hoses used in good condition ?
Not standing or working under suspended loads ? Are cylinders stored with safety caps ?
Acting so as to distract, frighten other workers ? Is the gas torch in good condition ?
Equipments are not using for other purposes ? Are free from leakage ?
Are using adequate, correct or non-faulty PPE's ? Are pressure indicating Gauges in good condition ?
Mounting or dismounting moving equipment's ? Is trolley available for cylinder ?
No horse play at site ? Are cylinders stored upright ?
RIGGING AND LIFTING DEVICES Is the provision made to prevent the cylinders fall ?
Is the checklist for Rigging supervisor filled ? Are cylinder stored in designated area
Is the Lifting golden cards used before lifing starts ? Is there a proper Tool available to open the regulator ?
Do the crane have valid Certificate (Third Party) ? Are Hoses/Clamps in good condition ?
Do the Operator have valid Certificate (License) ? Are flashback Arrestor provided ?
Do the Load/Radius Indicator (Chart) available ? Is the cable Condition (No Splices) good ?
Does the Safe Working Load (SWL) Stamped ? Are electrode Holders in good condition ?
Are safety latches intact (Hooks) ? Is grounding/Ground Clamp done ?
Are Lifting tool and tackles color coded ? Are Protective Equipment provided to welders ?
Is any leakage observed ? Is the fire Proof Blanket/Curtain provided ?
Are the Wire Ropes in good condition? Are fire Extinguishing media available ?
Are outriggers used properly ? Is the welding machine in good condition ?
Are tag Lines used,Color code system effective ? Are the tyre in good condition ?
Does trainied Signalman/Riggers available ? Are welding machine's grounded ?
Is the ground condition acceptable ? Are welding M/Cs provided with ELCB ?
Are fire Extinguishers available ? CONCRETE AND FORM WORK
Overhead Power Lines not nearby ? Are timbers having Adequate Strength ?
ABBRASSIVE BLASTING Are Support plum & Level/Tide Off ?
Are hoses Used in good condition ? Is there firm footings for Support ?
Deadman Handle / Controls are used ? Does Side Slope Bracing provided ?
Are the waste removed in safe manner ? Is having a Shoring Layout ?
Are operator's Hood (Air Supplied) worn ? Are Access & Work Platforms/Guardrails provided ?
Does the air filters unit maintained well ? Is there a Truck Spotter/Flagman ?
Are compressors used in good condition ? Are Protective Clothing/Equipment used ?
Does the Tool Box Talk conducted ? AIR COMPRESSOR
Are the Sand Pot properly grounded ? Are Pressure Relief Valves (Operational) ok ?
Proper Dust Control / Ventilation used ? Are the Gauges/Hoses in good condition ?
Are Barricades / Warning signs displayed ? Are whiplash used after connection ?
Page 2 of 3
Location:
NOT NOT
OK OK
Is operator worn Protective Clothing ? Does spark arrestor's on exhaust provided ?
Helper has worn Protective Clothing ? Is the Compressor in good condition ?
HEAVY EQUIPMENT OPERATIONS Is the euipment without any leakage ?
Do the equipment Tested (Third Party) ? Are the high pressure hoses in good condition ?
Is the Operator Certified ? Does have a QP approved certificate ?
Is Roll Over Protection provided (Where Required) ? TRANSPORTATION
Does back-up Alarm/Spark Arrestor provided ? Does the Preventive Maintenance done ?
Periodic Inspection are coducted ? Are the drivers certified / trained ?
Does Operator Protection (Cab/Cage) given ? Does the Driver have valid license ?
Overall Condition of Equipment ? Are the Tires/Brakes/Lights in good condition ?
Is there a Clear Vision from Operator Position ? Are the mirrors ok ?
ELECTRICAL Does the Fire Extinguisher available ?
Correct Voltage ? Are seating arrangement in good ?
Does a 3-pin plug indentional scoket provided ? Are the seat belts in good condition ?
Ground Fault Circuit Interrupter (GFCI) Used ? Cleanliness internal and external
Is Service Panel Fused ? Does QP inspection certificate present in the vehicle ?
Are Receptacles/Plugs in good condition ? Is TPI certificate / operating manuals provided ?
Does the Electrical equipments checked for proper Are First aid kit's with sufficient medicine ?
functioning ? OTHER ITEMS
Does the Lockout & Tagout procedure followed ? Does the Site Safety Instructions available ?
Are Barricades/Warning Signs provided ? Is noise under control ?
CHEMICAL HANDLING & STORAGE Is the dust under control ?
Are chemicals stored in safe manner ? Are Hazardous Materials/Waste disposed regularly?
Does Spill containment measure provided ? Do the Legal requirement complied ?
Is Material Safety Data Sheet available ? Is rest room clean ?
Is the Area Fenced/Locked ? Is canteen clean & tidy ?
Are the Containers Labeled ? Health Certificate of canteen staff available ?
Does the Warning Signs displayed ? Does drinking water sample tested ?
Does water filter change / cleaning record
Is Personal Protective Equipment provided ?
maintained ?
Are Tap water provided for Eyewash ? QHSE training needs ?
Self-Contained Breathing Apparatus (SCBA) ? Are Internal & external communications provided ?
No source of spark available ? Are operating criteria documented ?
Does the Tool Box talk effective?
Is sufficient drinking water provided ?
OBSERVATION / INSTRUCTION
Audited by:
Signature:
Name
Date of Audit:
BCEC/SAF-18/REV.2/24.02.2011
Page 3 of 3

Monthly Site Safety Audit Report

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Monthly Site Safety Audit Report

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MONTHLY SITE SAFETY AUDIT REPORT

Project / Job No: Audit Date:

No source of spark available ? Are operating criteria documented ?

Does the Tool Box talk effective?

Is sufficient drinking water provided ?

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