DETAILED AUDIT SCORE SUMMARY

ADMINISTRATION

SCORE

MAXIMUM ASSESSED
SECTIO SECTION NAME POSSIBLE TOTAL
N
Occupational health & safety policy
1 14
statement
Safety and medical record keeping
2 16
practices

3 Emergency preparedness 17

4 Hazard communications program 15

5 Confined spaces 21

6 Mobile Equipment 27

7 Inspection Procedures 19

8 Respiratory protection 29

9 Enforcement and discipline 6

10 Education and training 12

11 Performance indicators 17

12 Accident / incident investigation 16

13 Contractors 17

14 Management / Supervision 19

TOTALS 245

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IDLH = 15% REDUCTION OF TOTAL AUDIT SCORE
 SCORE SUMMARY
STRATION

SET STANDARD REDUCTION

MINIMUM MET / NOT * REPEAT ** IDLH

STANDARD MET DEFICIENCY
 SCORE
MAXIMUM ACTUAL
POSSIBLE SCORE

1 HEALTH & SAFETY POLICY STATEMENT

A. Policy Statement is in 2
writing.
B. Policy Statement dated. 2
C. Health & Safety objectives 2
clearly stated.
D. Health & Safety 2
responsibilities defined.
E. Management commitment is 2
stated.

F. Posted for all employees to 2

read.
G. All employees are made 2
aware of the policy content.

TOTAL 14

2 SAFETY & MEDICAL RECORDKEEPING PRACTICES

A. Injury statistics tabulated 2

and utilized to identify
positive / negative trends.

B. The previous years' statistics 1

are available.

C. Occupational injury / illness 2

report utilized.

D. Supervisors' injury / illness 2

investigation form utilized.
E. First Aid log utilized / current 2
/ accurate.
F. Required First Aid supplies 2
are available / stored /
dispensed in an approved
manner.
G. Prescription medications are 1
available / stored / dispensed
with approval of medical
doctor.

H. Person(s) administering First 2

Aid are trained and certified.
I. Employee exposure and 2
medical records are
maintained.

TOTAL 16

3 EMERGENCY PREPAREDNESS

A. The emergency plan is in 3

writing.
B. There is a coordinator 2
appointed.
C. Supervisor First Aid training 2
has been conducted.

D. Required emergency lighting 2

and power are available.
E. Required emergency rescue 2
equipment is available.

F. Emergency team training 2

drills have been conducted.
G. Radios and other 2
communication items are
available.

H. Periodic emergency 2
evacuation drills are
conducted for all employees.

TOTAL 17

4 HAZARD COMMUNICATION PROGRAM

A. A written program, specific 3

to the operation, is in place
and complete (i.e., training,
labeling, MSDS review,
designated coordinator,
B. Training is documented. 2
C. MSDS's for all materials on 2
site are available.
D. Copies of on site contractor 2
hazcom program based on
responses to questions.

E. Employees are 2
knowledgeable of the
hazcom program based on
responses to questions.
F. Vessels and material 2
containers are labeled as
required.
G. Hazard information posters / 2
signs are displayed to inform
employees.
TOTAL 15

5 CONFINED SPACES

A. A confined space entry 3

procedure, which meets
requirements, is in place.
B. Lighting and electrical tools 3
used inside confined spaces
are 12 volt or GFCI
protected.
C. Required emergency 3
equipment is available (i.e.,
body harness, S.C.B.A., fire
extinguisher, etc.)

D. Stand-by ("Hole Watch") 3

person9s) are used and are
knowledgeable of confined
space procedures.

E. Air sampling performed. 3

F. Energy isolation / lock-out is 3
implemented relative to
confined space work.

G. Entry permits, which meet 3

requirements, are used, and
sign-off for responsible
parties is provided and
adhered to.

TOTAL 21

6 MOBILE EQUIPMENT OPERATIONS

A. There is a maintenance 1
schedule for all mobile
equipment and the schedule
is followed.

B. Daily pre-operational 1
inspections are performed on
all equipment.
C. Annual crane / re- 2
certification inspections are
performed.
D. Mobile equipment accidents 2
are investigated and
reported.
E. Suspended work baskets are 3
certified as safe and utilized
for personnel as required.

F. Suspended work baskets are 3

built according to approved
designs.

G. Suspended work baskets are 3

labeled as required to show
maximum weight capacity,
maximum number of
persons allowed and total
basket weight (actual empty
weight.)
H. Permits are utilized and 3
retained for suspended work
basket usage.

I. Critical lift permits are 3

utilized where 70% of the
crane capacity is exceeded.

J. Operator certification 3
program is utilized for aerial
lifts, heavy equipment and
vehicles.
K. A load test has been 3
performed that established a
safety factor of 2 times for
the suspended work basket.

TOTAL 27

7 INSPECTION PROCEDURES

A. Regular safety inspections of 3

the site / operation are
conducted and documented.

B. There is an inspection 2
program for power tools.
C. There is an inspection 2
program for personal
protective equipment.
D. There is an inspection 2
program for portable
ladders.
E. There is an inspection 2
program for electrical
extension cords, temporary
electrical distribution
installations and electric
(ARC) welding equipment.

F. There is an inspection 2
program for rigging
equipment and hoisting
devices.
G. There is a follow-up 3
procedure established for
the correction of deficiencies
noted during inspections.

H. There is an inspection 3
program for emergency
rescue equipment.

TOTAL 19

8 RESPIRATORY PROTECTION

A. There is a written respiratory 3

protection program which
addresses the respiratory
protection exposure / need
as required

B. Fit test is provided for all 2

employees required to wear
respirators.

C. Respirators used are 2

selected according to the
hazard present.

D. Respiratory protection 2
training is conducted.

E. Records of training, medical 2

evaluation and fit testing
available and meets
requirements.

F. Breathing air for supplied air 2

respirators meet breathing
air requirements.
G. If a breathing air compressor
is used it is equipped with
the following:
1 A proper filtration system. 2
2 A carbon-monoxide alarm. 2
3 A reserve air tank. 2
4 A compressor failure alarm. 2
5 Hose couplings that are 2
incompatible with other
couplings.
H. The air quality from the 2
breathing air compressor is
periodically sampled.

I. Breathing air cylinders are 2

labeled as required.

J. The quantity of air available 2

is breathing air cylinders is
monitored to assure there is
sufficient air to exit the area.

TOTAL 29

9 ENFORCEMENT AND DISCIPLINE

A. Employee Health & Safety 2

responsibilities have been
communicated to all
employees.

B. Supervisor Health & Safety 2

responsibilities have been
communicated to all
supervisors.

C. Records of employee safety 2

related discipline are
maintained (i.e., verbal /
written warning, retraining,
termination, etc.)

TOTAL 6

10 EDUCATION AND TRAINING

A. New employee orientation is 2

provided for employees.
B. Safety training programs are 2
conducted for management
and supervisors.

C. Task specific training is 2

conducted.
D. Safety meetings are 2
conducted for all employees,
supervisors and
management.
E. Emergency preparedness 2
and evacuation training is in
place.
F. Visitor safety induction 2
program is in place.

TOTAL 12

11 PERFORMANCE INDICATORS

A. There has not been a lost 10

time injury in the workplace
during the past six months.

B. The year-to-date recordable 4

injury frequency rate (RIFR)
case is at or below the
established goal. Actual,
YTD _______ Current Goal
_________
C. Contractor / sub-contractor 3
experience is reported and
measured.
TOTAL 17

12 ACCIDENT / INCIDENT INVESTIGATION

A. There is a written accident / 2

incident policy.

B. Accident / incident policy 2

complies with meil reporting
requirements.
C. A standard investigation 2
format is used.

D. Injury and near miss 2

information are
communicated to
management personnel.

E. Site management reviews all 3

incident/accident reports.
F. There is a remedial follow-up 3
and action plan to prevent
recurrence of accidents /
incidents.

G. Accident / incidents 2
information is shared with
other operations / projects.

TOTAL 16

13 CONTRACTORS

A. Written qualifications are 2

established for the selection
of contractors.

B. Past Health & Safety 3

performance is factored into
contractor selection.
C. Contractors are required to 2
provide a copy of their safety
program.

D. Prior to starting work on-site, 2

contractors are provided site
orientation.

E. Prior to starting work on-site, 2

contractors are Provided the
operations health and safety
rules, and emergency
procedures.

F. Prior to starting work on-site, 2

contractors are made aware
of any chemicals they may
encounter on-site.

G. Prior to bringing any 2

chemicals on-site,
contractors are required to
inform the operation of the
chemicals and provide a
materials safety data sheet
(MSDS.)
H. Contractors are required to 2
follow the same health and
safety rules.

TOTAL 17
14 MANAGEMENT / SUPERVISION

A. Supervision has attended 3

Safety Supervisory Training
session.
B. Supervisors provide 3
corrective action through
Safety Violation Notification
System.

C. Supervision is present during 3

work activities.

D. Management and 4
supervision attend weekly
Safety Walk-throughs.

E. Supervisory review JSA's. 3

F. Safety discrepancies are 3
corrected promptly.
TOTAL 19
 PENALTY
* REPEATED ** IDLH (X) ASSESSORS
DEFICIENCY (X) COMMENTS
 DETAILED ASSESSMENT SCORE SUMMARY
FIELD EXECUTION
SCORE
MAXIMUM ASSESSED
SECTION SECTION NAME POSSIBLE TOTAL
1 Health & Hygiene 13
2 Work Area Lighting 11
3 Personal Protective Equipment (P.P.E) 68
4 Hand Tools 9
5 Powder Actuated Tools 18
6 Power Tools and Power Equipment 19
7 Hot Work (Welding, Heating, Burning) 54
8 Electrical 41
9 Equipment Operations 114
10 Excavation and Trenching 30
11 Steel Erection and Floor and Wall 47
12 Opening
Material Handling Storage 18
13 Signs, Signals, Barricades 10
14 Fire Prevention and Protection 42
15 Ladders, Scaffolds and Elevated Work 100
16 Platforms
Concrete, Concrete Forms, Shoring, 22
17 Masonry
Demolition 15
18 High-Pressure Water Cleaning 40
19 Community Exposure 9

TOTALS 680

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IDLH = 15% REDUCTION OF TOTAL AUDIT SCORE
T SCORE SUMMARY
CUTION
SET STANDARD REDUCTION
MINIMUM MET / NOT * REPEAT ** IDLH
STANDARD MET DEFICIENCY
 SCORE PENALTY
MAXIMUM ACTUAL *
POSSIBLE SCORE REPREATED
DEFICIENCY
(X)

1 HEALTH & HYGIENE

The required number of toilets

A. are provided (1 toilet for every 2
29 workers)
Provisions for servicing /
B. cleaning toilets have been 2
made.
Toilets are kept clean and
C. sanitary. Toilet paper is in 2
place.
Washing facilities are available
D. for worker use prior to lunch / 2
breaks when required.
Vermin (rodents, insects, etc.)
E. 1
control is provided.
Ventilation in work areas is
F. provided for the type of work 2
being performed.

Local exhaust ventilation is

G. 2
used where necessary.
TOTAL 13

2 WORK AREA LIGHTING

Required lighting is provided 2

A. for the work being performed.
Portable light plants are 2
B. maintained and kept
operational.
Portable light plants are 1
C. positioned to provide
maximum lighting where
required.
Portable light plants are easily 1
D. moved and positioned.

Portable light plant masts are 1

E. easily raised and lowered.
 Portable light plants are 2
F. grounded prior to use.
G.F.C.I.s are provided for all 2
G. temp. lighting circuits.
TOTAL 11

3 PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)

A. Head Protection

1 Worn where required. 2

2 Bills worn to the front. 1

Hard Hat suspension systems 1
3 maintained in a safe manner.

B. Eye Protection 2

1 Worn where required. 2

2 Side shields required and 1

used.
Lens cleaning stations and 2
3 materials are provided.
Face shields are worn when 2
4 required.
Signs are posted at bench
5 grinders "Face shields
required."
C. Fall Protection
Safety harness is required and 10
1 used where fall exposure > 6
ft. is present.

Lanyards are equipped with 4

2
shock absorbers.
Lanyard hooks are provided 4
3 with locking safety latch to
prevent "Roll Out".
Lanyards are secured to a 4
4 substantial object - fall
distance is maintained to a
Fall protection equipment is
minimum. 4
5 only used for fall protection.
Static / cautionary lines are 4
6 installed to facilitate tie-off
and will support
Fall protection a force of is
equipment 4
5,400 lbs.
inspected on a regular basis
7
and tagged accordingly.

D. Hearing Protection
 Noise areas are posted as 2
1 areas where hearing
protection is required.

Noise surveys are performed 1

2 periodically and documented.
Hearing protection is properly 2
3 worn where and when
required.
E. Foot and Toe Protection
All employees wear protective 2
1 foot wear.
If steel toe protection is 2
2 required, they are used where
required.
Hand protection is provided by 2
gloves that are selected
F. according to specific hazards,
anticipated or present.

Employees working near 2

G. heavy equipment operations
wear high visibility and
reflective safety vests.
Employees working non- 2
daylight hours are provided
H. with reflective striped clothing,
vests or other high visibility
material.
Employees working non- 2
I. daylight hours have reflective
tape on their hard hats.
Reflective vests are provided 2
J. to stand-by men, riggers and
flagmen.
All employees receive 2
K. information and/or training on
the proper use and care of
PPE.
TOTAL 68

4 HAND TOOLS

Correct tools are used for the 2

A. work being performed.

Tools are used in an approved 2

B. manner.
Tools are carried and stored 1
C. properly.
 Chisels, hammer wrenches 2
and other "striking tools" are
D. dressed at the striking end to
prevent "mushrooming".

Job made / home made tools 2

E. are prohibited and none were
observed.
TOTAL 9

5 POWDER ACTUATED TOOLS

Employees using powder- 2

A. actuated tools have been
trained and certified.
Correct load strengths are 3
B. known and used.
Loads are removed while the 3
C. tool is stored or left
unattended.
Proper P.P.E. is worn by the 3
tool operator while using the
tool. Proper P.P.E. includes
D.
hard hat, face shield, safety
glasses and hearing
protection.
The tool and all loads are 3
E. stored in a locked cabinet.

The tool and all loads are 2

F. issued only to trained and
certified employees.
The tool is inspected on a 2
G. regular basis and tagged to
show that it has been
inspected.
TOTAL 18

6 POWER TOOLS AND POWER EQUIPMENT

All power tools are inspected 3

A. on a regular basis and tagged
to show that they have been
inspected.
Required safety guards are in 3
B. place and functional.
Work rests on bench grinders 2
C. are adjusted within ¼" of the
wheel.
Wheels on bench and stand 2
D. grinders are dressed as
required.
 Discs on portable grinders are 3
E. compatible with the
equipment's maximum RPM's.
Electrical cords are elevated, 3
protected, or otherwise
F. arranged so as to prevent
damage to the cord or create a
tripping hazard.
Employees are trained and 3
G. certified (when required) in
safe operation of power tools.

TOTAL 19

7 HOT WORK (Welding, Heating, Burning)

Hot work in or near areas or 4

processes that involve
flammable, combustible or
A.
explosive materials or
chemicals is performed under
a safe work or hot work
permit.
A fire extinguisher is 3
B. immediately available and
operable at all Hot Work
locations.
Welding screens are used 3
C. around all ground or floor level
arc welding operations.
Arc welding is performed with 3
D. a required electrical
grounding.
Welding cables and ground 3
E. cables are free of damage and
non-insulated connections.
Welding cables and ground 3
cables are inspected on a
regular basis and are tagged
F.
or color coded to show that
they have been inspected.

Where cables are suspended 2

G. or secured, they are done so
by using non-conductive
materials.
Cables, cords and hoses are 2
H. elevated or protected to
prevent tripping hazards.

Compressed gas cylinders are 2

I. labeled as required.
 Compressed gas cylinders are 3
J. stored and capped as
required.
Reverse flow or flash back 3
K. arrestors are used on all
oxygen / acetylene rigs.
Regulator gauges are attached 3
L. as required and in good
condition.
Compressed gas cylinder 2
M. valves are turned off when not
in use.
N. Strikers are used to light 2
torches.
Weld rods are stored as 2
required and rod stubs are
O. placed in a container to
prevent a tripping hazard.

Welding rods are not left in the 2

P. electrode / rodholder while not
in use.
Compressed gas cylinders are 3
located outside of closed areas
Q. and are not exposed to slag or
sparks.

Gas cylinders are moved and 3

R. transported in the required
manner.
Hot slag and sparks are 2
maintained and controlled as
S. required to prevent fires and
contact with employees.

Required P.P.E. is worn for the 2

hot work activity being
performed or immediately
T.
exposed to, including eye
protection, clothing, gloves
and respirator if needed.
Oxygen / acetylene hoses are 2
U. maintained free of oil and
grease.
TOTAL 54

8 ELECTRICAL

Electrical equipment is marked 3

A. as to the amount of voltage
and the control source.
 The required "lock out - tag 4
out" procedure is implemented
B. where circuits are de-
energized due to
maintenance, repair or other
activity.
Employees performing low, 4
C. medium, or high voltage work
are trained and certified.

Protective gear (rubber gloves, 4

blankets, hot sticks, etc.) is
D. inspected by an independent
testing firm.

Tests are performed to 4

E. determine if current carrying
parts are "Hot" or de-
energized.
All line parts are guarded or 4
F. protected against contact.

GFCI controlled outlets and 3

G. panels are labeled and tested.

Electrical cords are inspected 3

and approved for the type of
H. usage and are free of breaks
in the insulation.

Outlets, receptacles, junction 3

I. boxes, etc., are approved and
maintained as required.

Where electrical cords are 2

suspended or secured, they
J. are done so by using non-
conducting materials.

Electrical cords are elevated 3

over passage ways, or are
K. protected from damage when
crossing roads or passage
ways.
Temporary lighting is installed 2
L. as required using approved
materials.
Light bulbs and fluorescent 2
M. tubes are guarded as required.
TOTAL 41

9 EQUIPMENT OPERATIONS
A. Crane Operations

Load charts are posted and 3

1 utilized.

The swing radius of the 3

2 counter weight is barricaded.
The crane is operated level 3
3 with all out riggers fully
extended.
Moving and travel practices 3
4 are utilized to include the use
of a flagman.
The operator is trained and 4
5 certified for the specific crane
being operated.

Specific attention to power line 3

6 clearance is given.
Flagmen are used to signal 3
crane operators when raising,
7 lowering and swinging the
hook, loaded or unloaded.

Load monitoring indicators 3

8 (LMI) are available and utilized
with each crane.

An anti-two-block limit switch 3

9 is in place and functional on all
cranes.
B. General Equipment

Seat belts are provided and 3

1 used with ROP structures.

2 All lights are operational 2

3 Horns are operational 2

4 Back-up alarms are 2

operational.
Equipment is operated at a 2
5 safe travel speed.
Flagmen are used to signal 3
6 equipment operators working
in confined or congested
areas.
All equipment operators have 2
7 a valid Equipment Operators
license.
 Seat belts are worn by driver 2
8 and all passengers in
equipment provided with seat
belts.
C. Haulage Operations

Elevated roads are protected 2

1 by berms and/or guard rails.
Warning signs are posed at 2
2 intersections, steep grades,
and blind corners, as required.

Traffic flow is regulated and 2

3 enforced.
Speed limits are posted and .
4 observed.
Only authorized vehicles and 2
5 equipment are allowed on the
haulage roads.

Refueling maintenance 2
6 activities are performed away
from haulage road traffic
areas.
Haulage roads are maintained 2
7 in good condition.
Storm water is channeled / 2
8 controlled to minimize haulage
road hazards.
Dust control is implemented 2
9 effectively when and where
required.
D. Rigging Equipment

Approved rigging practices are 3

1 used.
Rigging equipment is 3
2 maintained and free of
damage, excess wear or
All crane and sling hooks are
defect. 3
3 equipped with a functional
safety latch.

Monthly inspections of rigging 3

equipment are performed and
4 the equipment is color coded
accordingly.
 The load capacity of each 3
rigging device is known by
5 label, tag, placard or other
substantial marking attached
to the device.
Certifications are provided for 3
all rigging equipment and Safe
6 Working Load (SWL) is visible
on all lifting equipment.

The throat of load hooks are 2

7 measured periodically to
detect change in hook gap.

E. Warning Methods

Reflective triangles are 2

1 provided for all equipment and
vehicles.
Reflective triangles are 2
2 employed to warn of
equipment breakdown /
Flashing
accident lights
or roadand/or strobes
hazards as 2
are used on all slow moving
3 vehicles that operate in the
vicinity of large excavation
and haulage equipment.

F. Equipment Inspections

All equipment on site has been 2

1 inspected, and documentation
on file.

Monthly color code has been 2

2 placed on the windshield of
each piece of equipment.

Contractors are making 2

3 routine equipment inspections
and recording results on a
monthly basis.
Defective equipment has been 2
4 removed from site for repairs.

G. Machine and Equipment Guarding

Guards around pinch points, 3

rotating equipment, shafts,
1 pulleys, belt drives and chain
drives are guarded to prevent
accidental contact.
 Equipment guards are firmly 3
attached and are of a material
or design that will prevent
2 contact by hands, clothing,
tools or material, or any other
accidental worker contact.

Where rotating equipment 3

maintenance work is
performed, the maintenance is
3 performed with all guards in
place. If the guard(s) must be
removed, the equipment is
locked out and tagged.

Emergency stop cords are 2

installed on all conveyor belt
lines. The emergency stop
4
cords are functional and tested
on a periodic basis.

Employees servicing or 3
working near pinch points or
5 rotating equipment are not
wearing loose clothing or any
other loose articles.
TOTAL 110

10 EXCAVATION AND TRENCHING

A Supervisor is in charge of 3
A. excavation and trenching.
Required Excavation permits 3
B. are utilized.
Documented daily inspections 3
C. performed including adverse
weather changes.
Spoil dirt is at least 1 meter 3
D. from the edge.

E. Correct slope angle is 3

maintained.
Shoring used where required 3
F. and approved installation and
removal procedures are
followed.
G. Proper access and egress 3
required.
H. Physical barricades are 3
provided
Approved barricades are 3
I. erected at the edge of all open
trenches and excavations as
required.
 Prior to beginning any 3
excavation or trenching, all
J underground utilities in the
work area are located.

TOTAL 30

11 STEEL ERECTION AND FLOOR AND WALL OPENING

Required access and egress 3

A. provided.
Required perimeter cables are 4
B. used and approved installation
procedures are followed.

Wall and floor openings are 4

C. guarded or covered as
required.
Elevated areas are free of 3
D. loose excess materials and
debris that could fall to levels
below.
Static lines, catenary lines, 4
E. etc., installed to facilitate
employee tie-off.

F. Bolt-up requirements are met. 3

Bolt buckets are used to 3
G. contain bolts.

H. Decking requirements are 4

met.
Approved rigging techniques 3
I. are used.
Barricades and signs are 3
J. posed in the area to warn
employees as required.
Employees providing hand 3
K. signals have received hand
signal training.
Signals or warnings are 3
L.
provided when loads are
raised.
All employees are wearing and 4
M. using required PPE (safety
harnesses and lanyards.)

Taglines are used to control 3

N. movement of all suspended
loads.
TOTAL 47

12 MATERIAL HANDLING STORAGE

 All materials are stacked and 2
A. stored in an approved manner.

Aisles, passageways are 2

B. maintained clean and
unobstructed.
Employees have been trained 2
in safe material handling
1
techniques and use safe
handling techniques.
Materials are stacked to 2
C. prevent displacement and
falling.
Employees have been trained 2
D. in proper lifting methods and
use proper lifting methods.

Material handling equipment is 2

E. used to handle / move
material when possible.
Materials handling equipment 2
F. (mono-rails, A-frames, etc.) is
labeled to identify load
capacity.
Softeners are used to protect 2
G. wire and nylon chokers where
needed.
Employees use gloves to 2
H. protect hands when handling
materials.
TOTAL 18

13 SIGNS, SIGNALS, BARRICADES

Accident prevention signs, 2

symbols and tags are used as
A. required to warn employees
where potential hazards exist.

B. Flagmen used where required. 2

Barricade methods used to 2
C. prevent all unauthorized entry.
Barricades are used to warn of 2
D. potential hazards.
A barricade procedure has 2
E. been established.
TOTAL 10

14 FIRE PREVENTION AND PROTECTION

Fire extinguishers are provided

A. as required.
 Located adjacent to each 2
1 stairway on each floor level.
Where more than 18 liters of 3
2 flammable or combustible
liquids are used.

At least one 9 kg extinguisher 3

3 at fuel dispensing areas.
Required access to fire 3
B. extinguishers is maintained.
Extinguishers are identified as 2
C. required.
Inside storage of flammable 3
D. liquids does not exceed 90
liters outside of an approved
cabinet.
Inside storage cabinets are 3
labeled as required, and
E. maximum limits (225 liters /
cabinet and 3 cabinets / area
are not exceeded.
Materials that react to water 3
F. are not stored with
flammables.
Containers are electrically 3
interconnected (bonded) when
G. flammable liquids are
transferred from one container
to another.
Portable storage tanks 3
H. containing liquid flammables
are located at least 6 meters
away from buildings.
"NO SMOKING - NO OPEN 3
FLAMES" signs are posted
I. where flammable liquids are
used or dispensed or stored.

LPG containers are not stored 3

J. inside buildings.
Smoke detectors are provided 3
K. in sleeping quarters and are
tested on a regular basis.
Fire suppression systems are 3
L. inspected on a regular basis to
assure functional availability.
Employees have been trained 2
M. on how to operate a fire
extinguisher.
 TOTAL 42

15 LADDERS, SCAFFOLDS AND ELEVATED WORK PLATFORMS

A. Ladders

1 Are in good condition. 2

Built and used in an approved 3
2 manner.
Secured in an approved 3
3 manner and placed at the
correct angle.
Exceed the landing area by 1 3
4 meter or have a grab rail.
Are not used where they can 3
be displaced by doors,
5 equipment, etc., unless
protected by guards or
barricades.
Metal ladders are not used 4
6 where contact with electrical
energy is possible.
Fixed ladder landing areas are 3
7 kept clear.

B. Scaffolds

Provided with required access 3

1 and egress.

Has a standard guard rail (106 3

2 cm top rail, 53 cm midrail, and
10 cm toe board) whenever
possible.
Scaffold tags are used to 2
3 identify incomplete scaffolds
and requirements for safe use.

Complete decking is provided 3

4 whenever possible.
Employees who erect and 3
5 dismantle scaffolds are
qualified and competent.
Scaffolds are free of defects 3
6 and built per specifications.

Overhead protection is 3
7 provided where there is
exposure.
 Casters are locked and pinned 3
8 on mobile scaffolds when in
use and no riding allowed.

Outriggers are provided and 3

used or the scaffold is secured
to the structure when the
9
height exceeds 4 times the
minimum base dimension.

10 An approved base is provided. 3

11 Scaffold boards are secured. 3

Two-point suspension scaffolds 3

12 are erected in an approved
manner.

a. Approved design. 3
b. Approved life lines are 4
provided.
c. Approved rope grab 4
lanyards provided.
d. Tie-off fall protection used. 4

C. Elevated work platforms (high-jackers, scissors lifts, JLG's, etc.)

Elevated scaffold platforms are 3

1 of substantial construction and
secured properly.
A means of tie-off is provided 4
2 and used.
Required access and egress is 3
3 provided.
Elevated work platforms are 3
4 used in accordance with
manufacturer
recommendations.
a. Outriggers provided and 3
used as required.
b. Ground controls operational. 3
c. Operators trained and 3
certified.
d. Fall protection provided and 4
used.
 e. Employees maintain both 3
feet on the platform, and do
not use equipment as a means
of access / egress, and do not
work from guard rails.

TOTAL 100

16 CONCRETE, CONCRETE FORMS, SHORING, MASONRY

Required access and egress 3

A. provided.
All exposed rebar ends 4
B. protected from exposure, both
vertical and horizontal.

Masonry saws are guarded 3

C.
with a semicircular enclosure
cover.
All shoring erected to contain 3
and / or support concrete is
the required type and
D.
approved installation
procedures are followed.

Precast and lift slab operations 3

E. are performed in accordance
with respective standards.

PPE required for these 3

operations is provided and
F. used which would include
safety glasses, gloves, proper
clothing and foot wear.
All connections on air hoses 3
G. and pipes are secured to
prevent displacement.

TOTAL 22

17 DEMOLITION

A. All operations are planned 3

ahead.
Required access and egress 3
B. provided.
Material removal (floor holes, 3
C. skip-pan, chutes, etc.) is
conducted in an approved
manner.
 Any and all asbestos 3
D. containing material was
removed prior to demolition.

Structural member removal is 3

E. conducted in an approved
manner.
TOTAL 15

18 HIGH-PRESSURE WATER CLEANING

Operators are wearing rain 3

suits, gloves, face shields,
hard hats, safety glasses with
A.
side shields, rubber steel toe
boots or metatarsal guards.

Standby Operator(s) is 3
B. wearing hard hat and safety
glasses with side shields.

Operators are not allowing any 4

C. part of their body to be placed
in front of the water jet.

Operators are not handling 4

D. hose within one foot of hone-
to-hose connections.

Operators are trained annually 3

E. at a minimum.
Hose data such as 3
manufacturer's symbol, serial
number, working and test
pressure, and certified rating
F. which will provide a safety
factor of 3 to 1 against burst is
recorded and retained at the
project.

Work area is barricaded at a 3

minimum of 4.5 meters and
G. signs stating, "DANGER - HIGH
PRESSURE WATER CLEANING."

Equipment to be cleaned is 4
H. dismantled / isolated, locked
and tagged as required.

All Fittings and components 3

I. meet manufacturer's
guidelines.
 Records of high pressure water 1
J. cleaning equipment inspection
are on file.
Lance or mole marker 60 cm 3
K. from nozzle end.
Shotguns have a 2 meter 3
L. shroud and are a minimum of
165 cm in length.

Safety equipment has not 3

M. been altered or by-passed.
TOTAL 40

19 COMMUNITY EXPOSURE

Signs are posted to warn of 3

A. equipment and vehicle traffic.
Pedestrian / vehicle crossing 3
B. areas are marked and
provided where required.

Permits have been obtained 3

C. from the proper authorities to
begin work outside
construction areas.
TOTAL 9

SAFETY AUDIT

DETAILED ASSESSMENT SCORE SUMMARY

HOUSEKEEPING

SCORE SET STANDARD

MAXIMUM ASSESSED MINIMUM
SECTIO SECTION NAME POSSIBLE TOTAL STANDARD
N
1 Housekeeping 50

TOTALS 50

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IDLH = 15% REDUCTION OF TOTAL AUDIT SCORE
 SCORE PENALTY
MAXIMUM ACTUAL *
POSSIBLE SCORE REPREATED
DEFICIENCY
(X)

1 HOUSEKEEPING
A. Material, tools and equipment 3
and tied, stacked, or choked to
prevent rolling or falling.
B. Provisions have been made for 2
routing trash collection and
disposal.
C. Trash receptacles are provided 2
in all work areas.
D. Scrap lumber is free of 2
protruding nails or other
puncture hazards.
E. Glass containers are 2
prohibited, none were
F. observed.
Electrical cords, hoses, 4
welding leads, etc., are
elevated to prevent tripping
hazards.
G. Butt cans, where used, are 3
maintained free of
combustible material and
emptied routinely.
H. Floors are clear of tools, rod 4
ends, and metal shavings.
I. Spilled liquids are cleaned 3
immediately.
J. Material on warehouse 3
shelving is stored safely and
neatly.
K. Bridges and walkways are kept 3
clean / free of debris.
L. Roads are clear of material / 3
debris.
M. Rod stub buckets are provided 3
to welders to store rod ends.
N. Toilet facilities are cleaned on 3
a regular basis.
O. Signs are provided to 3
encourage housekeeping.
P. Office/clinics are clean and 3
trash removed daily.
Q. Elevated areas are maintained 4
clear of debris, material, tools,
etc., where such items could
fall to areas below.

TOTAL 50
PENALTY
** IDLH (X) ASSESSORS
COMMENTS
MS
G's, etc.)
SUMMARY

SET STANDARD REDUCTION

MET / NOT * REPEAT ** IDLH
MET DEFICIENCY
PENALTY
** IDLH (X) ASSESSORS
COMMENTS