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HBI

SITE SAFETY AUDIT

Job Name:
Tetris TI
Foreman
Joshua Moreau
Supervisor
Jennifer Moreau
Supervisor Email
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Job Address:
Bellevue Wa
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Inspected by:
Jennifer Moreau
Date
09/15/2025
Employees on site:
Name
Joshua Moreau
Adam Yzaguirre Jr.
Adam Baker

Check the appropriate box and explain items that need attention in the comments section.

Personal Protective Equipment - PPE

Are employees wearing job and task appropriate PPE?
Yes
Are employees wearing hearing protection in areas where noise levels exceed 85db?
N/A
Are employees wearing respiratory protection in accordance with the manufacturers SDS?
N/A

Fall Protection

Are employees wearing appropriate fall protection where a fall hazard exceeds 4' or more?
N/A
Are Fall Protection Work Plans being completed for all fall hazards 10' and above?
N/A
Are fall protection devices and equipment in serviceable condition?
N/A
Are fall protection devices and equipment being used correctly?
N/A

Ladders

Are ladders in serviceable condition, and are the inspections documented on the Ladder Inspection Checklist?
N/A
Are extension ladders secured at the top and bottom, extending at least 36" above the landing point and set to a proper pitch of 4:1?
N/A
Are ladders being used correctly?
N/A
Have Scaffold components been inspected for visible defects by a competent person prior to use?
N/A

MEWP

Has the MEWP been inspected, and has the inspection been documented on the MEWP Pre Use Checklist?
Yes
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Are the MEWPS being used appropriately?
Yes
Are employees using fall protection inside the MEWPS when required?
N/A
Are operators and occupants trained and authorized to use the MEWP?
Yes

Housekeeping

Are there clear and safe routes for ingress and egress to and from work areas?
Yes
Are floor holes/penetrations protected, marked and secured?
Yes
Are work areas clean and orderly?
Yes
Is material stored or positioned to prevent tipping or falling?
Yes
Have extension cords been inspected for visible defects and wear?
N/A

First Aid & Emergency Preparedness

Does the job box contain the following inspected and fully stocked items: BBP kit, First Aid Kit and 2 eve wash bottles?
Yes
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Is the evacuation plan and rally point displayed and understood by all employees?
Yes
Are Emergency numbers posted?
Yes
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Is there a jobsite First Aid Station?
Yes
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Where is the nearest Hospital/Urgent Care facility?
Overlake
Does the job have an onsite medic?
No

If yes, name and phone number:

List all HBI employees who are certified in First Aid and CPR:
  • Josh moreau
Comments:
They use on site health and safety but no medic is t the work location physically

Administrative

Have all employees read and signed the Site-Specific Safety Plan?
Yes
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Are Pre-Task Plans (PTP) being done daily?
Yes
Are Toolbox Talks/Safety Meetings being conducted weekly?
Yes
Have all employees been orientated to the jobsite?
Yes
Comments:
PTP and toolbox talk on the LMS

Miscellaneous

Is there sufficient lighting on the job, and proper task lighting being used in work areas where necessary?
Yes
Are portable fire extinguishers in accessible locations and in serviceable condition?
Yes
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Are the bathroom facilities, and hand washing stations operable and sanitary?
Yes
Are all employees participating in stretch and flex daily?
Yes

Comments/Corrective Action Taken

Comments/Corrective Action Taken:

Level 10 (the last floor got released) they put another guy on the job. No safety concerns just working off lifts. Talked with crew to watch out for overhead obstructions to watch out for while working on their lifts.

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Inspector Signature:
Date:
09/15/2025
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