SITE SAFETY AUDIT

Job Name:

Kirkland urban

Supervisor

Jennifer Moreau

Supervisor Email

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Job Address:

300 Peter Kirk ln
Kirkland
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Inspected by:

Jennifer Moreau

Date

03/20/2025

Employees on site:

Name
Erik Gladsjo
Justin Cimorelli

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 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

Comments:

No ladders or scaffolds in use

MEWP

Has the MEWP been inspected, and has the inspection been documented on the MEWP Pre Use Checklist?

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

Comments:

Lifts were delivered yesterday no lift tags on site no gang box

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?

N/A

Are work areas clean and orderly?

N/A

Is material stored or positioned to prevent tipping or falling?

N/A

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?

Is the evacuation plan and rally point displayed and understood by all employees?

Yes

Are Emergency numbers posted?

Is there a jobsite First Aid Station?

Where is the nearest Hospital/Urgent Care facility?

Evergreen health

Does the job have an onsite medic?

If yes, name and phone number:

List all HBI employees who are certified in First Aid and CPR:

Erik gladsjo

Administrative

Have all employees read and signed the Site-Specific Safety Plan?

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?

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

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:

Employee had his site specific safety plan in his car. There is no gang box on site. Work to be done on 46 and seven standard TI all work off of lifts. Nothing hazardous noted. I informed Eric to have him and Justin sign the sssp.

Inspector Signature:

Date:

03/20/2025