SITE SAFETY AUDIT
Job Name:
Paccar
Foreman
Jon Sanders
Job Address:
Inspected by:
Jennifer Moreau
Date
05/08/2025
Employees on site:
| Name |
|---|
| Jon Sanders |
| Roberto Martinez |
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
Comments:
No ladders in use
MEWP
Has the MEWP been inspected, and has the inspection been documented on the MEWP Pre Use Checklist?
Yes
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?
No
Is the evacuation plan and rally point displayed and understood by all employees?
Yes
Are Emergency numbers posted?
Yes
Is there a jobsite First Aid Station?
Yes
Where is the nearest Hospital/Urgent Care facility?
Skagit valley
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:
- Jon sanders
Administrative
Have all employees read and signed the Site-Specific Safety Plan?
Yes
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’s being done on procore
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?
N/A
Comments/Corrective Action Taken
Comments/Corrective Action Taken:
Howard S. Wright is the general all work is being performed off lifts, pretty decent size job new build. The will need to grease wrap a duct in the shaft, Jon will bring out more planks and create a larger working platform, tie off to structure beam above to acess anything they can’t get to off of the lifts. SRL,s need tag lines, and Jon will inspect before use if borrowing fall protection. Delineation signed are available for use and required by hsw Jon will also fill out a fall protection work plan if he needs to work of the planks
I expired eye wash bottle, Jon will replace next time he goes to the shop. I brought out his SSSP, and both employees went through orientation.
Inspector Signature:
Date:
05/08/2025













