SITE SAFETY AUDIT

Job Name:

1017 Elmgrove

Foreman

Jeremy Hamm

Supervisor

Jennifer Moreau

Supervisor Email

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Job Address:

1017 Elmgrove
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Inspected by:

Jennifer Moreau

Date

06/09/2025

Employees on site:

Name
Jeremy Hamm

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?

Location of photo:

He needs a pair of ansi rated safety glasses for over his prescription glasses

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

File

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?

N/A

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?

N/A

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?

Yes

Where is the nearest Hospital/Urgent Care facility?

Harborview

Does the job have an onsite medic?

If yes, name and phone number:

Administrative

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

N/A

Are Pre-Task Plans (PTP) being done daily?

Location of photo:

He will start today his name was not showing up but integrity fixed the issue

Are Toolbox Talks/Safety Meetings being conducted weekly?

Yes

Have all employees been orientated to the jobsite?

N/A

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

File

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:

Working direct for customer, all first aid and aed equipment is in the shop directly next door. Will have Brent bring him our safety glasses for over his prescription glasses. Offered spoggles for overhead work as well

File

Location of photo:

Main work area

Inspector Signature:

Date:

06/09/2025