SITE SAFETY AUDIT

Job Name:

Jaunita HS pool

Foreman

Aaron Olson

Supervisor

Jennifer Moreau

Supervisor Email

Email hidden; Javascript is required.

Job Address:

10601 NE 132nd ST Kirkland
Map It

Inspected by:

Jennifer Moreau

Date

07/24/2025

Employees on site:

Name
Aaron Olson
Jared Johnson

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?

Yes

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?

Yes

Are fall protection devices and equipment being used correctly?

Yes

Ladders

Are ladders in serviceable condition, and are the inspections documented on the Ladder Inspection Checklist?

Yes

File

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?

Yes

Have Scaffold components been inspected for visible defects by a competent person prior to use?

Yes

Comments:

Yellow tagged by pci, inspected buy our crew daily as well, fall protection is required

MEWP

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

N/A

Are the MEWPS being used appropriately?

N/A

Are employees using fall protection inside the MEWPS when required?

N/A

Are operators and occupants trained and authorized to use the MEWP?

N/A

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?

File

Location of photo:

Missing eye wash, Aaron will order one

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

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:

Jarrod and Aaron

Administrative

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

Yes

File

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

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?

N/A

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:

Spoke with Aaron about the possibility of asbestos rag on the pipes before we are able to touch that it must be tested unknown if we will have to insulate it yet or . The pipes may be completely replaced first and they would be tested before we insulate. Informed the foreman not to disturbe any asbestos.

File

Location of photo:

Basement and gang box and outdoor scaffold

Inspector Signature:

Date:

07/24/2025