SITE SAFETY AUDIT

Job Name:

Old Beverly

Job Number:

See pictures

Foreman

Jeff McClurg

Supervisor

Jennifer Moreau

Supervisor Email

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Job Address:

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Inspected by:

Jennifer Moreau

Date

08/22/2025

Employees on site:

Name
Jeff McClurg

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?

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?

N/A

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?

File

Location of photo:

Boiler room

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

File

Where is the nearest Hospital/Urgent Care facility?

Harborview

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:

Jeff McClurg

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?

N/A

Comments:

Went over how to fill out PTP 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?

N/A

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:

Covered flor opening as best as we could with a 2x4 and plywood as seen on picture. At least Jeff can’t fall in opening any longer, however no ideal and Jeff will have the carpenters make a better fitting cover as soon as the are back on site.

File

Location of photo:

Boiler room

Inspector Signature:

Date:

08/22/2025