SITE SAFETY AUDIT

Job Name:

Capital medical

Foreman

Raul Palacios

Supervisor

Jennifer Moreau

Supervisor Email

Email hidden; Javascript is required.

Job Address:

Olympia
Map It

Inspected by:

Chris Jenkins

Date

09/23/2025

Employees on site:

Name
Duane Lyphardt

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

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?

Yes

Are work areas clean and orderly?

Location of photo:

Other trades were everywhere place was a mess due to that

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?

Yes

Is there a jobsite First Aid Station?

Yes

Does the job have an onsite medic?

Yes

If yes, name and phone number:

Name

Not on site but they use on site health and safety

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

1 HBI employee on site

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?

N/A

Comments:

PTP and toolbox talks 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?

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:

There is a lot of other trades material in the way. Once moved the crew will be able to access hard to reach area with extension ladder. I went over securing the extension ladder before use. Duane said he will get rope from Joel Craig jr.

Location of photo:

On site health and safety job info on job board

Inspector Signature:

Date:

09/23/2025