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HBI
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SITE SAFETY AUDIT

Job Name:Test
Foreman:Test
Job Address:Test
Test
Test Test
American Samoa
Map It
Inspected By:T
Date01/10/2424
Employees on Site:

Test

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Check the appropriate box and explain items that need attention in the comments section.

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Personal Protective Equipment - PPE

Are employees wearing job and task appropriate PPE?N/A
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
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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
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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
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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
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Housekeeping

Are there clear and safe routes for ingress and egress to and from work areas?N/A
Are floor holes/penetrations protected, marked and secured?N/A
Are work areas clean and orderly?N/A
Is material stored or positioned to prevent tipping or falling?N/A
Have extension cords been inspected for visible defects and wear?N/A
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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?N/A
Are Emergency numbers posted?N/A
Is there a jobsite First Aid Station?N/A
Does the job have an onsite medic?N/A
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If yes, name and phone number:

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Administrative

Have all employees read and signed the Site-Specific Safety Plan?N/A
Are Pre-Task Plans (PTP) being done daily?N/A
Are Toolbox Talks/Safety Meetings being conducted weekly?N/A
Have all employees been orientated to the jobsite?N/A
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Miscellaneous

Is there sufficient lighting on the job, and proper task lighting being used in work areas where necessary?N/A
Are portable fire extinguishers in accessible locations and in serviceable condition?N/A
Are the bathroom facilities, and hand washing stations operable and sanitary?N/A
Are all employees participating in stretch and flex daily?N/A
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Comments/Corrective Action Taken

Inspector Signature:
Date:01/10/2424
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