SITE SAFETY AUDIT

Job Name:

T Mobile Telco

Job Address:

Bellevue Wa
Map It

Date

10/04/2024

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?

Yes

Are employees wearing respiratory protection in accordance with the manufacturers SDS?

Yes

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

Comments:

No ladders in use today

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

Comments:

No lifts in use

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

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?

Yes

File

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

File

Where is the nearest Hospital/Urgent Care facility?

Overlake

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:

Jonathan Montano

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

Comments:

Forms are up to date and being completed on the LMS

Miscellaneous

Is there sufficient lighting on the job, and proper task lighting being used in work areas where necessary?

Are portable fire extinguishers in accessible locations and in serviceable condition?

File

Are the bathroom facilities, and hand washing stations operable and sanitary?

Yes

Are all employees participating in stretch and flex daily?

Yes

Comments:

Fire extinguisher needs October inspection

Comments/Corrective Action Taken

Comments/Corrective Action Taken:

11” floor opening was addressed with Jonathanon he will need to access in the are in the future, he will contact MCKinstry and have guardrails installed or floor covered before he begins work in the area. There was no safety personnel or general on site at this time to connect with. Jonathan will provide an update once it’s taken care of.

File

Inspector Signature:

Date:

10/04/2024