SITE SAFETY AUDIT

Job Name:

Midstation

Job Number:

1v24888

Foreman

Dale Murphy

Supervisor

Jennifer Moreau

Supervisor Email

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Job Address:

Bellevue
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Inspected by:

Jennifer Moreau

Date

01/03/2025

Employees on site:

Name
Jose Cisneros
Dale Murphy

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?

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

Comments:

No mewps 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?

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?

Yes

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

File

Is there a jobsite First Aid Station?

Yes

File

Where is the nearest Hospital/Urgent Care facility?

Overtake

Does the job have an onsite medic?

If yes, name and phone number:

Administrative

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

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?

File

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:

Kevin is the foreman and has the sssp with him, so it’s not on site today with Dale. Gave Dale a HBI ladder and MEPW inspection tag for him to use on ladders that our not ours. I went over the reasons and importance of inspecting equipment that is not our, and I took him to the closest Cochran ladder that was near us. That ladder had 4 bent rungs and a cut rung. Tried to find a Cochran employee to let them know but none were around. I explained to him that a simple check is all that’s needed before use. If that was our ladder I went over with him to danger tape it and bring it back to the warehouse for disposal. I could not locate the carpenter on site. Called him and called Juan with no response although he was seen earlier by Dale so I believe he is on site. I met with Eric the Sellen site superintendent and he informed me of their Monday safety huddles and break room availability for all crew members to take lunch with water provided. Standard ti pipe penetrations of ladders nothing was noticed as a safety concern.

File

Inspector Signature:

Date:

01/03/2025