Detailed HSE Audit
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Download Detailed HSE Audit...
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ASSESSMENT PROFILE SHEET ASSESSMENT DATE:
Check One With "X"
SUB: SELF PERFORM:
OPER. CO.:
CONSTRUCTION MGMT (CM)
CLIENT NAME:
ASSESSOR(S)
LABOR POSTURE
ACTIVITY
Type Name/Location Here
OPEN SHOP
CONSTRUCTION
Type Name/Location Here
MERIT SHOP
MAINTENANCE
Type Name/Location Here
UNION
Type Name/Location Here
OTHER
PROJECT INFORMATION PROJECT NAME: PROJECT NUMBER: PROJECT MANAGER: SITE MANAGER: SAFETY MGR/REP:
PROJECT LOCATION: CITY: STATE: ZIP:
COUNTY
PROJECT REGION Check With "X" AMERICAS
AFRICA
EAST US
NLA
CANADA
ASIA PACIFIC
EUROPE
WEST US
SLA
CARIBBEAN
AUSTRAILIA
MID EAST
CENTRAL US
CENTRAL AMER.
OTHER
ASSESSMENT TYPE Check One With "X" GENERAL
REQUESTED BY PROJECT
CONSULTATION
POST ACCIDENT (Non-Fatal)
POST FATALITY
FOLLOW-UP (Post Failure)
REQUESTED BY CLIENT
OTHER
INJURY SUMMARY Total LWC's - Project To Date:
Total Recordables - Project To Date:
Total LWC's - Since Last Audit:
Total Recordables - Since Last Audit:
FINAL SCORE SHEET PROJECT NAME:
MTH/DAY/YR MTH/DAY/YR
DISTRIBUTION DISTRIBUTION DISTRIBUTION DISTRIBUTION
PROJECT MANAGER: PROJECT NUMBER:
(NAME/LOCATION) (NAME/LOCATION) (NAME/LOCATION) (NAME/LOCATION)
ASSESSOR(S)
FINAL SCORE 91.85
IMMINENT IMMINENTDANGER DANGERREDUCTION REDUCTION ( (IDR IDR) )
ASSESSMENT ASSESSMENTSCORE SCORESUMMARY SUMMARY
MAX
POSSIBLE
ASSESSED TOTAL
COMPLIANCE SCORE
COMPLIANCE STANDARD ACHIEVED
ADMINISTRATIVE
296.0
291.00
98.31
YES
FIELD EXECUTION
647.0
575.10
88.89
YES
A.
SUBTOTAL
943.0
866.10
91.85
YES
B.
IDR POINTS (SUBTRACT)
TOTAL
Score Summary
C.
0.00
943.0
866.10
91.85
Imminent Danger Instances 15% of Assessed Subtotal IDR Points ( A x B )
=
0
=
129.92
=
0.00
YES
04/18/2010 32564844.xls
SAFETY AUDIT DETAILED ASSESSMENT SCORE SUMMARY ADMINISTRATION
SCORE SECTION
SECTION NAME
SET STANDARD
MAXIMUM ASSESSED POSSIBLE TOTAL
MINIMUM STANDARD
MET / NOT MET
REDUCTION REPEAT IMMINENT DEFICIENCY DANGER
1
Occupational health & safety policy statement
14.0
14.0
11.2
MET
0
0
2
Safety and medical recordkeeping practices
22.0
22.0
17.6
MET
0
0
3
Emergency preparedness
28.0
28.0
22.4
MET
0
0
4
Infectious diseases
30.0
30.0
24.0
MET
0
0
5
Hazard communication program
42.0
38.0
33.6
MET
0
0
6
Mobil Equipment
28.0
28.0
22.4
MET
0
0
7
Inspection Procedures
24.0
24.0
19.2
MET
0
0
8
Respiratory protection
12.0
11.0
9.6
MET
0
0
9
Enforcement and discipline
10.0
10.0
8.0
MET
0
0
10
Education and training
18.0
18.0
14.4
MET
0
0
11
Performance indicators
17.0
17.0
13.6
MET
0
0
12
Accident / incident investigation
9.0
9.0
7.2
MET
0
0
13
Contractors
22.0
22.0
17.6
MET
0
0
14
Safety Task Assignment (STA)
9.0
9.0
7.2
MET
0
0
15
Regulatory agency inspection / contact
8.0
8.0
6.4
MET
0
0
16
Claims Management
3.0
3.0
2.4
MET
0
0
17
Process Safety Management (PSM)
0.0
0.0
0.0
MET
0
0
18
Substance Abuse Program
0.0
0.0
0.0
MET
0
0
19
Strategic Initiatives
0.0
0.0
0.0
MET
0
0
296.0
291.0
207.2
MET
0
0
TOTALS
Administration Summary
3
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
1
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
OCCUPATIONAL HEALTH & SAFETY POLICY STATEMENT
A B
Policy statement is in writing. Policy statement is dated.
1.0 1.0
1.0 1.0
100.0% 100.0%
C
A site specific safety plan has been developed.
1.0
1.0
100.0%
D
Health & Safety objectives are clearly stated.
1.0
1.0
100.0%
E
Health & Safety responsibilities are defined.
1.0
1.0
100.0%
F
The Site Specific Safety Plan has been approved / accepted by project management.
1.0
1.0
100.0%
G
All contractors have been given a copy of the Site Specific Safety Plan.
2.0
2.0
100.0%
H
Management commitment to safety is stated and communicated to all employees.
1.0
1.0
100.0%
I
A current and complete copy of the Corporate APS manual is located on site and available to all members of management and supervision.
2.0
2.0
100.0%
J
The project has implemented a safety incentive program for all site employees, including contractors and subcontractors.
1.0
1.0
100.0%
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
4
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
1
OCCUPATIONAL HEALTH & SAFETY POLICY STATEMENT (cont'd)
K
The projects' safety incentive plans are in writing and have been approved by project management
1.0
1.0
100.0%
L
The Pre-job accident prevention planning checklist (Corp. APS Manual) has been properly utilized.
1.0
1.0
100.0%
M
Other
0.0
0.0
14.0
14.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
5
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
2
Injury statistics are tabulated and utilized to identify positive / negative trends.
B
Mandatory regulatory injury and illness record keeping.
2
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
1.0
1.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
The injury and illness log is available / utilized / accurate. The previous years records are available.
3
Employees first report of injury, or approved equivalent form, is on file for each recorded injury or illness.
2.0
2.0
100.0%
4
The injury and illness log corresponds with the corporate MAER statistics.
1.0
1.0
100.0%
2.0
2.0
100.0%
1.0
1.0
100.0%
2.0
2.0
100.0%
C D E
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
SAFETY AND MEDICAL RECORDKEEPING PRACTICES
A
1
PENALTY
Employees Occupational Injury / Illness report form utilized. First Aid log utilized / current / accurate. Required First Aid supplies are available / stored / dispensed in an approved manner.
F
Prescription medications are available / stored / dispensed with approval of medical doctor.
2.0
2.0
100.0%
G
Person(s) administering First Aid are trained and certified.
2.0
2.0
100.0%
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
6
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
2
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
SAFETY AND MEDICAL RECORDKEEPING PRACTICES (cont'd)
H
Employee exposure and medical records are maintained.
2.0
2.0
100.0%
I
Return to work forms, or similar documentation with the attending physicians signature, are on file.
2.0
2.0
100.0%
J
All medical files are complete and organized.
1.0
1.0
100.0%
K
Other 22.0
22.0
100.0%
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
7
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
3
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
EMERGENCY PREPAREDNESS
A 1 2 3
The Emergency Plan: Is in writing. Communicated to all project employees The plan is site specific.
2.0 2.0 2.0
2.0 2.0 2.0
100.0% 100.0% 100.0%
4
Incorporates clients emergency procedures.
n/a
0.0
#VALUE!
B
There is a coordinator appointed. Supervisor First Aid training has been conducted.
2.0
2.0
100.0%
2.0
2.0
100.0%
C
* REPEATED DEFICIENCIES (X)
D
Required emergency lighting and power are available.
2.0
2.0
100.0%
E
Required emergency rescue equipment is available.
2.0
2.0
100.0%
F
Emergency response members have been identified and trained.
2.0
2.0
100.0%
G
Radios and other communication items are available.
2.0
2.0
100.0%
H
Periodic emergency evacuation drills are conducted for all employees.
2.0
2.0
100.0%
I
The plan includes a method of accounting for all employees after an emergency evacuation occurs.
2.0
2.0
100.0%
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
8
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
3
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Employees have a working knowledge of Emergency / Evacuation Procedures, Escape Routes and Emergency Notification Process.
2.0
2.0
100.0%
K
Emergency evacuation signs or exit signs are posted where required and are adequately visible.
2.0
2.0
100.0%
2.0
2.0
100.0%
0.0
0.0
28.0
28.0
M
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
EMERGENCY PREPAREDNESS (cont'd)
J
L
* REPEATED DEFICIENCIES (X)
Key personnel and contact numbers are reviewed and updated on a monthly basis. Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
9
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
4
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
A written exposure control plan has been established.
2.0
2.0
100.0%
B
Employees who have potential to come in contact with an infectious disease have been identified and trained.
2.0
2.0
100.0%
C
Hepatitis B vaccination has been offered to those employees having potential exposure.
2.0
2.0
100.0%
D
The medical treatment facility is maintained in a clean and sanitary condition and a cleaning schedule has been established.
2.0
2.0
100.0%
E
Hand-washing facilities and procedures are established and utilized.
2.0
2.0
100.0%
F
Employees exposed to blood or other bodily fluids utilize the P.P.E. required.
3.0
3.0
100.0%
3.0
3.0
100.0%
H
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
INFECTIOUS DISEASES
A
G
* REPEATED DEFICIENCIES (X)
Surgical gloves, masks, eye / face and protective clothing are available. Bag valve masks are readily available.
3.0
3.0
100.0%
I
Sharps or syringes are placed in a labeled puncture- resistant, leak-proof container for disposal as required.
3.0
3.0
100.0%
J
Equipment and instruments are immediately disinfected after each use.
3.0
3.0
100.0%
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
10
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
4
INFECTIOUS DISEASES (cont'd)
K
Contaminated disposable objects or materials (bloody bandages, etc.) are placed in a leakproof, puncture-resistant, red biohazard container for disposal as required.
3.0
3.0
100.0%
L
Training related to infectious diseases safety and vaccinations given / refused is adequately documented.
2.0
2.0
100.0%
M
Other
0.0
0.0
30.0
30.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
11
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
5
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Written Program: Site specific
2.0
2.0
100.0%
2
There is a designated program administrator.
2.0
2.0
100.0%
3
Identifies labels and warning methods. Identifies methods of informing employees of non-routine tasks.
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
6 B
For multi-employer sites, communication between contractors (Re: Hazcom) Procurement is involved. Record keeping:
1
The inventory list is in place / current / complete.
2.0
2.0
100.0%
2
The MSDS file is in place / current / complete.
2.0
2.0
100.0%
3 4
2.0 2.0
2.0 2.0
100.0% 100.0%
2.0
0.0
0.0%
C
Records of all Hazcom training on file. The written Hazcom plan is on file. Test results on file from Hazcom training sessions. Training includes:
1
OSHA requirements /standards on Hazcom.
n/a
0.0
#VALUE!
5
5
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
HAZARD COMMUNICATION PROGRAM
A 1
4
* REPEATED DEFICIENCIES (X)
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
12
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
5
HAZARD COMMUNICATION PROGRAM (cont'd)
2
Fluor Daniel Hazcom program requirements.
2.0
2.0
100.0%
3 4 5 6 7 8
Labeling system. Location of MSDS's Use of MSDS Personal Protection Equipment Non-routine tasks Refresher / annual up date training Copies of on site contractor Hazcom programs are available.
2.0 2.0 2.0 2.0 2.0 2.0
2.0 2.0 2.0 2.0 2.0 0.0
100.0% 100.0% 100.0% 100.0% 100.0% 0.0%
2.0
2.0
100.0%
D E
Employees are knowledgeable of the Hazcom program based on responses to questions.
n/o
0.0
#VALUE!
F
Vessels and material containers are labeled as required.
2.0
2.0
100.0%
2.0
2.0
100.0%
0.0
0.0
42.0
38.0
G H
Hazard information posters / signs are displayed to inform employees. Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
90.5%
13
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
6
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
MOBILE EQUIPMENT OPERATIONS
A
There is a maintenance schedule for all mobile equipment and the schedule is followed.
2.0
2.0
100.0%
B
Daily pre-operational inspections are performed on all equipment.
2.0
2.0
100.0%
C
Annual inspections are performed on all equipment (cranes certified).
2.0
2.0
100.0%
D
Mobile equipment accidents are investigated and reported.
1.0
1.0
100.0%
E
Suspended work baskets are certified as safe and utilized for personnel as required.
3.0
3.0
100.0%
F
Suspended work baskets are built according to approved designs.
3.0
3.0
100.0%
G
Suspended work baskets are labeled as required to show maximum weight capacity, maximum number of persons allowed and total basket weight (actual empty weight).
3.0
3.0
100.0%
H
Permits are utilized and retained for suspended work basket usage.
3.0
3.0
100.0%
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
14
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
6
MOBILE EQUIPMENT OPERATIONS (cont'd)
I
Critical lift permits are utilized in accordance with corporate policy.
3.0
3.0
100.0%
J
A load test has been performed that established a safety factor of 2 times for the suspended work basket.
3.0
3.0
100.0%
K
Operator certification program is utilized for aerial lifts, heavy equipment and vehicles.
3.0
3.0
100.0%
L
Other
0.0
0.0
28.0
28.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
15
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
2.0
2.0
100.0%
1
Inspection program has been implemented for the following: Power tools
2.0
2.0
100.0%
2
Assured grounding and electrical cords / leads
2.0
2.0
100.0%
3 4 5 6 7 8 9
Fire extinguishers Ladders Scaffolds Rigging /Hoisting equipment and devices Fall protection equipment and devices Emergency and rescue equipment Excavations
2.0 2.0 2.0 2.0 2.0 n/o 2.0
2.0 2.0 2.0 2.0 2.0 0.0 2.0
100.0% 100.0% 100.0% 100.0% 100.0% #VALUE! 100.0%
10 Temporary electrical distribution installations
2.0
2.0
100.0%
11 Electrical (ARC) welding equipment
2.0
2.0
100.0% 100.0%
7
INSPECTION PROCEDURES
A
Regular safety inspections of the site / operation are conducted and documented.
B
C
There is a follow-up procedure established for the correction of deficiencies noted during inspections.
2.0
2.0
D
Other
0.0
0.0
24.0
24.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
16
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
8
RESPIRATORY PROTECTION
A
There is a written respiratory protection program which addresses the respiratory protection exposure / need as required, or a written respirator use assessment.
2.0
2.0
100.0%
B
Fit testing is provided for all employees required to wear respirators (both APR's and SAR's).
2.0
2.0
100.0%
C
Employees are offered at least 2 different makes, models and sizes of respirators.
n/a
0.0
#VALUE!
D
Documentation of respirator selection criteria is available (i.e. air sample results, calculations, etc.)
2.0
2.0
100.0%
E
Respiratory protection training is conducted, documented, and validated by testing.
2.0
2.0
100.0%
F
Records of training, medical assessment and fit testing are available, and meet confidentiality requirement.
2.0
2.0
100.0%
G
Seal checks are performed and documented each time respirators are used.
n/o
0.0
#VALUE!
H
Breathing air for supplied air respirators meets breathing air requirements. Sample results are available.
n/o
0.0
#VALUE!
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
17
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
8
RESPIRATORY PROTECTION (cont'd)
I
If a breathing air compressor is used, it is equipped with a proper filtration system, Co Alarm, reserve air tank and compressor failure alarm.
n/o
0.0
#VALUE!
J
Hose couplings used with supplied air respirators are incompatible with other couplings.
n/o
0.0
#VALUE!
K
Breathing air cylinders are labeled as required.
n/a
0.0
#VALUE!
L
Respiratory protection equipment is properly cleaned, sanitized, and stored after being used.
n/a
0.0
#VALUE!
M
Periodic inspections are performed and documented to ensure that all elements of the written program are effective.
2.0
1.0
50.0%
12.0
11.0
91.7%
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
18
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
ENFORCEMENT AND DISCIPLINE
9 A
Employee Health & Safety responsibilities have been communicated to all employees.
2.0
2.0
100.0%
B
Supervisor Health & Safety responsibilities have been communicated to all supervisors.
2.0
2.0
100.0%
C
Records of employee safety related discipline are maintained. (i.e. verbal / written warning, retraining, termination, etc. )
2.0
2.0
100.0%
D
Disciplinary action is initiated by supervision when unsafe acts and conditions occur.
2.0
2.0
100.0%
E
The record of disciplinary action is consistent with the record of incidents and accidents where disciplinary action was warranted.
2.0
2.0
100.0%
F
Other
0.0
0.0
10.0
10.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
19
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
10 A B C D E F G H I J
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
0.0
0.0
18.0
18.0
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
EDUCATION AND TRAINING New employee orientation is provided for employees. Safety training programs are conducted for management and supervisors . Task specific training is conducted. Safety meetings are conducted for all employees, supervisors and management. Emergency preparedness and evacuation training is in place. Visitor safety induction program is in place. Training records are maintained in good order for all employee safety training. Testing performed to assure employee understanding of safety training programs. All site supervisors have attended Safety Leadership Training (SLT). Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
20
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
11
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
There has not been a fatal injury in the workplace during the past six months.
10.0
10.0
100.0%
B
The year-to-date lost time injury frequency rate is zero.
3.0
3.0
100.0%
C
The year-to-date recordable incidence rate is at or below the current corporate goal. Actual, ytd _________ Current Goal __________
3.0
3.0
100.0%
1.0
1.0
100.0%
0.0
0.0
17.0
17.0
E
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
PERFORMANCE INDICATORS
A
D
* REPEATED DEFICIENCIES (X)
Contractor / Subcontractor Experience is reported and measured. Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
21
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
12 A B C
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
1.0
1.0
100.0%
2.0
2.0
100.0%
There is a written accident / incident policy. Accident / incident policy complies with local regulatory reporting requirements. A standard investigation format is used.
1.0
1.0
100.0%
D
1.0
1.0
100.0%
E
All lost time injury reports are reviewed by site management.
1.0
1.0
100.0%
F
There is a remedial follow-up and action plan to prevent recurrent of accidents / incidents.
2.0
2.0
100.0%
1.0
1.0
100.0%
0.0
0.0
9.0
9.0
H
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
ACCIDENT / INCIDENT INVESTIGATION
Serious injury and fatal injury accidents are communicated to management personnel, expeditiously as required.
G
* REPEATED DEFICIENCIES (X)
Accident / incidents information is shared with other operations / projects. Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
22
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
13
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
CONTRACTORS
A
Written qualifications are established for the selection of contractors.
2.0
2.0
100.0%
B
Past Health & Safety performance is factored into contractor selection.
2.0
2.0
100.0%
C
Contractors are required to provide a copy of their safety program.
1.0
1.0
100.0%
D
Prior to starting work on-site, contractors are provided site orientation.
2.0
2.0
100.0%
E
Prior to starting work on-site, contractors are provided the operations health and safety rules, and emergency procedures.
2.0
2.0
100.0%
F
Prior to starting work on-site, contractors are made aware of any chemicals they may encounter on-site.
2.0
2.0
100.0%
G
Prior to bringing any chemicals on-site, contractors are required to inform safety of the chemicals and provide a material safety data sheet (MSDS).
2.0
2.0
100.0%
H
Contractors are required to follow the same health and safety rules as Fluor Daniel employees.
2.0
2.0
100.0%
I
Safety violations are properly documented.
2.0
2.0
100.0%
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
23
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
13 J K L
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
2.0
2.0
100.0%
3.0
3.0
100.0%
0.0
0.0
22.0
22.0
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
CONTRACTORS (cont'd) Corrective action taken by subcontractors to correct violation and is properly documented Contractors are required to utilize the FD STA process (or equivalent program). Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
24
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
14
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Employees are given STA by their supervisors
3.0
3.0
100.0%
B
The Safety Task Assignment form or equivalent is being used.
3.0
3.0
100.0%
C
Employees questioned about the STA process where knowledgeable of the requirement.
n/o
0.0
#VALUE!
3.0
3.0
100.0%
0.0
0.0
9.0
9.0
E
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
SAFETY TASK ASSIGNMENT (STA)
A
D
* REPEATED DEFICIENCIES (X)
Evidence of STA planning / instruction is visible in the field. Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
25
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
15
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
1.0
1.0
100.0%
1.0 1.0 1.0 n/a n/a 1.0 1.0 1.0 1.0 0.0
1.0 1.0 1.0 0.0 0.0 1.0 1.0 1.0 1.0 0.0
100.0% 100.0% 100.0% #VALUE! #VALUE! 100.0% 100.0% 100.0% 100.0%
8.0
8.0
100.0%
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
REGULATORY AGENCY INSPECTION / CONTACT
A
Two members of management have been identified as project representatives to participate in regulatory agency visits / inspections.
B
The management members selected to represent the project during regulatory agency visits have been trained in the following topics.
1 2 3 4 5 6 7 8 9 C
Opening Conference Walk around /inspection phase Records /note taking Tests Photographs Employee interview procedures Closing conference Post inspection report Corporate notification Other
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
26
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
16
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
CLAIMS MANAGEMENT
A
Project has established Company physicians.
1.0
1.0
100.0%
B
Employees' First Report of Injury filed with insurance carrier within 24 hours.
n/a
0.0
#VALUE!
C
Employees have been notified in writing of their responsibility to report a Workers' Compensation claim.
n/a
0.0
#VALUE!
D
Modified Work / Restricted Work program established and implemented at Project.
1.0
1.0
100.0%
E
Project Management is pro-Active in Post Injury follow up and to express their concern for the injured employee.
1.0
1.0
100.0%
F
Other
0.0
0.0
3.0
3.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
100.0%
27
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
17
PROCESS SAFETY MANAGEMENT (PSM)
A
Known fire, explosion, and toxic release hazards have been communicated to employees who are working on or around covered equipment or processes.
n/a
0.0
#VALUE!
B
Applicable provisions of the plant emergency action and evacuation plan has been communicated to all affected employees.
n/a
0.0
#VALUE!
C
Site safe work practices have been communicated to all affected employees.
n/a
0.0
#VALUE!
D
Affected employees have been trained in all of the above listed procedures and practices. Testing procedures to ensure employee competency and understanding have been established.
n/a
0.0
#VALUE!
E
Other
0.0
0.0
0.0
0.0
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
#DIV/0!
28
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
18 SUBSTANCE ABUSE PROGRAM A
The project has an approved Substance Abuse Prevention Policy and Project Specific Procedures.
n/a
0.0
#VALUE!
B
The project conducts post-offer / pre-placement testing for all new / rehire employees.
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
C D
The project conducts random screening. The project conducts post accident and for cause testing.
E
All contractors / subcontractors are required to adhere to the Corporate substance abuse prevention program.
n/a
0.0
#VALUE!
F G
The project includes testing for alcohol. Other
n/a 0.0
0.0 0.0
#VALUE!
0.0
0.0
#DIV/0!
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
29
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
19
STRATEGIC INITIATIVES
A
The strategies 2000 manual is available on site.
n/a
0.0
#VALUE!
B
Section 1 - Contractor prequalification evaluation process has been implemented as required.
n/a
0.0
#VALUE!
C
Section 2. - Accountability programs have been implemented as required.
n/a
0.0
#VALUE!
D
Section 3 - Pre-bid, pre-mobilization alignments for subcontractors has been implemented and required.
n/a
0.0
#VALUE!
E
Section 4 - Safety resources for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
F
Section 5 - Safety orientation guidelines for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
G
Section 6 - Safety Task Assignment (STA) for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
H
Section 7 - Scaffold guidelines for subcontractor has been implemented as required.
n/a
0.0
#VALUE!
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
30
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT ADMINISTRATION SCORE
19
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
STRATEGIC INITIATIVES (cont'd)
I
Section 8 - Fall hazard management for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
J
Section 9 - Remote travel and driver safety guidelines for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
K
Section 10 - heavy haulage vehicle safety for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
L
Section 11 - Safety training has been implemented as required.
n/a
0.0
#VALUE!
M
Section 12 - Corporate management ownership for subcontractors has been implemented as required.
n/a
0.0
#VALUE!
0.0
0.0
#DIV/0!
TOTAL
* REPEATED DEFICIENCIES = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE
31
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT DETAILED ASSESSMENT SCORE SUMMARY FIELD EXECUTION
SCORE SECTION
SECTION NAME
MAXIMUM ASSESSED POSSIBLE TOTAL
MINIMUM STANDARD
MET / NOT MET NOT MET
1 2 3
Housekeeping Health & Hygiene Work Area Lighting
15.0 26.0 9.0
7.0 21.0 9.0
12 20.8 7.2
4 5 6 7 8 9 10 11
Personal Protective Equipment (P.P.E.) Hand Tools
61.0 13.0 14.0 13.0 63.0 51.0 123.0 30.0
55.0 13.0 14.0 12.5 62.0 46.3 95.0 30.0
48.8 10.4 11.2 10.4 50.4 40.8 98.4 24
12
Steel Erection and Floor and Wall Opening
7.0
7.0
13 14 15
Material Handling Storage Signs, Signals, Barricades Fire Prevention and Protection Ladders, Scaffolds, and Elevated Work Platforms Concrete, Concrete Forms, Shoring, Masonry Demolition Blasting - Use of Explosives High-Pressure Water Cleaning Confined Spaces
19.0 22.0 30.0
16 17 18 19 20 21
Power Tools and Power Equipment Hot Work (Welding, Heating, Burning) Electrical Equipment Operations Excavation and Trenching
TOTALS 32564844.xls
SET STANDARD
REDUCTION REPEAT IMMINENT DEFICIENCY DANGER
0 0 0
0 0 0
MET
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5.6
MET
0
0
18.0 20.0 30.0
15.2 17.6 24
MET MET
0 0 0
0 0 0
94.0
93.3
75.2
MET
0
0
20.0
20.0
16
MET
0
0
15.0 0.0 0.0 22.0
0.0 0.0 0.0 22.0
12 0 0 17.6
NOT MET
MET
0 0 0 0
0 0 0 0
647.0
575.1
517.6
MET
0
0
32
MET MET MET MET MET MET MET MET NOT MET
MET
MET MET
04/18/2010
SAFETY AUDIT FIELD EXECUTION SCORE
1
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Work areas are clean and free of excess trash / debris.
3.0
1.0
33.3%
B
Provisions have been made for routing trash collection and disposal.
1.0
1.0
100.0%
C
Trash receptacles are provided in all work areas, and one is present at each water keg.
1.0
1.0
100.0%
D
Scrap lumber is free of protruding nails or other puncture hazards.
2.0
1.0
50.0%
E
Glass containers are prohibited, none were observed.
2.0
1.0
50.0%
F
Electrical cords, hoses, welding leads, etc., are elevated to prevent tripping hazards.
3.0
1.0
33.3%
G
Butt cans, where used, are maintained free of combustible material and emptied routinely.
n/o
0.0
#VALUE!
3.0
1.0
33.3%
n/o
0.0
#VALUE!
0.0
0.0
15.0
7.0
I J
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
HOUSEKEEPING
A
H
* REPEATED DEFICIENCIES (X)
Elevated areas are maintained clear of debris, material, tools, etc., where such items could fall to areas below. Drip pans are utilized for oil dispensing locations and under threading machines and saws where lubricant could drip Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
46.7%
33
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
2
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
HEALTH & HYGIENE
A
The required number of toilets are provided (1 toilet for every 29 workers).
2.0
2.0
100.0%
B
Provisions for servicing / cleaning toilets has been made.
2.0
2.0
100.0%
C
Toilets are kept clean and sanitary. Toilet paper is in place.
2.0
2.0
100.0%
D
Washing facilities are available for worker use prior to lunch / breaks when required.
2.0
2.0
100.0%
E
Vermin (rodents, insects, etc.) control is provided.
2.0
2.0
100.0%
F
Ventilation in work areas is provided for the type of work being performed.
2.0
1.0
50.0%
G
Local exhaust ventilation is used where necessary.
2.0
1.0
50.0%
2.0
1.0
50.0%
H
* REPEATED DEFICIENCIES (X)
There are designated areas where employees can eat lunch / dinner in a sanitary environment separate from any toilet facility and not exposed to toxic materials.
I
Lunch / dinner areas / facilities are clean and kept clean on a regular basis.
2.0
1.0
50.0%
J
A common drinking cup is not allowed, individual cups are provided.
2.0
1.0
50.0%
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
34
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
2
HEALTH & HYGIENE (cont'd)
K
The required supply of drinking water is provided and conveniently located.
2.0
2.0
100.0%
L
Where water kegs are used they are clean, labeled, as required and used only for drinking.
2.0
2.0
100.0%
M
Water kegs are sealed to prevent / indicate tamerping Other
2.0
2.0
100.0%
0.0
0.0
TOTAL
26.0
21.0
N
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
80.8%
35
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3
WORK AREA LIGHTING
A
Required lighting is provided for the work being performed.
3.0
3.0
100.0%
B
Portable light plants are maintained and kept operational.
1.0
1.0
100.0%
C
Portable light plants are positioned to provide maximum lighting where required.
1.0
1.0
100.0%
D
Portable light plants are easily moved and positioned.
1.0
1.0
100.0%
E
Portable light plant masts are easily raised and lowered. Other
3.0
3.0
100.0%
0.0
0.0
TOTAL
9.0
9.0
F
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
36
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
4
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0 2.0
3.0 2.0
100.0% 100.0%
Head Protection Worn where required. Bills worn to the front.
3
Hard Hat suspension systems maintained in a safe manner.
2.0
2.0
100.0%
4
Hard hats are free from cracks, holes or any damage Eye Protection Worn where required. Side shields required and used.
2.0
2.0
100.0%
2.0 2.0
2.0 2.0
100.0% 100.0%
Lens cleaning stations and material are provided. Face shields are worn when required.
n/a
0.0
#VALUE!
2.0
2.0
100.0%
n/a
0.0
#VALUE!
Safety glasses or goggles are worn under face shields or welding shields. Fall Protection
2.0
2.0
100.0%
Safety harness is required and used where fall exposure > 2 meters is present. (6ft)
4.0
4.0
100.0%
3.0
3.0
100.0%
3 4 5 6 C 1 2
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)
A 1 2
B 1 2
* REPEATED DEFICIENCIES (X)
Signs are posted at bench grinders "Face shields required."
Lanyard are equipped with shock absorbers.
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
37
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
4
PERSONAL PROTECTIVE EQUIPMENT (P.P.E.) (cont'd)
3
Lanyards hooks are provided with locking safety latch to prevent "Roll Out".
4.0
4.0
100.0%
4
Lanyards are secured to a substantial object fall distance is maintained to a minimum.
4.0
4.0
100.0%
5
Fall protection equipment is only used for fall protection
3.0
3.0
100.0%
6
Static / catenary lines are installed to facilitate tie-off and will support a force of 2,450 kgs. (5400 lbs.)
4.0
4.0
100.0%
1.0
1.0
100.0%
7 D
Fall protection equipment is inspected on a regular basis and tagged accordingly. Hearing Protection
1
Noise areas are posted as areas where hearing protection is required.
n/o
0.0
#VALUE!
2
Noise surveys are performed periodically and documented.
2.0
2.0
100.0%
2.0
2.0
100.0%
2.0
2.0
100.0%
3.0
3.0
100.0%
3 E 1 2
Hearing protection is properly worn where and when required. Foot and Toe Protection Appropriate foot wear is worn by all employees Steel toe protection is used where required
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
38
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
4
PERSONAL PROTECTIVE EQUIPMENT (P.P.E.) (cont'd)
F
Hand protection is provided by gloves that are selected according to specific hazards, anticipated or present.
2.0
2.0
100.0%
G
Employees working near heavy equipment operations wear high visibility and reflective safety vests.
3.0
3.0
100.0%
H
Employees working non-daylight hours are provided with reflective striped clothing, vests or other high visibility material.
3.0
0.0
0.0%
I
Employees working non-daylight hours have reflective tape on their hard hats.
3.0
0.0
0.0%
J
All employees receive information and/or training on the proper use and care of PPE.
1.0
1.0
100.0%
n/a
0.0
#VALUE!
0.0
0.0
61.0
55.0
K L
Emergency eye wash and shower stations are clearly marked and not obstructed. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
90.2%
39
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
5 A B C D E F
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
3.0
100.0%
3.0 1.0
3.0 1.0
100.0% 100.0%
3.0
3.0
100.0%
Job made / home made tools are prohibited and none were observed. Other
3.0
3.0
100.0%
0.0
0.0
TOTAL
13.0
13.0
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
HAND TOOLS Correct tools are used for the work being performed. Tools are used in an approved manner. Tools are carried and stored properly. Chisels, hammer wrenches and other "striking tools" are dressed at the striking end to prevent "mushrooming".
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
40
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
6
POWDER ACTUATED TOOLS
A
Employees using powder actuated tools have been trained and certified.
B
Correct load strengths are known and used.
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
3.0
100.0%
3.0
3.0
100.0%
C
Loads are removed while the tool is stored or left unattended.
3.0
3.0
100.0%
D
Proper P.P.E. is worn by the tool operator while using the tool. Proper P.P.E. includes hard hat, face shield, safety glasses and hearing protection.
n/o
0.0
#VALUE!
E
The tool and all loads are stored in a locked cabinet.
1.0
1.0
100.0%
F
The tool and all loads are issued only to trained and certified employees.
3.0
3.0
100.0%
G
The tool is inspected on a regular basis and tagged to show that it has been inspected. Other
1.0
1.0
100.0%
0.0
0.0
14.0
14.0
H
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
41
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
7
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
POWER TOOLS AND POWER EQUIPMENT
A
All power tools are inspected on a regular basis and tagged to show that they have been inspected.
1.0
1.0
100.0%
B
Required safety guards are in place and functional.
3.0
3.0
100.0%
C
Work rests on bench grinders are adjusted within 3mm of the wheel.
n/o
0.0
#VALUE!
D
Wheels on bench and stand grinders are dressed as required.
n/o
0.0
#VALUE!
E
Discs on portable grinders are compatible with the equipment's maximum RPM's.
3.0
3.0
100.0%
F
Electrical cords are elevated, protected, or otherwise arranged so as to prevent damage to the cord or create a tripping hazard.
3.0
2.5
83.3%
G
Employees are trained and certified (When required) in safe operation of power tools. Other
3.0
3.0
100.0%
0.0
0.0
13.0
12.5
H
* REPEATED DEFICIENCIES (X)
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
96.2%
42
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
8
A
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
4.0
4.0
100.0%
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
HOT WORK (Welding, Heating, Burning) Hot work on or near areas or processes that involve flammable, combustible or explosive materials or chemicals is performed under a safe work or hot work permit.
B
A fire extinguisher is immediately available and operable at all Hot Work locations.
3.0
3.0
100.0%
C
Welding screens are used around all ground or floor level arc welding operations.
2.0
2.0
100.0%
D
Arc welding is performed with a required electrical ground.
3.0
3.0
100.0%
E
Welding cables and ground cables are free of damage and non-insulated connections.
3.0
3.0
100.0%
2.0
2.0
100.0%
F
* REPEATED DEFICIENCIES (X)
Welding cables and ground cables are inspected on a regular basis.
G
Where cables are suspended or secured, they are done so by using non-conductive materials.
2.0
2.0
100.0%
H
Cables, cords, and hoses are elevated or protected to prevent tripping hazards.
3.0
2.5
83.3%
I
Compressed gas cylinders are labeled as required.
3.0
3.0
100.0%
J
Compressed gas cylinders are stored and capped as required.
3.0
2.5
83.3%
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
43
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
8
HOT WORK (Welding, Heating, Burning) (cont'd)
K
Reverse flow or flash back arrestors are used on all oxygen/acetylene rigs.
3.0
3.0
100.0%
L
Regulator gauges are attached as required and in good condition.
3.0
3.0
100.0%
M
Compressed gas cylinder valves are turned off when not in use. Strikers are used to light torches.
3.0
3.0
100.0%
3.0
3.0
100.0%
N O
Welding rods are stored as required and rod stubs are placed in a container to prevent a tripping hazard.
2.0
2.0
100.0%
P
Welding rods are not left in the electrode/rodholder while not in use.
3.0
3.0
100.0%
Q
Compressed gas cylinders are located outside of closed areas and are not exposed to slag or sparks.
3.0
3.0
100.0%
R
Gas cylinders are moved and transported in the required manner.
3.0
3.0
100.0%
S
Hot slag and sparks are maintained and controlled as required to prevent fires and contact with employees.
3.0
3.0
100.0%
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
44
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
8
HOT WORK (Welding, Heating, Burning) (cont'd)
T
Required P.P.E. is worn for the hot work activity being performed or immediately exposed to, including eye protection, clothing, gloves, and respirator if needed.
3.0
3.0
100.0%
U
Oxygen / acetylene hoses are maintained free of oil and grease.
2.0
2.0
100.0%
V
Compressed gas hoses are inspected and are free of damage.
2.0
2.0
100.0%
W
Compressed gas cylinders are properly secured to prevent displacement. Other
2.0
2.0
100.0%
0.0
0.0
TOTAL
63.0
62.0
X
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
98.4%
45
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
9
ELECTRICAL
A
Electrical equipment is marked as to the amount of voltage and the control source.
3.0
3.0
100.0%
B
The required "lock out - tag out " procedure is implemented where circuits are de-energized due to maintenance, repair or other activity.
4.0
4.0
100.0%
C
Employees performing low, medium, or high voltage work are trained and certified.
n/a
0.0
#VALUE!
D
Protective gear (rubber gloves, blankets, hot sticks, etc.) are inspected by an independent testing firm.
n/a
0.0
#VALUE!
E
Tests are performed to determine if current carrying parts are "Hot" or De-energized
4.0
2.0
50.0%
F
All line parts are guarded or protected against contact.
4.0
2.0
50.0%
G
GFCI controlled outlets and panels are labeled and tested
2.0
2.0
100.0%
H
Electrical cords are inspected and approved for the type of usage and are free of breaks in the insulation.
3.0
3.0
100.0%
I
Outlets, receptacles, junction boxes, etc., are approved and maintained as required.
3.0
3.0
100.0%
J
Where electrical cords are suspended or secured, they are done so by using nonconducting materials.
2.0
2.0
100.0%
K
Electrical cords are elevated over passage ways, or are protected from damage when crossing roads or passage ways.
3.0
2.5
83.3%
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
46
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
9
ELECTRICAL (cont'd)
L
Temporary lighting is installed as required using approved materials.
3.0
3.0
100.0%
M
Light bulbs and fluorescent tubes are guarded as required.
2.0
2.0
100.0%
N
Buried temporary electrical cables are marked on the surface to avoid accidental contact from drilling / excavating.
3.0
3.0
100.0%
3.0
3.0
100.0%
O
Electrical plugs are maintained in good condition and are the proper type for voltage / amperage / grounding requirements
P
All temporary electrical outlets, receptacles, junction boxes and panels are electrically grounded
3.0
3.0
100.0%
R
All electrical tools are quipped with a ground conductor or are double insulated.
3.0
3.0
100.0%
3.0
2.8
93.3%
3.0
3.0
100.0%
0.0
0.0
51.0
46.3
S
T U
Strain relief is provided for all cords or cables that prevents pull from being directly transmitted to joints or terminal screws. Cord repairs meet or exceed the original insulation and are performed by a qualified person. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
90.8%
47
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
10
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
EQUIPMENT OPERATIONS
A
Crane Operations
1
Load charts are posted and utilized and operators manuals are available.
3.0
3.0
100.0%
2
The swing radius of the counter weight is barricaded.
3.0
3.0
100.0%
3
The crane is operated level with all outriggers fully extended on adequate outrigger pads.
3.0
3.0
100.0%
4
Moving and travel practices are utilized to include the use of a flagger.
3.0
3.0
100.0%
5
The operator is trained and certified for the specific crane being operated.
3.0
3.0
100.0%
6
Specific attention to power line clearance is given.
n/a
0.0
#VALUE!
7
Flagman is used to signal crane operators when raising, lowering and swinging the hook, loaded or unloaded.
3.0
3.0
100.0%
8
An anti-two-block limit switch is in place and functional on all cranes.
3.0
3.0
100.0%
9
Crane, hook and hoist equipment is free from defects.
4.0
4.0
100.0%
10
Operator determines weight of load prior to performing lift.
3.0
3.0
100.0%
11
Operator determines weight of load prior to performing lift.
3.0
0.0
0.0%
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
48
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
10
General Equipment
1
Operator is Certified as competent for equipment operation
3 4 5 6
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
0.0
0.0%
2.0
1.0
50.0%
2.0 3.0 3.0
2.0 3.0 3.0
100.0% 100.0% 100.0%
3.0
3.0
100.0%
Seat belts are provided and used with ROP structures. All lights are operational Horns are operational Back-up alarms are operational. Equipment is operated at a safe travel speed.
7
Flagmen are used to signal equipment operators working in confined or congested areas.
3.0
3.0
100.0%
8
Seat belts are worn by driver and all passengers in equipment provided with seat belts. Haulage Operations
3.0
3.0
100%
1
Elevated fill areas/roads are identified or protected by cones, berms and/or guard rails.
3.0
0.0
0.0%
2
Traffic flow is regulated and enforced.
3.0
0.0
0.0%
3
Speed limits are posted and observed.
3.0
0.0
0.0%
4
All Vehicles are clearly identified as Project vehicles and have Project ID Numbers displayed.
2.0
0.0
0.0%
2.0
0.0
0.0%
C
5
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
EQUIPMENT OPERATIONS (cont'd)
B
2
PENALTY * REPEATED DEFICIENCIES (X)
Refueling maintenance activities are performed away from haulage road traffic areas.
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
49
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
10 6
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
2.0
0.0
0.0%
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
EQUIPMENT OPERATIONS (cont'd) Haulage roads are maintained in good condition.
7
Dust is controlled to minimize haulage road hazards.
2.0
0.0
0.0%
8
Dust control is implemented effectively when and where required. Rigging Equipment Approved rigging practices are used.
3.0
3.0
100.0%
3.0
3.0
100.0%
2
Rigging equipment is maintained and free of damage, excess wear or defect.
3.0
3.0
100.0%
3
All crane and sling hooks are equipped with a functional safety latch.
3.0
3.0
100.0%
4
Regular inspections of rigging equipment are performed and the equipment is tagged accordingly.
1.0
1.0
100.0%
5
The throat of load hooks are measured periodically to detect change in hook gap.
2.0
2.0
100.0%
6
Cable clamps are installed properly
2.0
2.0
100.0%
D 1
* REPEATED DEFICIENCIES (X)
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
50
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
10
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Warning Methods
1
Reflective triangles are provided for all equipment and vehicles, that operate on roads either on site or off-site.
2.0
0.0
0.0%
2
Reflective triangles are employed to warn of equipment breakdown / accident or road hazards as required.
n/a
0.0
#VALUE!
Flashing lights and/or strobes are used on all slow moving vehicles that operate in the vicinity of large excavation and haulage equipment. Helicopter Operations
2.0
0.0
0.0%
Helicopter landing areas provide required clearance for rotors away from trees, buildings, roadways, utilities, poles and overhead wires.
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
F 1
2
Loose debris is kept clear of the landing area.
3
Required landing pad lighting is provided and operable for night operations.
n/a
0.0
#VALUE!
4
A wind sock or wind direction indicator is in place and in view of the landing area.
n/a
0.0
#VALUE!
5
Helicopter safety procedures are posted and communicated to all passengers.
n/a
0.0
#VALUE!
6
Aviation life-jackets are provided and worn by all passengers when operating over water.
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
7
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
EQUIPMENT OPERATIONS (cont'd)
E
3
* REPEATED DEFICIENCIES (X)
Helicopter inspections are performed regularly by the owner / operator and adequately documented.
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
51
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
10
Machine and Equipment Guarding
1
Guards around pinch points, rotating equipment, shafts, pulleys, belt drives and chain drives are guarded to prevent accidental contact.
3
4
5
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
3.0
100.0%
3.0
3.0
100.0%
3.0
3.0
100.0%
n/o
0.0
#VALUE!
3.0
3.0
100.0%
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
EQUIPMENT OPERATIONS (cont'd)
G
2
PENALTY * REPEATED DEFICIENCIES (X)
Equipment guards are firmly attached and are of a material or design that will prevent contact by hands, clothing, tools or material or any other accidental worker contact. Where rotating equipment maintenance work is performed, the maintenance is performed with all guards in place. If the guards(s) must be removed, the equipment is locked out and tagged. Emergency stop cords are installed on all conveyor belt lines. The emergency stop cords are functional and tested on a periodic basis. Employees servicing or working near pinch points or rotating equipment are not wearing loose clothing or any other loose articles.
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
52
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
n/a
0.0
#VALUE!
2.0
2.0
100.0%
I
Bridge crane controls are locked out when not in use. Mobile Personnel Lifts
1
Operators are properly trained and certified.
3.0
3.0
100.0%
2
Traveling with the boom extended and/or elevated is prohibited.
3.0
3.0
100.0%
3
The equipment is operated on level ground.
3.0
3.0
100.0%
4
All employees working in the lift basket are properly "tied off".
3.0
3.0
100.0%
5
The capacity of the equipment is known by the operator and are not exceeded.
3.0
3.0
100.0%
6
The equipment is not used to hoist or support equipment or material. Other
3.0
3.0
100.0%
0.0
0.0
123.0
95.0
10
Bridge Cranes
1
Bridge crane operators are properly trained / certified.
J
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
EQUIPMENT OPERATIONS (cont'd)
H
2
* REPEATED DEFICIENCIES (X)
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
77.2%
53
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
11 A B C D
E F G
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
3.0
100.0%
3.0
3.0
100.0%
3.0
3.0
100.0%
3.0
3.0
100.0%
Correct slope angle is maintained or shoring used where required and approved installation and removal procedures are followed.. Proper access and egress provided.
3.0
3.0
100.0%
3.0
3.0
100.0%
Approved barricades are erected at the edge of all open trenches and excavations as required.
3.0
3.0
100.0%
Documented daily inspections performed including adverse weather changes. Spoil dirt is at least 6cm (2 FT) from the edge.
Prior to beginning any excavation or trenching, all underground utilities in the work area are located.
3.0
3.0
100.0%
I.
Fall protection is implemented as required for excavations > 2 meters(6 FT) in depth.
3.0
3.0
100.0%
3.0
3.0
100.0%
0.0
0.0
30.0
30.0
K
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
EXCAVATION AND TRENCHING A supervisor and a competent person is in charge of excavation and trenching. Required Excavation permits are utilized.
H
J.
* REPEATED DEFICIENCIES (X)
Confined space entry procedure followed when working in any excavation in an operating facility or where there could be a presence of toxic / hazardous substances. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
54
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
12
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Required access and egress provided.
n/a
0.0
#VALUE!
B
Required perimeter cables are used and approved installation procedures are followed.
n/a
0.0
#VALUE!
C
Floor openings are properly guarded or are covered with a secured cover and properly labeled as such.
4.0
4.0
100.0%
D
Elevated areas are free of loose excess materials and debris that could fall to levels below.
n/a
0.0
#VALUE!
Static lines, catenary lines, etc., installed to facilitate employee tie-off. Bolt-up requirements are met. Bolt buckets are used to contain bolts. Decking requirements are met. Approved rigging techniques are used.
n/a
0.0
#VALUE!
n/a n/a n/a n/a
0.0 0.0 0.0 0.0
#VALUE! #VALUE! #VALUE! #VALUE!
J
Barricades and signs are posted in the area to warn employees as required.
n/a
0.0
#VALUE!
K
Employees providing hand signals have received hand signal training.
n/a
0.0
#VALUE!
L
Signals or warnings are provided when loads are raised.
n/a
0.0
#VALUE!
F G H I
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
STEEL ERECTION AND FLOOR AND WALL OPENING
A
E
* REPEATED DEFICIENCIES (X)
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
55
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
12
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
STEEL ERECTION AND FLOOR AND WALL OPENING (cont'd)
M
All employees are wearing and using required PPE (safety harnesses and lanyards.).
n/a
0.0
#VALUE!
N
Taglines are used to control movement of all suspended loads.
n/a
0.0
#VALUE!
O
Floor grating sections are adequately secured against displacement.
3.0
3.0
100.0%
P
A steel erection safety plan has been developed and implemented. Other
n/a
0.0
#VALUE!
0.0
0.0
TOTAL
7.0
7.0
Q
* REPEATED DEFICIENCIES (X)
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
56
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
13
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
All materials are stacked and stored in an approved manner.
2.0
2.0
100.0%
B
Aisles, passageways are maintained clean and unobstructed.
2.0
2.0
100.0%
C
Employees have been trained in safe material handling techniques and use safe handling techniques.
2.0
2.0
100.0%
D
Materials are stacked to prevent displacement and falling.
3.0
3.0
100.0%
E
Employees have been trained in the Back Safety Course.
3.0
2.0
66.7%
F
Material handling equipment is used to handle / move material when possible.
2.0
2.0
100.0%
G
Materials handling equipment (mono-rails, Aframes, etc.) is labeled to identify load capacity.
n/o
0.0
#VALUE!
3.0
3.0
100.0%
2.0
2.0
100.0%
0.0
0.0
19.0
18.0
I J
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
MATERIAL HANDLING STORAGE
A
H
* REPEATED DEFICIENCIES (X)
Softeners are used to protect wire and nylon chokers where needed. Employees use gloves to protect hands when handling materials. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
94.7%
57
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
14 A B C D E
F
G
H I
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
3.0
100.0%
3.0
3.0
100.0%
3.0
2.0
66.7%
3.0
2.0
66.7%
1.0
1.0
100.0%
3.0
3.0
100.0%
3.0
3.0
100.0%
3.0
3.0
100.0%
0.0
0.0
22.0
20.0
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
SIGNS, SIGNALS, BARRICADES Accident prevention signs, symbols, tags are used as required to warn employees where potential hazards exist. Flagmen used where required. Barricade methods used to prevent all unauthorized entry. Barricades are used to warn of potential hazards. A barricade procedure has been established. Flashing lights or other such method are used to warn equipment and vehicle operators of hazards on or near the roadway. Signs are clearly posted to advise operators and drivers of speed limits, pedestrians, and hazardous conditions. Regular surveys are conducted to assure adequate and proper signage is present in all work areas. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
90.9%
58
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
15 A
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
ASSESSORS COMMENTS
Fire extinguishers are provided as required. Located adjacent to each stairway on each floor level.
2.0
2.0
100.0%
2
Where more than 18 liters of flammable or combustible liquids are used. (5.0 gal.)
3.0
3.0
100.0%
3
At least one 9 kg. extinguisher at fuel dispensing areas. (20 lbs.)
3.0
3.0
100.0%
3.0
3.0
100.0%
2.0
2.0
100.0%
C
** IMMINENT DANGER (X)
FIRE PREVENTION AND PROTECTION
1
B
* REPEATED DEFICIENCIES (X)
Required access to fire extinguishers is maintained. Extinguishers are identified as required.
D
Inside storage of flammable liquids does not exceed 90 liters outside of an approved cabinet.
3.0
3.0
100.0%
E
Inside storage cabinets are labeled as required, and maximum limits (225 liters / cabinet and 3 cabinets / area) are not exceeded. (60 gal.)
n/o
0.0
#VALUE!
F
Materials that react to water are not stored with flammables.
3.0
3.0
100.0%
G
Containers are electrically interconnected (bonded) when flammable liquids are transferred from one container to another.
n/o
0.0
#VALUE!
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
59
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
15
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Portable storage tanks containing liquid flammables are located at least 6 meters away from buildings. (20 FT.)
3.0
3.0
100.0%
I
NO SMOKING - NO OPEN FLAMES signs are posted where flammable liquids are used or dispensed or stored..
3.0
3.0
100.0%
3.0
3.0
100.0%
LPG containers are not stored inside buildings.
K
Smoke detectors are provided in sleeping quarters and are tested on a regular basis.
n/a
0.0
#VALUE!
L
Fire suppression systems are inspected on a regular basis to assure functional availability.
n/o
0.0
#VALUE!
2.0
2.0
100.0%
0.0
0.0
30.0
30.0
M N
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
FIRE PREVENTION AND PROTECTION (cont'd)
H
J
* REPEATED DEFICIENCIES (X)
Employees have been trained on how to operate a fire extinguisher. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
60
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
16
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0 n/a
2.8 0.0
93.3% #VALUE!
Ladders Are in good condition. Built and used in an approved manner.
3
Secured in an approved manner and placed at the correct angle.
3.0
3.0
100.0%
4
Exceed the landing area by 1 meter or have a grab rail. (3 FT.)
3.0
3.0
100.0%
5
Are not used where they can be displaced by doors, equipment, etc., unless protected by guards or barricades.
3.0
3.0
100.0%
Metal ladders are not used where contact with electrical energy is possible. Fixed ladder landing areas are kept clear.
4.0
4.0
100.0%
3.0
3.0
100.0%
Sections of cable tray or other materials are not used as ladders. SCAFFOLDS Provided with required access and egress.
3.0
3.0
100.0%
7 8 B 1
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS
A 1 2
6
* REPEATED DEFICIENCIES (X)
3.0
3.0
100.0%
2
Has a standard guard rail (106 cm top rail, 53 cm midrail, and 10cm toe board) whenever possible.
3.0
3.0
100.0%
3
Scaffold tags are used to identify incomplete scaffolds and requirements for safe use.
1.0
1.0
100.0%
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
61
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
16
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS (cont'd)
4
Complete decking is provided whenever possible and is of scaffold grade material.
3.0
3.0
100.0%
5
Employees who erect and dismantle scaffolds are qualified and competent.
3.0
3.0
100.0%
6
Scaffolds are free of defects and built per specifications.
3.0
3.0
100.0%
7
Overhead protection is provided where there is exposure.
3.0
3.0
100.0%
8
Casters are locked and pinned on mobile scaffolds when in use and no riding allowed.
3.0
3.0
100.0%
9
Outriggers are provided and used or the scaffold is secured to the structure when the height exceeds 4 times the minimum base dimension. An approved base is provided. Scaffold boards are secured.
3.0
3.0
100.0%
3.0 3.0
2.5 3.0
83.3% 100.0%
12
Two-point suspension scaffolds are erected in an approved manner.
n/o
0.0
#VALUE!
13
Scaffold components are not interchanged between manufacturers / type.
3.0
3.0
100.0%
10 11
* REPEATED DEFICIENCIES (X)
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
62
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
16 14
15 a b c d
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0
3.0
100.0%
3.0
3.0
100.0%
n/o n/o n/o 3.0
0.0 0.0 0.0 3.0
#VALUE! #VALUE! #VALUE! 100.0%
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS (cont'd) Rope and / or cable are not used for guardrail protection. A competent person inspects all scaffolding on a daily basis and maintains a current and complete record of those inspections. Approved design. Approved life lines are provided. Approved rope grab lanyards provided. Tie-off fall protection used.
C
Elevated work platforms (high-jackers, scissors lifts, JLG's, etc.)
1
Elevated scaffold platforms are of substantial construction and secured properly. A means of tie-off is provided and used. Required access and egress is provided
3.0
3.0
100.0%
4.0 3.0
4.0 3.0
100.0% 100.0%
4
Elevated work platforms are used in accordance with manufacturers recommendations.
3.0
3.0
100.0%
a
Outriggers provided and used as required.
3.0
3.0
100.0%
2 3
* REPEATED DEFICIENCIES (X)
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
63
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
16 b c d e D
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
3.0 3.0 4.0
3.0 3.0 4.0
100.0% 100.0% 100.0%
Employees maintain both feet on the platform, and do not use equipment as a means of access /egress, and do not work from guard rails. Other
3.0
3.0
100.0%
0.0
0.0
TOTAL
94.0
93.3
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS (cont'd) Ground controls operational. Operators trained and certified. Fall protection provided and used.
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
99.3%
64
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
17
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Required access and egress provided.
3.0
3.0
100.0%
B
All exposed rebar ends protected from exposure, both vertical and horizontal.
3.0
3.0
100.0%
C
Masonry saws are guarded with a semicircular enclosure cover.
3.0
3.0
100.0%
D
All shoring erected to contain and / or support concrete is the required type and approved installation procedures are followed.
3.0
3.0
100.0%
E
Precast and lift slab operations are performed in accordance with respective standards.
3.0
3.0
100.0%
F
PPE required for these operations is provided and used which would include safety glasses, gloves, proper clothing and foot wear.
2.0
2.0
100.0%
3.0
3.0
100.0%
N/A
0.0
20.0
20.0
H
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
CONCRETE, CONCRETE FORMS, SHORING, MASONRY
A
G
* REPEATED DEFICIENCIES (X)
All connections on air hoses and pipes are secured to prevent displacement. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
65
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
18
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
All operations are planned ahead. Required access and egress provided.
3.0 3.0
0.0 0.0
0.0% 0.0%
C
Material removal (floor holes, skip-pan, chutes, etc.) is conducted in an approved manner.
3.0
0.0
0.0%
D
Any and all asbestos containing material was removed prior to demolition.
3.0
0.0
0.0%
3.0
0.0
0.0%
0.0
0.0
15.0
0.0
F
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
DEMOLITION
A B
E
* REPEATED DEFICIENCIES (X)
Structural member removal is conducted in an approved manner. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
0.0%
66
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
19 A B
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
A blasting procedure has been developed and addresses all current blasting activities. The blasting procedure is adhered to. Storage and transport of explosives are done in accordance with regulatory requirements, manufacturers instruction and the blasting policy and procedures.
n/a
0.0
#VALUE!
D
An approved method for identifying and safely removing / eliminating "Boot Legs" or unsuccessfully detonated charges has been developed.
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
0.0
0.0
0.0
0.0
F
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
BLASTING - USE OF EXPLOSIVES
C
E
* REPEATED DEFICIENCIES (X)
Employees handling and using explosives have been trained and are certified. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
#DIV/0!
67
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
20
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
Operators are wearing rain suits, gloves, face shields, hard hats, safety glasses with side shields, rubber steel toe boots or metatarsal guards.
n/a
0.0
#VALUE!
B
Standby Operator(s) is wearing hard-hat and safety glasses with side shields.
n/a
0.0
#VALUE!
C
Operators are not allowing any part of their body to be placed in front of the water jet.
n/a
0.0
#VALUE!
D
Operators are not handling hose within one foot of hose-to-hose connections.
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
n/a
0.0
#VALUE!
F
** IMMINENT DANGER (X)
ASSESSORS COMMENTS
HIGH-PRESSURE WATER CLEANING
A
E
* REPEATED DEFICIENCIES (X)
Operators are trained annually at a minimum. Hose data such as manufacturer's symbol, serial number, working and test pressure, and certified rating which will provided a safety factor of 3 to 1 against burst is recorded and retained at the project.
G
Work area is barricaded at a minimum of 4.5 meters and signs stating, "DANGER - HIGH PRESSURE WATER CLEANING." (15 FT.)
n/a
0.0
#VALUE!
H
Equipment to be cleaned is dismantled / isolated, locked and tagged as required.
n/a
0.0
#VALUE!
I
All fittings and components meet manufacturer's guidelines.
n/a
0.0
#VALUE!
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
68
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
20
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
HIGH-PRESSURE WATER CLEANING (cont'd)
J
Records of high-pressure water cleaning equipment inspection are on file.
n/a
0.0
#VALUE!
K
Lance or mole marker 60 cm (24 in.) from nozzle end.
n/a
0.0
#VALUE!
L
Shotguns have a 2 meter (6 FT.) shroud and are a minimum of 165 cm (66 in.) in length.
n/a
0.0
#VALUE!
M
Safety equipment has not been altered or bypassed. Other
n/a
0.0
#VALUE!
0.0
0.0
0.0
0.0
N
* REPEATED DEFICIENCIES (X)
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
#DIV/0!
69
04/18/2010 32564844.xls
SAFETY AUDIT FIELD EXECUTION SCORE
21
CONFINED SPACES
A
A confined space entry procedure, which meets requirements, is in place .
PENALTY
MAXIMUM POSSIBLE
ASSESSED
% 0 - 100
2.0
2.0
100.0%
B
Lighting and electrical tools used inside confined spaces are 12 volt or GFCI protected.
3.0
3.0
100.0%
C
Required emergency equipment is available (i.e. body harness, S.C.B.A., fire extinguisher, etc.)
3.0
3.0
100.0%
D
Stand-by ("Hole Watch") person(s) are utilized and are trained in confined space procedures and their responsibilities.
3.0
3.0
100.0%
E
Air sampling performed, checking % 02 and % L.E.L, at a minimum.
3.0
3.0
100.0%
F
Energy isolation / lock-out is implemented relative to confined space work.
3.0
3.0
100.0%
G
Entry permits, which meets requirements are used, and sign-off for responsible parties is provided and adhered to.
2.0
2.0
100.0%
3.0
3.0
100.0%
0.0
0.0
22.0
22.0
H I
Winch / Hoisting equipment is immediately available to hoist personnel out of confined spaces if emergency situation requires. Other
TOTAL
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE
100.0%
70
* REPEATED DEFICIENCIES (X)
** IMMINENT DANGER (X)
0
0
ASSESSORS COMMENTS
04/18/2010 32564844.xls
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