Site Audit Form - Visual Inspections
This form will be used internally to verify each site is in compliance with SCS Standards and client standards
Name of person completing inspection
First Name
Last Name
Email
example@example.com
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Project Site
Please Select
AWS #1
AWS #2
Pontotoc Wind
Tower Solar
Ostrea Solar
Biglow Solar
JHA Review
Rows
Points Scored
N/A
Comments
JHA readily available (3pts)
JHA completed properly and entirely (3pts)
All employee present have signed (3pts)
Permits on JHA are listed and being followed (3pts)
Total: Points (12pts)
Office
Rows
Points Scored
N/A
Comments
OSHA Poster available(3pts)
Emergency Contact and locations posted (3pts)
Stocked First Aid Kit/AED/Eye wash (3pts)
Hazcom (SDS) available (3pts)
First Aid Kit and AED inspection tags are up to date (3pts)
Total: Points (15pts)
Housekeeping
Rows
Points Scored
N/A
Comments
Work area is clean of trash and debris (3pts)
Office is organized and free of trash and debris (3pts)
Materials and equipment are properly stored (3pts)
Tripping/Slipping Hazards eliminated (cords, oil, ice/snow) (3pts)
Proper Barricades and signs are present (3pts)
Total: Points (15pts)
Tools and Equipment
Rows
Points Scored
N/A
Comments
Tools and Equipment are color coded and inspected (3pts)
Tools properly stored (grinding wheels) (3pts)
All required guards are in place 3pts)
All electrical tools/equipment are double insulated or have a 3-prong plug (3pts)
Cords and leads in good condition / proper grounding (3pts)
All electrical tools/equipment are connected to GFCI (3pts)
All defective tools/equipment are tagged out (3pts)
Total: Points (21pts)
Personal Protective Equipment (PPE)
Rows
Points Scored
N/A
Comments
Hard Hat worn by all, in acceptable condition (3pts)
Hearing protection worn when applicable (3pts)
Proper eye protection worn at all times (3pts)
Proper foot protection worn at all times (3pts)
Appropriate clothing worn by all (3pts)
Proper hand protection worn at all times (3pts)
Possible Points (18pts)
Fall Protection
Rows
Points Scored
N/A
Comments
Harness, lanyard, SRL inspected/color coded (3pts)
Harness/lanyard worn properly (3pts)
Securing lanyard to proper anchorage point (3pts)
SRL used in vertical position only (3pts)
SRL secured to proper anchorage point(3pts)
Fall Protection stored properly (3pts)
Fall protection being used above 4 feet (3pts)
Possible Points (21pts)
Working at Heights and Ladders
Rows
Points Scored
N/A
Comments
Ladder inspected prior to use (3pts)
Proper Ladder used for the job(3pts)
Ladder extends 3’ above platform (3pts)
Proper ladder for the job, secured and used properly. (3pts)
No field modifications made to ladders(3pts)
Total: Points (15pts)
Civil
Rows
Points Scored
N/A
Comments
Barricades up around open excavations, trenches, or holes.(3pts)
Excavations over 4’ are properly benched or sloped(3pts)
Spoils are >2’ from edge of excavation (3pts)
Trenches over 4’ have access and egress every 25’ (3pts)
Rebar is capped to prevent impalement (3pts)
Forms are secured (3pts)
Drill piers are covered or fenced to protect personnel (3pts)
Deadman or proper tie-off for personnel working around open piers (3pts)
Drill area is barricaded (3pts)
Total: Points (27pts)
Rigging Equipment
Rows
Points Scored
N/A
Comments
All rigging equipment inspected/ color coded(3pts)
Proper rigging practices being used.(3pts)
Softeners being used (when required) (3pts)
Tag lines being used. (3pts)
All lifting lugs
secured
and circled by supervisors? (3pts)
Total: Points (15pts)
Crane
Rows
Points Scored
N/A
Comments
Daily /monthly/ and annual crane inspection docs.(3pts)
Proper outrigger pads.(3pts)
Swing radius of crane barricaded(3pts)
Spotter/signal man being used, proper hand signaling. (3pts)
Acceptable weather conditions. (3pts)
Fire Extinguisher (3pts)
Operating at least 10’ away from overhead power lines.(3pts)
Wire rope in good condition/ spooling properly (3pts)
Total: Points (24pts)
Fire Protection
Rows
Points Scored
N/A
Comments
Fire Extinguishers properly located and have current inspection.(3pts)
Flashback arrestors installed on fuel gas cylinders.(3pts)
Fuel gas cylinders maintained & stored properly(3pts)
Oxygen and combustibles stored separated (3pts)
No bottles stored/ used inside the tank (3pts)
Acetylene and oxygen hoses in good condition, no excessive tape (3pts)
Total: Points (18pts)
Confined Space
Rows
Points Scored
N/A
Comments
Confined space permit obtained and at site(3pts)
Confined space signs posted(3pts)
PPE specific on permit being used (3pts)
Attendant present and knowledgeable of duties (3pts)
Continuous air monitoring where required (3pts)
Ventilation when required(3pts)
Over head protection installed over accessible man ways (3pts)
Sign in/ sign out log being used (3pts)
Adequate lighting for work area (3pts)
Was 4 gas monitor tested prior to use (3pts)
Total: Points (30pts)
Total Points
Rows
Total Points Scored
Comments
JHA Review (12 pts)
Office (15 pts)
General Housekeeping (15 pts)
Tools and Equipment (21 pts)
PPE (18 pts)
Fall Protection (21 pts)
Working at Heights and Ladders (15 pts)
Civil (27 pts)
Rigging Equipment (15 pts)
Crane (24 pts)
Fire Protection (18 pts)
Confined Space (30 pts)
Explanations/Comments
Submit
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