s&h audit

97
* REPEATED DEFICIENCY = -10 MAX POSSIBLE ** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE SAFETY AUDIT FIELD EXECUTION SCORE PENALTY 1 HOUSEKEEPING A. 2.0 B. 1.0 C. Trash receptacles are provided in all work areas. 1.0 D. 2.0 E. Glass containers are prohibited, none were observed. 2.0 F. 2.0 G. 1.0 H. 2.0 TOTAL 13.0 0.0 0 0 MAXIMUM POSSIBLE ACTUAL SCORE * REPEATED DEFICIENCIES (X) ** IMMINENT DANGER (X) QUALITY ITEMS Work areas are clean and free of excess trash / debris. Provisions have been made for routing trash collection and disposal. Scrap lumber is free of protruding nails or other puncture hazards. Electrical cords, hoses, welding leads, etc., are elevated to prevent tripping hazards. Butt cans, where used, are maintained free of combustible material and emptied routinely. Elevated areas are maintained clear of debris, material, tools, etc., where such items could fall to areas below.

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Safety and health audit form

TRANSCRIPT

Page 1: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTS

1 HOUSEKEEPINGA. 2.0

B. 1.0

C. 1.0

D. 2.0

E. 2.0

F. 2.0

G. 1.0

H. 2.0

TOTAL 13.0 0.0 0 0

MAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

Work areas are clean and free of excess trash / debris.Provisions have been made for routing trash collection and disposal.Trash receptacles are provided in all work areas.Scrap lumber is free of protruding nails or other puncture hazards.Glass containers are prohibited, none were observed.Electrical cords, hoses, welding leads, etc., are elevated to prevent tripping hazards.Butt cans, where used, are maintained free of combustible material and emptied routinely.Elevated areas are maintained clear of debris, material, tools, etc., where such items could fall to areas below.

Page 2: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

2 HEALTH & HYGIENEA. 1.0

B. 1.0

C. 1.0

D. 1.0

E. 1.0

F. 1.0

G. 1.0

TOTAL 7.0 0.0 0 0

The required number of toilets are provided (1 toilet for every 29 workers).Provisions for servicing / cleaning toilets has been made.Toilets are kept clean and sanitary. Toilet paper is in place.Washing facilities are available for worker use prior to lunch / breaks when required.Vermin (rodents, insects, etc.) control is provided.

Ventilation in work areas required ventilation is provided in work area for the type of work being performed.Local exhaust ventilation is used where necessary.

Page 3: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

3 WORK AREA LIGHTING A. 1.0

B. 1.0

C. 1.0

D. 1.0

E. 1.0

F. 1.0

G. 1.0

TOTAL 7.0 0.0 0 0

Required lighting is provided for the work being performed.Portable light plants are maintained and kept operational.Portable light plants are positioned to provide maximum lighting where required.Portable light plants are easily moved and positionedPortable light plant masts are easily raised and lowered.The required supply of drinking water is provided and conveniently located.

Where water kegs are used they are clean, labeled, as required and used only for drinking.

Page 4: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

4

A. Head Protection1 Worn where required. 2.02 Bills worn to the front. 1.0

3 1.0

B. Eye Protection1 Worn where required. 2.02 Side shields required and used. 2.0

3 1.0

4 Face shields are worn when required. 2.0

5 1.0

C. Fall Protection

1 3.0

2 3.0

3 3.0

PERSONAL PROTECTIVE

EQUIPMENT (P.P.E.)

Hard Hat suspension systems maintained in a safe manner.

Lens cleaning stations and material are provided.

Signs are posted at bench grinders "Face shields required."

Safety harness is required and used where fall exposure > 2 meters is present.absorbers.Lanyards hooks are provided with locking safety latch to prevent "Roll Out".

Page 5: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

4

4 3.0

5 1.0

6 3.0

7 1.0

D. Hearing Protection

1 1.0

2 1.0

3 2.0

PERSONAL PROTECTIVE

EQUIPMENT (P.P.E.) (cont'd)

Lanyards are secured to a substantial object - fall distance is maintained to a minimum.Fall protection equipment is only used for fall protection

Static / catenary lines are installed to facilitate tie-off and will support a force of 2,450 kgs.Fall protection equipment is inspected on a regular basis and tagged accordingly.

Noise areas are posted as areas where hearing protection is required.Noise surveys are performed periodically and documented.Hearing protection is properly worn where and when required.

Page 6: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

4

E. Foot and Toe Protection1 2.0

2 2.0

F. 2.0

G. 3.0

H. 3.0

I. 3.0

J. 2.0

TOTAL 50.0 0.0 0 0

PERSONAL PROTECTIVE

EQUIPMENT (P.P.E.) (cont'd)

employees.If steel toe protection is required, they are used where required.

Hand protection is provided by gloves that are selected according to specific hazards anticipated or present.

Employees working near heavy equipment operations wear high visibility and reflective safety vests.

Employees working non-daylight hours are provided with reflective striped clothing, vests or other high visibility material.Employees working non-daylight hours have reflective tape on their hard hats.All employees receive information and/or training on the proper use and care of PPE.

Page 7: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

5 HAND TOOLSA. 1.0

B. Tools are used in an approved manner. 2.0

C. 1.0

D. 1.0

E. 2.0

TOTAL 7.0 0.0 0 0

Correct tools are used for the work being performed.

Tools are in an approved manner carried and stored.

Chisels, hammer wrenches and other "striking tools" should be dressed at the striking end to prevent "mushrooming".Job made / home made tools are prohibited and none were observed.

Page 8: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

6

A. 1.0

B. 3.0

C. 3.0

D. 3.0

E. 1.0

F. 1.0

G. 1.0

TOTAL 13.0 0.0 0 0

POWDER ACTUATED TOOLS

Employees using powder actuated tools have been trained and certified.Correct load strengths are known and used.Loads are removed while the tool is stored or left unattended.

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.The tool and all loads are stored in a locked cabinet.The tool and all loads are issued only to trained and certified employees.The tool is inspected on a regular basis and tagged to show that it has been inspected.

Page 9: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

7

A. 1.0

B. 3.0

C. 3.0

D. 3.0

E. 3.0

F. 2.0

G 1.0

TOTAL 16.0 0.0 0 0

POWER TOOLS AND POWER EQUIPMENT

All power tools are inspected on a regular basis and tagged to show that they have been inspected.Required safety guards are in place and functional.Work rests on bench grinders are adjusted within 3mm of the wheel.Wheels on bench and stand grinders are dressed as required.Discs on portable grinders are compatible with the equipment’s maximum RPM’s.Electrical cords are elevated, protected, or otherwise arranged so as to prevent damage to the cord or create a tripping hazard.Employees are trained and certified (When required) in safe operation of power tools.

Page 10: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

8

A. 4.0

B. 3.0

C. 2.0

D. 3.0

E. 3.0

F. 1.0

G. 1.0

H. 2.0

HOT WORK (Welding, Heating, Burning)

Hot work in or near areas or processes that involve flammable, combustible or explosive materials or chemicals is performed under a safe work or hot work permit.A fire extinguisher is immediately available and operable at all Hot Work locations.Welding screens are used around all ground or floor level arc welding operations.Arc welding is performed with a required electrical ground.Welding cables and ground cables are free of damage and non-insulated connections.

Welding cables and ground cables are inspected on a regular basis and are tagged or color coded to show that they have been inspected.

Where cables are suspended or secured, they are done so by using non-conductive materials.Cables, cords, and hoses are elevated or pro-tected to prevent tripping hazards.

Page 11: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

8

I. 1.0

J. 2.0

K. 2.0

L. 2.0

M. 2.0

N. Strikers are used to light torches. 2.0

O. 2.0

P. 2.0

Q. 2.0

HOT WORK (Welding, Heating, Burning)

(cont'd)Compressed gas cylinders are labeled as required.Compressed gas cylinders are stored and capped as required.

Reverse flow or flash back arrestors are used on all oxygen/acetylene rigs at the regulator and the torch.Regulator gauges are attached as required and in good condition.Compressed gas cylinder valves are turned off when not in use.

Welding rods are stored as required and rod stubs are placed in a required container to prevent a tripping hazard.Welding rods are not left in the electrode/rodholder while not in use.

Compressed gas cylinders are located outside of closed areas and are not exposed to slag or sparks.

Page 12: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

8

R. 2.0

S. 2.0

T. 2.0

U. 2.0

TOTAL 44.0 0.0 0 0

HOT WORK (Welding, Heating, Burning)

(cont'd)Gas cylinders are moved and transported in the required manner.

Hot slag and sparks are maintained and controlled as required to prevent fires and contact with employees.

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.Oxygen / acetylene hoses are maintained free of oil and grease.

Page 13: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

9 ELECTRICALA. 3.0

B. 4.0

C. 4.0

D. 4.0

E. 4.0

F. 4.0

G. 2.0

H. 2.0

I. 2.0

Electrical equipment is marked as to the amount of voltage and the control source.

The required "lock out - tag out " procedures is implemented where circuits are de-energized due to maintenance, repair or other activity.Employees performing low, medium, or high voltage work are trained and certified.

Protective gear (rubber glove, blankets, hot sticks, etc.) is inspected by an independent testing firm.Tests are performed to determine if current carrying parts are "Hot" or De-energizedAll line parts are guarded or protected against contact.GFCI controlled outlets and panels are labeled and tested

Electrical cords are inspected and approved for the type of usage and are free of breaks in the insulation.Outlets, receptacles, junction boxes, etc., are approved and maintained as required.

Page 14: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

9 ELECTRICAL (cont'd)

J. 1.0

K. 2.0

N. 2.0

O. 2.0

TOTAL 36.0 0.0 0 0

Where electrical cords are suspended or secured, they are done so by using non-conducting materials.

Electrical cords are elevated over passage ways, or are protected from damage when crossing roads or passage ways.Temporary lighting is installed as required using approved materials.Light bulbs and fluorescent tubes are guarded as required.

Page 15: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

A. CRANE OPERATIONS1 Load charts are posted and utilized. 3.0

2 3.0

3 3.0

4 3.0

5 3.0

6 4.0

7 3.0

8 3.0

B. GENERAL EQUIPMENT

1 3.0

2 All lights are operational 2.03 Horns are operational 2.0

EQUIPMENT OPERATIONS

The swing radius of the counter weight is barricaded.The crane is operated level with all out riggers fully extended.Moving and travel practices are utilized to include the use of a flagman.The operator is trained and certified for the specific crane being operated.Specific attention to power line clearance is given.

Flagman are used to signal crane operators when raising, lowering and swinging the hook, loaded or unloaded.An anti-two-block limit switch is in place and functional on all cranes.

Seat belts are provided and used with ROP structures.

Page 16: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

4 Back-up alarms are operational. 2.05 3.0

6 3.0

7 3.0

C. HAULAGE OPERATIONS

1 3.0

2 2.0

3 Traffic flow is regulated and enforced. 2.04 Speed limits are posted and observed. 3.0

5 2.0

EQUIPMENT OPERATIONS (cont'd)

speed.

Flagmen are used to signal equipment operators working in confined or congested areas.

Seat belts are worn by driver and all passengers in equipment provided with seat belts.

Elevated roads are protected by berms and/or guard rails.As required warning signs are posted at intersections, steep grades, blind corners.

Only authorized vehicles and equipment are allowed on the haulage roads.

Page 17: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

6 2.0

7 2.0

8 2.0

9 2. 0

D. RIGGING EQUIPMENT1 Approved rigging practices are used. 3.0

2 3.0

3 3.0

4 1.0

5 3.0

EQUIPMENT OPERATIONS (cont'd)Refueling maintenance activities are performed away from haulage road traffic areas.Haulage roads are maintained in good condition.Storm water is channeled / controlled to minimize haulage road hazards.Dust control is implemented effectively when and where required.

Rigging equipment is maintained and free of damage, excess wear or defect.All crane and sling hooks are equipped with a functional safety latch.

Regular inspections of rigging equipment are performed and the equipment is tagged accordingly.The load capacity of each rigging device is known by label, tag, placard or other substantial marking attached to the device.

Page 18: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

6 2.0

E. Warning Methods

1 2.0

2 2.0

3 2.0

F. Helicopter Operations

1 2.0

2 2.0

EQUIPMENT OPERATIONS (cont'd)The throat of load hooks are measured periodically to detect change in hook gap.

Reflective triangles are provided for all equipment and vehicles.

Reflective triangles are employed to warn of equipment breakdown / accident or road hazards as required.

Flashing lights and/or strobes are used on all slow moving vehicles that operate in the vicinity of large excavation and haulage equipment.

Helicopter landing areas provide required clearance for rotors away from trees, buildings, roadways, utilities, poles and overhead wires.Loose debris is kept clear of the landing area.

Page 19: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

3 2.0

4 2.0

G. Machine and Equipment Guarding

1 3.0

2 3.0

3 3.0

EQUIPMENT OPERATIONS (cont'd)Required landing pad lighting is provided and operable for night operations.A wind sock or wind direction indicator is in place and in view of the landing area.

Guards around pinch points, rotating equipment, shafts, pulleys, belt drives and chain drives are guarded to prevent accidental contact.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.

Page 20: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

4 3.0

5 3.0

TOTAL 105.0 0.0 0 0

EQUIPMENT OPERATIONS (cont'd)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.

Page 21: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

11

A. 3.0

B. Required Excavation permits are utilized. 3.0

C. 3.0

D. Spoil dirt is at least 1 meter from the edge. 3.0

E. Correct slope angle is maintained. 3.0

F. 3.0

G. Proper access and egress required. 3.0

H. 3.0

1 3.0

TOTAL 27.0 0.0 0 0

EXCAVATION AND TRENCHING

A supervisor is in charge of excavation and trenching.

Documented daily inspections performed including adverse weather changes.

Required type shoring used is approved installation and removal procedures are followed.

Approved barricades are erected at the edge of all open trenches and excavations as required.

Prior to beginning any excavation or trenching, all underground utilities in the work area are located.

Page 22: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

12

A. Required access and egress provided. 3.0

B. 4.0

C. 4.0

D. 3.0

E. 3.0

F. Bolt-up requirements are met. 3.0

G. Bolt buckets are used to contain bolts. 3.0

H. Decking requirements are met. 4.0

I. Approved rigging techniques are used. 3.0

J. 3.0

K. 3.0

STEEL ERECTION AND FLOOR AND WALL OPENING

Required perimeter cables are used and approved installation procedures are followed.Wall and floor openings are guarded or covered as required.

Elevated areas are free of loose excess materials and debris that could fall to levels below.Static lines, catenary lines, etc., installed to facilitate employee tie-off.

Barricades and signs are posted in the area to warn employees as required.Employees providing hand signals have received hand signal training.

Page 23: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

12

L. 3.0

M. 4.0

N. 3.0

TOTAL 46.0 0.0 0 0

STEEL ERECTION AND FLOOR AND WALL OPENING

(cont'd)Signals or warnings are provided when loads are raised.All employees are wearing and using required PPE (safety harnesses and lanyards.).Taglines are used to control movement of all suspended loads.

Page 24: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

13

A. 2.0

B. 2.0

1 2.0

C. 2.0

D. 2.0

E. 2.0

F. 2.0

G. 2.0

H. 2.0

TOTAL 18.0 0.0 0 0

MATERIAL HANDLING STORAGE.

All materials are stacked and stored in an approved manner.Aisles, passageways are maintained clean and unobstructed.

Employees have been trained in safe material handling techniques and use safe handling techniques.Materials are stacked to prevent displacement and falling.Employees have been trained in proper lifting methods and use proper lifting methods.Material handling equipment is used to handle / move material when possible.

Materials handling equipment (mono-rails, A-frames, etc.) is labeled to identify load capacity.Softeners are used to protect wire and nylon chokers where needed.Employees use gloves to protect hands when handling materials.

Page 25: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

14

A. 2.0

B. Flagmen used where required. 2.0

C. 3.0

D. 2.0

E. 1.0

TOTAL 10.0 0.0 0 0

SIGNS, SIGNALS, BARRICADES

Accident prevention signs, symbols, tags are used as required to warn employees where potential hazards exist.

Barricade methods used to prevent all unauthorized entry.Barricades are used to warn of potential hazards.A barricade procedure has been established.

Page 26: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

15

A.

1 2.0

2 3.0

3 3.0

B. 3.0

C. Extinguishers are identified as required. 2.0

D. 3.0

E. 3.0

F. 3.0

G. 3.0

FIRE PREVENTION AND PROTECTIONFire extinguishers are provided as

required.Located adjacent to each stairway on each floor level.Where more than 18 liters of flammable or combustible liquids are used.At least one 9 kg. extinguisher at fuel dispensing areas.Required access to fire extinguishers is maintained.

Inside storage of flammable liquids does not exceed 90 liters outside of an approved cabinet.

Inside storage cabinets are labeled as required, and maximum limits (225 liters / cabinet and 3 cabinets / areas are not exceeded.Materials that react to water are not stored with flammables.

Containers are electrically interconnected (bonded) when flammable liquids are transferred from one container to another.

Page 27: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

15

H. 3.0

I. 3.0

J. 3.0

K. 3.0

L. 3.0

M. 2.0

TOTAL 42.0 0.0 0 0

FIRE PREVENTION AND PROTECTION

(cont'd)Portable storage tanks containing liquid flammables are located at least 6 meters away from buildings.

NO SMOKING - NO OPEN FLAMES signs are posted where flammable liquids are used or dispensed or stored..LPG containers are not stored inside buildings.Smoke detectors are provided in sleeping quarters and are tested on a regular basis.Fire suppression systems are inspected on a regular basis to assure functional availability.Employees have been trained on how to operate a fire extinguisher.

Page 28: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

16

A. Ladders1 Are in good condition. 2.02 Built and used in an approved manner. 3.0

3 3.0

4 3.0

5 3.0

6 4.0

7 Fixed ladder landing areas are kept clear. 3.0

B. SCAFFOLDS

1 Provided with required access and egress. 3.0

2 3.0

LADDERS, SCAFFOLDS, AND ELEVATED WORK

PLATFORMS

Secured in an approved manner and placed at the correct angle.Exceed the landing area by 1 meter or have a grab rail.

Are not used where they can be displaced by doors, equipment, etc., unless protected by guards or barricades.Metal ladders are not used where contact with electrical energy is possible.

Has a standard guard rail (106 cm top rail, 53 cm midrail, and 10cm toe board) whenever possible.

Page 29: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

3 1.0

Scaffold tags are used to identify incomplete scaffolds and requirements for safe use.

Page 30: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

16

4 3.0

5 3.0

6 3.0

7 3.0

8 3.0

9 3.0

10 An approved base is provided. 3.011 Scaffold boards are secured. 3.0

12 3.0

a. Approved design. 3.0

LADDERS, SCAFFOLDS, AND ELEVATED WORK

PLATFORMS (cont'd)Complete decking is provided whenever possible.Employees who erect and dismantle scaffolds are qualified and competent. Scaffolds are free of defects and built per specifications.Overhead protection is provided where there is exposure.Casters are locked and pinned on mobile scaffolds when in use and no riding allowed.

Outriggers are provided and used or the scaffold is secured to the structure when the height exceeds 4 times the minimum base dimension.

Two-point suspension scaffolds are erected in an approved manner.

Page 31: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

16

b. Approved life lines are provided. 4.0

c. Approved rope grab lanyards provided. 4.0

d. Tie-off fall protection used. 4.0

C

1 3.0

2 A means of tie-off is provided and used. 4.03 Required access and egress is provided 3.0

4 3.0

a. 3.0

b. Ground controls operational. 3.0

c. Operators trained and certified. 3.0

d. Fall protection provided and used. 4.0

LADDERS, SCAFFOLDS, AND ELEVATED WORK

PLATFORMS (cont'd)

Elevated work platforms (high-jackers, scissors lifts, JLG's, etc.)Elevated scaffold platforms are of substantial construction and secured properly.

Elevated work platforms are used in accordance with manufacturers recommendations. Outriggers provided and used as required.

Page 32: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

16

e. 3.0

TOTAL 99.0 0.0 0 0

LADDERS, SCAFFOLDS, AND ELEVATED WORK

PLATFORMS (cont'd)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.

Page 33: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

17

A. Required access and egress provided. 3.0

B. 4.0

C. 3.0

D. 3.0

E. 3.0

F. 3.0

G. 3.0

TOTAL 22.0 0.0 0 0

CONCRETE, CONCRETE FORMS,

SHORING, MASONRY

All exposed rebar ends protected from exposure, both vertical and horizontal.Masonry saws are guarded with a semicircular enclosure cover.All shoring erected to contain and / or support concrete is the required type and approved installation procedures are followed.Precast and lift slab operations are performed in accordance with respective standards.PPE required for these operations is provided and used which would include safety glasses, gloves, proper clothing and foot wear.All connections on air hoses and pipes are secured to prevent displacement.

Page 34: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

18 DEMOLITIONA. All operations are planned ahead. 3.0

B. Required access and egress provided. 3.0

C. 3.0

D. 3.0

E. 3.0

TOTAL 15.0 0.0 0 0

Material removal (floor holes, skip-pan, chutes, etc.) is conducted in an approved manner.Any and all asbestos containing material was removed prior to demolition.Structural member removal is conducted in an approved manner.

Page 35: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

19

A. 3.0

B. The blasting procedure is adhered to. 4.0

C. 4.0

D. 4.0

E. 4.0

TOTAL 19.0 0.0 0 0

BLASTING - USE OF EXPLOSIVESA blasting procedure has been developed

and addresses all current blasting activities.

Storage and transport of explosives are done in accordance with regulatory requirements, manufacturers instruction and the blasting policy and procedures.

An approved method for identifying and safely removing / eliminating "Boot Legs" or unsuccessfully detonated charges has been developed.Employees handling and using explosives have been trained and are certified.

Page 36: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

20

A. 3.0 NA

B. 3.0 NA

C. 4.0 NA

D. 4.0 NA

E. 3.0 NA

F. 3.0 NA

G. 3.0 NA

H. 4.0

HIGH-PRESSURE WATER CLEANING

Operators are wearing rainsuits, gloves, face shields, hard hats, safety glasses with side shields, rubber steel toe boots or metatarsal guards.Standby Operator(s) is wearing hard-hat and safety glasses with side shields.Operators are not allowing any part of their body to be placed in front of the water jet.Operators are not handling hose within one foot of hose-to-hose connections.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.

Work area is barricaded at a minimum of 4.5 meters and signs stating, "DANGER - HIGH PRESSURE WATER CLEANING."Equipment to be cleaned is dismantled / isolated, locked and tagged as required.

Page 37: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

20

I. 3.0

J. 1.0

K. 3.0

L. 3.0

M. 3.0

TOTAL 40.0 0.0 0 0

HIGH-PRESSURE WATER CLEANING

(cont'd)All fittings and components meet manufacturer's guidelines.

Records of high-pressure water cleaning equipment inspection are on file.Lance or mole marker 60 cm from nozzle end.Shotguns have a 2 meter shroud and are a minimum of 165 cm in length.Safety equipment has not been altered or by-passed.

Page 38: S&H Audit

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE

SAFETY AUDITFIELD EXECUTION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

21COMMUNITY EXPOSUREA. 3.0

C. 3.0

D. 3.0

TOTAL 9.0 0.0 0 0

Signs are posted to warn of equipment and vehicle traffic.Pedestrian / vehicle crossing areas are marked and provided where required.

Local public education efforts have been implemented to warn near by residents of the equipment / vehicle traffic in the area, and safe pedestrian practices to be used during daylight and night time operations.

Page 39: S&H Audit

SAFETY AUDIT

DETAILED ASSESSMENT SCORE SUMMARYFIELD EXECUTION

SCORE SET STANDARD REDUCTION

SECTION SECTION NAME

1 Housekeeping 13.0 0.0 9.1 NOT MET 0 0

2 Health & Hygiene 7.0 0.0 4.9 NOT MET 0 0

3 Work Area Lighting 7.0 0.0 4.9 NOT MET 0 0

4Personal Protective Equipment (P.P.E.) 50.0 0.0 35.0

NOT MET0 0

5 Hand Tools 7.0 0.0 4.9 NOT MET 0 0

6 Powder Actuated Tools 13.0 0.0 9.1 NOT MET 0 0

7 Power Tools and Power Equipment 16.0 0.0 11.2 NOT MET 0 0

8 Hot Work (Welding, Heating, Burning) 44.0 0.0 30.8 NOT MET 0 0

9 Electrical 36.0 0.0 25.2 NOT MET 0 0

10 Equipment Operations 105.0 0.0 73.5 NOT MET 0 0

11 Excavation and Trenching 27.0 0.0 18.9 NOT MET 0 0

12 46.0 0.0 32.2 NOT MET 0 0

13 Material Handling Storage 18.0 0.0 12.6 NOT MET 0 0

14 Signs, Signals, Barricades 10.0 0.0 7.0 NOT MET 0 0

15 Fire Prevention and Protection 42.0 0.0 29.4 NOT MET 0 0

16 99.0 0.0 69.3 NOT MET 0 0

17 22.0 0.0 15.4 NOT MET 0 0

18 Demolition 15.0 0.0 10.5 NOT MET 0 0

19 Blasting - Use of Explosives 19.0 0.0 13.3 NOT MET 0 0

20 High-Pressure Water Cleaning 40.0 0.0 28.0 NOT MET 0 0

21 Community Exposure 9.0 0.0 6.3 NOT MET 0 0

MAXIMUM POSSIBLE

ASSESSED TOTAL

MINIMUM STANDARD

MET / NOT MET

REPEAT DEFICIENCY

IMMINENT DANGER

Steel Erection and Floor and Wall Opening

Ladders, Scaffolds, and Elevated Work Platforms

Concrete, Concrete Forms, Shoring, Masonry

Page 40: S&H Audit

SAFETY AUDIT

DETAILED ASSESSMENT SCORE SUMMARYFIELD EXECUTION

SCORE SET STANDARD REDUCTION

TOTALS 645.0 0.0 451.5 NOT MET 0 0

Page 41: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTS

1

A. Policy statement is in writing. 1.0

B. Dated 1.0

C. Health & Safety objectives clearly stated. 1.0

D. Health & Safety responsibilities defined. 1.0

E. Management commitment is stated. 1.0

F. Posted for all employees to read. 1.0

G. 1.0

TOTAL 7.0 0.0 0 0

MAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

OCCUPATIONAL HEALTH & SAFETY POLICY STATEMENT

All employees are made aware of the policy content.

Page 42: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

2

A. 1.0

B. The previous years' statistics are available. N/A

C. Occupational injury / illness report utilized. 2.0

D. 1.0

E. First Aid log utilized / current / accurate. 1.0

F. 2.0

G. N/A

H. 2.0

I. 2.0

TOTAL 11.0 0.0 0 0

SAFETY AND MEDICAL

RECORDKEEPING PRACTICES

Injury statistics tabulated and utilized to identify positive / negative trends.

Supervisors' injury / illness investigation form utilized.

Required First Aid supplies are available / stored / dispensed in an approved manner.Prescription medications are available / stored / dispensed with approval of medical doctor.Person(s) administering First Aid are trained and certified.Employee exposure and medical records are maintained.

Page 43: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

3

A. The emergency plan is in writing. 1.0

B. There is a coordinator appointed. 2.0

C. 2.0

D. 2.0

E. 2.0

F. 2.0

G. 2.0

H. 2.0

TOTAL 15.0 0.0 0 0

EMERGENCY PREPAREDNESS

Supervisor First Aid training has been conducted.Required emergency lighting and power are available.Required emergency rescue equipment is available.Emergency team training drills have been conducted.Radios and other communication items are available.Periodic emergency evacuation drills are conducted for all employees.

Page 44: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

4

A. 2.0

B. 2.0

C. 2.0

D. 2.0

E. 2.0

F. 3.0

G. 3.0

H. Bag valve masks are readily available. 3.0

I. 3.0

J. 3.0

K. 3.0

TOTAL 28.0 0.0 0 0

INFECTIOUS DISEASES

A written exposure control plan has been established.Employees who have potential to come in contact with an infectious disease have been identified and trained.Hepatitis B vaccination has been offered to those employees having potential exposure.The medical treatment facility is maintained in a clean and sanitary condition.Hand-washing facilities and procedures are established and utilized.Employees exposed to blood or other body fluids utilize the P.P.E. required.Surgical gloves, masks, eye / face and protective clothing are available.

Sharps or syringes are placed in a labeled puncture- resistant, leak-proof container for disposal as required.Equipment and instruments are immediately disinfected after each use.Contaminated disposable objects or materials (bloody bandages, etc.) are placed in a leak-proof, puncture-resistant, red biohazard container for disposal as required.

Page 45: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

5

A. 2.0

B. Training is documented. 2.0

C. 2.0

D. 2.0

E. 2.0

F. 2.0

G. 2.0

TOTAL 14.0 0.0 0 0

HAZARD COMMUNICATION

PROGRAMA written program, specific to the operation, is in place and complete. (i.e. training, labeling, MSDS review, designated coordinator, inventory listing, etc.)

MSDS's for all materials on site are available.Copies of on site contractor hazcom programs are available.Employees are knowledgeable of the hazcom program based on responses to questions accordingly.Vessels and material containers are labeled as required.Hazard information posters / signs are displayed to inform employees.

Page 46: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

6 CONFINED SPACESA. 2.0

B. 3.0

C. 3.0

D. 3.0

E. Air sampling performed. 3.0

F. 3.0

G. 2.0

TOTAL 19.0 0.0 0 0

A confined space entry procedure, which meets requirements, is in place .Lighting and electrical tools used inside confined spaces are 12 volt or GFCI protected.

Required emergency equipment is available (i.e. body harness, S.C.B.A., fire extinguisher, etc.)

Stand-by ("Hole Watch") person(s) are used and are knowledgeable of confined space procedures.

Energy isolation / lock-out is implemented relative to confined space work.Entry permits, which meets requirements are used, and sign-off for responsible parties is provided and adhered to.

Page 47: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

7

A. 1.0

B. 1.0

C. 2.0

D. 1.0

E. 3.0

F. 3.0

G. 3.0

H. 3.0

I. 3.0

J. 2.0

K. 3.0

TOTAL 25.0 0.0 0 0

MOBIL EQUIPMENT OPERATIONS

There is a maintenance schedule for all mobil equipment and the schedule is followed.Daily pre-operational inspections are performed on all equipment.Annual crane / recertification inspections are performed.Mobil equipment accidents are investigated and reported.Suspended work baskets are certified as safe and utilized for personnel as required.Suspended work baskets are built according to approved designs.Suspended work baskets are labeled as required to show maximum weight capacity, maximum number of persons allowed and total basket weight (actual empty weight).Permits are utilized and retained for suspended work basket usage.

Critical lift permits are utilized where 80% of the crane capacity is exceeded.Operator certification program is utilized for aerial lifts, heavy equipment and vehicles.A load test has been performed that establishes a safety factor of 3 times for the suspended work basket.

Page 48: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

8

A. 2.0

B. 1.0

C. 1.0

D. 1.0

E. 1.0

F. 1.0

G. 2.0

H. 1.0

TOTAL 10.0 0.0 0 0

INSPECTION PROCEDURES

Regular safety inspections of the site / operation are conducted and documented.There is an inspection program for power tools.There is an inspection program for personal protective equipment.There is an inspection program for portable ladders.

There is an inspection program for electrical extension cords, temporary electrical distribution installations and electric (ARC) welding equipment..

There is an inspection program for rigging equipment and hoisting devices.There is a follow-up procedure established for the correction of deficiencies noted during inspections.There is an inspection program for emergency rescue equipment.

Page 49: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

9

A. 2.0

B. 2.0

C. 2.0

D. 2.0

E. 2.0

F. 2.0

G.

1 A proper filtration system. 2.02 A carbon-monoxide alarm. 2.03 A reserve air tank. 2.04 A compressor failure alarm. 2.0

5 2.0

H. 2.0

I. 2.0

J. 2.0

TOTAL 28.0 0.0 0 0

RESPIRATORY PROTECTION

There is a written respiratory protection program which addresses the respiratory protection exposure / need as required.Fit testing is provided for all employees required to wear respirators.Respirators used are selected according to the hazard present.

Respiratory protection training is conducted.Records of training, medical evaluation and fit testing available and meets requirements.Breathing air for supplied air respirators meets breathing air requirements.If a breathing air compressor is used it is equipped with the following:

Hose couplings that are incompatible with other couplings.

The air quality from the breathing air compressor is periodically sampled.

Breathing air cylinders are labeled as required.The quantity of air available in breathing air cylinders is monitored to assure there is sufficient air to exit the area.

Page 50: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

10

A. 1.0

B. 1.0

C. 1.0

TOTAL 3.0 0.0 0 0

ENFORCEMENT AND DISCIPLINE

Employee Health & Safety responsibilities have been communicated to all employees.Supervisor Health & Safety responsibilities have been communicated to all supervisors.Records of employee safety related discipline are maintained. (i.e. verbal / written warning, retraining, termination, etc. )

Page 51: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

11

A. 2.0

B. 2.0

C. Task specific training is conducted. 2.0

D. 2.0

E. 2.0

F. Visitor safety induction program is in place. 2.0

TOTAL 12.0 0.0 0 0

EDUCATION AND TRAINING

New employee orientation is provided for employees.Safety training programs are conducted for management and supervisors .

Safety meetings are conducted for all employees, supervisors and management.Emergency preparedness and evacuation training is in place.

Page 52: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

12

A. 10.0

B. 3.0

C. 1.0

TOTAL 14.0 0.0 0 0

PERFORMANCE INDICATORS

There has not been a fatal injury in the workplace during the past six months.

The year to date lost time injury frequency rate (LTIFR) case rate is at or below the established goal. Actual, YTD_____ Current Goal______

Contractor / sub-contractor experience is reported and measured.

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* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

13

A. 1.0

B. 2.0

C. A standard investigation format is used. 1.0

D. 1.0

E. 1.0

F. 2.0

G. 1.0

TOTAL 9.0 0.0 0 0

ACCIDENT / INCIDENT INVESTIGATION

There is a written accident / incident policy.Accident / incident policy complies with local regulatory reporting requirements.

Serious injury and fatal injury accidents are communicated to management personnel, expeditiously as required.All lost time injury reports are reviewed by site management. There is a remedial follow-up and action plan to prevent recurrences of accidents / incidents.Accident / incidents information is shared with other operations / projects.

Page 54: S&H Audit

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE

SAFETY AUDITADMINISTRATION

SCORE PENALTY

ASSESSORS COMMENTSMAXIMUM POSSIBLE

ACTUAL SCORE

* REPEATED DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

QUALITY ITEMS

14 CONTRACTORSA. 1.0

B. 1.0

C. 1.0

D. 2.0

E. 2.0

F. 2.0

G. 2.0

H. 2.0

TOTAL 13.0 0.0 0 0

Written qualifications are established for the selection of contractors.Past Health & Safety performance is factored into contractor selection.Contractors are required to provide a copy of their safety program.Prior to starting work on-site, contractors are provided site orientation.Prior to starting work on-site, contractors are provided the operation’s health and safety rules, and emergency procedures.

Prior to starting work on-site, contractors are made aware of any chemicals they may encounter on-site.

Prior to bringing any chemicals on-site, contractors are required to inform the operation of the chemicals and provide a materials safety data sheet (MSDS).

Contractors are required to follow the same health and safety rules as Fluor Daniels employees.

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SAFETY AUDIT

DETAILED ASSESSMENT SCORE SUMMARYADMINISTRATION

SCORE SET STANDARD REDUCTION

SECTION SECTION NAME

1 7.0 0.0 4.9 NOT MET 0 0

2 11.0 0.0 7.7 NOT MET 0 0

3 Emergency preparedness 15.0 0.0 10.5 NOT MET 0 0

4 Infectious diseases 28.0 0.0 19.6 NOT MET 0 0

5 Hazard communication program 14.0 0.0 9.8 NOT MET 0 0

6 Confined spaces 19.0 0.0 13.3 NOT MET 0 0

7 Mobil Equipment 25.0 0.0 17.5 NOT MET 0 0

8 Inspection Procedures 10.0 0.0 7.0 NOT MET 0 0

9 Respiratory protection 28.0 0.0 19.6 NOT MET 0 0

10 Enforcement and discipline 3.0 0.0 2.1 NOT MET 0 0

11 Education and training 12.0 0.0 8.4 NOT MET 0 0

12 Performance indicators 14.0 0.0 9.8 NOT MET 0 0

13 Accident / incident investigation 9.0 0.0 6.3 NOT MET 0 0

14 Contractors 13.0 0.0 9.1 NOT MET 0 0

TOTALS 208.0 0.0 145.6 NOT MET 0 0

MAXIMUM

POSSIBLE

ASSESSED TOTAL

MINIMUM STANDAR

D

MET / NOT MET

REPEAT DEFICIENC

Y

IMMINENT DANGER

Occupational health & safety policy statement

Safety and medical recordkeeping practices

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SAFETY AUDIT

PROJECT NAME: ASSESSMENT DATE:

PROJECT MANAGER: ASSESSOR(S):

0.00%FINAL SCORE

IMMINENT DANGER REDUCTION (IDR)

A. = 0

ADMINISTRATIVE 208.0 0.00 0.00 NO

FIELD EXECUTION 645.0 0.00 0.00 NO B. = 0.00

SUBTOTAL 853.0 0.00 0.00 NO

IDR POINTS (SUBTRACT) 0.00 C. = 0.00

TOTAL 853.0 0.00 0.00 NO

ASSESSMENT SCORE SUMMARY

MAX POSSIBLE

ASSESSED TOTAL

COMPLIANCE SCORE

COMPLIANCE STANDARD ACHIEVED

Imminent Danger Instances

15% of Assessed Subtotal

IDR Points ( A x B )

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SAFETY AUDIT

DETAIL OF NOTED DEFICIENCIES

DESCRIPTION OF DEFICIENCYDEFICIENCY

NUMBERDATE

CORRECTEDSIGNATURE

SITE MANAGER