Compliance Manager Job Site Inspection Form
Person Completing Audit
Please Select
AJ Terry
Other
Date
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Month
-
Day
Year
Hour Minutes
AM
PM
AM/PM Option
Store Name & Number
Please Select
Paola WM #242
Olive Branch, MS #2442
Decatur, AL # 2084
Little Rock, AR #2737
Derby, KS #2448
Independence, KS #2893
Augusta, KS #
Jobsite Drive Around/Laydown Yard
Is the jobsite fence placed in proper location and netting in good condition?
Yes
No
N/A
Driven posts only?
Yes
No
N/A
Correct color of shade cloth depending which job? (i.e. Red for target)
Yes
No
N/A
Jobsite free of any obvious signs of Safety concerns?
Yes
No
N/A
Are the Streets and parking lot clear of trash and construction debris?
Yes
No
N/A
Are the Conex in proper location? Are they marked appropriately? (i.e. white duct tape, magnets)
Yes
No
N/A
Are the materials in the lay down yard in a safe and appropriate place?
Yes
No
N/A
Are Subs and GC personnel parking in proper location?
Yes
No
N/A
All equipment that is not being utilized, is in proper parking/storage location free from damage or hazards?
Yes
No
N/A
Are we only using sliding gates?
Yes
No
N/A
Correct CCC signage?
Yes
No
N/A
Do we have Coming soon/open during remodel signs? (if applicable)
Yes
No
N/A
Drive Around/Laydown Site Score
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Jobsite Trailer/Office Review
Compliance Board Placed on wall and ready for binders or postings?
Yes
No
N/A
Site progress plans and/or drawings placed on wall or documented in WRIKE to keep work progress updated?
Yes
No
N/A
Is a properly completed Incident Reporting Compliance Placard posted in a binder or binder holder on the Compliance Board on the wall of jobsite trailer? (placards must contain name and number of the Owner's contact and GC Super)
Yes
No
N/A
Do we have info placed on Compliance Board of GC Assistant Super or other personnel listed who will be onsite?
Yes
No
N/A
Is the Construction Activity Log up to date?
Yes
No
N/A
Are Subs Certifications Completed?
Yes
No
N/A
Is the Jobsite Trailer Clean?
Yes
No
N/A
Are WV Forms and Master list (if applicable) present in jobsite trailer along with badging system. Binder with Badges inside and labeled by trade. Checking in and out badges daily to Subs.
Yes
No
N/A
Is a competent/qualified persons form FILLED out and placed in/on the compliance binder/board with the responsible individual indicated for ALL trades conducting work on site? Documentation of certification classifying that person as such? (certifications on File i.e. NFPA 70E for electricians)
Yes
No
N/A
Is there a Daily report binder and holder along with Packing slip binder and holder?
Yes
No
N/A
Jobsite Trailer/Office Review Score
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Safety
Do the workers have on Hard Hats and Safety Vests On?
Yes
No
N/A
Do the workers have Safety glasses on?
Yes
No
N/A
Do the workers have on there badges?
Yes
No
N/A
Is a safety plan available on-site that addresses the criteria of Lockout/Tagout? See below for Specifics.
Yes
No
N/A
Is a safety plan available on-site that addresses the criteria of Fall Protection? See below for Specifics.
Yes
No
N/A
Is a safety plan available on-site that addresses the criteria of Trenching/excavation? More info below on specifics.
Yes
No
N/A
Is a safety plan available on-site that addresses the criteria of segregation of construction work from the retail environment (if applicable)?
Yes
No
N/A
Is a safety plan available on-site that addresses the criteria for Scaffolding? See below for specifics or remarks.
Yes
No
N/A
Have we met the requirements for conducting and documenting weekly safety meetings?
Yes
No
N/A
Do Superintendents, assistant superintendents, field engineers know where they can find SDS's for products used for on-site construction activities? (must be available on-site, an electronic version is acceptable)
Yes
No
N/A
Safety Scoring
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Lockout/Tagout LOTO
Are LOTO activity log posted on the front of ALL electrical panels on-site and are WE inspecting electrical work, reviewing each log, and initialing each line of the LOTO log? (each line of a LOTO circuit should be initialed by Superintendent unless the assessment has not been done for the day yet)
Yes
No
N/A
Is the Superintendent's daily inspection log posted on or right next to ALL LOTO electrical panels on-site and is the Super inspecting electrical work, reviewing each log, and initialing the logs each day. (should find the Super's initials or signature unless the assessment has not been done for the day yet)
Yes
No
N/A
Are existing labels (Arc Flash, Incident Energy, PPE) on panels not being covered by the LOTO activity logs and/or Superintendent daily reports?
Yes
No
N/A
Are we creating a new electrical circuit directory as directed in the plans and specs?
Yes
No
N/A
LOTO Score
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Hot Work
Have we requested, received, and completed the proper WM hot work permit for any ongoing hot work? (cause ignition including, cutting, welding, grinding, soldering, brazing, etc. Task specific and permits are only good for one shift not job specific or 24hours even)
Yes
No
N/A
Do we have copies of all previous hot work completed on-site and readily available?
Yes
No
N/A
Are we following hot work permit process? (Continuous fire watch present during the whole permitted event and for at least 1 hour after and 3 hour intermittent fire watch after the one hour)
Yes
No
N/A
Are we following welding requirements in the compliance performance standards for construction? (i.e. hot work permits process including fire watch requirements, Ventilation provided to prevent fumes, gases, smoke etc., Battery operated welders (when needed) are being used to eliminate the hazards associated with electrical supply cables and combustion engines)
Yes
No
N/A
Hot Work Scoring
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Scaffolding & Fall Protection & Trip Hazards
Do we have protocols in place for scaffolding? (i.e. inspections and sub inspections) Are workers following that protocol?
Yes
No
N/A
Do we have Fall Safety protocols in place and Are workers following that safety protocol?
Yes
No
N/A
Have we mitigated the possibility of trip hazards? In particular New flooring to old, exposed concrete to existing flooring? (i.e. extension cords, un-even surfaces, marked steps and ramps (paint/tape)
Yes
No
N/A
Scaffolding & Fall Protection & Trip Hazards Score
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Excavating & Trench Work
Have we called the appropriate entity for a locate before excavating?
Yes
No
N/A
Are worker protection measures installed for occupied trenches 5' deep or greater? (1 of 3 required, 1. sloping walls 2. benching or stair stepping of walls 3. mechanical protection/trench box)
Yes
No
N/A
Is there a designated path for dirt, concrete spoil, and rock removal? Is path cleaned/cleared after use? Are we avoiding food prep areas on that path?
Yes
No
N/A
Excavating & Trench WorkScore
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Containment Plan
Select containment type.
Visqueen
Hard Wall
N/A Existing Walls/Doors
Visqueen placed in proper location and the poles placed at the right distance between them?
Yes
No
Visqueen installed correctly at right height and secured where it needs to be with no holes or tears?
Yes
No
Hard Wall Containment installed properly with door and 3-4 number pad lock on it?
Yes
No
Walls have no sharp edges or splinters?
Yes
No
No catches, cracks, bulges?
Yes
No
Does door to wall have a lock.
Yes
No
Are we maintaining existing door/wall?
Yes
No
Visqueen Appearance Score
Hardwall Appearance Score
Existing Door/Wall Appearance Score
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D.O.W.N.
Is all trash removed in a clean covered trash cart?
Yes
No
Is there a Designated Path for worker access?
Yes
No
Is there a designated path for dirt, concrete spoil, and rock removal thats clean after use?
Yes
No
Are we setting up the designated removal routes to avoid food prep areas?
Yes
No
Are we covering air ducts, filters, return vents, (even non functioning supply vents) during the duration of work in the construction area?
Yes
No
Are dust face masks for cleaner air breathing being worn if required?
Yes
No
Are we keeping doors/walls, and screens in place and closed or zipped up as much as possible to keep odor down/mitigated?
Yes
No
Are we using filters and checking/replacing filters when necessary?
Yes
No
N/A
Are we using machines/fans to vent odor's to the exterior of building?
Yes
No
N/A
Are we using the proper equipment in the right areas of the project?
Yes
No
Are we avoiding the use of combustion engines causing smoke or gas fumes?
Yes
No
Are we using electric heaters rather then torpedo gas or kerosene heaters?
Yes
No
N/A
Do We have an Emergency Spill kit and do workers know the location of the kit?
Yes
No
Is all work involving water pre planned and up to protocol?
Yes
No
Are we prepared in the event of a water leak?
Yes
No
Do we have a procedure in place to inform the proper entities in case of a water leak?
Yes
No
Is plumbing is being re-worked is it valved and capped?
Yes
No
N/A
Building free from any undesigned penetrations to the exterior skin?
Yes
No
If there is penetration, is it water tight?
Yes
No
N/A
Are there temperature controls in place to keep moisture down in/on walls if penetrated to exterior?
Yes
No
N/A
Is a noise dampening wall required? If so installed properly?
Yes
No
N/A
Are we using the right equipment for the job to reduce the noise within the job-site? (i.e. Tin Snips instead of saw, beam clamps instead of shot, sheers instead of recip saw, use diamond wet saw instead of jack hammer, etc.)
Yes
No
Are we scheduling noise making periods within the proper time frame of the businesses open hours of operation?
Yes
No
Are we prefab where possible?
Yes
No
N/A
Are we eliminating vulgar language and obscene gestures from the job-site?
Yes
No
D.O.W.N Score
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Housekeeping
Are we clear of any obstructions keeping us from being on time with work?
Yes
No
Trash and debris picked up from Jobsite?
Yes
No
Are jobsite spoils, rock, and dirt piles outside and in a compliant location?
Yes
No
Do we have a scheduled haul off date for the outside piles of construction debris?
Yes
No
N/A
Are we only using electrical and propane equipment while inside the building?
Yes
No
Are we following procedures for CO monitoring?
Yes
No
N/A
Where work could produce silica exposure, did we effectively make use of wet methods and or HEPA vacuum to control exposure?
Yes
No
N/A
Are we using barricades on the sales floor properly? (Buckets, PVC Posts and rope and plastic chains)
Yes
No
N/A
Is there Signage around the Jobsite communicating possible dangers? (i.e. trip hazards, drips, spills, wet floor, debris, and sharp edges?
Yes
No
House Keeping Score
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Hazardous Waste Management
Are we disposing of our waste and excess materials according to the compliance standards?
Yes
No
N/A
Is there a hazardous waste storage area on-site to store hazardous waste separate from other materials/waste?
Yes
No
N/A
Is haz waste stored in the proper area and with proper signs and protected from the weather? (i.e. "Haz Waste", "No Smoking", Clearly marked signs indicating specific types of waste)
Yes
No
N/A
Is there a method in place to effectively segregate the various classifications of hazardous waste? (i.e. flammable gas, flammable solid, corrosive substance, toxic substance or reactive substance) **Hazardous separation boundaries on flooring of Conex boxes, in storage area based on classification, or in different containers**
Yes
No
N/A
Is each container in the haz waste area that contains haz waste or universal waste material labeled according to the hazardous waste labeling guide including an accumulation start date?
Yes
No
N/A
Are waste barrels labeled/placard with sticker placarding supplied?
Yes
No
N/A
Is waste properly managed on-site with all open top dumpsters inside a fence or other wise a secured area from unauthorized access, with the gate locked? (can be outside a fence if they have locked lids that are kept locked)
Yes
No
N/A
Are open top dumpsters free of hazardous waste or universal waste?
Yes
No
N/A
Can we provide evidence that contaminated soils (if applicable) are being properly managed and disposed of?
Yes
No
N/A
Haz Waste Score
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Crane Work
Yes
No
N/A
Notes
Do we have crane plans/protocols in place?
Are we operating cranes per protocol?
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Additional Notes
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