Jsa :: jobsite safety audit
Jobsite safety audit
What does this form include?
This form contains 12 sections:
Date and time Date
Job Description
Work location
JSA / Audit
- IS SPECIAL TRAINING REQUIRED?
PROCEDURES OR PERMITS REQUIRED:
- Fill Out and Attach Appropriate Tag?
- Fill Out Confined Space Permit?
- Fill Out Daily Excavation Safety Checklist
- Fill out Hot Work Permit
- Fill Out Barricade Tag
OTHER (Enter Description)
Trench and Excavation:
- Sloped or Shielded Excavation (Over 5vf)
- Spoil Pile Greater Than 2lf From Edge of Excavation
- No Water Present
- Means of Egress and Access
Confined Space:
- Air Monitor
- Confined Space Attendant Sign IN/OUT
- Ventilation System
- Retraction (Rescue) Device
Lifting or Rigging:
- Certified Chains
- Slings, Hooks, Clevices
- Identify Weight of Materials Being Lifted
- Verify Reach and Load Limits of Equipment Doing Lifting (Verify Equipment Specific Lifting Chart)
Fall Protection:
- Is Work Over 6vf Off The Ground? (If Yes, Fall Protection Required)
ADDITIONAL COMMENTS:
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