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St. Louis Audit of Fall Risks (SAFR) Audit



Vicki Kaskutas, Bradley Evanoff, Ann Marie Dale, Hester Lipscomb
Washington University - St. Louis

Dwelling ID #____________________
Observer_____________
Date_________
Time______

Multi-site Development? yes no

Type of Construction □ new □ remodel/renovation

Type of Dwelling □ single family □ 2-3 family dwelling □ 4+ family dwelling

Stage of Construction
□ ground breaking/ layout
□ foundation
□ framing 1st story
□ framing upper floors-2/3
□ truss installation
□ roof sheathing,
□ window/door setting
□ drywall installation
□ interior finish (other than drywall)
□ exterior finish/siding
□ other (describe)_____________________________________________

Crew Cycle Time _____
Type of Crew_________________
# in Crew _____
# Jman/App_____

**Write NS (Not Seen) after item or mark box after category not seen during the worksite audit**

        

YES NO COMMENTS (describe all NO ratings)

General Safety Climate & Housekeeping

1. All workers wear hard hats

 Yes

  No

 

2. All workers wear safety glasses or other form of eye protection

 Yes

  No

 

3. Pathways & access points are free of materials, debris & projectile hazards

 Yes

  No

 

Floor joist & Sub-floor Installation                                   No Joist/Sub-Floor Installation Observed  □

4. Floor joists are set/secured from ladder, ground, scaffold; not from beam/top plate

 Yes

  No

 

5. First sheet of sub-floor installed from ground, ladder or scaffold; not from joist

 Yes

  No

 

6. Workers install subsequent sub-flooring standing on established deck; not on joists

 Yes

  No

 

Walking Surfaces & Edges

7. Walking surfaces >6’ above lower level are protected by guardrail or erected wall

 Yes

 No

 

8. All walking surfaces >6’ above lower level that are not protected by guardrail or wall are identified with a warning line painted 6’ from leading edge 

 

 Yes

 

  No

 

9. All areas with unprotected walking surfaces are designated Controlled Access Zones; CAZ boundary is clearly marked, workers monitored, & access restricted

 

 Yes

 

 No

 

10. Guardrails protecting openings are constructed sturdily (200# force) with 2 x 4’s, top rail 42”, mid-rail 21”

 

 Yes

 

  No

 

11. Holes >6’ above lower levels are covered; a hole is a gap >2” in a pathway commonly accessed

 

 Yes

 

 No

 

12. Stairwell has sturdy handrail on at least one side

 Yes

  No

 

Wall Openings (window/door)                                                   No Wall Openings Observed  □

13. Walls >6’ above lower levels that have openings with bottom edge < 39” from floor are protected by guardrails

 

 Yes

 

 No

 

14. For walls > 6’ above lower levels, guardrails are constructed sturdily (200# force) with 2 X 4’s, top rail 42”, mid-rail or lower wall at 21” from ground

 

 Yes

 

 No

 

Truss Setting                                                                               No Truss Setting Observed  □

15. Performs preparation & lay out for trusses from subfloor/ladder, not top  plate

 Yes

  No

 

16. For walls up to 8’, trusses are installed from ladder or scaffold along interior wall

 Yes

  No

 

17. For walls >8’,first 2 trusses are set from ladder or scaffold; not any top plate

 Yes

  No

 

18. For walls >8’, common trusses are set and secured from ladder, scaffold, or interior top plate using stable truss for support; not standing on exterior top plate

 

 Yes

 

  No

 

19. Worker removes chain/webbing from truss while standing on ladder/secure truss

 Yes

  No

 

20. Workers lift boards/stand trusses only when using stable truss for support

 Yes

  No

 

Roof Sheathing (not shingling)                                                    No Roof Sheathing Observed  □

21. Bottom row of roof sheathing installed from truss web, ladder, scaffold

 Yes

  No

 

22. Workers install slide guard on 1st  row of sheathing before installing next row

 Yes

  No

 

23. Slide guard are > 2 x 4 boards, bottom guard is perpendicular to sheathing

 Yes

  No

 

24. Slide guard intervals: pitch up to 9 in 12 at 13’ intervals, >9 in 12 at 4’ intervals

 Yes

  No

 

25. Slide guards are installed across full width of the roof & on all sides of roof

 Yes

  No

 

26. Roof is clear of sawdust, debris and dew/ snow/ice if workers are on roof

 Yes

  No

 

27. If slide guards are not used, fall arrest is properly used by all workers on roof
*If Yes, please complete items 51 & 52

 Yes

 No

 

Ladders                                                                                        No Ladders Observed  □

28. Straight, free of cracks / broken parts, free of mud / ice, side locks on step ladder

 Yes

  No

 


29. Set up on level and solid base, securely set at the bottom

 Yes

  No

 

30. Extension & job-built ladders are secured at the top in appropriate manner

 Yes

  No

 

31. Step ladders fully opened & side locks engaged, not leaned on structure like straight ladder

 

 Yes

 

 No

 

32. Extension & job-built ladders are set at correct angle of 1:4 ratio (palms of hands reach side rails if toes at base)

 

 Yes

 

  No

 

33. Extension & job-built ladders extend 3’ past upper landing surface

 Yes

  No

 

34. Workers do not work from top 3 rungs of extension & job-built ladders & top rung or platform of step ladder

 

 Yes

 

  No

 

35. Workers maintain 3 points of contact while climbing ladders & do not carry supplies while climbing ladder

 

 Yes

 

  No

 

36. Workers always keep belt buckle within side rails & both feet on ladder

 Yes

  No

 

37. Workers drag excess mud off of shoes before climbing ladder

 Yes

  No

 

Scaffolds                                                                                        No Scaffolds Observed  □

38. All Scaffolds: Fall protection used if > 10’ tall (personal fall arrest/guardrail/net/ handrail) *If Yes, complete items 51 & 52

 

 Yes

 

 No

 

39. Ladder Jack: Ladders are safely secured at both the top & bottom

 Yes

  No

 

40. Ladder Jack:  Maximum height is 20’

 Yes

  No

 

41. Ladder Jack:  Walk board is 12” wide

 Yes

  No

 

42. Ladder Jack:  3rd ladder present to access if walk board outside of ladders

 Yes

  No

 

43. Ladder Jack:  If access ladder is present, it extends 3’ above walk board

 Yes

  No

 

44. Pump Jack: Set on secure / stable base

 Yes

  No

 

45. Pump Jack: 4 x 4 posts are properly braced & secured to building

 Yes

  No

 

46. Pump Jack: Maximum height is 50’

 Yes

  No

 

47. Pump Jack: Workers only disengage 1 brake at a time

 Yes

  No

 

48. Job-Built:  Set up on level, stable footing

 Yes

  No

 

49. Job-Built:  Platform is secure & stable

 Yes

  No

 

50. Job-Built:  Platform is 18” wide

 Yes

  No

 

Personal Fall Arrest                                                                   No Fall Arrest Observed  □

51. Workers wearing fall arrest use approved harness that is worn properly

 Yes

  No

 

52. Lanyard is properly attached to secure anchorage point / lanyard length is correct

 Yes

  No

 


Does work appear appropriate for present weather conditions?
Comments (if no include comments)

Mud
Yes No Not Observed_______________________________

Wind
Yes No Not Observed_______________________________

Snow
Yes No Not Observed_______________________________

Rain
Yes No Not Observed_______________________________

Ice
Yes No Not Observed_______________________________

Heat
Yes No Not Observed_______________________________

Audit End Time_______________
Time at End of All Interviews__________________

Assessment of Work Site:

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

Additional Notes
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

Brief Worker Questionnaire

Dwelling ID #______________
Interviewer _________________
Interviewer received verbal consent from worker Yes No (if No, discontinue questionnaire)

Personal Data

How old are you?___________

How long have you worked in the carpentry trade? ________years (or ______months)

How long have you been in the carpenters’ union? ________years (or ______months)

Are you a journeyman or apprentice carpenter? Journeyman Apprentice

If an apprentice, what term of apprenticeship are you? 1st 2nd 3rd 4th 5th 6th 7th 8th

Are you the foreman at this site? Yes No

How long have you worked for (state contractor’s name)? ________years (or ______months)

Worksite Training
The next two questions concern training that you have received by (insert contractor’s name). By training I mean a tool box talk, safety meeting, demonstration or on-the-job mentoring; however, not simply being provided with a piece of paper with rules or techniques. I will first ask about any safety training and then about specific fall protection training.

How many times in the past year have you received any safety training by (insert contractor’s name)? __________

How many times in the past year have you received fall protection training by (insert contractor’s name); such as proper use of ladders, scaffold set-up, toe board placement, etc.?______________

Many residential construction sites must have a Fall Prevention Plan and train all workers who might be subject to fall hazards.
Has the Fall Prevention Plan for (insert contractor’s name) been communicated to you? Yes No

Fall Arrest Equipment
Is fall arrest equipment (harness, tie offs) available at this worksite? Yes No Don’t know


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