St. Louis Audit of Fall Risks (SAFR) Audit
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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 |
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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 |
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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 |
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46. Pump Jack: Maximum height is 50’ |
Yes |
No |
|
47. Pump Jack: Workers only disengage 1 brake at a time |
Yes |
No |
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48. Job-Built: Set up on level, stable footing |
Yes |
No |
|
49. Job-Built: Platform is secure & stable |
Yes |
No |
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50. Job-Built: Platform is 18” wide |
Yes |
No |
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Personal Fall Arrest No Fall Arrest Observed □ |
51. Workers wearing fall arrest use approved harness that is worn properly |
Yes |
No |
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52. Lanyard is properly attached to secure anchorage point / lanyard length is correct |
Yes |
No |
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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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