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FIELD AUDIT CHECKLIST <br /> Project Name-. Project No.: <br /> Field Location: Completed by: <br /> Project Manager: Site Safety Coordinator: <br /> General Items In Compliance? <br /> Health and Safety Plan Requirements Yes No NA <br /> I Approved health and safety plan(HASP)on site or available <br /> 2 Names of on-site personnel recorded in field logbook or daily log <br /> 3 HASP compliance agreement form signed by all on-site personnel <br /> 4 Material Safety Data Sheets on site or available <br /> 5 Designated site safety coordinator present <br /> 6 Daily tailgate safety meetings conducted and documented <br /> 7 On-site personnel meet HASP requirements for medical examinations,fit <br /> testing,and training(including subcontractors) <br /> 8 Compliance with specified safe work practices <br /> 9 Documentation of training,medical examinations,and fit tests available <br /> from employer <br /> 10 Exclusion,decontamination,and support zones delineated and enforced <br /> # <br /> I I Windsock or ribbons in place to indicate wind direction <br /> 12 Illness and injury prevention program reports completed(California only) <br /> Emergency Planning <br /> 13 Emergency telephone numbers posted <br /> 14 Emergency route to hospital posted <br /> 15 Local emergency providers notified of site activities <br /> 16 1 Adequate safety equipment inventory available <br /> 17 First aid provider and supplies available <br /> 18 Eyewash stations in place <br /> Air Monitoring <br /> 19 Monitoring equipment specified in HASP available and in working order <br /> 20 Monitoring equipment calibrated and calibration records available <br /> 21 Personnel know how to operate monitoring equipment and equipment <br /> 23 1 manuals available on site <br /> Environmental and personnel monitoring performed as specified in HASP <br /> Form AF-1 Page 1 of 2 <br />