• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Safety Meetings/Trainings

  • Fall Protection Training

  • Mobile Equipment Operator Certifications

  • Weekly Safety Meetings

  • New Employee Orientations

  • Spot check 1: Safety Meeting/Training

  • Spot check 2: Safety Meeting/Training

  • Spot check 3: Safety Meeting/Training


  • Hazard assessments complete

  • Noise exposure documented

  • Confined space survey complete

  • Confined space correctly labeled

  • Confined space procedures OK

  • Eyewashes as needed, maintained

  • Proper use/condition/storage of PPE

  • JHA development/training


  • Field practices OK

  • Devices OK

  • Authorized person training complete

  • Written procedures OK

  • Periodic inspections done

  • Evaluate proficiency of training

First Aid/Emergency Action

  • 1st responders trained, all shifts

  • 1st responders HBV vaccine

  • Complete written EAP

  • First aid supplies & PPE at hand

  • Procedures & phone #'s posted

  • Evaluate proficiency of training

Fire Safety/Evacuation

  • Clear egress routes, exit signs

  • Proper storage of flammables

  • Fire ext. in place, charged

  • Fire ext. monthly & annual checks

Hazard Communication

  • MSDS complete

  • Chemical inventory complete

  • Notice to contractors

  • Proper container labeling

  • Evaluate proficiency of training

Mobile Equipment

  • Back up alarms functional

  • Equipment signage and lights

  • Observed safe operation

  • Crane inspections documented

  • Operators wearing seatbelts

Paperwork & Admin

  • OSHA Form 300 complete

  • Core team accident investigation

  • KMI hazard ID active last 3 months

  • KMI entries being addressed

  • Policy manual updated


  • Maintenance shop areas

  • Mobile equipment cabs

  • Stairs and catwalks

  • Storage areas

  • Break rooms

  • Clearance around rails

  • Scrap material storage

  • Proper spill management

Torch Safety

  • Smooth clear ground surface

  • Fire ext/dunk tanks on hand

  • Hose in good condition, splices OK

  • Uniforms and PPE OK

  • Flame arrestors on hoses

  • Dual inspection in place

Electrical Safety

  • GFCIs in wet or outside areas

  • Cords/plugs in good condition

  • Elec. panels not blocked

  • Breakers/disconnects labeled

  • No open electrical

  • Voltage rated gloves inspected

Compressed Gas Cylinders

  • Stored in rack- chained

  • Caps on while stored

  • Signage (ID, hazards, no smoking)

  • Oxygen/fuel separated in storage

Fall Protection

  • Fall arrest gear in use as needed

  • Documented equipment inspection

  • Appropriate lanyards in use

  • Operators dismounting safely

Walking/Working Surfaces

  • Guardrails/Stair rails per OSHA

  • Fixed ladders/stairs per OSHA

  • Pits/floor holes guarded

  • Portable ladders in good shape

  • Free of trip hazards

Machine Guarding

  • All guards in place

  • Conveyor undersides to 7'

  • Bench & hand grinders OK

Shop Related

  • Hand tools in good condition

  • Load supporting equipment rated

  • Equipment mounted/secured

  • Air wands relieve at 30 psi

  • Lifting slings in good condition

  • Sling inspections documented

Lead/As/Cd Program

  • Work area warning signs

  • Approved respirators in use

  • Locker room/other areas clean

  • Areas wet or vacuum cleaned

  • Clothing properly stored

  • Proper laundry frequency

  • Observed good hygiene practices

  • Air testing up to date

  • Medical surveillance up to date

Fixed Equipment

  • HRB infeed visible to operator

  • Picking station e-stop cables

  • Task lighting adequate

Site Security

  • Written SSP complete & current

  • Cash/Camera/Alarm signs

  • Panic alarms in place


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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.