Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Safety Orientation given to each employees?
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Safety Guidelines manual given to each supervisor or foreman?
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Posters (OSHA, EEOC, Minimum Wage, Emergency Numbers, Misc, State and Others) conspicuously dispalyed?
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First Aid available on site?
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All accidents investigated by Supervisor?
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Accidents forms available?
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Safety Data Sheets (SDS) available and accessible to all employees?
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Is required PPE (Hard hats, safety glasses, ear plugs) being worn? <br>
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Are fire extinguishers easily available?
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Fire escapes and exits clearly marked?
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Ground fault circuit interruptors (GFCI) in use?
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Electrical extension cords in good condition?
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Cords and other temporary wiring protected from damage and arranged so not to create trip hazards?
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Welding and cutting areas well ventilated?
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Guards in place on all hand held grinders?
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Cylinders secured against falling?
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Rigging equipment inspected prior to use and as necessary during use?
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Housekeeping well maintained?
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Work areas kept free of slipping and tripping hazards?
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Floor and wall openings protected by covers and or guardrails?
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All tools (Company and Craft) in safe working condition?
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Guards used on all power tools designed for use on guards?
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Is trenching and excavation work being done?
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Is it Shored and or sloped to the proper angle of repose for the class of soil?
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Goggles and face shields provided and use enforced where they are needed?
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Safety clips or retainers used with pneumatic impact tools?
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Are cranes and associated equipment inspected before use?
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Are crane operators NCCCO certified?
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Are all riggers and signal persons trained and qualified?
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Ladders provided where no permanent or temporary stairs are available?
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Ladders extend at least 3' above landings and are tied off?
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Scaffold in safe condition with good footing?
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Scaffold and platforms more than 10' above the ground have guardrails and toe boards?
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Employees working at elevated locations utilizing fall protection?
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If respiratory protection is used are employees trained and fit tested?
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Has all equipment energy sources been locked out before any work on equipment or systems is done?
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Who has confirmed that lock out has actually taken place?
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If confined space work is to be done will a Confined Space Entry Procedure be followed? <br>
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Who is responsible for issuing entry permits?
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Are all affected workers trained to perform confined space entry and follow the procedure?
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If working in a roadway has a Work Zone Traffic Plan been developed in accordance with the MUTCD?
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Has a Traffic Control Supervisor reviewed the plan?
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Are barrier walls, cones, barrels, and barricades in place and in good condition?
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If flaggers are used are they trained protected while doing their job?
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Are all utilities (overhead and underground) identified, marked and de-energized before work is started?
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Does all equipment on the job site have back up alarms?
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General Liability exposures and safe guards?
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Fleet Liability exposures and safe guards?
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Other information?
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Recommendations?
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General comments?
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Person completing survey.
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