Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Individual site requirements

  • Site clearly marked with address and the permit post is on the front porch?

  • Add media

  • Fall Protection Policy is posted in the permit box and is job specific?

  • Site free of trip hazards with all trash piled in front yard?

  • Site free of protruding nails?

  • First aid kit stocked and on site?

  • GFCI at temp power pole provided and tested?

  • Add media

Ladders

  • Proper ladder length for task at hand?

  • Extension ladders set properly?

  • Extension ladders extend 3 foot above landing point?

  • All ladders on the job site free from defects?

Fall protection.

  • Bars on window or door openings at 42" above floor area when more than 6 ' above lower level?

  • Porches more than 6' above grade are guarded?

  • Have the HUG System been installed?

  • Has the installation of the HUG System been completed?

  • Does the HUG System appear to be in working order?<br>

Excavations.

  • Is the site free from any excavations?

  • is the Depth greater than 5'?

  • Spoils more than 2' back from ditch edge?

  • Is a trench box being used?

  • Is the excavation less than 25'?

  • Escape ladder less than 25' away from worker in ditch?

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.