Title Page

Job Information

  • Conducted on

  • Job Name

  • Job Number

  • Foreman

  • Number of employees on site

  • Inside Conditions:

  • Outside Conditions:

Site Audit

Morning Sign-in

  • Was there a discussion on the hazards and risks associated with today's tasks?

  • Was there a Toolbox talk completed?

  • Was stretch and flex completed?

Personal Protective Equipment

  • Safety Glasses are worn at all times while working on site?

  • Gloves are warn while handling material?

  • High-visibility vest warn around equipment and exposed infrastructure?

  • Appropriate footwear and apparel warn on site?

  • Face shield is applied in addition to safety glasses for heavy carbide cutting activities?

Fall Protection

  • Safety Railing / Perimeter cable are maintained at areas that produce a fall hazard within the work area?

  • 100% tie off is established for accessing greater than 6' fall exposures?

  • Fall Arrest System used is correct to prevent failure?

  • Exclusion zone established to prevent exposed hazards?

  • Materials stored to prevent displacement?

Power Tools

  • Angle grinders are supplied with Guards?

  • All hammer drilling activities comply with OSHA's Table 1 for silica exposure control?

  • All power tools are properly functioning as per manufacturers design?

  • Power tools / Equipment are properly insulated from electrical hazards?

  • Electrical cords are inspected and safe from exposed wiring?

  • G.F.C.I. is established at all non temporary power supply?

Welding Operation

  • Welding procedures are being followed.

  • Welding machines are in good operating condition with proper maintenance performed?

  • Welding lead is in good working condition? (no exposed wiring)?

  • Stingers are fully insulated without damage or splice for the first 10 feet?

  • Connections are properly maintained without damage?

  • Correct PPE applied for back welding activities?

  • Fire extinguisher is supplied at welding location?

  • Personnel assigned / available to perform fire watch activities for welding operation taking place?

Torch operation

  • Oxyfuel Gas Cutting system is in use?

  • Oxyfuel Gas Cutting system is free from damage?

  • Cylinder cart meets regulation and is in working condition?

  • Shade 3 or greater sealed eye protection or face shield is applied for Oxyfuel Gas Cutting activities?

  • Fire extinguisher is supplied at cutting operation?

  • Personnel assigned/available to perform fire watch activities for Oxyfuel Gas Cutting taking place?

Fire Protection

  • Company Supplied / Inspected fire extinguishers supplied for fire prevention?

  • Hot work permit is filed for activity / location?

  • Adequate protection is provided for exposed finishes?

Fuel Storage

  • Fuel containers are labeled with no sign of leaks or damage.

  • Fuel containers are properly stored away from hot work / accelerants with supplied fire extinguisher at storage location?

  • Oxygen and Acetylene Cylinders are properly stored with fire extinguisher at storage location?

Material Handling

  • Appropriate manpower / mechanical means are supplied for weight and location? (manpower / equipment are not strained for material size and or placement)?

  • Material carts are free from damage and not overloaded?

  • Duct hoist / Roust-About are free from damage and not overloaded?

Ladders

  • Ladders in use?

  • Was a Ladder Permit completed?

  • Employee is working with Company supplied ladder?

  • Ladders are inspected and in safe working condition? (no damage)

  • Employees are properly using selected ladder to access the work area?

  • Ladders are properly stored when not in use?

Scaffolding

  • Scaffolding in use

  • Scaffolding has been inspected and Tagged?

  • Scaffolding is erected plumb with appropriate sill / bearing connection?

  • Working Platform is fully Planked?

  • Pins and braces are supplied and in place?

  • Safety Railing is supplied and completely surrounding working platform?

  • Fall arrest system is applied for access to unprotected platform above 6' in elevation?

Forklift

  • Forklift in use

  • Safety restraint is warn during forklift operation?

  • Are forks fully engaged under load / loads appropriately fastened to mast?

  • Is the forklift appropriately rated for the load?

  • Does the forklift have signs of damage or leaks?

  • Operation Status?

Aerial Lift / Scissor lift

  • Aerial / Scissor lift in use

  • Lift is being correctly operated with sufficient stability?

  • All safety rails latches and chains in place during lift operation?

  • Full body harness and form of fall arrest are applied for lift operation?

  • Personnel are correctly using the working platform and not standing on the side rails?

  • Personnel are correctly tied off to the manufacturers tie off point?

  • Does the personnel lift have signs damage and leaks?

  • Operation Status?

Rigging

  • Is rigging in use?

  • Riggers involved in operation are certified riggers / signalman?

  • Chain-falls / Come-alongs are free from damage and rated for the applied load?

  • Anchorage point can sustain the load with a safety factor applied?

  • Wire rope chokers / Synthetic slings are free from damage and tagged for the applied load?

  • Rigging is stored properly?

Crane

  • Is a crane in use on site?

  • Are outriggers fully extended?

  • Is cribbing and matting size sufficient for the footprint of the pad and height of placement?

  • Is swing radius of the crane completely barricaded to prevent contact during operation?

  • Operator has clear form of communication during crane operation?

Housekeeping

  • Are Company employees controlling personal housekeeping appropriate and professional?

  • Has all material drops and debris produced by employees been removed in completed work areas?

  • Has any Company equipment been left behind in completed / vacant work areas?

Craftsmanship

  • Fabrication/Installation completed to the highest standard.

  • Pictures / Location

Supplies delivered

  • PPE consumables supplied

  • Safety equipment supplied or removed from site?

Comments

  • Crew was working on?

  • Additional notes / information:

  • Non Safety related issues?

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.