Information
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Audit Title
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Site
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Conducted on
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Prepared by: Jake Brooks
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Location
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Personnel
1.0 Administration
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1.1. Safety Manual Present
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1.2. Safety Meetings Documented
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1.3. OSHA Posters/OSHA 300 Form Posted (Feb 1 - April 30)
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1.4. MSDS On-Site and Available to employees
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1.5. Employee Safety Training Documentation On-Site
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Comments:
2.0 Medical/Emergency
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2.1. Emergency Numbers Posted
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2.2. Map of Medical Locations Posted
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2.3. First Aid Kit Present/Inventoried
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2.4. Eye Wash Station Present/Inspected
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2.5. First Aid/CRP/AED Trained Person On-Site
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Comments:
3.0. PPE
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3.1. Hard Hats
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3.2. Glasses/Goggles/Face Shields
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3.3. Proper Clothing
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3.4. Proper Work Boots
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3.5. Proper Hearing Protection
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3.6. Proper Gloves
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Comments:
4.0 Fall Protection
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4.1. 100% Tie-Off above 4'
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4.2. Proper Attachment Points
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4.3. Floor/Wall Openings Covered
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4.4. Guardrail System in place
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4.5. Roof Edge Protected
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4.6. Personal Fall Protection Equipment Inspected
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Comments:
5.0. Hand/Power Tools
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5.1. Proper Tool for the task
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5.2. Tools in good condition
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5.3. Guards/Handles in place
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5.4. Tools properly stored
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Comments:
6.0. Electrical
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6.1. GFCI Used
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6.2. Cords Inspected
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6.3. Cords Protected from Traffic and Weather Exposure
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6.4. Cords stored properly when not in use
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6.5. Outlets/Breaker Panel Covers in place
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6.6. Area in front of Panel free of obstructions
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Comments:
7.0. Fire Protection
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7.1. Extinguisher Present, Charged, & Inspected
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7.2. Adequate Number of Extinguishers
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7.3. Proper Fuel Containers used
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7.4. Fuel Stored Properly
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Comments:
8.0. Ladders
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8.1. Properly Secured
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8.2. Proper Ladder used
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8.3. Inspected for Defects
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8.4. Ladders Extend 3' Above Landing Surface
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8.5. Area around Top & Bottom of Ladder free of Tripping Hazards
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Comments:
9.0. Welding/Cutting
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9.1. Oxygen/Acetylene Capped when not in use
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9.2. Cylinders Upright and Secured
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9.3. Cylinders properly stored
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9.4. Flash Arrestors in place
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9.5. Leads and Hoses Free of Defects
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9.6. Proper PPE Used
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Comments:
10.0. Environmental
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10.1. Nuisance Dust and/or Noise Controls in place
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10.2. Containers, Drums, & Tanks are properly Labeled
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10.3. Spill Containment is Adequate for Hazardous Materials
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10.4. Spills properly cleaned up
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Comments:
11.0. Mobile Equipment
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11.1. Equipment Operators Trained
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11.2. Safe Operating Techniques/Speed Utilized
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11.3. Equipment Inspected
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11.4. Seat Belts Fastened
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Comments:
12.0. General
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12.1. Housekeeping Adequate
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12.2. Access/Egress Points free of debris
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12.3. Adequate Lighting
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12.4. Sanitary & Washing Facilities
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12.5. Scrap Materials properly stored
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Comments:
Sign Off
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On-Site Representative
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Auditor's Signature
