Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Job Site Conditions

  • Job-site Housekeeping

  • Lay-down Yard

  • Condition of material trailers

  • Roads and Parking Area

  • Heavy Equipment Fueling Area

Safety Materials

  • Safety Manual present

  • Hazcom Manual up to date

  • Pre-Task Planning

  • OSHA, Labor, Hazcom and First-aid postings

Personal Protection Equipment

  • Safety Glasses<br>

  • Hard Hat

  • High Visibility Gear

  • Proper Clothing

  • Hearing Protection

  • Work Boots

  • Arc Flash Gear

Ladders

  • Ladder Condition

  • Ladders in use

  • Ladder Safety

Lifts in-use

  • Scissor Lifts

  • Fork Lifts

  • Rough Terrain Fork Lifts

  • Ariel Lifts

  • Have employees been trained

Excavator , Trenching , Front End Loading Equipment in-use

  • Are Backhoes in operation

  • Are Trenchers in operation

  • Are Front End Loaders in operation

  • Have employees been trained

Excavations

  • Are Excavations in progress

  • Depth of Excavation

  • Is proper slopping/benching in place

  • Are Protective systems in-use.(trench box or shoring)

  • Are confined spaces present

  • Have means of egress been established

Tools

  • Proper storage

  • Proper use

  • Is proper training taking place

  • Are proper guards and accessories in-use

Temporary Power

  • Is temp power in use

  • Are PODS , GFCI protected

  • Is Temp Service in good condition (main disconnects and distribution panels)

  • Are extension cords in good condition

  • Are temp lights in good condition

Lock out / Tag out

  • Is LOTO in use

  • Is there a LOTO plan in place

Hot Work

  • Has pre-task been completed

  • Is there an Arc Flash Hazard present

  • Is proper PPE in use

  • Have proper boundaries been established

Fall Protection

  • Are employees at risk

  • Are PFAS in-use (Personal Fall Arrest Systems)

  • Are guard rails in-use

  • Are safety nets in-use

Scaffolding

  • Is scaffolding in-use

  • Has scaffolding been inspected

  • Condition of scaffolding

  • Does scaffolding have proper tag indicating "Safe to Use"

  • Received permission to use another contractors scaffolding

Cranes in-use

  • Is Operator certified

  • Has load to be lifted been verified

  • Has crane lift capacity been verified

  • Has rigging been inspected for use

  • Have safety perimeters been set

  • Has pre-task planning been completed

  • Weather conditions

General Safety

  • Are fire extinguishers available and up to date

  • Are first-aid supplies available and up to date

  • Are hazardous materials properly stored ( gas, oils, and mineral spirits)

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.