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
1.Housekeeping
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1.1 Walkways, corridors, stairs clear of debris?
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1.2 Material stacked and stored properly?
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1.3. Trash taken out?
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1.4 Slips, trips, fall hazards?(comply, eye.)
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1.5. Emergency egress maintained?
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1.6 Water/Pipe/Leak mitigated
2. Ladders
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2.1. Ladders properly used?
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2.2. Ladders properly stored and secure?
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2.3. Extension ladders at a 4:1 pitch?
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2.4. Extension ladder extended 3' above landing?
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Other?
3. Electrical.
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3.1 GFCI in place
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3.2. Quarterly cord inspection done if required?.
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3.3. Cords elevated to 7' overhead?
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3.4. Cords in good condition?
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3.5. Is temporary lighting adequate?
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3.6. Other?
4. Barricading
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4.1. Barricade tape managed?
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4.2. Signage posted on all 4 sides?
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4.3. Signage up to date and complete?
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4.4. Right type of barricade for work?
5. Aerial lifts (mewp's)
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5.1. Is the operator trained?
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5.2. Are daily inspections documented?
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5.3. Is the green tank permit posted on lift?
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5.4. Fall protection in use (Aerial lifts only)?
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5.5 Is gate or chain secured?
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5.6. Area below lift protected?
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5.7. Other?
6. LOTO (CoHE) Lock out tag out
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6.1. Competent person present?
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6.2. Is the employees trained?
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6.3. Are locked keys different?
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6.4. Energized electrical work?
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6.5. Is tag used and filled out completely?
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6.6. Zero energy confirmed?
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6.7. Other?
7. Scaffolding
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7.1. Guard rails installed correctly?
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7.2. Bracing and pins in place?
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7.3. Is the scaffold fully planked?
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7.4. Is the scalpel inspected daily And tagged?
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7.5. Are planks in good condition?
8. Fall protection
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81 6' Fall exposure?
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8.2 Are workers trained and documented?
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8.3. Is the equipment inspected?
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8.4. Is the anchor point engineered?
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8.5. Are Floor and wall openings protected?
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8.6. Fall distance identified?
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8.7 Other
9. Welding and cutting.
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9.1. Proper PPE for welding task?
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9.2. Is work area ventilated?
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9.3. Are welding screens being used?
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9.4. Is that work area free of combustibles?
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9.5. Is the area below properly controlled?
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9.6. Are the cylinders stored properly?
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9.7. Welding leads and hoses in good condition?
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9.8. Other?
10. Fire prevention.
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10.1. Hot work permit posted?
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10.2. Is the firewatch present?
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10.3. Are the combustible materials removed?
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10.4. Are the bottles upright, capped and secured?
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10.5. Fire extinguishers present?
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10.6. Are welding leads in good condition?
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10.7. Other?
11. PPE
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11.1. Hard hats used?
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11.2. Face protection?
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11.3. Eye protection?
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11.4. Hand protection?
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11.5. High vis vest or equivalent?
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11.6. Hearing protection?
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11.7. Proper footwear?
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11.8. Other?
12. Excavation and trenching
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12.1. Competent person present?
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12.2. Protective systems <20' used?
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12.3. Are the utilities marked?
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12.4. Are the utilities protected and supported?
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12.5. Trench box certification?
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12.6. Excavation permits and daily inspections?
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12.7. Is there access every 25 feet?
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12.8. Is the trench sloped and shored properly?
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12.9. 4' depth safe distance?
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12.10. 6' fall protection?
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12.11. Are spoils 2' from edge?
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12.12. Are there any atmospheric hazards?
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12.13. Public protection barricades?
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12.14. Other?
13 Environmental Aspects
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13.1 Machinery/equipment
14. Inspection items
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Apollo on site Foreman
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Apollo Safety
