Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Compressed Gas Cylinders

  • Cylinders secured in upright position?

  • Cylinders stored properly?

Fire Protection

  • Portable fire extinguisher is available?

  • Inspections are current (monthly & annual)?

  • Fire extinguisher location is identified?

First Aid Supplies

  • First aid kit is available and stocked?

  • First aid kit location is identified?

Hand & Power Tools

  • Cords in good condition (i.e. grounding, insulation)?

  • Proper guards in place?

  • Tools are double-insulated or grounded?

Hazard Communication

  • Chemical containers properly labeled?

  • Flammables stored in approved safety cans?

Heavy Equipment

  • Back-up alarms functioning properly?

  • ROPS appear in good condition?

  • Seat belts are worn when operating equipment with ROPS?

  • Hazard lights / beacons functioning properly?

  • Personnel are clear of danger zones?

Job Site Conditions

  • Work site is clean of trash / proper housekeeping?

  • Work area is barricaded / secured to prevent unauthorized personnel?

  • Traffic control devices are present and operational?

  • Drinking water is available?

Job Site Documentation

  • SDS book available?

  • Safety manual available?

  • Applicable permits available?

  • Job Hazard Analysis present (if required)?

Personal Protective Equipment

  • Hardhats donned properly?

  • Long pants and T-shirts are donned?

  • Eye and face protection is donned properly?

  • Hi-viz clothing is donned properly (Class 2 minimum)?

  • Hearing protection is donned properly?

Comments or Other Observations

  • Comments?

  • Foreman Signature

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.