Asphalt Safety Audit - duplicate

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Compressed Gas Cylinders

• Cylinders secured in upright position?

  Yes

  No

  N/A

• Cylinders stored properly?

  Yes

  No

  N/A

Fire Protection

• Portable fire extinguisher is available?

  Yes

  No

  N/A

• Inspections are current (monthly & annual)?

  Yes

  No

  N/A

• Fire extinguisher location is identified?

  Yes

  No

  N/A

First Aid Supplies

• First aid kit is available and stocked?

  Yes

  No

  N/A

• First aid kit location is identified?

  Yes

  No

  N/A

Hand & Power Tools

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

  Yes

  No

  N/A

• Proper guards in place?

  Yes

  No

  N/A

• Tools are double-insulated or grounded?

  Yes

  No

  N/A

Hazard Communication

• Chemical containers properly labeled?

  Yes

  No

  N/A

• Flammables stored in approved safety cans?

  Yes

  No

  N/A

Heavy Equipment

• Back-up alarms functioning properly?

  Yes

  No

  N/A

• ROPS appear in good condition?

  Yes

  No

  N/A

• Seat belts are worn when operating equipment with ROPS?

  Yes

  No

  N/A

• Hazard lights / beacons functioning properly?

  Yes

  No

  N/A

• Personnel are clear of danger zones?

  Yes

  No

  N/A

Job Site Conditions

• Work site is clean of trash / proper housekeeping?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Traffic control devices are present and operational?

  Yes

  No

  N/A

• Drinking water is available?

  Yes

  No

  N/A

Job Site Documentation

• SDS book available?

  Yes

  No

  N/A

• Safety manual available?

  Yes

  No

  N/A

• Applicable permits available? Job

  Yes

  No

  N/A

• Job Hazard Analysis present (if required)?

  Yes

  No

  N/A

Personal Protective Equipment

• Hardhats donned properly?

  Yes

  No

  N/A

• Long pants and T-shirts are donned?

  Yes

  No

  N/A

• Eye and face protection is donned properly?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Hearing protection is donned properly?

  Yes

  No

  N/A

Comments or Other Observations

• Comments?

  Yes

  No

  N/A

• Foreman Signature

  Sign