Information

  • Audit Title

  • Client / Site

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Overview Job Pictures

  • Performance rating. 10 being best (little or no risk) and1 being worst (high risk for injury or fines)

PPE (Personal Protective Equipment)

  • Hard Hats worn 100% of time, per policy?

  • Hard Hats are in Good condition & no older than 5 years?

  • Safety Glasses worn 100% of time, per policy?

  • Safety Glasses appropriate for environment and conditions (do not fog, overhead work or debris from wind, on nose, not broken)?

  • Face Shields used for appropriate hazards.

  • Welding shield condition / use.

  • Goggles used for appropriate hazards.

  • Cut resistant gloves worn for laceration hazards?

  • Leather gloves worn for puncture hazards?

  • Chemical resistant gloves worn for chemical and glue handling?

  • Fall arrest equipment in good working condition. This includes legible identification tags, function, no UV damage, no tears.

Administrative

  • Are labor law postings available and posted in an accessible place?

  • Safety Data Sheets on site for every chemical exposure?

  • Do employees know where the site plan & safety data sheets are located and can access them?

  • Has a site safety plan been developed and followed during installation?

  • Morning Huddles completed correctly?

  • Stretching & flex being utilized before the start of work?

  • Emergency postings visible and employees know where to find them?

  • First aid kit accessible and up to date?

  • Sanitation good. This includes clean toilet facilities and potable water?

Housekeeping

  • Nails from crates removed?

  • Aisle way and walking surfaces clear of debris?

  • Material neat and orderly stacked. Professional appearance?

  • Trash placed in dumpsters?

  • Cords removed from ground and tripping hazards identified?

  • Other

Fall Protection

  • Fall Protection safety and installation plan communicated to crew?

  • Fall Arrest equipment use and configuration correct?

  • Pre-engineered fall protection systems used correctly & in good condition?

  • Employee trained?

  • Elevations higher than 6' protected?

  • No AWS employee working closer than 15' of a leading edge?

  • Warning line systems erected around perimeter of leading edge 15' away?

Scaffolds

  • Scaffold contains only manufacturer designed components (no mixing)?

  • Scaffold on stable ground?

  • Scaffold not erected higher than 4 times the minimum base width?

  • Scaffold fully planked?

  • Kickers added when needed?

  • Fully guard railed when at or over 6' in height?

  • Toe boards installed when exposure to pedestrians or public? Also when erected higher than 10'

Power Tools

  • Assured Grounding check in current quarter?

  • Guards used and present.

  • Handles used when designed with them?

  • Safe condition?

  • Lock Out Tag Out procedures used for defective tools?

  • Case & switches in good shape and operate freely?

Rigging & Crane Use

  • Crane Pick Plan Completed

  • Crane Pads fully secure (Hardwood, correct dimension for pad, condition)

  • Authorized NCCO Operator?

  • Operator lifting below 75% Critical Lift capacity?<br>If Above 75% has a plan been developed and approved by Risk Management department?

  • Annual Third party Crane inspection coimpleted?

  • Maintenance and Greasing Current?

  • One designated signal operator?

  • Crane Signals correct & training current?

  • Signal communications agreed upon between Operator and Rigger?

  • All rigging hardware manufactured in USA & in safe condtion?

  • Are synthetic slings in safe condition (tags legible, no tears - red stripe, UV damage not present)?

  • Cable slings in safe condition (less than 7 broken strands in one lay, less than 2 broken strands within 1 foot of cable eye, no bird caging, tags present, no rust, eye and sling in good shape, no deformations or kinks)?

  • Rigging hardware and slings used correctly and within capacity?

Fire protection

  • Containers labeled?

  • Safety cans used for flammable liquids?

  • Flash Arrestor in safety cans containing flammable liquid?

  • Other?

Powered Machinery

  • Inspections complete?

  • Manufacturer approved attachments?

  • Attachments Secured from movement.

  • Condition and Operation

  • Trained Employee on use & authorized by AWS?

Near Misses

  • Any Reported or Occur?

  • Do employees understand the definition?

  • Are employees active identifying near misses and solutions?

Uncommon Issues

  • Other (not listed on audit)

  • Auditor 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.