Title Page
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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
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Weather and Environmental Conditions
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Scope of Work, Immediate Location, Facility, Workshop, Job Site; Loading Dock, Warehouse; Client Site
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Who is the Foreman, Supervisor, or Employee
Behaviors - Safe Work Methods
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Employees are Fit for Duty, Ready to Work with PPE, and Approved Uniforms per the Scope of Work
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Proper Selection, Inspection, and Use of Tools, Equipment, Work Zone, Environmental Impacts Have Been Considered
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Employee Using Safe Body Mechanics, Eyes on Task, Clear of Sharp Edges, Hot Surfaces, Stays on Safe Path, Walkway, Approved Climbing or Access Points
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Employee Working at a Safe Pace, Using 3-Points of Contact, Eyes on Path or Task, Using Tag Lines, or Ropes to Lower Tools and Materials
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Employees Avoiding Pinch Points, Line of Fire, Awkward Positions, Over Extensions, Twisting & Lifting,
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Employees Ascending, Descending, Stairs, Steps, Ladders, Safely, Using Good Body Mechanics when Reaching or Pulling,
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Employees Using Mechanical Lifting and Material Handling Devices; Crane, Rigging, Slings, Hand Trucks, Dolly's, Pallets, Equipment Racks
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Safe Vehicle, Equipment Operations; Vehicle-Equipment Clean, Cargo Secured Properly, Appropriate Speed, Good Driving-Operating Attitude,
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Employees Entering, Exiting Vehicles Safely, Using Fixed Handrails, Steps, Manufacture Platforms, Safely to Avoid Injuries
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Vehicle, Equipment Operator Using Seat Belt, Not Using a Cell Phone, Pays Attention to Traffic, Work Site Congestion, Pedestrians, Recognizes Hazards While Maneuvering at the Job Site
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Operator Exits, Enters the Roadway Safely, Parks Safely, Compliant with Journey Management, Using Safe Routes in/around the Job Sites
Behaviors - Personal Protective Equipment
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Best Selection and Use of PPE, Based on the Scope of Work, HRA, JSA, SDS, or other Hazards Associated with the Task
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PPE Inspected Prior to Use, No Defects, Oil, Rips, Uniform Compliant with Company and Client Expectations <br>
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Use of PPE is Consistent with Scope of Work, Best Practices, Company Standards, Manufacture Instructions
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Head, Eye, Face, Hand, Arm, Foot, Hearing, Respiratory, Fall, Other Protections Meets or Exceeds Job Requirements
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Fall Protection or Fall Arrest Systems are used at Openings, or Leading Edges with 6' or more distance to lower level
Behaviors - Work Zone Management
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Work Zone Has Been Checked for Unknown Hazards, Bees, Spiders, Snakes, Slip, Trip, Fall, Environmental Conditions, Housekeeping in Order
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Weather Conditions, Wildlife, Vegetation, Overall Environmental Conditions have been Considered
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Road Conditions, Heavy Equipment Work Zones, Ground Conditions Have Been Safely Established
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Fire, Explosion, Noise,Temperature, Ventilation, Lack of Oxygen, Exposure to H2S, CO, LEL, other Harmful Materials Monitored
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DOT Logs, Pre-Post Trip Inspections, Confined Space, Hot Work, Daily Inspections, 2-Way Radios, 4-Gas Meters, Used for Task
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Adequate Communications, Procedures, Planning, Support from Others, Warning or Emergency Systems Used
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Employees Know Location of Safety Showers, Wind Socks, Muster Points, First Aid Kits, Emergency Exits, Who to Call for Help
Notes
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BBS Audit Summary, Notes, Attributes, Deficiencies, Solutions, Comments
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