Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Workplace

  • OSHA Poster

  • Emergency Numbers Posted

  • Drinking Water

  • Toilet Facility Cleaned & Labeled

  • Fire Protection & Prevention

  • Housekeeping In & Around Tool Trailers

  • Trash Containers

  • Smoking Restrictions Posted

  • Safety Training

  • Toolbox Talks

  • Daily Pre-task/JSA

Fuel & Material Storage

  • Safety Cans Labeled &Properly Stored

  • Refueling Operation

  • Material Storage

  • Excess Debris/Trash Properly Disposed of

  • Concrete Forms & Lumber Storage

Heavy & Light Equipment

  • Qualified Opeator

  • Operator's Card

  • Safe Practice

  • Back-up Alarm

  • Housekeeping

  • Spotter

  • Daily Equipment Inspections

Haz-Com

  • Written Program on Site

  • MSDS (SDS) Training

  • Labeled Containers

Personal Protective Equipment

  • Hard Hat

  • Proper Clothing

  • Proper Footwear

  • Eye Protection

  • Hand Protection

Rigging & Material Handling

  • Proper Rigging Techniques

  • Tag Line

  • Load capacity tag legible

  • Nylon Strap/Wire Rope in Good Condition

Electrical

  • Grounded Power Tools

  • Electric Cords in Good Condition

  • Cords Protected from Water or Equipment/Traffic

Excavations/Trenches

  • Protected Walls

  • Entry/Exit Provided Every 25ft

  • Ladder Provided

  • Ladder on Good Base & on 4:1 slope

  • Barricading

  • Spoil Pile 2' From Edge

  • Type C Soil Sloped 1.5 to 1

Traffic Management

  • Lack of, or inadequate Traffic Management Plan (TMP) in place?

  • Lack of training in TMP for all persons on site?

  • Adequate controls for TMP (physical barriers, speed limits, flashing lights, signs, spotters)?

General Comments

  • General Comments

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.