BMWC Safety Audit

• Job Number

• Audit Title

• Client

• Conducted On

  Date

• Prepared by

• Select date

  Date
Audit Team

Job Site Location

Personal Protection

• Hearing Protection

  Fully Compliant

  Partial Compliance

  Non Compliance

• Eyes, Face, and Head

  Fully Compliant

  Partial Compliance

  Non Compliance

• Respiratory

  Fully Compliant

  Partial Compliance

  Non Compliance

• Trunk and Torso

  Fully Compliant

  Partial Compliance

  Non Compliance

• Hands and Arms

  Fully Compliant

  Partial Compliance

  Non Compliance

• Feet and Legs

  Fully Compliant

  Partial Compliance

  Non Compliance

• PPE Storage / Care

  Fully Compliant

  Partial Compliance

  Non Compliance

Positions of People

• Striking Against

  Safe

  At Risk

  N/A

• Struck By

  Safe

  At Risk

  N/A

• Caught Between

  Safe

  At Risk

  N/A

• Falling

  Safe

  At Risk

  N/A

• Inhaling

  Safe

  At Risk

  N/A

• Absorbing

  Safe

  At Risk

  N/A

Orderliness.

• Standards Established

  Excellent

  OK

  Bad

• Standards Understood

  Excellent

  OK

  Bad

• Walkway Obstructions

  Excellent

  OK

  Bad

• Disorganized Areas

  Excellent

  OK

  Bad

• Obstructed Safety Equipment

  Excellent

  OK

  Bad

• Housekeeping

  Excellent

  OK

  Bad

Tool and Equipment

• Right for the job?

  Yes

  No

  N/A

• Used correctly?

  Yes

  No

  N/A

• GFCI's and cords being used and run properly?

  Yes

  No

  N/A

• In safe condition?

  Yes

  No

  N/A

• Are barricades and lights in position?

  Yes

  No

  N/A

• Are ladders being used correctly?

  Yes

  No

  N/A

Procedures

• Adequate procedures

  Yes

  No

  N/A

• Procedures established?

  Yes

  No

  N/A

• Procedures being followed?

  Yes

  No

  N/A

• JSA completed and signed by all parties?

  Yes

  No

  N/A

• Hot work permits completed and signed by all parties?

  Yes

  No

  N/A

• Proper signage posted?

  Yes

  No

  N/A

• Proper storage of all materials?

  Yes

  No

  N/A

Observations (positive and negative)

Observations

Comments

• Add drawing

  Drawing

• Add media

  Media

Project Worker Contact

Worker Contact

• Discussion Description

Signatures

• Audit Team Leader

  Sign

• Audit Team Member

  Sign

• Select from range