Audit

Select date
Audit Team

Job Site Location

Personal Protection

Hearing Protection

Eyes, Face, and Head

Respiratory

Trunk and Torso

Hands and Arms

Feet and Legs

PPE Storage / Care

Positions of People

Striking Against

Struck By

Caught Between

Falling

Inhaling

Absorbing

Orderliness.

Standards Established

Standards Understood

Walkway Obstructions

Disorganized Areas

Obstructed Safety Equipment

Housekeeping

Tool and Equipment

Right for the job?

Used correctly?

GFCI's and cords being used and run properly?

In safe condition?

Are barricades and lights in position?

Are ladders being used correctly?

Procedures

Adequate procedures

Procedures established?

Procedures being followed?

JSA completed and signed by all parties?

Hot work permits completed and signed by all parties?

Proper signage posted?

Proper storage of all materials?

Observations (positive and negative)
Observations

Comments

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Project Worker Contact
Worker Contact

Discussion Description

Signatures
Audit Team Leader
Audit Team Member
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.