Boot Pit Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

BOOT PIT AUDIT

• personnel doing the task have they got up to date first aid training

  Yes

  No

  N/A

• Has a Take 5 been done

  Yes

  No

  N/A

• Has the employee completed Emergency Preparedness Training

  Yes

  No

  N/A

• Has an Restricted Area Atmospheric Monitoring Record been done

  Yes

  No

  N/A

• Is the Atmospheric monitor calibrated

  Yes

  No

  N/A

• Are you take continued atmospheric readings from the boot pit

  Yes

  No

  N/A

• Has the restricted area been deemed to be a confined space

  Yes

  No

  N/A

• Have you done a JSA

  Yes

  No

  N/A

• Has the lock/tag out procedure been followed

  Yes

  No

  N/A

• Restricted area sign visable

  Yes

  No

  N/A

• Safety harness area sign visable

  Yes

  No

  N/A

• Do you need to put barricades in place to reduce risk

  Yes

  No

  N/A

• Is the safety harness and lanyard certified

  Yes

  No

  N/A

• Is the safety harness being worn appropriately

  Yes

  No

  N/A

• Is the pulley system attached correctly

  Yes

  No

  N/A