Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Scope of Work;

Work Area General

  • Safety Signs/warnings posted?

  • Emergency numbers; evacuation, traffic routes and meeting points posted?

  • Safety meetings held...<br><br>

  • Adequate amenities? (toilets, wash areas, etc)

  • Drop offs protected: warning lines established?

  • Overspray/ Dust Control in place?

  • Insufficient lighting?

  • Inadequate housekeeping?

  • Nails removed or bent down?

  • Stability of materials in storage?

  • Orderly/ organized trailer/work area?

  • Lack of, or inadequate noise/ vibration control?

  • First aid kit, available and adequately stocked

  • Job related safety traing for all employees?

  • Hazardous conditions exist: 0 =no hazards 10= extreme hazards

  • Please list hazards :

Personal Protective Equipment (PPE)

  • Hard hat

  • Gloves appropriate for job

  • Safety glasses

  • Work shoes/ Boots

  • Hearing protection

  • Respirator appropriate for job

  • Face shield

  • Knee pads

  • Welding shield

  • Fall protection used properly

  • PPE inspection before and after EACH use?

  • Adequate maintenance and sanitary storage available/ utilized ?

  • Protective clothing ?

  • List any additional PPE required?

Fall Protection

  • Fall risks of 6' or more?

  • Edge protection?

  • Perimeter warning lines in place?

Harness and Equipment

  • Unsafe or damaged harness or equipment?

  • Incompatible hooks/equipment?

  • Unsafe or uncertified anchor points?

  • Ropes/wires/ lanyard in good condition?

  • Harness inspected and used correctly

Scaffolds

  • Scaffold inspected by qualified person?

  • Level/on solid footing?

  • 3.2. Unsafe or incomplete scaffold?

  • Braced/tied to structure?

  • Fall protection in place?

  • Proper supports?

  • Free from defects?

  • Connections secure?

  • Working area free of debris/mud/ etc.

  • Workers protected from falling objects?

  • Guard rails,mid rails and toe boards in place

Ladders

  • Unsafe or damaged ladders? ( no painted ,spliced or rungs,cleats over 12"

  • Ladder unsuitable for job? (e.g. metal ladder used near electrical)

  • Unsafe positioning of ladders?

  • Side rails extend 36"above top of landing?

  • Ladder properly secured to prevent slipping,sliding or falling? (Ladder tied off, on solid footing)

  • No material carried up ladders?

  • Ladders lowered when workers aren't present?

Electrical Safety

  • GFCI in use?

  • Electrical equipment near water?

  • Unsafe electrical leads/cords? (damaged, missing ground, correct gauge for use)

  • No exposed electrical wires?

  • No broken insulation on cords?

  • Contact with overhead electrical lines?

  • Overloading outlets?

  • Electrical equipment near flammables?

  • Electrical equipment properly grounded?

  • Electrical leads on work surfaces protected from damage or exposure?

  • Breaker panels have covers?

  • Breakers are labeled?

Hazardous Chemicals

  • MSDS on site and clearly visible ?

  • Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • Proper ventilation ?

  • Material containers clearly identified and labeled? ( labels must be legible )

  • Unsuitable storage containers? (unlabeled or stored in food containers)

  • Spills cleaned up promptly and properly?

  • Fire extinguisher available / near flammables

  • Hazardous material on site: Please list;

Fire protection / prevention

  • Adequate number and type of extinguisher available

  • Fire extinguisher provided on equipment i.e. forklift

  • All flammables in approved container and correctly labeled?

  • Properly stored?

  • Protected from accidental impact?

  • Equipment shut down prior to fueling?

  • No smoking signs posted and enforced?

  • Hydrants clear for access

  • Flame/ hot work permits ?

  • Other:

High pressure equipment

  • Proper fittings in use?

  • Hoses in good condition ?

  • Guards/ safety cables in place ?

  • Equipment grounded? (Paint pumps)

Tools

  • Neat, proper storage

  • All operators qualified ?

  • Proper operator protection ?

  • Adequate protection for nearby personnel?

  • Safe carrying?

  • Guards in place and used properly?

  • Tools used correctly?

  • Correct tools for the job being performed ?

  • Tools and cords in good condition ?

  • Properly grounded or double insulated?

  • Inspected, maintained and repaired

Heavy Equipment

  • Operators qualified

  • Proper operation?

  • Regular inspection , maintenance & service?

  • All personnel seated?

  • Roll over protection ,seatbelt in use ?

  • Correct parking procedures?

  • Wheels chocked when necessary?

  • Compressed air safety valves?

  • Back up alarms operational?

  • Flag men where needed?

  • Fire extinguisher installed

Motor vehicles

  • Regular inspection ,maintenance,and service?

  • Licensed /approved operators?

  • All personnel seated/wearing seatbelts

  • Glass in good condition?

  • Accident report forms/camera in case of accident?

  • Fire extinguisher

Back Injury prevention?

  • Hand trucks,dollies, push carts available and properly used?

  • Cranes,hoist available in good repair and properly used?

  • Cranes operated by other qualified operators?

  • Large loads broken down before manual lifting?

  • Workers don't have to bend/ twist to get material?

  • Awkward postures such as leaning forward or stooping ?

Corrective Actions

  • Enter any corrective actions that will be undertaken

  • Workers following safe work practices?

  • Workers need retraining

  • Supervisor available for review?

  • Project manager available for review?

  • Draw roof diagram,schematics of unsafe area,

Sign Off

  • Auditor's signature

  • Foreman/supervisor

Attended by: Reviewed with:

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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.