Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Administration

  • Orientations conducted to new hires.

  • Labor Posters, First Aid Kit, Eye Wash, Map and Phone Number of nearest Medical facility posted.

  • APP on site. Site Safety Specific Submitted by Subcontractors.

  • Daily JHA/Pre-Tasks and Weekly Safety Meeting and Tool Box Talk done this week.

  • Visitor PPE Available.

  • OSHA 300 Log Posted (February 1 through April 30)

  • SDS's Available for chemical products present at this site.

  • Weekly Job Site Safety Inspection performed.

P.P.E

  • Safety Glasses worn by all employees as required.

  • Hard Hats worn by all employees as required.

  • High Visibility Vest/Shirt/Hoodies worn by employees as required.

  • Gloves worn by employees as required.

  • Construction Grade Boots worn by employees as required.

  • Hearing Protection worn at high noise levels.

  • Face Shields worn as required depending on task.

  • Respirator worn by employees as required depending on task.

Electrical Safety and Lighting.

  • Electrical Cords in good condition and protected from traffic.

  • GFCI in use.

  • Adequate Lighting.

  • Electrical Room/ Boxes Protected. Signs in place.

  • Lock Out/Tag Out in place if needed.

Fall Protection

  • Fall Protection Plan signed by all employees available on site.

  • Employees have been trained on the proper use of Fall Protection Equipment.

  • Fall Protection provided at 4' high.

  • Exterior/Interior guard rails properly setup.

  • Warning Line System properly setup.

  • Floor and Wall openings protected.

  • Anchoring Points adequate. Anchors installed properly.

  • Fall Protection PPE inspected daily.

  • Overhead Protection in place.

  • Stairs, ramps, walkways protected.

Housekeeping

  • Work Areas Clean and Sanitary.

  • Slip, Trip and Fall Hazards removed.

  • Aisles, Hallways, Stairwells and Walkways clear.

  • Impalement/Rebar protection in place.

Ladders.

  • Ladders inspected and in good condition.

  • Ladders properly setup and secured top and bottom.

  • Ladders being used properly by employees.

Scaffolds.

  • Have all employees been trained in the proper use of scaffolds.

  • Scaffolding inspected daily and verified on Green Tag by the Competent Person.

  • Guard Rails, bracing, Mud Sills, Plates, Jack Screws, Planking installed properly.

  • Scaffold properly secured to structure and proper base to height ratio present.

Forklift, Scissor and Boom Lifts.

  • Equipment inspected daily and documented before work begins.

  • Employees trained to operate Forklift, Scissor/Boom Lifts.

  • Fall Protection PPE in place when operating a boom lift.

Hand and Power Tools.

  • Cords in good condition.

  • Tool in good condition.

  • Proper tool for the job.

  • Guards in place.

  • Tools inspected.

Crane/Rigging/Hoisting.

  • Operator Certified. Crane paper work and maintenance records in place.

  • Qualified rigger and signal person verified.

  • Tag Lines in use. Loads properly secured. Rigging inspected.

Environmental.

  • Asbestos/Silica/Lead present.

  • Employee awareness training.

  • Silica dust controlled if present.

Excavations/Trenching.

  • Daily Inspections documented.

  • Competent person present.

  • Sloped/Benched/Shored.

  • Perimeter protected/Barricades.

Confined Space.

  • Employees have been trained in Confined Space.

  • Verified Non Permit or Permit Required Confined Space.

  • Documentation in place as required.

  • Supervisor/Attendant/Entrant clearly defined.

  • Atmospheric testing/conditions checked. Ventilation. Communication protocol. Regular Inspections.

  • Rescue Plan and Emergency numbers in place.

Hot Work /Fire Prevention/Protection.

  • Hot Work Permit in place. Welding, torching, burning.

  • Fire Extinguishers inspected. Adequate number of Fire Extinguishers.

  • Fire Watch when applicable.

Site/Public Protection.

  • Perimeter fences available.

  • Public Protection Signage.

  • Falling Object Protection.

Notes/Comments

  • Comments/Notes/Suggestions.

  • Signature.

  • Add media

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.