Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Federal / State Labor Law postings accessible to all workers?

  • Hazard Assessment / Job Safety Analysis completed and report available for review?

  • Daily JSA Checklist completed, signed by crew and available for review?

  • Weekly tool box talk completed and available for review?

  • Drinking water available?

  • Adequate temporary lighting in work areas?

  • First aid kit available and well stocked?

Entrances and Exits

  • Are entrances and exits to and from work areas free from obstructions?

  • Are exit doors clearly marked?

Walkways, Floors and Stairs

  • Are stairs and walkways kept clear of boxes, equipment, cables and other obstacles?

  • Is the tread on stairs in good condition and adequate to minimize slipping?

  • Is the foot space on each stair adequate?

  • Are handrails adequate and in a good state of repair?

  • Are stairs in a good state of repair?

  • Do stairs have anti-slip materials where warranted?

  • Are floors clear of slip and trip hazards, e.g., extension cords, torn carpet, uneven surfaces, cracks, holes, etc.?

  • Are walkways clear of trip hazards such as open drawers, boxes, etc.?

  • Are walkways and stairs wide enough?

  • Are walkways free of oil and grease?

  • Are walkways adequately lit and clearly marked?

  • Do walkways have unobstructed vision at intersections?

Housekeeping

  • Adequate number of toilets available and clean?

  • Projecting nails or screws bent over or removed?

  • Work area clear of materials, tools, cords, hoses and debris?

  • Rebar ends protected by caps or 2x4?

Fire Protection

  • Only NFPA approved containers used for fuel and stored outside or in approved flammable liquid cabinets?

  • Combustible materials removed or protected prior to hot work?

  • Adequate number of fire extinguishers in place (minimum of one for each 3,000 SF of work area)?

Hand and Power Tools

  • Has the correct tool been chosen for the task?

  • Power tools free from damage and equipped with required guards / handles?

  • Are power tools of professional quality and double insulated or grounded with ground prong?

  • Hand tools free from damage ( shaft, head, splinters, etc.)?

  • Powder Actuated Tool operators have training cards available for review.

Personal Protective Equipment

  • Employees exposed to flying particles wearing safety glasses (& face shields, if required)?

  • Employees wearing hard hats?

  • Employees wearing appropriate gloves when exposed to cut / chemical hazards?

  • Hearing / Respiratory Protection worn by employees when required?

  • High visibility shirts / reflective vests worn by employees when working around heavy equipment?

Fall Protection

  • Elevated work levels have guardrails or cables at 21" and 42"?

  • All holes covered, secured and labeled?

  • Employees working at 6 feet or more above lower level using fall protection?

  • Employees using appropriate equipment and anchor point capable of supporting 5,000 lbs?

Ladders

  • Would a lift or scaffold be a safer and more efficient choice for the task?

  • Are ladders inspected prior to use?

  • Correct type, duty rating and material ladders being used for the task?

  • Do extension or job built ladders extend 36 inches above landing?

  • Straight or extension ladders secured to structure?

  • Straight or extension ladders meet the 4:1 safe angle ratio?

  • Ground level and provide adequate support for ladder?

  • Are spreader bars locked on step ladders?

Scaffolding

  • Would an aerial lift be a safer and more efficient choice for the task?

  • Scaffold erected under supervision of competent person, inspected daily and tagged appropriately?

  • Fully planked with guardrails, midrails and toeboards installed on scaffolds 10 feet or more above lower level?

  • Capacity not exceeded with weight of workers, tools and materials?

  • Ground level / able to support load and mudsill, base plate, and screwjack in place?

  • Ladder access provided for employees on all working levels?

  • Rolling scaffold wheels locked when in use and workers prohibited from platform while moving?

Safe Lifting

  • Have workers been trained on, and are they using, safe lifting techniques?

  • Are employees avoiding heavy loads (splitting into smaller loads or asking for help)?

  • When lifting, do employees bend their knees to take pressure off their backs?

Lighting, Ventilation and Temperature

  • Does the lighting in the work area allow staff to see their work easily?

  • Are all light fittings in good working order? No flickering lights, etc.?

  • Are glare and excessive brightness minimized in the work area?

  • Is temperature maintained at a comfortable level?

  • Is there adequate ventilation throughout the work area?

  • Are all light bulbs, tubes and lighting covers adequately cleaned?

  • Are ventilation ducts kept clean and unobstructed?

  • Is general indoor air quality acceptable for the majority of occupants, i.e., temperature, humidity, air flow, etc.?

Equipment

  • Is equipment clean and working properly?

  • Are photocopiers located away from workstations to reduce noise and exposure to fumes?

  • Is all lifting or moving equipment in good condition?

  • Are fax machines, printers, binders, laminators and other office equipment in good condition?

  • Are procedures for safely operating equipment accessible to staff?

  • Are lockout/tagout procedures used?

  • Are there clear indications when equipment is switched on?

  • Are there procedures to report faulty equipment?

  • Are equipment guards in place?

  • Are noise levels controlled and is hearing protection being used?

Hazardous Substances

  • Are hazardous substances properly labeled?

  • Are hazardous substances properly stored?

  • Do procedures exist for the safe use and disposal of hazardous substances?

  • Are material safety data sheets available for all chemicals?

  • Is there a register of hazardous substances?

  • Are all containers labeled?

  • Are eye wash stations readily available and easily accessible to employees?

Electrical

  • Are all cords, plugs and sockets in good condition, i.e., not frayed, exposed, cracked, etc.?

  • Has electrical equipment been inspected, tested and tagged in accordance with com- pany policies and regulations?

  • Are portable power tools in good condition?

  • Are all electrical items in good condition?

  • Have switches and circuits/circuit breakers been identified and are they in working condition?

  • Are battery chargers marked and well ventilated?

Powered Industrial Equipment

  • Daily documented inspections of all equipment been completed?

  • All equipment have ROPS installed?

  • Back up alarms working on all equipment?

  • Operator wearing seatbelt?

  • Operator have training card available (forklift)?

  • Employees wearing fall protection when using boom lift?

Training

  • Are new employees provided safety training during employee orientation?

  • Is job-specific training held for employees on a regular basis?

  • Is training provided on the safe use of common equipment?

  • Are personnel familiar with applicable material safety data sheets?

  • Are all personnel familiar with the emergency evacuation plan?

  • Is all training documentation current and accessible?

  • Have all personnel been trained in work-alone procedures?

  • Have personnel been trained in the use of personal protective equipment (gloves, respirators, hearing protection, safety glasses, lab coats, hard hats) and is PPE provided where necessary?

First Aid

  • Have first aid responders’ names been communicated to all employees?

  • Are the names and contact details of first aid responders and locations of first aid kits displayed?

  • Are there adequate numbers of currently-trained first responders in or near work areas?

  • Are first aid kits clearly labeled?

  • Are first aid kits easily accessible?

  • Are first aid kits regularly maintained and stocked?

  • Are emergency telephone numbers clearly displayed?

  • Are storage areas for AED devices communicated to personnel?

Emergency Procedures

  • Can emergency signals and alarms be clearly heard?

  • Are emergency exits clearly marked, easy to open and functional?

  • Are alarms and signals tested on a regular basis?

  • Are emergency exit lights operational?

  • Has there been an evacuation drill in the last 12 months?

  • Are evacuation drills reviewed and documented?

  • Have floor wardens been appointed?

  • Are the names and details of office/floor wardens and emergency procedures displayed?

  • Is an evacuation plan displayed?

  • Are fire extinguishers easily identified and located?

  • Have fire extinguishers been inspected and tagged within the last six months?

  • Are fire hoses conveniently located in major corridors?

  • Are sprinkler systems and smoke detectors operational?

  • Have re-entry procedures following an evacuation been developed and displayed?

  • Has emergency evacuation training been provided to all employees?

Excavations

  • Have utilities been located and protected?

  • Adequately sloped or shored if below 5' in depth?

  • Means of egress every 25 feet if 4 feet or deeper?

  • Spoil pile and equipment back at least 2 feet from edge?

  • Excavation protected from workers / public / vehicles / equipment?

  • Water being pumped out if present?

  • Documented daily inspection available for review?

Cranes

  • Does crane have annual inspection available for review?

  • Does operator have training card available for review?

  • Does operator have daily/weekly inspection available for review?

  • Is swing radius of crane barricaded?

  • Are outriggers in use (if equipped and needed)?

Hot Work

  • Fire extinguisher or charged hose available and inspected?

  • Flashback arresters in place on torch heads?

  • Gas cylinders secured and separated when not in use?

Storage Facilities

  • Are materials stored in bins whenever possible?

  • Is sufficient storage provided?

  • Are heavy items stored between mid-thigh and shoulder height?

  • Is there a safe means of accessing high shelves?

  • Is storage equipment in good condition and not overloaded?

  • Is stored material secured to prevent shifting/falling?

  • Are storage areas free from rubbish?

  • Are shelf units properly attached to walls and are cabinets/cupboards stable?

  • Are racks and pallets in good condition?

Security

  • Are premises secure while employees are at work, e.g., during minimum staff shifts?

  • Are security doors operational?

  • Are there procedures for managing suspicious mail and threats?

  • Have employees been trained in workplace violence procedures?

Staff Amenities

  • Are staff toilets and bathroom facilities in good condition?

  • Are toilets and bathroom facilities cleaned regularly?

  • Is kitchen equipment in good working order?

  • Are hot water taps appropriately marked?

  • Is kitchen and bathroom rubbish removed regularly?

  • Are surfaces in bathrooms and kitchen areas slip free?

  • Do kitchens contain fire extinguishers that are serviceable and accessible?

  • Are microwaves, refrigerators, etc., cleaned regularly to reduce risks of infection and fire?

Desks / Workstations

  • If desks are adjustable, can the adjustments be easily made?

  • Is there enough space on each desk for the work required?

  • Is the height of desks appropriate for the main tasks performed, e.g,. keyboarding?

  • Are items in constant use within easy reach?

  • Are workstations/desks stable and undamaged?

  • Do workstations have adequate storage?

  • Are waste bins emptied regularly?

  • Is there sufficient space around workstations to provide safe access?

  • Have staff been provided with information on how to optimize their workstation, where applicable? Provide comment:

  • Have aids been provided for computer workstations (for example, foot rests and document holders)?

Personal Computers

  • Are monitor screens located approximately an arm’s length away?

  • Are the tops of screens located just below eye level?

  • Can the height and angle of the monitor be adjusted?

  • Are characters displayed on screens legible and stable?

  • Is screen glare minimized?

  • Is the mouse situated in a convenient position so that the user does not have to reach or stretch?

  • Is the mouse easy to move?

Chairs (Used for working at personal computers)

  • Can the height of chairs be adjusted according to the tasks being undertaken?

  • Can the height of back rests be adjusted to provide appropriate lumbar support?

  • Can the angle of the back rests be adjusted so that users are sitting upright when us- ing a personal computer?

  • Can the chairs be moved close to the workstation without being obstructed by arm rests?

  • Are chairs stable and undamaged?

Review

  • Superintendent signature

  • Inspection Lead signature

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.