Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

House Keeping

  • Have you signed in onsite?

  • Have you completed Site Induction training?

  • Are you aware of the site evacuation point?

Pre-Task Plans

  • Have you completed a tool box talk and Task Analysis

  • Select date

Hand and Power Tools

  • Have they been inspected?

  • Is the right tool for the right job being used?

  • Is the tool being used properly?

  • Are the guards in place?

First Aid Kits / D.P. Postings

  • Is there a first aid kit on site?

  • Are there any expired items in the kit?

Ladders

  • Have the ladders been inspected and maintained?

  • Are the ladders being used properly?

  • Is the extension ladder secure above the working surface?

  • Are the stickers legible? (duty rating and safety)

  • Is the set up of the ladder on a stable surface and clear of debris underneath?

Fall Protection

  • Is fall protection being used?

  • Has the fall protection been inspected?

Personnel Lifts (Scissors and Boom)

  • Is the employee competent to operate a lift ?

  • Has a daily lift inspection checklist been filled out?

  • Is the area safe to be operating a lift? (uneven surfaces, leading edges, debris)

PPE

  • Do the employees have access to safety glasses?<br>

  • Are the employees wearing a hard hat?

  • Are the employees wear the right glove for the job?

  • Are the employees wearing a Hi-Vis vest?

Downer

  • Is this a downer Job?<br>

  • Are you wearing long sleeve pants and shirt?<br>

  • Have you signed in correctly for a downer job?

  • Have i taken a photo of the downer sign in sheet and added it to the job?<br>

  • Have you completed the specific downer health and safety pre start?R

Rheem

  • Is this a Rheem Job?

  • Have i completed the Rheem Warranty form?

  • Have i added all details including taken a photo of the name plate of the unit to the job?

Comments:

  • Supervisor's Signature Acknowledgment of Audit Findings

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.