Cameron Mitchell Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Safety glasses with side shields?

  Yes

  No

  N/A

• Shield protection for abrasive blades?

  Yes

  No

  N/A

• Work boots?

  Yes

  No

  N/A

• Hard Hats?

  Yes

  No

  N/A

• Hearing Protection?

  Yes

  No

  N/A

• Wearing gloves when handling sharp objects?

  Yes

  No

  N/A

• Proper respiratory protection when creating dust?

  Yes

  No

  N/A

• Are all crew members wearing high visibility vests?

  Yes

  No

  N/A

• Are employees using proper lifting methods?

  Yes

  No

  N/A

• Are employees asking for help lifting 75lbs?

  Yes

  No

  N/A

• What corrections were made?

Equipment

• Are extension cords in good working condition?

  Yes

  No

  N/A

• Are safety guards on small tools in good working condition?

  Yes

  No

  N/A

• Cords on small electric power tools in good condition?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• Is rigging equipment in good working order?

  Yes

  No

  N/A

• What corrections were made?

• Ramps are maintained in a clean, trip-hazard free condition?

  Yes

  No

  N/A

• Work areas are free from slip hazards?

  Yes

  No

  N/A

• Are rod caps on rebar?

  Yes

  No

  N/A

• Is the job site free from garbage?

  Yes

  No

  N/A

• Is the tool trailer free from trip hazards?

  Yes

  No

  N/A

• Is there safe drinking water on-site?

  Yes

  No

  N/A

Miscellaneous

• Weekly Safety Meeting Held?

  Yes

  No

  N/A

• What was the weekly safety tool box talk?

• Pass or Fail?

  Pass

  Fail

• Foreman Signature

  Sign

• Safety Audit Completed By

  Sign