Title Page

  • Audit Title

  • Jobsite Name

  • Location
  • Select date

  • Superintendent

  • Audit Conducted By

PROGRAM ADMINISTRATION

  • OSHA Postings

  • Emergency numbers / contacts posted

  • Emergency action plan up to date

  • Company safety manual

  • Toolbox talks

  • First aid kit

BARRICADES AND FENCING

  • Roadways and sidewalks protected

  • Floor openings planked or barricaded

  • Wall, roof openings covered or barricaded

  • Leading edges guarded

  • Traffic controls utilized for roadwork

ELECTRICAL / UTILITY

  • Insulation intact on cords and wiring

  • Temporary lighting guarded

  • Electrical panels labeled HOT and covered

  • GFCI protection utilized

  • Underground electrical lines marked

  • Underground gas lined marked

  • Lockout procedures utilized

ENVIRONMENTAL CONTROLS

  • Silt fence installed and maintained

  • Hazardous materials properly stored

EQUIPMENT

  • Brakes, lights, signals, and alarms operative

  • Seat belts worn

  • Aerial lift - PPE being used

  • Rigging equipment inspected - tag showing

FALL PROTECTION

  • Are employees protected from falls when working at heights > 6'

  • Is fall protection equipment in safe working condition (PFAS, guardrails, warning lines, etc.)

FIRE PREVENTION

  • Are safety cans being used and properly labeled

  • Propane tanks & fuel tanks: barricade installed, fire extinguisher (20-B), labeled (flammable, no smoking, fuel type)

  • Compressed gas cylinders secured, upright, protected from damage

  • Flashback arrestors utilized with cutting torch and/or gas cylinders

  • Fire extinguishers immediately available and inspection current

HAND AND POWER TOOLS

  • Hand tools in good working order

  • Electrical cords in good working order

  • All mechaincal guards in use

  • Handles not broken/splinter free

HOUSEKEEPING

  • Work areas orderly

  • Adequate lighting

  • Job site free of slips, trips and fall hazards

  • Stairways / walkways clear

  • Trash picked up

LADDERS

  • Ladders in good condition

  • Side rails extend 36' above landing

  • Proper for job and secured

  • Step ladders fully open when in use

  • Placement of ladder safe, including 4:1 ratio

PPE

  • Hard hats worn

  • Gloves available

  • Faceshield is being used - mason saw or other operations

  • Eye protection

  • Hearing protection

  • Safety harness and lanyards utilized with adequate anchor points

  • Respirators or masks utilized

  • High visible clothing in use

Company Notes

  • #1 Other

  • #2 Other

  • Inspection Reviewed With

  • Audit Completion

  • 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.