Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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1. Is the jobsite clean and free of dangerous waste and material?<br>
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2. Is there a working fire extinguisher within 100 feet of all work areas?<br>
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3. Are floor holes and openings protected and marked appropriately?
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4. Are PIT operators trained to operate the vehicle safely?
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5. Is there evidence of smoking on the Jobsite?
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6. Are extension cords hung or strung along walls to prevent tripping hazards?
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7. Are surge protectors used to protect equipment and GFCI used to protect employees?
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8. Do employees have and wear the appropriate personal protective equipment?
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9. Are only those authorized to operate equipment/machinery permitted to?
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10. Is equipment inspected before each use?
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11. Do personnel use proper lifting techniques?
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12. Are SDSs available for authorized chemicals available? If not, are employees aware of SDS locations?
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13. Are workers aware of JHAs cover the task they are performing?
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14. Are JHAs signed by personnel for each task they perform?
