Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Hazard

  • 1. Job site entrance and exit

  • 2. Housekeeping

  • 3. Potential slip or trip hazards

  • 4. Ladder/Correct Size/Inspection

  • 5. Lifts/Scissors/Booms

  • 6. Fall Protection/Guardrails/Harnesses

  • 7. Floor Openings/Closed or Protected

  • 8. Scaffolding/Set-up/Inspection

  • 9. Temporary Installation/Maintained

  • 10. Pulling Wire & Cable/Set-up & Position

  • 11. Electrical Safety/Cords/Tools/Procedures Discussed

  • 12. Hot Work/Testing/Metering/Service

  • 13. Installing Electrical Gear/Rigging

  • 14. Installing/Moving Heavy Objects

  • 15. Material Handling(pipe,reals,equipment)

  • 16. Power Tools/Repair/Maintenance

  • 17. Powder Actuated Tools/Safety Glasses & Face Shield

  • 18. Roughing walls/Wood or Metal Studs

  • 19. Fixture Installation/Kevlar Gloves Suggested

  • 20. Excavation/Trenching Safety

  • 21. Public & Vehicle Safety

  • 22. Hazardous Material/Fuel

  • 23. Raised floors and Tiles/Safety Cones

  • 24. Other Concerns Not Listed

General Comments

  • Document Positive Or Safe Behaviours Observed

Signatures Of Observers

  • Observer 1

  • Observer 2

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.