Title Page
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Site:
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Company:
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Conducted on:
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Supervisor:
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Scope of work:
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Prepared by:
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Site Address:
Safety Program and Equipment
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OSHA & Other Regulatory Postings
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Safety Manual On Site
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HazComm - SDS and Manual
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Emergency Action Plan - On-site, posted, training and muster points.
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Tool Box Meetings - Held weekly and documented.
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Pre-Task Planning - Conducted daily and documented.
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Traffic Control Plan- Utilized
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Respiratory Protection Program - Written program, fit testing, medical evaluation and training.
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First Aid / AED - Accessible, stocked, current and trained personnel on-site.
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Eye Wash - Accessible, current, and inspected weekly.
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Safety Signage - PPE Requirments and others as needed.
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Utilities Marked / Overhead Powerlines - Marked and warnings posted
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Lighting - General areas and task lighting
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Other
Site Inspection
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Fall Prevention - Guardrails adequate and maintained.
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Fall Arrest - Proper Use, Equipment & Training
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Dropped Object Protection - Work planning, tethering, and barricading.
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Slip, Trip & Fall Prevention.
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Scaffolding - Erected properly, maintained, loaded properly, and inspected daily.
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Stairs - Constructed properly, hand rails, guard rails, lighting, and clear of materials.
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Ladders - Fiberglass, inspected and used properly.
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Confined Spaces - Evaluated, Posted, Entrants following OSHA standards.
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Lock Out Tag Out - Following OSHA standards.
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Forklift - Inspected, safe working conditions, backup alarm, seat belts used and operators trained.
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Mobile Work Platforms - Inspected, platforms free of debris, safe working condition, used properly, fall arrest and trianing.
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Mobile Equipment - Backup alarms, safety equipment, and seat belts used, and inspected.
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Company vehicles - Safety Signage, First Aid Kit, Safety Equipment, and properly maintained.
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Chemical, Flammable Liquid & Pressurized Gas - Stored and labeled properly.
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Excavations - Benched, shored as required, escape ladders, fall prevention.
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Hand & Power Tools - In safe conduction, guards are installed and power cords are safe.
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Power Cords -12ga or larger, ground pin, jacket, 7' off ground, inspected and used properly.
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Work compliant the OSHA Silica Standard.
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Rigging and lifting equipment in safe condition and inspected.
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Other hazards observed.
Summary
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Personal Protective Equipment - Utilized, proper for the task, issued, and maintained.
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Housekeeping - Work areas cleaned daily, passways and stairways clear.
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Waste Disposal - Adequate and serviced
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Where any imminent hazards are observed?
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Fire Prevention & Escape Routes - Adequate, clear, and posted as required.
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Fire Extinguishers - Mounted in adequate type and numbers, inspected monthly and certified annually.
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Other
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Suggestions
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This Safety Audit report is a reflection of observations made during the site safety inspection. Charleston Safety, LLC does not guarantee that all OSHA violations and hazards were observed or reported.
Previous Inspection Follow Up
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Item 1
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Item 2
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Item 3
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Item 4
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Item 5
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Item 6
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Other:
