Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Fall protection. WAC 296-155

  • 1.1. Fall risks of 6' or more? (including voids, pits, and trenches)

  • 1.2. Proper handrail protection in place with top rail 42 +\- 3" , toe boards and mid rails?

  • 1.3. Leading edge protection in place with fixed barrier, tape or stations with proper signage?

2. Tools and Equipment

  • 2.1. Unsafe or damaged tools / equipment? (including missing or damaged guards)

  • 2.2. Incorrect Tools / equipment for job? (e.g. grinding discs for cutting)

  • 2.3. Unsafe or incompatible attachments used with tools /equipment?

  • 2.4. Unlicensed operators?

  • 2.5. Lack of safe work instructions?

  • 2.6. Lack of training in safe operation, clean-up and maintenance?

  • 2.7. Lack of LOTO procedures for cleaning, servicing and maintenance?

  • 2.8. Lack of inspection regime?

  • 1.4 wood rails not spaced more than 8' on center with duplex nails flush..<br>

3. Scaffolds

  • 3.1. Certified persons erecting scaffold above 6', green tagged when ready to work from?

  • 3.2. Unsafe or incomplete scaffold, red tagged ?

  • 3.3. Lack of inspection protocol for scaffold?

  • 3.4. Incompatible scaffold components?

  • 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

4. Lifting Equipment

  • 4.1. Unsafe or damaged rigging?

  • 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 4.3. Certified or licensed operators?

  • 4.4. Lack of SWL information displayed?

  • 4.5. Lack of daily inspection protocol?

  • 4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 4.7. SWL of lifting gear or any lifting equipment exceeded?

  • 4.8. Tagline being used on all lifts?

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabelled or does not meet ANSI standard<br>

  • 5.4. Unsafe or uncertified anchor points?

  • 5.5. Lack of inspection protocol for equipment?

  • 5.6. Lack of or inadequate formal training for operators?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

Job built ladders

  • 6.5. Cleats spaced 16" - 20"?

  • 6.6. Fillers are installed between each cleat?

  • 6.7. 3' extension on ladders above landing?

7. Welding, Cutting and Burning

  • 7.1. Lack of extinguisher?

  • 7.2. Lack of face shield or hood?

  • 7.3. Inadequate protection of public protection ( shielding of flash, sparks or arc)

  • 7.4. Bottles secured on cart?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.2. Incompatible chemicals stored near each other?

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets accessible on site?

  • 8.5. Lack of emergency procedures for injury/spills/fire etc?

  • 8.6. Excessive quantities stored on site or in vehicles?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

  • 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site?

  • 9.2. Emergency procedures displayed at site?

  • 9.3. training of emergency plans?

  • 9.4. Lack of, or inadequate first aid kits aid equipment for site?

  • 9.5. Formally trained First Aiders for all shifts?

  • 9.6. Adequate communication equipment?

10. Traffic Control

  • 10.1. Adequate, Traffic Management Plan (TMP) in place?

  • 10.2. Trained flaggers and appropriate attire and equipment?

  • 10.3. Adequate controls for Traffic control? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

11. Personal Protective Equipment (PPE)

  • 11.1. Lack of, or inadequate PPE (including sun protection)

  • 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 11.3. Lack of training in safe use, clean-up and inspection of PPE?

12. Work Environment

  • 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 12.2. Insufficient lighting?

  • 12.3. Inadequate housekeeping?

  • 12.4. Lack of, or inadequate noise/ vibration control?

13. Electrical Hazards

  • 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  • 13.4. Contact with overhead electrical lines?

  • 13.5. Overloading outlets?

  • 13.6. Leads placed on ground or on metal structures?

  • 13.7. Electrical equipment near water?

  • 13.8. Cords protected from damage by equipment running over cords?

  • 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

14. Environmental Hazards

  • 14.1. Spill kits stocked and on site

  • 14.2. Spills cleaned up?

15. Administrative Procedures

  • 15.1. Site Safety Plan on site and reviewed by new employees?

  • 15.2. Obtained correct permits (Hot Works, Confined Space etc)

  • 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 15.4. Drinking water on site available for workers ?

  • 15.5. All employees trained on the equipment / tools they are using and cards or certificates on file?

  • 15.6. Pre task cards filled out and in use for high- risk work?

  • 15.7. Job hazard analysis as needed?

  • 15.8. Proper incident notification procedures?

  • 15.9. proof of routine inspections, monitoring, audits?

  • 15.10. Proper postings in place per WAC? ( fed poster, clinic directions, emergency numbers)

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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