Information

  • Audit Title

  • Client / Site

  • Location
  • Conducted on

  • Document No.

  • Personnel

  • Prepared by

PPE

  • All workers wearing class 2 safety vests when near traffic or moving equipment?

  • All workers wearing hard hats when required?

  • All workers wearing eye protection when required?

  • Appropriate footwear being worn?

  • Face shields for chipping / grinding operations ?

Trucks / Equipment

  • Strobes / Flashers operational & in use?

  • Operators wearing seat belts?

  • Daily inspections completed? Maintenance needs communicated?

  • Back up alarms operational?

  • Mirrors / backup cameras in good condition

  • Fire extinguishers on all trucks / equipment?

  • Cab clean of trash & debris?

Traffic Control

  • Warning signs properly posted?

  • Barrels / cones properly set?

  • Signs clean and in good condition?

  • Flaggers using stop / slow paddles?

Misc. Tools & Equipment

  • Hand tools in good condition? (No damaged handles/parts, proper for job)

  • Fuels stored in labeled safety cans?

  • Chemical containers labeled?

  • GHS SDS available?

  • Lifting equipment adequate? Load rating tags in place & legible?

  • Extension cords in good condition

  • GFCI in use?

  • Water in use for dust Control as needed?

Misc.

  • Overall summary of the safety and environmental compliance.

  • Site overview pictures.

  • Foreman / Superintendent Signature

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.