Construction Behaviors/Conditions Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

AUDIT INFORMATION

• LOCATION:

• EMPLOYEE(S) OBSERVED:

• Select date

  Date

OBSERVATIONS OF PPE USE

• PPE Violations

  Select Safe Hard Hat Safety Glasses Safety Shoes Safety Vest Gloves

  • Safe
  • Hard Hat
  • Safety Glasses
  • Safety Shoes
  • Safety Vest
  • Gloves

• Add media

  Media

• Adequate use of all Fall protection Components (Harness, Lanyard, Tie-offs, Anchor Points)

  Safe

  Unsafe

  Not Observed

• Add media

  Media

OBSERVATIONS OF GENERAL SAFE BEHAVIORS & CONDITIONS

• Usage of Ladders

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Usage of Power Cords, Power Tools, Other Electrical Equipment

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Usage of Mobile Equipment (Tele-handler, scissor lift, Aerial lift, forklift)

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Performance of Operations on Scaffolding & Scaffold Set Up

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Adequate Fall Protection

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Proper Housekeeping

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Shot Strips

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Proper Use of Rigging

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Proper use of Barricades (Danger & Caution Tape)

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Hot Work (Permit & Safe performance of Hot Work, including fire extinguisher)

  Safe

  Unsafe

  Not Observed

• Add media

  Media

• Completed Pre-Task Plan?

  Safe

  Unsafe

  Not Observed

• Yes

• No

CORRECTIVE ACTIONS

• List of corrective actions already made:

• List of corrective actions yet to be implemented:

• Signature of Auditor:

  Sign