Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Working at Heights

  • 1.1. Fall risks of 6 feet or more including improper tie off?

  • 1.2. Lack of or in complete edge protection?

2. Equipment and Tools

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

  • 2.2. Fork lift, Scissor lift, boom lift in safe operating condition and properly licensed operator?

3. Scaffolds

  • 3.1. Unsafe or incomplete scaffold? ( base plates, wheel locks, up lift pins, daily inspection)

4. Cranes

  • 4.1. Unsafe or damaged cranes?

  • 4.2. Lack of daily inspection protocol? (Daily reports completed prior to start of shift)

  • 4.3. Unsafe or damage limiting equipment, including chokers, slings, chains, hooks, us we'd of tag line, ect?

  • 4.4. Swing radius of the crane marked with red tape?

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Unsafe tie off procedure?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Ladder not properly set up and secured?

7. Hazardous Chemical (including fuel and oil)

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

  • 7.2. Safety Data Sheets not accessible on site?

  • 7.3 Fuel tanks with fire extinguisher and drain plug in place ( including empty spill containment from rain water)

8. TrafficManagement

  • 8.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place ( including trained flaggers).

9. Personal Protective Equipment (PPE)

  • 9.1. Lack of, or inadequate PPE (glasses, vest, gloves, boots, hard hats, harness, hearing protection)

10.Work Environment

  • 10.1 Inadequate housekeeping and lighting on site?

  • 10.2 Red tape around work area to keep other trades out? (over head work, lay down area)

11. Welding and Electrical Hazards

  • 11.1 Unsafe electrical leads and extension cords? (boots at connections, cuts or tape with 10' of stinger, exposed wires on cords)

  • 11.2 Lack of GFCI protection?

  • 11.3 Fire extinguisher within 25' of welding operations and use of fire watch when needed?

12. Environmental Concerns

  • 12.1 Spillage around bulk tank area?

  • 12.2 Cranes leaking excessive fluids?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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