Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Working at Heights
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1.1. Fall risks of 6 feet or more including improper tie off?
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1.2. Lack of or in complete edge protection?
2. Equipment and Tools
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2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)
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2.2. Fork lift, Scissor lift, boom lift in safe operating condition and properly licensed operator?
3. Scaffolds
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3.1. Unsafe or incomplete scaffold? ( base plates, wheel locks, up lift pins, daily inspection)
4. Cranes
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4.1. Unsafe or damaged cranes?
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4.2. Lack of daily inspection protocol? (Daily reports completed prior to start of shift)
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4.3. Unsafe or damage limiting equipment, including chokers, slings, chains, hooks, us we'd of tag line, ect?
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4.4. Swing radius of the crane marked with red tape?
5. Harness and Equipment
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5.1. Unsafe or damaged harness or equipment?
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5.2. Unsafe tie off procedure?
6. Ladders
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6.1. Unsafe or damaged ladders?
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6.2. Ladder not properly set up and secured?
7. Hazardous Chemical (including fuel and oil)
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7.1. Unsafe storage location? ( e.g. flammables near ignition sources, spills could enter storm water drains, etc)
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7.2. Safety Data Sheets not accessible on site?
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7.3 Fuel tanks with fire extinguisher and drain plug in place ( including empty spill containment from rain water)
8. TrafficManagement
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8.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place ( including trained flaggers).
9. Personal Protective Equipment (PPE)
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9.1. Lack of, or inadequate PPE (glasses, vest, gloves, boots, hard hats, harness, hearing protection)
10.Work Environment
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10.1 Inadequate housekeeping and lighting on site?
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10.2 Red tape around work area to keep other trades out? (over head work, lay down area)
11. Welding and Electrical Hazards
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11.1 Unsafe electrical leads and extension cords? (boots at connections, cuts or tape with 10' of stinger, exposed wires on cords)
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11.2 Lack of GFCI protection?
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11.3 Fire extinguisher within 25' of welding operations and use of fire watch when needed?
12. Environmental Concerns
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12.1 Spillage around bulk tank area?
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12.2 Cranes leaking excessive fluids?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature