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
2. Fall Protection
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2.1. Are employees exposed to fall hazards of 6 feet, or more?<br>
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2.2. Does it appear that fall protection was planned for?
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2.3. Are any openings properly guarded or covered?
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3. Scaffolds
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3.1. Was a qualified person supervising the erection/dismantling of the scaffold system?<br>
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3.2. Was the scaffold system inspected by a competent person?
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3.3. Are guard rails in place when the work platform is greater than 10 feet above a lower level?
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3.4. Is the work platform fully decked?
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3.5. Is the scaffold system tied and guyed to prevent tip over?
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4. Aerial lifts
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4.1. Were employees in boom lifts using PFAS?<br>
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4.2. Were those using the lifts standing on the floor of the platform?
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4.3. Is the work surface appropriate for the style/weight of the lift?<br><br><br>
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4.4. Was the lift, and surrounding work area, inspected before use?
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5. Harness and Equipment
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5.1. Unsafe or damaged harness or equipment?
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5.2. Incompatible hooks/equipment?
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5.3. Unlabelled or does not meet AS?
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5.4. Unsafe or uncertified anchor points?
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5.5. Lack of inspection protocol for equipment?
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5.6. Lack of or inadequate formal training for operators?
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6. Ladders
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6.1. Unsafe or damaged ladders?
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6.2. Unsafe positioning of ladders?
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
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7. Housekeeping
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7.1. General appearance of job site?
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7.2. Cleanliness of trailer or break areas?
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7.3. Slip, trip hazards at stairways or ladders?
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7.4. What trade needs to dedicate more time and effort on housekeeping?
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8. Hazardous Chemical (including fuel and oil)
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8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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8.3. Containers clearly labeled?
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8.4. Safety Data Sheets not accessible on site?
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8.5. Flammables stored properly?
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8.6.
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9. Emergency Response
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9.1. Lack of, or no emergency plans for site?
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9.2. Emergency procedures not displayed at site?
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9.3. Lack of training and rehearsal of emergency plans?
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9.4. Lack of, or inadequate first aid kits aid equipment for site?
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10. Traffic Management
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10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
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10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)
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10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
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11. Personal Protective Equipment (PPE)
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11.1. Proper PPE being worn?
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11.2. Appropriate PPE available to employees?
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12. Work Environment
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12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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12.2. Adequate lighting?
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12.4. Adequate employee parking and access?
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13. Electrical Hazards
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13.1. Cords in good condition?
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13.3. GFI protection being used?
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13.4. Temporary lighting on a dedicated circuit?
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13.5. Breakers in place and labeled at temporary panel?
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13.6. Electrical cords/feed adequately protected from damage?
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13.7. Cords present trip hazard?
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13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
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14. Environmental Hazards
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14.1. CO monitors in place when building is enclosed?
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14.2. Air quality concerns?
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14.4. Lack of water re-use systems?
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15. Administrative Procedures
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15.3. Lack of, or inadequate, safety orientation?
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15.7. Is safety being discussed during job meetings?
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15.8. Lack of/or inadequate incident notification procedures?
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15.9. Lack of, or inadequate, routine inspections, monitoring, audits?
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Corrective Actions
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Enter any corrective actions that will be undertaken
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Sign Off
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On site representative
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Auditor's signature
