Information
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Safety Audit Conducted by
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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 voids, pits, and trenches)
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1.2. Is there leading edge protection?
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1.3. Are Employees using Personal Fall Arrest Systems?
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1.4. Are Employees trained and qualified to use PFA system?
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1.5. Did Employee inspect all components of PFA system?
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1.6. complete and adequate guardrail system installed?
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1.7. Do w have future work at heights on this project?
2. Aerial/Platform Lifts
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2.1.Lift being used safely?
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2.2. Is the lift appropriate for the task?
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2.3. Are the operator(s) licensed by the manufacture and for this specific model?
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2.4. Can the lift be used Safely in this area?
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2.5. Did the operator inspect the lift today?
3. Scaffolds
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3.1.Is scaffold complete with compatible scaffold parts?
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3.2. Scaffold pass daily inspection by competent person?
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3.3 Are employees trained for the scaffold?
4. Lifting Equipment
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4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
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4.3. Lack of maintenance, testing and inspection?
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4.4. Lack of SWL information displayed?
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4.5. Lack of daily inspection protocol?
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4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
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4.7. Lifting equipment unlabelled, does not meet AS, no SWL displayed?
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4.8. Unlicensed operators?
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4.9. Lack of LOTO procedures for cleaning, servicing and maintenance?
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4.10. SWL of plant or any lifting equipment exceeded?
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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5.4. 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?
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?
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6.5 Unsafe ladder use?
7. Hazardous Manual Tasks
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7.1. Lack of identification hazardous manual tasks?
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7.2. Lack of assessment of hazardous manual tasks?
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7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
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7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?
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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8.2. Incompatible chemicals stored near each other?
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8.3. Inadequate spill containment equipment?
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8.4. Safety Data Sheets not accessible on site?
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8.5. Lack of emergency procedures for injury/spills/fire etc?
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8.6. Excessive quantities stored on site or in vehicles?
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8.7. Insufficient ventilation?
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8.8. Insufficient, or incorrect, PPE?
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8.9. Unsuitable storage containers? (unlabeled or stored in food containers)
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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9.5. Insufficient access to formally trained First Aiders for all shifts?
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9.6. Unsuitable or inadequate communication equipment?
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)
11. Personal Protective Equipment (PPE)
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11.1. Lack of, or inadequate PPE use
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11.2. Lack of system to issue, inspect, replace and monitor PPE?
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11.3. Lack of training in safe use and limitations of PPE?
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. Inadequate housekeeping?
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12.3. Lack of, or inadequate noise control?
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12.4. Potentially hazardous air quality/ poor ventilation.
13. Electrical Hazards
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13.1.Lack of GFCI testing/report log?
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13.2. Inadequate installation/maintenance of power branch circuits
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13.3. Insufficient lighting?
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13.4. Insufficient Available power?
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13.5.Lack cord management?
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13.6. Lack of extension cord management/inspection?
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13.7.Lack of lockout Tag-out protocol?
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13.8. Does any unsafe condition near electrical services or energized parts?
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13.9. Any future shutdowns and/or exposures to shock or arc hazards?
14. Administrative Procedures
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14.1. Failure to obtain permits (Energized Works, Confined Space, ladder use, etc)
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14.2.Lack or, or inadequate, supervisory arrangements?
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14.3. Lack of/or inadequate training, licenses, skills, experience?
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14.4. Lack of/or inadequate accident/incident notification procedures?
14. Administrative Procedures
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14.1. Failure to obtain permits (Energized Works, Confined Space, ladder use, etc)
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14.2.Lack or, or inadequate, supervisory arrangements?
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14.3. Lack of/or inadequate training, licenses, skills, experience?
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14.4. Lack of/or inadequate accident/incident notification procedures?
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14.5.Lack of/or inadequate Site Specific Safety Plan?
15. Site Conditions
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15.1. lack of safe entry/egress to work area?
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15.2. Lack of or Improper installation of handrails?
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15.3. Penetrations in floor or roof adequately covered, secured, and identified?
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15.4.Lack of housekeeping?
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15.5.Exposed rebar or other implement hazard exist?
16. Trenching or Excavation
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16.1. Have underground utilities been identified by digsafe?
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16.2. Lack of trench daily inspection by qualified person.
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16.3. Is the excavation depth greater than 5 feet? If so, do we have the required trench properly installed?
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16.4. Does trench have proper egress?
17. Other unsafe condition
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17.1. Is there an unsafe act or condition not previously covered in this audit?
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
