Information

  • Audit Title

  • Branch

  • Region

  • Customer Name

  • Document No.

  • Conducted on

  • Inspection completed by

  • Personnel on site

General

  • Dispatch Number

  • Customer / Site Location
  • Supervisor / Foreman at time of this inspection

  • Select site weather conditions at time of this inspection (select all that apply)

  • Describe weather conditions on site today

  • Minimum temperature today?

  • Maximum temperature today?

  • Current activities being undertaken on site (select all that apply)

Condition of Vehicle

  • Has the interior surface and windshield cleaned in the last month?

  • Has the floor been vacuumed in the last month?

  • Is the back of the vehicle space open and clean for easy access to tools and parts?

  • Are extension cords neatly wrapped and tangle-free?

  • Are tanks (i.e. compressed gas, acetylene) securely fastened?

  • Are gauges hung neatly?

  • Is there a fully stocked first aid kit on the vehicle?

  • Is there a fire extinguisher on the vehicle?

  • Is there a lockout tagout kit on the vehicle?

  • Does the rear view camera or sensors work (if applicable)?

Site Safety Inspection

First Aid Facilities

  • Are first aid facilities to be inspected in this audit?

  • Is there easy access to first aid cabinets?

  • Employees aware of location of first aid cabinet?

  • Are first aid cabinets and contents clean and orderly?

  • Are all first aid contents within their expiration date?

  • First aid cabinets clearly labelled?

  • Are emergency numbers displayed?

  • Are first aid officers known to workers and accessible?

Fire Prevention & Emergency

  • Are fire and emergency procedures to be inspected in this audit?

  • Evacuation plan displayed and understood by all employees?

  • Evacuation procedures discussed regularly? (3 to 4 times a year)

  • Exit doors easily opened from inside?

  • Exits clear of obstructions?

  • Adequate direction notices for fire exits?

  • Extinguishers in place, clearly marked for type of fire?

  • Extinguishers recently serviced? (check punch mark on tabs)

  • Extinguishers clear of obstructions?

  • Fire alarm system functioning correctly?

Site Security

  • Is site security to be inspected in this audit?

  • Are site entry and exit points clearly designated?

  • Is clear signage requiring visitors to check in posted?

  • Is site perimeter fenced off appropriately with required site public signage posted?

  • Are all entries and exits closed and locked at night and during weekends?

  • If applicable, are site alarm systems functioning as expected?

  • If applicable, are site security procedures (guard patrols, security checks etc) undertaken as required and reviewed regularly?

Personal Protective Equipment (PPE)

  • Is Personal Protective Equipment to be inspected in this audit?

  • Is head protection worn correctly and where required?

  • Is eye protection worn where required?

  • Are the correct forms of eye protection worn for tasks being completed?

  • Is hearing protection worn in designated areas?

  • Are the correct forms of hand protection worn for manual tasks

  • Is respiratory protection worn where dust, mist or fumes are present?

  • Is footwear in good condition and of correct type?<br>

  • Are high-vis vests or clothing worn at all times outside the office?

  • Are safety harnesses appropriately worn at height?<br>

  • Is additional PPE used where required?

  • Are staff aware of correct PPE for tasks they are trained to perform?

Housekeeping

  • Is site housekeeping to be inspected in this audit?

General Housekeeping

  • Are entry and walkways kept clear?

  • Are floor surfaces even and uncluttered?

  • Are footpaths in good condition?

  • Are floors free from debris and clutter?

  • Are all floor surfaces free of liquid spills and slippery substances such as water, glycol, oil, ice, etc.?

  • Are intersections kept clear of boxes etc?

  • Are walkways adequately and clearly marked?

  • Are stairs and risers clear of clutter and debris?

  • Are railings in good condition?

Work Benches & Work Areas

  • Are workbenches and work areas to be inspected in this audit?

  • Are site furniture and workbenches in sound condition?

  • Do work and office areas have adequate lighting?

  • Work benches are clear of rubbish and debris?

  • Work benches have no sharp edges?

  • Are tools not in use put away?

  • Are hand tools free from damage?

  • Are power tools free from damage?

Misc

  • Workers are communicating clearly at acceptable volume (no shouting)?

  • Noise produced by work activities is within acceptable parameters and is not excessive?

Storage Containers, Conex box, and Trailers Design and Use

  • Site storage to be inspected in this audit?

  • Are materials stored in racks and bins wherever possible?

  • Storage designed to minimise lifting problems?

  • Are floors around racking clear of rubbish?

  • Are racks and pallets in good condition generally?

Waste & Rubbish

  • Waste and rubbish to be inspected in this audit?

  • Are bins/dumpsters located at suitable points around site?

  • Is site generally orderly, with rubbish or waste materials disposed of correctly?

  • Are bins/dumpsters emptied regularly?

  • Are oily rags and combustible refuse disposed of in covered metal containers?

  • Is the loading / delivery area clean and tidy?

Fall Protection

  • Trip and fall safety to be inspected in this audit?

  • Are fall preventive measures in place and used where gaps occur in railings?

  • Are appropriate measures in place to prevent falls? ie. barriers (preferred) or harnesses?

  • Is all fall protection equipment visually inspected prior to use?

  • Is all work above 6ft, or within 6ft of an edge being done safely?

  • Is fall protection in use for employees exposed to a fall greater than 6 feet?

  • Are all floor openings fully barricaded or are protected with a secured cover and labelled?

  • Are personnel below protected from falling materials (i.e. tools, bolts, etc.)?

Rooftop Access and Rooftops

  • Are rooftops and rooftop access to be inspected in this audit?

  • Is the rooftop free from trip hazards?

  • Are rooftop units free from broken piping/exposed wiring, etc?

  • Is rooftop access free from debris and clutter?

  • Is there adequate lighting going up to the roof?

  • Are there anti slip pads installed on metal staircase used to access the roof? (if applicable)

  • Does the roof hatch function properly?

  • Is the exterior of the store free from any safety issues?

Ladders

  • Ladders to be inspected in this audit?

  • Are all ladders Industrial strength (Non-Household rated, check label.)?

  • Are ladders in good condition?

  • If used for electrical work are ladders non-conductive (wood or fiberglass.)?

  • Are ladders being used according to manufacturer specifications?

  • For extension ladders: are ropes, pulleys and treads in a good state of repair?

  • Are ladders not used to access heights when higher order controls should be used?

Scaffolding

  • Scaffolds to be inspected in this audit?

  • Are scaffolds constructed and erected only by qualified and trained personnel?

  • Have all scaffold plans been submitted and approved?

  • Are scaffolds accessible and clear of unstable objects and trip hazards?

  • Is scaffold adequately secured to building (or appropriately secured with alternative method)?

  • Are guard rails installed on all scaffolds above 10 feet?

  • Are scaffold footings stable, secure and free of unstable propping objects (barrels, boxes, loose brick or concrete blocks etc)?

  • Are scaffold footings and anchorages designed to support the maximum intended load without settling or displacement?

  • Are scaffolds generally safe and orderly?

  • Are scaffolds being regularly inspected?

Scissor Lifts

  • Scissor Lifts to be inspected in this audit?

  • Are all booms and cylinders in proper working order?

  • Are operating and emergency control free of excessive dirt, grease, or foreign matter?

  • Does the run light operate properly?

  • Is proper PPE being used (hard hat, safety glasses, steel toe-boots, and harness and lanyard [if required])?

  • Is the platform in good condition?

  • Is the platform floor free from debris, clutter, and spills?

  • Is pothole protection in proper working condition?

  • Are tires free of excessive wear, cuts, and cracks?

  • Are tires properly inflated?

Fork Lifts

  • Fork Lifts to be inspected in this audit?

  • Is the Operator trained and certified within the last 3 years?

  • Is the backup alarm working on the forklift?

  • Is the operator wearing a seatbelt?

  • Is the load balanced and not exceeding the rate load?

  • Is the forklift in neutral and the parking break set before lifting the load?

  • Are you keeping a safe distance from platform and ramp edges?

Hazardous Manual Tasks

  • Hazardous Manual Tasks to be inspected in this audit?

  • Have Hazardous Manual Tasks on site been identified?

  • Is an appropriate Hot Work Permits onsite (if applicable)?

  • Is the hot work site clear of combustibles or combustibles protected?

  • Is an appropriate fire extinguisher readily available?

  • Have Risk Assessments for these tasks been completed where required?

  • Have Risk controls been selected for these tasks using the hierarchy of controls?

  • Are suitable controls in place for high force / awkward postures?

  • Are suitable controls in place for repetitive tasks?

  • Are work tasks designed to prevent Occupational Overuse Syndrome? (Breaks included)

  • Have the procedures surrounding risk controls been documented?

  • Are workers compliant with the above procedures?

  • Are relevant workers trained in these controls?

  • Has this training been documented?

Hand and Power Tools

  • Hand and power tools to be inspected in this audit?

  • Are all tool guards in place and operable?

  • Are power cords in good condition?

  • Are all tools double insulated or have a ground plug?

  • Are ground fault circuit interrupters in place at the source of electricity?

  • Are all power tools in good condition?

  • Are defective pieces of equipment and tools red tagged and removed from service?

  • Are tools stored correctly and in the right place when not in use?

  • Are employees using the proper tool for the task they are performing?

  • Are hand tools manufactured to standard?

  • Are employees using two hand on tools that are designed to do so?

  • Are dust collectors and exhausts provided on tools that produce large amounts of dust?

Electrical Safety

  • Electrical Safety to be inspected in this audit?

  • Are lockout tagout procedures used when required?

  • Are outlets used correcly? (no outlets overloaded / No double adapters in use)

  • Has portable equipment been tested and tagged?

  • Are all plugs in good condition? (no broken plugs, sockets or switches)

  • Are walkways free of power cords?

  • Are all cords in good condition? (No frayed, strained, or damaged cords)

  • Are portable power tools in good condition?

  • Where required are emergency shut-down procedures in place?

Chemical Safety

  • Chemical safety to be inspected this audit?

  • Is a Hazardous Substance Register complete and available?

  • Have risk assessments been completed for hazardous substances?

  • Are Material Safety Data Sheets available for all chemicals?

  • Are all containers labelled correctly?

  • Are unused substances disposed of?

  • If applicable are special storage conditions followed?

  • Are workers trained in the use of hazardous substances?

  • Is adequate ventilation provided?

  • Are eye washes and showers available and easily accessible?

  • Are spill kits or other clean up arrangements available?

Confined Spaces

  • Confined spaces safety to be inspected this audit?

  • Do all applicable confined space work have adequate permits granted and documented?

  • Is a confined space emergency plan in place?

  • Are confined spaces being continually monitored?

  • Are all workers undertaking confined space works trained in confined space entry and activities?

Incident, Injury & Accident Procedures

  • Incident, Injury & Accident Procedures to be inspected this audit?

  • Are Incident, Accident, Near Miss and Injury procedures in place?

  • Are adequate reporting forms for these events in place?

  • Are all incidents investigated?

  • Are Corrective Actions then implemented?

  • Are Workers Compensation, Rehabilitation and Return to Work Programs in place?

General Comments

  • Any further comments or recommendations arising from this inspection?

  • Add any additional relevant photos

  • Have all required corrective actions been added as Actions to this inspection?

  • Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

  • Name & Signature of Inspector

  • Name & Signature of Site Supervisor / Foreman

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.