Information

  • Document No.

  • Company Name

  • Jobsite Name

  • Location
  • Person in Charge

  • Conducted on

  • Person(s) Making Inspection:

SAFETY AUDIT

(1) JOBSITE INFORMATION

  • (A) Posting OSHA and other jobsite warning posters

  • Necessary Course Of Action...

  • (B) Do you have safety meetings?

  • Necessary Course Of Action...

  • (C) Does jobsite have safety training?

  • Necessary Course Of Action...

  • (D) Does the jobsite have first aid training?

  • Necessary Course Of Action...

  • (E) Are there medical service and first-aid equipment, stretchers, and emergency vehicles available?

  • Necessary Course Of Action...

  • (F) Are jobsite injury records kept?

  • Necessary Course Of Action...

  • (G) Are emergency telephone numbers, such as police department, fire department, doctor, hospital, ambulance, posted?

  • Necessary Course Of Action...

  • Jobsite Information Pictures

  • Picture
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  • Picture Description

  • Additional Jobsite Information Notes

(2) HOUSEKEEPING AND SANITATION

  • (A) General neatness of working areas.

  • Necessary Course Of Action...

  • (B) Regular disposal of waste and trash.

  • Necessary Course Of Action...

  • (C) Passageways and walkways clear?

  • Necessary Course Of Action...

  • (D) Adequate lighting.

  • Necessary Course Of Action...

  • (E) Projecting nails removed.

  • Necessary Course Of Action...

  • (F) Waste containers provided and used.

  • Necessary Course Of Action...

  • (G) Sanitary facilities adequate and clean.

  • Necessary Course Of Action...

  • (H) Adequate supply water.

  • Necessary Course Of Action...

  • (I) Disposable drinking cups.

  • Necessary Course Of Action...

  • Housekeeping and Sanitation Pictures

  • Picture
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  • Picture Description

  • Additional Housekeeping and Sanitation Notes

(3) FIRE PREVENTION

  • Is Fire Prevention currently applicable to this jobsite?

  • (A) Fire instructions to personnel.

  • Necessary Course Of Action...

  • (B) Fire extinguishers identified, checked, lighted.

  • Necessary Course Of Action...

  • (C) Phone number of fire department posted.

  • Necessary Course Of Action...

  • (D) Hydrants clear, access to public thoroughfare open.

  • Necessary Course Of Action...

  • (E) Good housekeeping.

  • Necessary Course Of Action...

  • (F) "No Smoking" posted and enforced where needed.

  • Necessary Course Of Action...

  • Fire Prevention Pictures

  • Picture
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  • Picture Notes

  • Additional Fire Prevention Notes

(4) ELECTRICAL INSTALLATIONS

  • Are there any electrical installations at this jobsite?

  • (A) Adequate wiring, well insulated.

  • Necessary Course Of Action...

  • (B) Fuses provided.

  • Necessary Course Of Action...

  • (C) Fire hazards checked.

  • Necessary Course Of Action...

  • (D) Electrical dangers posted.

  • Necessary Course Of Action...

  • (E) Proper fire extinguishers provided.

  • Necessary Course Of Action...

  • Electrical Installation Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Electrical Installation Notes

(5) HAND TOOLS

  • (A) Proper tool being used for each job.

  • Necessary Course Of Action...

  • (B) Neat storage, safe carrying.

  • Necessary Course Of Action...

  • (C) Inspection and maintenance.

  • Necessary Course Of Action...

  • (D) Damaged tools repaired or replaced promptly. Are employees' tools inspected and repaired?

  • Necessary Course Of Action...

  • Hand Tool Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Hand Tool Notes

(6) POWER TOOLS

  • (A) Good housekeeping where tools are used.

  • Necessary Course Of Action...

  • (B) Tools and cords in good condition.

  • Necessary Course Of Action...

  • (C) Proper grounding.

  • Necessary Course Of Action...

  • (D) Proper instruction in use.

  • Necessary Course Of Action...

  • (E) All mechanical safeguards in use.

  • Necessary Course Of Action...

  • (F) Tools neatly stored when not in use.

  • Necessary Course Of Action...

  • (G) Right tool being used for the job at hand.

  • Necessary Course Of Action...

  • (H) Wiring properly installed.

  • Necessary Course Of Action...

  • Power Tool Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Power Tool Notes

(7) POWDER-ACTUATED TOOLS

  • Are powder-actuated tools currently being used on this jobsite?

  • NOTE: License MUST be kept with operator at ALL times.

  • (A) Local laws and ordinances complied with.

  • Necessary Course Of Action...

  • (B) All operators are qualified.

  • Necessary Course Of Action...

  • (C) Tools and charges are protected from unauthorized use.

  • Necessary Course Of Action...

  • (D) Competent instruction and supervision.

  • Necessary Course Of Action...

  • (E) Tools checked and in good working order. (scaffold tags, ext. should be sign daily)

  • Necessary Course Of Action...

  • (F) Tools not used on any but recommended materials.

  • Necessary Course Of Action...

  • (G) Safety goggles or face shields.

  • Necessary Course Of Action...

  • (H) Flying hazard checked by backing up, removal of personnel, or use of captive stud tool.

  • Necessary Course Of Action...

  • Powder-Actuated Tool Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Powder-Actuated Tool Notes

(8) LADDERS

  • Are ladders currently being used on this jobsite?

  • (A) Ladders inspected and in good condition.

  • Necessary Course Of Action...

  • (B) Are ladders spliced?

  • Necessary Course Of Action...

  • (C) Are ladders properly secured to prevent slipping, sliding, or falling?

  • Necessary Course Of Action...

  • (D) Do side-rails extend 36" above top of landing?

  • Necessary Course Of Action...

  • (E) Are built-up ladders constructed or sound materials?

  • Necessary Course Of Action...

  • (F) Rungs or cleats not over 12" on center.

  • Necessary Course Of Action...

  • (G) Stepladders fully open when in use.

  • Necessary Course Of Action...

  • (H) Metal ladders not used around electrical hazards.

  • Necessary Course Of Action...

  • (I) Proper maintenance and storage.

  • Necessary Course Of Action...

  • (J) Are safety shoes in use?

  • Necessary Course Of Action...

  • Ladder Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Ladder Safety Notes

(9) SCAFFOLDING

  • Is scaffolding currently being used on this jobsite?

  • (A) Is erection properly supervised?

  • Necessary Course Of Action...

  • (B) Will all structural members meet the safety factor?

  • Necessary Course Of Action...

  • (C) Are all connections secure?

  • Necessary Course Of Action...

  • (D) Is scaffold tied in to structure?

  • Necessary Course Of Action...

  • (E) Are working areas free of desbris, snow, ice, grease?

  • Necessary Course Of Action...

  • (F) Are foot sills and mud sills provided?

  • Necessary Course Of Action...

  • (G) Are workers protected from falling objects?

  • Necessary Course Of Action...

  • (H) Is scaffold plumb and square, with cross-bracing?

  • Necessary Course Of Action...

  • (I) Are guard rails, intermediate rails, and toeboards in place?

  • Necessary Course Of Action...

  • (J) Is scaffold equipment in good working order?

  • Necessary Course Of Action...

  • (K) Are ropes and cables in good condition?

  • Necessary Course Of Action...

  • (L) Are all wheels locked?

  • Necessary Course Of Action...

  • (M) Are employees being pushed on scaffolding?

  • Necessary Course Of Action...

  • Scaffolding Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Scaffolding Safety Notes

(10) HOISTS, CRANES, AND DERRICKS

  • Are Hoists, Cranes, or Derricks currently being used on this jobsite?

  • (A) Inspect cables and sheaves.

  • Necessary Course Of Action...

  • (B) Check slings and chains, hooks, and eyes.

  • Necessary Course Of Action...

  • (C) Equipment firmly supported.

  • Necessary Course Of Action...

  • (D) Outriggers used if needed.

  • Necessary Course Of Action...

  • (E) Power lines inactivated, removed, or at a safe distance.

  • Necessary Course Of Action...

  • (F) Proper loading of capacity at lifting radius.

  • Necessary Course Of Action...

  • (G) All equipment properly lubricated and maintained.

  • Necessary Course Of Action...

  • (H) Signalmen were needed.

  • Necessary Course Of Action...

  • (I) Signals understood and observed.

  • Necessary Course Of Action...

  • (J) Are inspection and maintenance logs maintained?

  • Necessary Course Of Action...

  • Hoists, Cranes, and Derricks Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Hoist, Crane, and Derrick Notes

(11) HEAVY EQUIPMENT

  • Is Heavy Equipment currently being used on this jobsite?

  • (A) Regular inspection and maintenance.

  • Necessary Course Of Action...

  • (B) Lubrication and repair of moving parts

  • Necessary Course Of Action...

  • (C) Lights, breaks, warning signals operational.

  • Necessary Course Of Action...

  • (D) Wheels checked when necessary.

  • Necessary Course Of Action...

  • (E) Haul roads well maintained and laid out properly.

  • Necessary Course Of Action...

  • (F) Protection when equipment is not in use.

  • Necessary Course Of Action...

  • (G) Are shut off devices on hose airlines in case of hose failure?

  • Necessary Course Of Action...

  • (H) Are noise arresters in use?

  • Necessary Course Of Action...

  • (I) Are exhaust scrubbers in use?

  • Necessary Course Of Action...

  • Heavy Equipment Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Heavy Equipment Notes

(12) BARRICADES

  • Are any Barricades used on this jobsite?

  • (A) Floor openings planked over or barricaded.

  • Necessary Course Of Action...

  • (B) Roadways and sidewalks effectively protected.

  • Necessary Course Of Action...

  • (C) Adequate lighting provided.

  • Necessary Course Of Action...

  • (D) Traffic controlled.

  • Necessary Course Of Action...

  • Barricade Pictures

  • Picture
  • Add media

  • Picture Notes

  • Additional Barricade Notes

(13) HANDLING AND STORAGE OF MATERIALS

  • Are materials currently being stored on this jobsite?

  • (A) Are materials properly stored or stacked?

  • Necessary Course Of Action...

  • (B) Are passageways clear?

  • Necessary Course Of Action...

  • (C) Stacks on firm footings, not too high?

  • Necessary Course Of Action...

  • (D) Proper number of men for each operation.

  • Necessary Course Of Action...

  • (E) Are men lifting loads correctly?

  • Necessary Course Of Action...

  • (F) Are materials protected from weather conditions?

  • Necessary Course Of Action...

  • (G) Protection against falling into hoppers and bins.

  • Necessary Course Of Action...

  • (H) Is dust protection observed?

  • Necessary Course Of Action...

  • (I) Extinguishers and other fire protection.

  • Necessary Course Of Action...

  • (J) Is traffic controlled in storage area?

  • Necessary Course Of Action...

  • Pictures of Handling and Storage of Materials

  • Picture
  • Add media

  • Picture Notes

  • Additional Handling and Storage of Materials Notes

(14) EXCAVATION AND SHORING

  • Is there currently any excavation or shoring on this jobsite?

  • (A) Are adjacent structures properly shored?

  • Necessary Course Of Action...

  • (B) Is shoring and sheathing used for soil and depth?

  • Necessary Course Of Action...

  • (C) Are roads and sidewalks supported and protected?

  • Necessary Course Of Action...

  • (D) Is material stored too close to excavation?

  • Necessary Course Of Action...

  • (E) Is excavation barricaded and lighting provided?

  • Necessary Course Of Action...

  • (F) Is equipment a safe distance from edge of excavation?

  • Necessary Course Of Action...

  • (G) Are ladders provided where needed?

  • Necessary Course Of Action...

  • (H) Are equipment ramps adequate?

  • Necessary Course Of Action...

  • (I) Is job supervision adequate?

  • Necessary Course Of Action...

  • Pictures of Excavation and Shoring

  • Picture
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  • Picture Notes

  • Additional Excavation and Shoring Notes

(15) DEMOLITION

  • Is there currently any excavation or shoring on this jobsite?

  • (A) Are operations planned ahead?

  • Necessary Course Of Action...

  • (B) Is there shoring of adjacent structures?

  • Necessary Course Of Action...

  • (C) Are material chutes used?

  • Necessary Course Of Action...

  • (D) Is there sidewalk and other public protection?

  • Necessary Course Of Action...

  • (E) Clear operating space for trucks and other vehicles.

  • Necessary Course Of Action...

  • (F) Adequate access ladders or stairs.

  • Necessary Course Of Action...

  • Pictures of Demolition

  • Picture
  • Add media

  • Picture Notes

  • Additional Demolition Notes

(16) FLAMMABLE GASES AND LIQUIDS

  • Is there currently any Flammable Gasses or Liquids on this jobsite?

  • (A) All containers clearly identified.

  • Necessary Course Of Action...

  • (B) Proper storage practices observed.

  • Necessary Course Of Action...

  • (C) Fire hazards checked.

  • Necessary Course Of Action...

  • (D) Proper storage temperatures and protection.

  • Necessary Course Of Action...

  • (E) Proper types and number of extinguishers nearby.

  • Necessary Course Of Action...

  • (F) Carts for moving cylinders.

  • Necessary Course Of Action...

  • Pictures of Flammable Gasses or Liquids

  • Picture
  • Add media

  • Picture Notes

  • Additional Flammable Gasses or Liquids Notes

(17) WELDING AND CUTTING

  • Is there any Welding and Cutting occurring on this jobsite?

  • (A) Are operators qualified?

  • Necessary Course Of Action...

  • (B) Screens and shields.

  • Necessary Course Of Action...

  • (C) Goggles, gloves, clothing.

  • Necessary Course Of Action...

  • (D) Equipment in operating condition.

  • Necessary Course Of Action...

  • (E) Electrical equipment grounded.

  • Necessary Course Of Action...

  • (F) Power cables protected and in good repair.

  • Necessary Course Of Action...

  • (G) Fire extinguishers of proper type nearby.

  • Necessary Course Of Action...

  • (H) Inspection for fire hazards.

  • Necessary Course Of Action...

  • (I) Flammable materials protected.

  • Necessary Course Of Action...

  • (J) Gas cylinders chained upright.

  • Necessary Course Of Action...

  • (K) Gas lines protected and in good condition.

  • Necessary Course Of Action...

  • (L) Are cylinder caps in use?

  • Necessary Course Of Action...

  • Pictures of Welding and Cutting

  • Picture
  • Add media

  • Picture Notes

  • Additional Welding and Cutting Notes

(18) STEEL ERECTION

  • Is there currently any Steel Erection on this jobsite?

  • (A) Safety nets or planked floors.

  • Necessary Course Of Action...

  • (B) Hard hats, safety shoes, gloves.

  • Necessary Course Of Action...

  • (C) Taglines for tools.

  • Necessary Course Of Action...

  • (D) Fire hazards at rivet forge and welding operations.

  • Necessary Course Of Action...

  • (E) Floor opening covered and barricaded.

  • Necessary Course Of Action...

  • (F) Ladders, stairs, or other access provided.

  • Necessary Course Of Action...

  • (G) Hoisting apparatus checked.

  • Necessary Course Of Action...

  • (H) Are employees riding the ball?

  • Necessary Course Of Action...

  • Pictures of Steel Erection

  • Picture
  • Add media

  • Picture Notes

  • Additional Steel Erection Notes

(19) CONCRETE CONSTRUCTION

  • Is there currently any Concrete Construction on this jobsite?

  • (A) Forms properly installed and braced.

  • Necessary Course Of Action...

  • (B) Adequate shoring, plumbed, and crossbraced.

  • Necessary Course Of Action...

  • (C) Shoring remains in place until strength is attained.

  • Necessary Course Of Action...

  • (D) Proper curing period and procedures.

  • Necessary Course Of Action...

  • (E) Check heating devices.

  • Necessary Course Of Action...

  • (F) Mixing and transport equipment supported, and traffic planned and routed.

  • Necessary Course Of Action...

  • (G) Adequate runways.

  • Necessary Course Of Action...

  • (H) Protection from cement dust.

  • Necessary Course Of Action...

  • (I) Hard hats, safety shoes, shirts covering skin.

  • Necessary Course Of Action...

  • (J) Nails and stripped form material removed from area.

  • Necessary Course Of Action...

  • Pictures of Concrete Construction

  • Picture
  • Add media

  • Picture Notes

  • Additional Concrete Construction Notes

(20) MASONRY

  • Is there currently any Masonry Work on this jobsite?

  • (A) Proper scaffolding.

  • Necessary Course Of Action...

  • (B) Masonry saws properly equipped, dust protection provided.

  • Necessary Course Of Action...

  • (C) Safe hoisting equipment.

  • Necessary Course Of Action...

  • Pictures of Masonry Work

  • Picture
  • Add media

  • Picture Notes

  • Additional Masonry Work Notes

(21) PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • (A) Eye protection.

  • Necessary Course Of Action...

  • (B) Face shields.

  • Necessary Course Of Action...

  • (C) Respirators and masks.

  • Necessary Course Of Action...

  • (D) Helmets and hoods.

  • Necessary Course Of Action...

  • (E) Head protection.

  • Necessary Course Of Action...

  • (F) Gloves, aprons, and sleeves; rubber or plastic, designed to afford protection from alkalis and acids; electricians' rubber gloves with prootectors.

  • Necessary Course Of Action...

  • (G) Respirators for harmful dust, asbestos, sand blasting, welding, lead paint and galvanized zinc or cadmium. Adequate ventilation when painting or applying epoxy resins. All safe practices in spraying asbestos materials using vacuum to clean up.<br>

  • Necessary Course Of Action...

  • NOTE: When there is a question about injurious exposure, notify superior immediately who in turn shall arrange for atmospheric samples to be taken.

  • Pictures concerning Personal Protective Equipment

  • Picture
  • Add media

  • Picture Notes

  • Additional PPE Notes

(22) UNSAFE ACTS AND/OR PRACTICES OBSERVED (LIST)

  • List of unsafe acts and/or practices observed

  • Practice
  • Description of Unsafe Practice

  • Picture of Unsafe Practice

End

SAFETY INSPECTION CHECKLIST APPROVAL (SIGNATURES)

  • Time and Date Completed

  • Number of Auditors

  • Auditor 1

  • Auditor 1

  • Auditor 2

  • Auditor 1

  • Auditor 2

  • Auditor 3

  • Auditor 1

  • Auditor 2

  • Auditor 3

  • Auditor 4

  • Auditor 1

  • Auditor 2

  • Auditor 3

  • Auditor 4

  • Auditor 5

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.