Information

  • Use this form to document safety, both positive and negative in order promote a safer work site.

  • Project Name

  • GC/CM Name

  • Conducted on

  • Audit conducted by:

Overall Job Site

  • Is required Safety information posted at the job site?

  • Are barriers and/ barricades in place? This includes construction fencing or other means to isolate the jobsite.

  • Comments / Corrective Actions

Housekeeping

  • Is project being cleaned/maintained on a regular basis?

  • Comments / Corrective Actions

Electrical

  • Are extension cords and other similar electrical cords free of damage? (I.e. cuts, not missing ground prong)

  • Comments / Corrective Actions

Ladders

  • Are there ladders currently in use?

  • Are ladders in safe working condition and free of damage?

  • Are ladders that are in use the right size for the task at hand? (I.e. No standing on top rung, extends 3' above elevated area when used for access)

  • Comments / Corrective Actions

Scaffold

  • Is there scaffolding present on site?

  • Is scaffold erected/inspected by a designated competent person? (Initially and prior to each shift)

  • Scaffold wheels locked or feet installed on mud sills?

  • Is fall protection utilized for scaffolding erected over 6'? (Harness or guardrail system)

  • Comments / Corrective Actions

PPE

  • Are employees wearing the minimum PPE required on the site?

  • Comments / Corrective Actions

Fall Protection

  • Employees working at heights above 6' are wearing fall protection or protected by compliant fall protection?

  • Comments / Corrective Actions

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.