Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Risk Assessment

  • Are Daily Risk Assessments being conducted

  • Are different discussion leaders being utilized

Hazard communication

  • Containers and Tanks properly labeled and stored

  • MSDS available

Task Training

  • Are all employees Task Trained

  • Is Task Training documented

Personal Protective Equipment

  • PPE available (Eye,Ear,Head,Vest,Fall Protection)

  • PPE worn as required(Employees,Subcontractors,Contract Drivers,Visitors)

First Aid

  • At least one person on each shift currently qualified to render first aid/CPR

  • Accessible with adequate supplies

Housekeeping

  • Regular removal of waste from containers

  • Job site kept clean and clear of obstacles

  • No excessive accumulation of material spillage

  • Adequate potable water provided with single serving cups

Environmental

  • Area free from excessive liquid ac,oil,diesel

  • Sediment Control in place and maintained as required

  • Equipment,hoses,pipes in good condition and not leaking

  • Fugitive dust controlled from haul roads and stockpiles

Fire Protection

  • Combustibles controlled and stored adequately

  • Safe and quick access to fire extinguishers

  • Fire Extinguishers tagged with current inspection

  • Fire Extinguishers in good condition and charged

  • Fire Extinguishers mounted on mobile equipment

Traffic Control

  • External Traffic Control Plan onsite and implemented

  • Has the Internal Traffic Control Plan been discussed and implemented<br>

  • Are Spotters being used as needed

  • Are flaggers properly trained,attired,equipped,and using proper technique

  • Do flaggers have their certification cards on their person

  • If pilot truck is utilized is equipped with a rotating beacon light and proper signage

  • Is the pilot truck driver properly trained

  • Are Crash Cushions (TMA) certified and is the certification documented

  • Is the work zone being inspected daily

  • Is the work zone inspection documented

Heavy Equipment

  • Back-up alarms functioning

  • Seat belts functional and being used

  • Flashing beacon or strobe light present and functioning

  • Lights,signals,brakes,signals operative

  • Pre-Shift inspections being conducted and documented prior to operating

  • Windshield or glass provides good visibility and is clean and undamaged

  • Kept clean to the point of not being an operational hazard

  • Cab interior clean and free of trash

  • Is unsafe equipment immediately removed from service

  • Is out of service equipment locked out and tagged<br>

Trenches/Excavations

  • Trenches deeper than 5' properly sloped,benched or shored

  • All underground utilities marked and located

  • Emergency escape ladder in place in trenches 4 or more feet deep

  • Spoils pile kept at least 2 feet from edge of any excavation

  • Trench and manhole boxes certified and documented

Material Handling

  • Ropes,slings,chains,hooks,cables and chokers inspected prior to each use

  • Defective slings,chains,hooks,cables and chokers immediately removed from service

  • Chains/Rope,Slings/Web Slings have tags affixed stating size,rated capacity and manufacturer

Extension and Step-ladders

  • All ladders in good condition

  • Ladders constructed of non-conductive material

  • Ladders secured (lashed) into place while in use

Hand and Power Tools

  • Tools free of any obvious physical damage

  • Power cords properly grounded and not damaged

  • GFCI used on all extension cords

  • Extension cords in good condition and properly grounded

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.