Information
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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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Personnel
A. General
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Housekeeping Maintained
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Common paths of travel kept clear of material/debris
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Fencing Maintained
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All rollers picked up
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Debris in work area cleaned up
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Household trash/debris cleaned up
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Red tape used appropriately and labeled with hazard/contact information
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Hand and power tools in good condition
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Holes in floor adequately protected and secured from displacement
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Hand and Power tools being used properly
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Walking / Working surfaces clear from the accumulation of material
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Compressed Gas Cylinder Stored properly
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Misc items: (Describe)
B. Personal Protective Equipment (PPE)
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Proper PPE selected for task at hand
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Hardhats
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Eye Protection
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Ear Protection
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Respiratory Protective Equipment
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Hi-Viz Vests/Shirts
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Proper Footwear
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Proper Hand Protection
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Face Protection (Face Shield)
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Misc items: (Describe)
C. Cranes and Rigging
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All personnel clear of swing radius
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Tag lines used to control load
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Rigging in good condition
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Crane operator signaling that load is coming (horns)
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Rigger using proper hand signals
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Rigger is qualified
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Loads being hoisted at safe speeds
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Crane shutdown during high wind
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Proper rigging techniques used
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Misc items: (Describe)
D. Confined Space Entry
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Completed permit or certificate posted at space entrance
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Entrants/Attendants verify that all requirements of the permit or certificate have been satisfied.
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Entry supervisor and Attendant assigned
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Attendant or buddy assigned - Non-permit certificate only
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Communication methods established between entrants and attendant or buddy - Non-permit certificate only
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Monitoring results documented on permit or certificate
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Confined Space properly barricaded
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Misc items: (Describe)
E. Concrete and Masonry
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Adequate Impalement Protection
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Proper PPE being worn
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Control access zones for masonry wall construction
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Nails removed immediately from formwork when removing forms
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Wet cutting to control dust
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Concrete trucks equipped with backup alarms
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Misc items: (Describe)
F. Electrical
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GFCI (ground fault circuit interrupter) working
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Extension Cords in good Condition
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Heavy Duty Extension Cords used
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Portable Lighting
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No exposure to energized electrical
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Misc items: (Describe)
G. Excavations
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Excavation Entry Permit completed
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Excavation Entry Permit Followed
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Safe means of egress/access provided
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Material and spoils at least 2' from excavation edge
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Protective system in place
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Underground utility lines located
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Underground utility lines supported
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Barricades and adequate fall protection systems in place for excavations
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Misc items: (Describe)
H. Fall Protection
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Top-Rail is 39"-45" above working surface
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Mid-Rail installed and splitting the difference from Top-Rail to working surface
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Toe-boards installed
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Fall Protection equipment in safe and serviceable condition
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Personnel using 100% tie off
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Personnel using fall protection correctly
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Personnel not using material hoists as fall protection
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Personnel calculating fall distance
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Hole Covers adequate, secured and labeled
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Guardrails in good condition
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Misc items: (Describe)
I. Fire Prevention
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Fire Extinguishers provided with 100' from ANY work area
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Fire Extinguisher provided within 50' of any fuel source
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Fire Extinguisher provided in immediate hot work area
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Flammable/Combustible liquids stored properly
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Hot work areas kept clear from anything flammable
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Area in front and around Fire Extinguishers kept clear
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Combustible material not stored within 50' of fuel storage
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Misc items: (Describe)
J. Heavy Equipment
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Operating at safe speeds
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Loads not hoisted overhead
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Blade/Bucket/Fork/Boom landed when operator is out of equipment
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Operator making eye contact with employees on ground
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Operator using seatbelt
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No visible leaks on equipment
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Personnel maintaining safe distance from equipment
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Back up alarms functioning
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All operators following distracted driving policy
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Operators are conducting daily equipment checklists
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Misc items: (Describe)
K. Scaffolds
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Daily inspection conducted by Competent Person
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All Scaffold access has tag (Green, Yellow, Red) and is signed off daily
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Safe means of egress provided
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Work platform fully planked
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Scaffold planks in good condition
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Toe boards with no visible gaps below
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Masonry loading platforms double planked
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Scaffold constructed properly
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Misc items: (Describe)
L. Stairways and Ladders
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Any break in elevation 19" or greater has a step or ladder
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Extension ladders at 4:1 ratio
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Extension ladders extend 3' above landing surface
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Extension ladders secured at the top, bottom and middle
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User not straddling step ladder
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Step ladders used properly
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User is facing ladder at all times
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Three points of contact continuously made while climbing
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Belt buckle kept between side rails of ladder
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Ladders are in good condition
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Defective ladders tagged and removed from service
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Area below ladder kept clear of debris
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Misc items: (Describe)
M. Welding and Cutting
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Hot work permit completed and posted near hot work area
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Suitable fire extinguisher available in hot work area
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Oxygen and fuel gas cylinders stored properly
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Welding shields used when necessary
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Proper PPE worn
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Misc items: (Describe)
Safety Documentation
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Daily pre task plan conducted (STAC, Morning Huddle, SPTP, etc)
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Equipment inspections completed
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Daily crane pick plan completed
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Excavation entry permit compelted
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Confined space entry permit or certificate completed and posted at entry
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Hot work permit completed
Good Work Practices.
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Example of good work practices throughout the jobsite. <br>
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Signature
