Information

  • Audit Title

  • Document No.

  • Project Name

  • Project Number

  • Conducted on

  • Prepared by

  • Location
  • Select date

Job Site Information

  • Job Specific Emergency Numbers Posted?

  • Safety Meeting/Toolbox Talk Completed?

  • First Aid Kit properly stocked and available?

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Permit's and JSA's

  • Hot Work Permit?

  • Safe Work Permit?

  • Confined Space Permit?

  • Is a JSA completed for each task?

  • Excavation Assessment been completed?

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HOUSEKEEPING

  • Work areas neat?

  • Projecting nails or screws bent over or removed?

  • Passageways and walkways clear?

  • Passageways easily accessible?

  • Cords and leads off the floor?

  • Are Sanitary Facilities Adequate and Clean?

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FIRE PREVENTION

  • Adequate fire extinguishers located throughout job site?

  • Fire Extinguishers inspected as required and accessible?

  • Job specific phone no. of Fire Department posted?

  • Fuels properly stored?

  • Only approved containers for flammables and combustible liquids used?

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ELECTRICAL

  • Extension wires with bare wires or missing ground prongs taken out of service?

  • Ground fault interrupters being used?

  • Are there any exposed live electrical parts?

  • Are portable generators properly grounded and in good working order?

  • Are proper LOTO procedures being applied?

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HAND & POWER TOOLS

  • Hand tools inspected regularly and free of damage?

  • Guards in place on machines and tools?

  • Correct tool being used for job at hand?

  • Power tools properly grounded?

  • Are damaged tools taken out of Service?

  • Have Employees been instructed on the proper use of the equipment?

  • Are electric pumps in good working order and properly sealed?

  • Have all tools been properly inspected?

  • Have extension cords been inspected?

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FALL PROTECTION

  • Safety rails and cables secured properly?

  • Safety harnesses worn properly and inspected before use?

  • Employees exposed to fall hazards tied off?

  • Employees below protected from falling objects?

  • All holes in walking/ working surfaces are covered or barricaded, and properly marked?

  • Materials stored away from edge?

  • If guardrail systems are used is the Top rail 42", and Mid rail 21"?

  • Are Re bar and Anchor Bolts Protected?

  • Are Excavated Areas protected from Pedestrians?

  • Are barricades being utilized? If so have they been properly installed and in good working condition?

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LADDERS

  • Ladders extended at least 36" above landing?

  • Ladders are secure to prevent slipping, sliding or falling?

  • Are ladders missing rungs or damaged? If so, are they marked and taken out of service?

  • Stepladders used in fully open position?

  • Are Ladders in good condition and Inspected?

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SCAFFOLDING

  • Is there any scaffolding on the jobsite?

  • All scaffolding inspected daily and tags updated?

  • Erected on sound rigid footing?

  • Tied to structure as required?

  • Guardrails, mid-rails, toe boards and screens in place and installed as required?

  • Proper access provided?

  • Scaffold Platform is fully planked?

  • Employees below protected from falling objects?

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TRENCHES, EXCAVATION & SHORING

  • Are there any excavations on the Jobsite?

  • Has Overhead and Underground Hazards been assessed and Protected or eliminated?

  • Competent person identified and present?

  • Are excavations 5' or greater in depth are shored, benched or sloped back?

  • SOLID OR ROCK TYPE MAXIMUM ALLOWABLE SLOPES (H:V) (<20FT)

    STABLE ROCK.............................. VERTICAL (90)
    TYPE A.......................................... 3/4:1 (53)
    TYPE B.......................................... 1:1 (45)
    TYPE C.......................................... 1 1/2 : 1 (34)

  • Materials are stored at least 2' away from trench?

  • Ladders provided within 25' of personnel in trench?

  • Equipment is at a safe distance from edge of trench or excavation?

  • Underground utilities marked?

  • Any hazardous atmospheres identified and monitored?

  • Is excavation assessment complete and onsite?

  • Has Excavation been Inspected and documented?

  • Are shoring and trench boxes being utilized?

  • Have the trench boxes been inspected?

  • Is the tabulated data onsite?

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Confined Space

  • Is there a Confined Space?

  • Is this a Permit Required Space?

  • Is Continuous Air monitoring being utilized?

  • Is there a means of communication between hole watch and entrants?

  • Is there a hole watch?

  • Has emergency crew been Identified?

  • Is the Confined Space properly barricaded?

  • Is proper PPE being used for the task?

  • Is there safe access and egress?

  • Have you notified or communicated entry with General Contractor?

  • Are you using all necessary PRCS equipment (tripod, winch, harness, etc..)

  • Have you performed pre-entry inspection and checklist?

  • Have you filled out entry-permit and held JSA for job task?

  • Are you entering the space under alternate entry procedures?

  • Are all known hazards eliminated or controlled?

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MATERIAL HANDLING

  • Materials properly stored or stacked?

  • Employees using proper lifting techniques?

  • Tag lines used to guide loads?

  • Chemical containers properly labeled?

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Burning, Welding, Grinding, Chipping, and Cutting

  • Are there any welding or cutting activities on the jobsite?

  • Gas cylinders are secured stored upright?

  • Proper separating distances between fuels & oxygen? (20'min)

  • Goggles or face shields used?

  • Fire extinguishers readily available?

  • Hoses in good condition?

  • Are Chop Saws or Floor Saws being used?

  • Are wet methods being used?

  • Are Face Shields being utilized?

  • Are dust masks available and being utilized when grinding, chipping, or cutting?

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CRANES and CONSTRUCTION EQUIPMENT

  • Are there any cranes on the jobsite?

  • Outriggers on solid ground and load radius including load barricaded?

  • Are Overhead Power Lines Inactive or Protected?

  • Are cranes keeping safe distance from Power line?<br>50kV - 10'<br>50kV to 200kV - 15'<br>200kV to 350kV - 20'<br>350kV to 500kV - 25'<br>500kV to 750kV - 35'<br>750kV to 1,000kV - 45'

  • Signal men being utilized?

  • Daily visual inspection Completed?

  • Crane has documentation of valid annual inspection?

  • Employees kept from under suspended loads?

  • Chains and slings inspected and tagged as required?

  • Employees handling loads trained in rigging and signaling?

  • Daily pre-operational inspections performed and documented?

  • Vehicles are equipped with back-up alarms that are working properly?

  • Seat belts worn?

  • All Lights are Functional?

  • Are Spotters being utilized?

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AERIAL LIFTS

  • Are there any aerial lifts on the jobsite?

  • Daily pre-operational inspections performed and documented?

  • Fall arrest systems used on boom or articulating lifts?

  • Operators trained?

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PERSONAL PROTECTIVE EQUIPMENT

  • Is proper hand protection being utilized by ALL employees?

  • Hard hats being worn?

  • Are FR clothing being worn?

  • Are H2S monitors being worn?

  • Are 4/5 gas meters being utilized?

  • Are face shields available when needed?

  • Safety glasses being utilized by ALL employees?

  • Respirators used when required? Proper respirator documentation available?

  • Hearing protection being worn by ALL employees?

  • Traffic vests or high visibility clothing material being worn?

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HAZCOM/SDS

  • Is applicable SDS and hazard communication policy present?

  • Are all containers containing chemicals properly labeled and readable?

  • Are employees informed about where to find the SDS books?

  • Are proper PPE being used when working around chemicals? Refer to the SDS for proper PPE.

  • Are workers aware of the proper procedures to follow if exposed to a hazardous chemical?

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AUDIT CONCLUSIONS

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SIGNATURE

  • Site Lead

  • Auditor's Signature

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.