Title Page

  • Conducted on

  • Prepared by

  • Project/Location
  • Safety Compliance Officer

Site Set Up/Recordkeeping

  • COVID-19 Jobsite Rules posted at entrance?

  • Is there a pre-job travel restriction posted?

  • Is there a Site Specific COVID-19 Health & Safety Plan on site?

  • Does the H&SP contain a remediation plan that addresses any non-compliance?

  • H&S Plan ensure all non-English speaking workers understand the documents?

  • Emergency protocols in place in the event of an exposure or suspected exposure?

  • Is the site occupied by others not performing construction work?

  • Is there evidence of a register of workers and visitors providing health declaration?

  • Is there evidence of a daily attendance log of workers and visitors with contact detail entering and leaving the site?

  • Is temperature monitoring required for this site?

  • Daily briefing being performed?

  • Has the SCO solicited feedback on improving safety and sanitation?

On Site Activities

  • Is there evidence of sanitation facilities available including hand washing stations or provision of additional sanitizer/disinfectant?

  • Is there evidence of frequent cleaning and sanitation/decontamination being coordinated?

  • Is shared equipment being cleaned and sanitized/decontaminated after each use?

  • Adequate number of trash bins?

  • Drinking water provided in single-serve containers?

  • Any evidence of sharing of any food or beverages?

  • Are workers/visitors/delivery practicing the social distancing protocol of 6 feet?

  • Is staggering of trades being implemented?

  • Any "choke points" or "high-risk areas" under strict control?

  • Are workers wearing the required PPE correctly?

  • Has additional PPE being required since last site audit?

  • Has the SCO reported non-compliance to supervisor(s) and designated County Official?

  • Was a remediation plan required during audit for any non-compliance?

  • Any confirmed cases of COVID-19 been reported in the past 7 days?

Audit Certification

  • Add 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.