Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Requirements

  • OSHA poster and state requirements displayed?

  • OSHA 300 Form posted: req: (2-1 to 4-30)?

  • Emergency and occupational clinic numbers posted?

  • Weekly safety talk conducted?

  • Daily safety huddle and 5x5 conducted?

Hazardous Communication

  • Written program/policy on site?

  • MSDS/SDS on site or available electronically?

  • SDS labels on containers and legible

Personal Protective Equipment

  • Hard Hat/ Safety glasses worn as required?

  • Hearing protection used where required?

  • Foot and hand protection used where required?

Housekeeping

  • Work areas, walkways and stairs kept clear?

  • Containers provided for waste?

  • Tools (gang box) kept clean?

  • Materials stored away neatly?

  • All warning signs in place?

  • Adequate lighting provided?

First Aid

  • First aid/ bloodborne pathogen kits are properly stocked?

  • Eye wash available and not expired?

Compressed Gas Cylinders

  • Cylinders are secured in an upright position?

  • Oxygen cylinders are separated from fuel gas by 20ft or suitable barrier?

  • Valve protection caps in place and secured?

Welding and Cutting

  • Hot work permit completed daily?

  • Adequate ventilation during hot work?

  • Proper fire extinguisher available?

  • Fire rated blankets or screens used in area?

Materials, Handling, Storage and Disposal

  • Are materials stacked in tiers and secured from displacement?

  • Lumber has protruding nails or bent down?

Excavation

  • Daily excavation/digging inspection completed?

  • Excavations properly barricaded as required?

  • All excavations have safe egress?

  • Excavations 5Ft or deeper have proper protective systems in place?

Power/ Hand Tools

  • Tools do not present a tripping hazard?

  • Tools are properly grounded?

  • Damaged tools are taken out of service?

  • Mechanical safe guards are in place?

Lockout/ Tagout

  • Each lock/tag has the employee's name on it?

  • Each employee has their own locak and tag when working on the same equipment?

  • Equipment is properly locked and tagged out at the energy source?

Fire Protection and Prevention

  • Fire extinguishers are inspected monthly, serviced yearly and not blocked?

  • Fuel cans have flash arrestor and or safety lid?

  • Fueling area has "no smoking" signs posted?

  • Fire extinguishers are visible in the work area as required?

Fall Protection

  • Fall protection systems in place for unprotected side/edge work when fall to lower level is greater than 6"

  • Openings in floor properly covered and marked?

  • Fall protection equipment in safe working condition, inspected and properly stored?

Stair Cases

  • Stair being used have hand rails installed?

  • Stair construction compliant?

Ladders

  • No broken/ missing rungs or side rails broken or any other defects?

  • Have proper base, pitch, top and bottom kept clear and properly secured?

  • Extend 36" above landing and properly secured?

  • A- Frame ladders are open and locked?

Aerial / Scissor lift

  • Proper guardrails on all sides and chain?

  • Back up alarms operable?

  • Daily inspections conducted and operators have current license?

Electrical GFCI's used and in working condition?

  • Assured grounding inspection completed?

  • Energized panels, outlets covered?

  • Temporary lighting guarded?

Cranes

  • Hand signals posted and/ or known?

  • Rigging equipment inspected and removed if defective?

  • Crane safety hook has a self closing latch?

Confined Space

  • Rescue plan created and communicated?

  • Air Monitor calibrated and tested?

  • Required equipment on site?

  • Any additional comments?

Site Protection / Public Protection

  • Are rebar caps in place to prevent impalement?

  • Is there proper barricades in place and flagged for fall protection? Ex: (Guardrails, Cable System, Controlled access zone, etc)?<br>

Scaffolding

  • Is there a guardrail system with toe boards?

  • Is there correct decking and planking on the scaffold?

  • Is the scaffold barricaded around to prevent being struck by objects?

  • Has the scaffold been inspected?

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.