Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Add location

Manpower

  • Select from range

Visits

  • PAL

  • Name

  • Agency

  • OSHA

  • DOB

  • DEC

  • FDNY

  • EPA

  • Name and Title

Work Performed

  • Location

  • Percentage Complete

  • Location

  • Percentage Complete

  • Location

  • Percentage Complete

  • Location

  • Percentage Complete

Decon Area

  • Floor Clean and Not Wet

  • Charged Fire Extinguisher

  • First Aid Kit

  • Signs Posted

Safety Topic

Personal Protective Equipment

  • Head

  • Respirator

  • Eye

  • Gloves

  • Coveralls

  • Work Boots

  • Harness

Ladder(s)

  • Proper Size

  • Used Properly

  • Inspected-Good Condition

Scaffold

  • Pipe

  • Baker

  • Suspended-Hanging

  • Inspected - Good Condition

Lift

  • Boom

  • Scissor

  • Inspected-good Condition

  • 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.