Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

HouseKeeping

  • Is the work site clean and free of fall and trip hazards?

  • Are dumpster emptied on a regular bases?

  • First Aid Kit on site and fully stocked

  • Fire extinguishers are on site ?

  • Any other safety concerns?

Equipment

  • Are power cords in good working conditions, no frayed cords or broken seals?

  • Are all hand tools in good working conditions?

  • Are daily inspections being done on heavy equipment, Backhoe, Lulls etc.

  • Safety lashings being used on high pressure hose connections.

  • Any other safety concerns?

Job Site Safety

  • All workers are wearing proper PPE, safety boots, reflective vest/high visibilty shirt, Hard head and safety glasses. Hearing protection and Respirator where required?

  • Ladders are set up in a 1/4 ratio, extend 3' above working platform and are secured to structure?

  • Fall protection is being used and all Fall protection equipment is in good working conditions?

  • Scaffolding is inspected daily?

  • Fire watch is provided?

  • All fuel containers are in good conditions and free of leaks?

  • Barricades are places around holes and openings and secured?

  • Hazardous Material are disposed of being proberly?

  • Any other safety concerns?

Acknowledgment and Signature

  • I hereby certify that the information I have entered on this form is true and complete to the best of my knowledge and belief.

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.