Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1. Personal Protective Equipment (PPE)
-
1.1. Eye/Face protection used.
-
1.2. Head protection used.
-
1.3. Reflective clothing protection used?
-
1.4. Glove protection used.
-
1.5. Respirator/respirator program used?
2. Fall Protecion
-
2.1. Missing/inadequate guardrails?
-
2.2 Missing personal fall arrest systems?
-
2.3. Improper personal fall arrest systems?
-
2.4. Unsafe or damaged harness or equipment?
-
2.5. Incompatible hooks/equipment?
-
2.6. Unsafe or uncertified anchor points?
-
2.7. Lack of inspection protocol for equipment?
-
2.8. Holes not covered or marked?
3. Scaffolds
-
3.1. Improper set up? (base plates, pins, etc)
-
3.2. Lack of inspection for scaffold?
-
3.3. Damaged, unsafe or incomplete scaffold?
-
3.4. Unlicensed persons erecting scaffold above 12 ft?
-
3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
-
3.6. Scissor lifts - Improper use?
-
3.7. Is the scissor lift user trained?
4. Ladders
-
4.1. Unsafe or damaged ladders?
-
4.2. Improper use?
-
4.3. Unsafe positioning of ladders?
-
4.4. Ladder not properly secured?
5. Housekeeping/Work Environment
-
5.1. Inadequate housekeeping?
-
5.2. Scrap with nails exposed?
-
5.3. Inadequate storage of materials?
-
5.4. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
-
5.5. Insufficient lighting?
-
5.6. Lack of, or inadequate noise/ vibration control?
-
5.7. Missing rebar caps?
-
5.8. Inadequate safe access to work area?
-
5.9. Are gang boxes neat/orderly, are hand tools stored in their cases?
6. Electrical Hazards
-
6.1. Unsafe electrical leads/cords? (damaged, out of test date or untested)
-
6.2. Improper temporary lights? (No protective cage)
-
6.3. Inadequate temporary power?
-
6.4. Lack of GFCI protection?
-
6.5. Contact with underground electrical system?
-
6.6. Contact with overhead electrical lines?
-
6.7. Overloading outlets?
-
6.8. Electrical equipment near water?
-
6.9. Electrical equipment near flammables?
-
6.10. Electrical leads/cords that may be damaged from contact with moving machinery parts?
-
6.11. Electrical leads/cord secured with conductive material?
-
6.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
-
6.13. Covers not secure?
7. Fire Extinguishers
-
7.1. Inadequate placement?
-
7.2. Missing tags?
-
7.3. Requires service?
8. Welding and Cutting
-
8.1. Damaged leads?
-
8.2. Improper gas cylinders? (storage/secured)
9. Forklifts
-
9.1. Improper operation?
-
9.2. Improper inspecion?
-
9.3. Is the operator trained?
10. Rigging, Lifting Equipment, and Cranes
-
10.1. Improper rigging use?
-
10.2. Lack of maintenance, testing and inspection?
-
10.3. Loads lifted over persons, close proximity to obstacles including overhead power lines?
-
10.4. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
-
10.5. Lifting equipment unlabeled, no capacity displayed?
-
10.6. Unlicensed operators?
-
10.7. Lack of LOTO procedures for cleaning, servicing and maintenance?
-
10.8. Rigger/signaler not qualified/trained? (Does the individual know the capacity of the load through the entire flight path?)
-
10.9. Swing radius marked or controlled?
-
10.10. Overhead hazards identified?
11. Excavations
-
11.1. Proper inspectons?
-
11.2. Adequate protection system in place?
-
11.3. Spoils stored properly?
-
11.4. Excavation properly identified?
12. Hazardous Chemical (including fuel and oil)
-
12.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
-
12.2. Incompatible chemicals stored near each other?
-
12.3. Inadequate spill containment equipment?
-
12.4. Safety Data Sheets not accessible on site?
-
12.5. Lack of emergency procedures for injury/spills/fire etc?
-
12.6. Excessive quantities stored on site or in vehicles?
-
12.7. Insufficient, or incorrect, PPE?
-
12.8. Unsuitable storage containers? (unlabeled or stored in inadequate containers)
-
12.9. Proper government/owner permit?
13. Tools and Equipment
-
13.1. Unsafe or damaged tools/equipment? (including missing or damaged guards)
-
13.2. Incorrect tool/equipment for job? (e.g. grinding discs for cutting)
-
13.3. Unsafe or incompatible attachments used with equipment?
-
13.4. Lack of safe work instructions?
14. Emergency Response
-
14.1 Lack of, or no emergency plans for site?
-
14.2. Emergency procedures not displayed at site?
-
14.3. Lack of training and rehearsal of emergency plans? (do the employees know where the rally point is?)
-
14.4 Lack of, or inadequate first aid kits aid equipment for site?
-
14.5. Insufficient access to formally trained First Aiders for all shifts?
-
14.6. Unsuitable or inadequate communication equipment? (air horn)
15. Traffic Management
-
15.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
-
15.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)
-
15.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
16. Environmental Hazards
-
16.1. Lack of/or inadequate Environmental Management plan (EMP)?
-
16.2. Lack of/or inadequate, dust suppression system?
-
16.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?
-
16.4. SWPP paperwork up to date?
17. Administrative Procedures
-
17.1. Lack of/or inadequate Site Safety Plan?
-
17.2. Lack of, or inadequate, orientation for workers, contractors, visitors?
-
17.3. Lack of, or inadequate, routine inspections, monitoring, audits?
18. Formwork
-
18.1. Has the crew been trained in the use of the formwork?
-
18.2. Has the formwork lifting plan been reviewed?
-
18.3. Has the climbing formwork plan been reviewed?
-
18.4. Have the formwork shop drawings been followed for the erection of the formwork?
Corrective Actions
-
Enter any corrective actions that will be undertaken
Sign Off
-
On site representative
-
Auditor's signature
