Title Page
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Document No.
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Audit Title
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Site
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Conducted on
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Prepared by
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Location
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Personnel
Guard Rails [FP]
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Top Rail @ 42"
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Mid Rail @ 21"
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Max 3" deflection
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Will withstand 200 lbs of force
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Toe boards
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Wire rope flagged
Vertical Lifelines [FP]
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Free from Knots
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Independently secured to anchor
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Anchor to support 5000 pounds
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line and rope grab inspected daily
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Has rating been verified
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One worker per lifeline
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Abrasion protection for Lifeline
Tie off [FP]
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Mandatory tie off at 6' or above
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No one ties off to handrails
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Equipment approved and inspected
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"D" ring between shoulder blades
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Leg straps intact
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Free fall no greater than 6'
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Lanyard inspected
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Rescue plan in place
Self retractable lanyard [FP]
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Inspected daily
Holes/ openings [FP]
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Cover secured
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Will support 2x intended load
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Minimum 3/4" plywood or guard rail
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Are covers color coded or marked
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Handrail at opening more than 2 x 2
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Barricade use for sister lifts
Ladders [FP]
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Baselevel and free from debris
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No one stands on top 2 steps
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Ladder/stair/ramp elev break 19"
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Inspected by a competent person
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Non-conductive
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Slip resistant
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Job made ladders built properly
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Proper climbing angle
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Work facing ladder
Scaffolding [FP]
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Supervision of competent person
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Sill plates
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Cross bracing in place/Secure
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Guard rails in place
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Fully decked/scaffold grade plank
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Proper access
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Toeboard's on all open sides
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Not overloaded
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Canopy for public liability
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Inspected and tagged daily
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Scaffold user training conducted
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Scaffold release on file
Concrete Work [FP]
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Impalement hazards covered
Steel Erection, Welding, Bolting, Metal Decking [FP]
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Head Clarence for multiple lift
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Tag lines in use
Steel
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Perimeter protection installed
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Leading-edge delineated 15' back
Rigging/ Hoisting Equipment [S]
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Nylon straps/ slings
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Nylon lanyard
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Fall harness
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Chain fall
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Chain/ shackles
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wire rope
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Spreader bars block/ tackle shackles and other rigging
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Duct lift inspected
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Pneumatic/ hydraulic lifting devices inspected/ safe
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Safety latches on on all hooks
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Roustabout inspected
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Loads are properly rigged and balanced
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Winches/ tuggers secured to the floor and guarded
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Loads rigged from forks only using stinger attachments
