Information

  • Audit Title

Audit Information

  • Select date

  • Supervisor/Observer

  • Contractor

  • Crew Leader

  • Location

  • Add location
  • Job Type

  • Job Type

Pre-Job Briefs

  • Were the potential job hazards reviewed?

  • Were the Distribution & FSO Procedures available for review?

  • Does the employee(s) have a full understanding / knowledge of the job task?

  • Qualified Welder List?

  • Qualified Fuser List?

  • OQ List?

  • Miss Dig, Job Card, Permits, Maps?

Personal Protective Equipment (PPE)

  • Does the employee(s) have the required PPE for the job task?

Tools/Equipment

  • Are the proper tools/equipment in use or available when needed?

  • Are all tools/equipment in good working condition?

  • Is work area in a safe condition?

  • Is the vehicle(s) and/or equipment parked properly on site?

  • If an excavation, are proper sloping, shoring, ingress and egress methods being utilized?

  • Is proper signage and barricading being used as necessary?

Human Performance

  • Is vehicle(s) in good operating condition and are all DOT pre/post inspections completed where required?

Corrective Actions

  • Discussed with Employee

  • Enter any corrective actions that will be undertaken

Sign Off

  • Supervisor's Signature

  • Foreman's Signature

  • Drawing / Notes

  • Pictures

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.