DTZ SAFE BEHAVIOR AUDIT

General SBA Information

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Subcontractor or person being observed

• Room or Location

PPE

• Correct goggles, glasses, face protection?

  Yes

  No

  N/A

• Correct Foot PPE worn?

  Yes

  No

  N/A

• Correct Hand PPE worn?

  Yes

  No

  N/A

• Correct Head PPE worn?

  Yes

  No

  N/A

• Correct Hearing PPE worn?

  Yes

  No

  N/A

• Correct Respiratory equipment worn?

  Yes

  No

  N/A

• Correct Fall Protection PPE?

  Yes

  No

  N/A

Equipment

• Correct mobile equipment used?

  Yes

  No

  N/A

• Proper Electrical - GFCI used?<br>

  Yes

  No

  N/A

• Ladder safety followed?

  Yes

  No

  N/A

• Proper scaffolding procedures followed?

  Yes

  No

  N/A

• Correct Aerial Lift procedures used?

  Yes

  No

  N/A

• Proper Rigging being used for the job and all safety precautions accounted for?

  Yes

  No

  N/A

• Is the correct tools being used for the job and are they in good shape?

  Yes

  No

  N/A

Permits / Procedures

• LOTO procedures followed?

  Yes

  No

  N/A

• Work permits filled out and posted?

  Yes

  No

  N/A

• Excavation polices and procedures followed?

  Yes

  No

  N/A

• Safe manual lifting procedures followed?

  Yes

  No

  N/A

• Proper body position used?

  Yes

  No

  N/A

• Is the area properly barricaded?

  Yes

  No

  N/A

• Have Slips / Trips / Falls been identified and corrected?

  Yes

  No

  N/A

• Confined space permits complete and proper procedures performed?

  Yes

  No

  N/A

• Housekeeping in the area safe?

  Yes

  No

  N/A

• Additional comments

• Corrections Made