Job Informatiom

  • Document No.

  • Jobsite

  • Job #

  • Date

  • Foreman

  • Inspector

General Site Audit

Fire Protection

  • Fire Protection Requirements in Place

  • Emergency action plan being performed.

  • Emergency numbers available.

  • Extinguishers present.

  • Placed every 100ft.

  • Proper extinguishing agent present.

  • Proper size.

  • Emergency exits present, marked, and cleared.

  • Flammable materials present.

  • Properly labeled.

  • Properly stored.

General Site Requirements

  • Drinking Water

  • Fencing/Gate

  • First Aid Kit

  • Proper Signage

  • Toilet Facilities

Housekeeping

  • Housekeeping required

  • Work area neat, debris picked up and free of trip hazards.

  • Waste containers provided and used.

  • Passageways and walkways clear.

  • Cords and leads of floor.

  • Nails and screws removed or bent over.

Personal Protective Equipment

  • PPE in use

  • Eye protection

  • Hard hats

  • Hearing protection

  • High visibility vest or clothing

  • Respirator

Chemical/Material Hazards

  • Chemical/Material Hazards Present

  • Non-routine job briefing performed.

  • Training for hazard performed.

  • Proper PPE provided.

  • Adequate ventilation provided.

  • Add signature

Work Audit

Electrical

  • Electrical Components Present

  • Cords and plugs inspected.

  • Grounding/GFCI/GFI present and used.

  • Proper lighting present.

  • Proper outlets and receptacles present.

  • Terminal boxes accessible and covered.

Hand and Portable Tools

  • Hand and Portable Tools in Use

  • Electrical grounding and guarding protection in place.

  • Guards in place and working.

  • Inspected before use.

  • Power cutoff device working.

Ladders

  • Ladders Being Used

  • Being used as intended.

  • Being used at proper height.

  • Extension ladders 3ft above landing and 1/4 from building.

  • Inspected

  • Properly labeled.

  • Proper placement. (Base/footing)

Welding Equipment

  • Welding Equipment in Use

  • Cylinders or equipment properly secured.

  • Extinguisher or adequate extinguishing agent present.

  • Inspected before use.

  • Proper PPE in use.

  • Properly stored.

Site Specfic Audit

Confined Space

  • Is Work in Confined Space Being Performed

  • Attendant and entrant required.

  • Emergency action plan briefing performed.

  • All workers trained and brief.

  • Is this a permit required confined space.

  • Air monitoring performed.

  • All workers have proper PPE.

  • All isolation including Lock out/Tag out is in place.

  • Competent person present.

  • Permit completed and present.

  • Ventilation present and operating.

Cranes & Hoist

  • Cranes or Hoist in Use

  • Emergency action plan briefing performed.

  • Briefing of operation to all involved performed.

  • Crane Lift Procedure form completed.

  • Current inspection of equipment.

  • Lift analysis and plan performed.

  • Operator familiar with load and material.

  • Outrigger and swing barriers in place.

  • Review of signaling performed.

  • Rigging equipment (chains, slings, wire ropes) inspected and labeled

Excavation or Trench

  • Excavation or Trench Work Being Performed

  • Emergency action plan briefing performed.

  • All workers trained and brief.

  • Competent person present.

  • Access and exit in place. (25ft apart, 3ft above edge.)

  • Air monitoring performed.

  • Only essential equipment present.

  • Proper guarding and protection in place.

  • Spill pile adequately placed. (Minimum 2ft from edge)

Fall Protection

  • Fall Protection in Use

  • Emergency action plan briefing performed.

  • Appropriate PPE in use.

  • Current inspection.

  • Current training.

  • Elevator shafts properly guarded.

  • Floor holes and openings properly covered or guarded.

  • Lower level protection provided.

  • Railings within OSHA standards.

  • Ramps and walkways properly railed and guarded.

  • Stairways are properly constructed, railed, and guarded.

Scaffolding

  • Scaffolding in Use

  • Meets OSHA requirements

  • Planks and platforms in place and properly spaced.

  • Proper access to platforms.

  • Proper base and footings.

  • Railings and toe boards in place.

  • Tied into building.

  • Inspector

  • Date

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.