Efficient Safety

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Job Planning

• 1.1 Pre-Job Inspection

  Safe

  At Risk

  N/A

• 1.2 Proper permit completed for the job task

  Safe

  At Risk

  N/A

• 1.3 Lock out tag out try

  Safe

  At Risk

  N/A

2.0 PPE

• 2.1 Standard PPE (hard hat, safety glasses, boots)

  Safe

  At Risk

  N/A

• 2.2 Gloves

  Safe

  At Risk

  N/A

• 2.4 H2S Monitors/ Respiratory protection

  Safe

  At Risk

  N/A

• 2.3 Hearing Protection

  Safe

  At Risk

  N/A

• 2.5 Fall protection

  Safe

  At Risk

  N/A

3.0 Working Environment

• 3.1 Walking Working Surfaces

  Safe

  At Risk

  N/A

• 3.2 House Keeping

  Safe

  At Risk

  N/A

4.0 Tools and Equipment

• 4.1 Tools used for their purpose

  Safe

  At Risk

  N/A

• 4.2 Power tools

  Safe

  At Risk

  N/A

• 4.3 Crane operation/tag lines

  Safe

  At Risk

  N/A

• 4.4 Vehicles

  Safe

  At Risk

  N/A

5.0 Body Mechanics

• 5.1 lifting/pushing/pulling/carrying

  Safe

  At Risk

  N/A

• 5.2 Line of Fire

  Safe

  At Risk

  N/A

• 5.3 Avoid being pinched or pinned

  Safe

  At Risk

  N/A

• 5.4 Climbing

  Safe

  At Risk

  N/A

• 5.5 Pinch Points

  Safe

  At Risk

  N/A

6.0 Construction

• 6.1 Grinder guard in place/ no cracks

  Safe

  At Risk

  N/A

• 6.2 Combustibles Clear

  Safe

  At Risk

  N/A

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