Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

PPE

  • Hard Hat

  • Safety Glasses

  • Safety Toed Boots

  • Hearing Protection

  • FR Clothing

  • Gloves

Manual Lifting

  • Correct body position

  • Help for heavy items

  • Hand placement

  • Weight known

  • Use of Equipment

Line of Fire

  • Hand / Body Position

  • Overhead Hazards

  • Rotating Equipment

  • Pinch / Shard Edges Identified and Protected

Housekeeping

  • Trash / Debris

  • Cord / Lead Control

  • Protruding Items

  • Correct Barricades

Fall Protection

  • Trip Hazard

  • Daily Inspection

  • Fall Arrest Equipment Used

  • Protected at 6 feet / 4 Feet California

  • Correct Ladder Use

Tool Use

  • Correct Tool

  • Used Correctly

  • Material Secured

  • Guards in Place

  • GFCI Used

Equipment / Vehicle Use

  • Seat Belt Use

  • Inspection

  • Equipment Used Properly

  • Backing

Adjacent Work

  • Equipment Start Up

  • Vehicle Traffic

  • Work Scope Known

  • Excavations

  • Crane / Hoist Use

Procedures

  • Lockout / Tagout

  • Confined Space

  • Other Procedure

Other

Job Hazard Analysis

  • Hazards Identified

  • Daily Tailboard Meeting Complete

  • PPE Last Hazard Control

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.