English

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Documentation/Housekeeping/Setup

• OSHA 300 Log/ Emergency Phone Numbers Posted

  Yes

  No

  N/A

• Employees Had Orientation

  Yes

  No

  N/A

• First Aid Kit Stocked

  Yes

  No

  N/A

• Job Site Housekeeping

  Yes

  No

  N/A

• Injury Reporting Procedures Posted

  Yes

  No

  N/A

• First Aid Trained Person On Site

  Yes

  No

  N/A

• OSHA 1926 Book

  Yes

  No

  N/A

• Miss Utility / NC 811 Up To Date

  Yes

  No

  N/A

PPE

• Tap to enter information

  Yes

  No

  N/A

• Safety Glasse/ Faceshield

  Yes

  No

  N/A

• Hardhats

  Yes

  No

  N/A

• Safety Vest

  Yes

  No

  N/A

• Safety Toe Work Boots

  Yes

  No

  N/A

• 4 Inch Sleeves

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Respirators, Dust Masks

  Yes

  No

  N/A

• Life Preservers/Throw Rings

  Yes

  No

  N/A

Personal Fall Arrest Systems And Guardrail Systems

• Employees Trained On Use Of Equipment

  Yes

  No

  N/A

• Harnesses And Lanyards Inspected Before Each Use

  Yes

  No

  N/A

• Harnesses Used At 6 Feet or Higher When There Are No Guardrails

  Yes

  No

  N/A

• Approved Anchor Points Used (supports 5000lbs)

  Yes

  No

  N/A

• Cables Provided When Need (rat lines)

  Yes

  No

  N/A

• Employees Using The Proper Lanyard For Height Off The Ground

  Yes

  No

  N/A

• Control Access Zone Used When Needed And Erected Properly

  Yes

  No

  N/A

• Guardrails Built Per OSHA Standards (top rail 42 inchs and 200lbs)

  Yes

  No

  N/A

• Harnesses Used In Boom Lifts And Sissor Lifts

  Yes

  No

  N/A

Scaffolds

• Competent Person On Site At All Times

  Yes

  No

  N/A

• Competent Person Inspeccting The Scaffolding And Tagging The Scaffold Properly

  Yes

  No

  N/A

• Scaffold Set On Firm Foundation

  Yes

  No

  N/A

• Scaffold Plumb And Level

  Yes

  No

  N/A

• Mud Sills And Base Plates Used When Needed

  Yes

  No

  N/A

• Working Platform Fully Planked

  Yes

  No

  N/A

• Working Platform Fully Guardrailed At 6 Feet Or Higher

  Yes

  No

  N/A

• Proper Ladder Access To Working Platform

  Yes

  No

  N/A

• Toe Boards Installed

  Yes

  No

  N/A

• Wheels Locked On Rolling Scaffold

  Yes

  No

  N/A