Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Posted OSHA & other Jobsite posters

  • Safety program & substance abuse manual

  • First aid supplies immediately available/adequate

  • SDS Manual

  • Federal and State posters

  • First aid/CPR trained personnel on site

  • Daily Take Two Completed

  • Jobsite warning signs posted as necessary

Housekeeping & Sanitation

  • General neatness of working areas & walkways

  • Waste containers provided

  • Adequate lighting

Fire Prevention

  • Required fire extinguishers in equip properly charged and inspected

  • Fire watch/fire tarps used while doing hot work

  • Travel distance within 100' with at least one extinguisher per floor

Electrical Safety

  • GFCI's used on every power tool

  • Proper guards on temporary lights

  • Extension cords have ground pins and no visible damage

  • Terminal boxes equipped with cover

  • All electrical equip grounded, ext cords 3-wire type

  • Lockout/tagout procedures in place

  • Cords routed to prevent safety dangers & damages

Hand Tools

  • Proper tools and operator for the job task

  • Damaged tools repaired or replaced

Power Tools

  • Properly guarded

  • Properly grounded

  • PPE used

  • Proper tool and operator for the job task

  • Damaged tools repaired or replaced

Hoist, Cranes, & Derricks

  • Competent person rigging, using proper rigging

  • Lift areas barricaded & secured

  • Equipment alarms functioning

  • Qualified signal person demonstrating proper signaling practice

  • Outriggers being properly used with adequate blocks

  • Overhead power lines deactivated or marked

  • Rigging in proper working condition

Ladders

  • Ladders free of defects

  • Proper use of step ladders

  • Extension ladders secured 1/4 slope, 3' above landing

Heavy Equipment

  • Lights, brakes, & warning signals operative

Excavation

  • Barricading in place during & after work hours

  • Egress provided within 25 ft

  • Atmospheric testing completed (if required)

  • Utility lines located: soil type identified

  • Proper shoring, benching, sloping at 5' or deeper

  • Materials stored at least 2 feet from edge

Flammable Gasses & Liquid

  • Approved containers used & clearly identified

  • Proper storage / Oxy & acetylene tanks separated

Personal Protective Equipment (PPE)

  • Hard hats

  • Safety glasses/face shields/goggles

  • Hearing protection

  • Safety footwear

  • Respirators

  • Gloves (if needed)

  • Safety harnesses & lanyards (if needed)

  • High visibility clothing

Fall Protection

  • 100% tie off above 6 ft & retrieval plan created

  • Proper anchorage points

  • Floor/wall openings covered or guarded

  • Guardrail systems in place & properly installed

  • Roof edge protected

Concrete Construction

  • Forms properly installed & braced

  • Proper PPE in use

  • Rebar capped as necessary

Confined Space

  • Atmospheric testing completed

  • Permit completed & posted

  • On-site rescue provided (if needed)

  • Off-site rescue provided (if needed)

Stairways

  • Handrails on all stairways as needed

  • Stairways blocked if unusable

Scaffolds

  • Scaffold inspections completed

  • No damaged components

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.