Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Brief Description of Site Activity

General / Environment

  • Is there adequate means of access / egress?

  • Are the aisles / walking areas maintained, work areas organized, and free of debris?

  • Are the health hazards controlled / mitigated (lead, silica, asbestos, contaminated soils, particulate dust, air quality)?

  • Is the work area free from overhead hazards / falling object hazards?

  • Is there adequate public protection in place (signs, barricades, locked doors)?

Personal Protective Equipment (PPE)

  • Are employees observed wearing the necessary PPE for their task(s) and/or per company policies?

  • Are employees observed wearing proper respiratory protection?

  • Are employees observed wearing proper hearing protection?

Ladders

  • Are ladders set up and being used properly?

  • Are ladders free of damage and suitable for the task?

Electrical

  • Is the lighting adequate and properly protected?

  • Is proper Ground-Fault Circuit Interrupter (GFCI) or Assured Grounding Program (AGP) in use?

  • Are the cords construction grade and free of damage (ground pin, frays)?

  • Is energized electrical equipment protected and fully enclosed?

  • Are Lock Out Tag Out (LOTO) procedures implemented?

  • Is adequate distance maintained from overhead power lines by all equipment?

Fall Protection

  • Are guardrail system(s) installed properly?

  • Are adequate personal fall arrest or restraint systems in use (harness, lanyard, anchor)?

  • Are wall and floor openings protected?

  • Is impalement protection installed (rebar, conduit, etc.)?

Scaffolding

  • Are scaffolds set up and used properly?

  • Are inspections completed by a Competent Person prior to use?

Aerial Lifts

  • Are all operators observed using aerial lifts properly?

  • Are pre-start and workplace inspections being conducted by aerial lift operators?

  • Do aerial lifts appear to be in safe operating condition?

Material Handling Equipment

  • Does the equipment appear to be in safe operating condition?

  • Is the equipment observed being used safely by the operator?

  • Are powered industrial truck inspections completed and is the equipment used by a certified operator?

Cranes

  • Are cranes inspected (yearly, monthly, shift)?

  • Do cranes appear to be set up properly?

  • Is the rigging equipment inspected and tagged?

  • Are tag lines being used as needed?

Fire Prevention

  • Is firefighting equipment available and inspected?

  • Are flammables / combustibles properly stored?

  • Are compressed gases stored properly?

  • Are precautionary measures taken to minimize risk of fire (welding blankets, fire watch, etc.)?

Excavation and Trenching

  • Are excavations and their protective systems set up properly and inspected?

  • Are underground utilities located prior to digging?

Hazard Communication

  • Are safety data sheets available / accessible?

  • Are primary and secondary containers labeled?

Hand and Power Tools

  • Are tools being used properly and in good condition?

Traffic Management

  • Is there an adequate traffic control plan in place?

  • Are flaggers trained / certified?

  • Are signs and traffic control devices in good condition?

Occupied Spaces

  • Are infection control practices implemented?

  • Are the fire suppression systems protected?

Confined Space

  • Are confined spaces on site evaluated and classified as "permit required" or "non-permit required"?

  • Are confined space entry procedures being followed (rescue provisions, air monitoring, etc.)?

Administration

  • Is an emergency action plan available and are personnel aware of responsibilities?

  • Are first aid kits available / properly stocked?

  • Are frequent and regular inspections being completed?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Additional Comments

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  • Add media

Sign Off

  • On site representative

  • Auditor's signature

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.