Title Page

  • Audit Title

  • Location
  • Client / Site

  • Conducted on

  • Personnel

  • Prepared by

Housekeeping

  • Work, and storage areas neat and orderly, free of trip hazards

  • Combustible materials stored and labeled properly

  • General housekeeping

  • Electrical room housekeeping

  • Material stored properly

Electrical Safety

  • Extension cord properly used

  • Extension cord in good condition

  • Extension cords elevated on non conductive materials

  • GFCI been inspected

  • GFCI being used

  • Do all corded power tool have ground prongs

  • Electrical room/ panels been locked

  • All panels have covers

Temporary lighting

  • Temp lighting adequate at stairwells and points of egress

  • Temporary lighting available in all rooms,

Permits

  • Confined space permit needed

  • Has LOTO been used and proper form filled out

  • JSA been fill out completely

  • JSA been signed by crew and foreman

Ladders/ fall protection

  • Ladders been inspected

  • Harness been inspected

  • Ladders being properly used

  • Proper anchor points being used on scaffolding

  • Floor opening properly covered and marked

Personal protective equipment

  • Hard hats being worn

  • Safety glasses being worn

  • Gloves being utilized

  • Hi Vis clothing/ vest worn

  • Face shield being utilized

  • Ear plugs being utilized

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.