Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Electrical Safety

  • Are all extension cords and too cords free from visible damage?<br>

  • Do all cords have a properly grounded plug (all three prongs are present on plug)?

  • Are GFCI (ground fault) receptacles in use on all power source cords and tools?

PPE (Personal Protective Equipment)

  • Are hard hats and safety glasses worn?

  • Is any safety equipment needed that is not being used?

Site Conditions

  • Are there adequate ramps, stairs and ladders?

  • Are dust masks or respirators needed?

  • Is the ground clean/level?

  • Are the walkways and work areas kept clear of tools, debris, hazards, etc.?

  • Are the stairs filled properly (no longer metal shells)

  • Does the site have adequate and proper handrails?

  • Are fire extinguishers on each floor and properly charged?

  • If working in an open excavation is it properly sloped?

  • Is excavated soil properly placed?

  • Is appropriate shoring used?

Planning

  • Does planning consider human interaction (I.e. repetitive use of tools or postures) with tools, material or equipment?

  • Are new products or techniques considered for installation or safety?

  • Are effective rules determined for start/stop time breaks, personal cell phone use etc.?

  • Are rules (such as standard of excellence or SAC work/safety rules) enforced?

  • Does the planning process determine work activities five or more days in advance?

  • Is there proper access to the trench?

  • Is there proper storage of materials in and above?

Fall Protection

  • Are ladders secured?

  • Are ladders safe for use? (no missing rungs, fully extended, top steps not in use)

  • Is fall protection being properly used?

  • Is fall protection being worn?

  • Are guardrails/barricades properly located and adequately secured?

  • Is fall protection in a safe and useable protection?

Work Production/Tools

  • Is sufficient task lighting available and used in addition to general lighting?

  • Are ergonomically designed hand and power tools in use for repetitive tasks?

  • Are power tools in good condition and tagged defective as needed?

  • Are lifts, scaffolds, ladders and platform ladders selected based on task?

  • Are daily lift inspections being completed?

  • Are the lifts in a safe, usable condition?

  • Are the lifts properly loaded?

  • Are PPE, guards and cords used as required?

  • Is PPE used as a means to reduce fatigue?

  • Are proper extension cords (outdoor, rated over 300 watts)

  • Are the extension cord casings, ends and connectons?

  • Is temporary power supply properly identified?

  • Are the GFCI's used where required?

  • Are overhead lines flagged and secured?

  • Is supervision empowered to stop unproductive and risky work activities?

  • Is a productivity measurement in use?

Material Handling

  • Is manually handled material stored/staged 24" or higher off the ground?

  • Are vehicles inspected on a regular basis to reduce risk and ensure organization?

  • Are all gang boxes mobile and laid out, lit and labeled in a consistent and systematic manner?

  • Are all trailers/conex boxes adequately laid out, lit and labeled in a consistent and systematic manner?

  • Are carts and other pieces of equipment fitted with a minimum 6" roller bearing wheels?

  • Does the maintenance program keep carts, wheels and tools in good working order?

  • Are gang boxes, trailers, port a john's, of sufficient quantity to prevent unnecessary walking?

  • Are carts used to move tools and materials planned and equipped daily (or more often)?

  • Are carts within 6' of the installation point?

  • Are most used items stored/staged between knee and shoulder height?

  • Do material staging points and gang boxes move as the job progresses?

  • Project Manager/Superintendent

  • Select date

  • Foreman

  • Select date

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.