Title Page

  • Employee:

  • Conducted on

  • Prepared by

  • Project site:

  • Is the employee using the proper PPE?

  • PPE

  • Is equipment in safe working condition?

  • Site awareness:  (Testing concrete in safe area away from moving heavy equipment, swinging crane buckets, etc.)?

  • Excavations:  If employee needs to enter, are they safe?

  • Fall hazards:  If employee needs to be on elevated decking or ladders, are conditions safe?

  • Comments:

  • Audit by:

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.