Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General Areas/ Site Compliance/ House Keeping

  • 1.1. Traffic Control- Are vehicles parked on one side of the street or obeying posted signs?

  • 1.2. Job Hazard Analyzes- Was a JHA conducted by on site crew prior to the start of work?

  • 1.3. Trash- Is the job site clear of trash?

  • 1.4. Material Storage- Are materials organized, consolidated, and not blocking exits?

  • 1.5. Streets & Sidewalks- Is the street & sidewalks swept from Pin to Pin?

  • 1.6. SES- Is the Service Entrance door locked while lot has construction(temp) power?

  • 1.7. IIPP- Is the Trade Partner company IIPP (Safety Manual) on site?

  • 1.8. MSDS- Is the Trade Partners company MSDS on site?

  • 1.9. Labeling- Are all cups and containers properly labeled?

2. PPE

  • 2.1. Hard Hats- Are hard hats being worn?

  • 2.1A. Site safety sticker present?

  • 2.1B. No visible damage?

  • 2.1C. Hard hat manufactured date less than 3 years old?

  • 2.2. Eye Protection- Is eye protection worn when required? (Eye protection is to be used when the manufacturer of a piece of equipment requires it).

  • 2.3. Ear Protection- Is ear protection used when required? (Eat protection is to be used when the manufacturer of a piece of equipment requires it)

  • 2.4. Respirators/ Dusk Mask/ Face Shields- Is the proper protective equipment being used when a manufacturer or product calls for it?

  • 2.5. Safety Vest- Are safety vest worn around heavy equipment?

  • 2.6. Footwear- Are hard sole shoes being worn when task warrant?

  • 2.7. Gloves- Are gloves properly used when a manufacturer of equipment or product requires?

3. Ladders

  • 3.1. Is the ladder Type 1 or 1A?

  • 3.2. Is the ladder in good condition?<br>

  • 3.3. Is the ladder set up with the proper 4:1 lean ratio?

  • 3.4. Is the ladder tied off?

  • 3.5. Is the ladder extended 3 feet above landing?

  • 3.6. Are all A frame ladders properly used? (Fully extended, level surface, and top & top step not used)

4. Tools

  • 4.1. Are all tools in good working condition?

  • 4.2. Are all tool guards in place and not motified?

  • 4.3. Do all power cords have ground pins and in good working condition?

  • 4.4. Are Generators/ Compressors in good working condition?

  • 4.5. Are all air houses in good working condition?

5. Fall Protection

  • 5.1. Fall protection plan on site?

  • 5.2. Was the fall protection equipment inspected prior to use?

  • 5.3. Is the fall protection equipment being used according to the manufactures requirements?

  • 5.4. Are all holes and openings covered?

  • 5.5. Are guard rails in place at all stair ways, balconies, and wall openings?

6. Scaffolding

  • 6.1. Is the scaffolding set up level?

  • 6.2. Are the work platforms fully planked with good scaffold planks?

  • 6.3. Are base plates installed on all horizontal pieces?

  • 6.4. Are mud sills installed under all base plates if required?

  • 6.5. Are access ladders supplied to all work levels of the scaffold platforms?

  • 6.6. Is all bracing installed at each scaffold segment?

  • 6.7. Are the side and end rails (top & mid) installed at the 10' trigger height and higher?

  • 6.8. Is the scaffold structure secured to the building every 12' in height and 20' of length?

  • 6.9. Are implement hazards protected against?

  • 6.10. Is the scaffolding no more than 18" away from the structure?

7. Trenching & Exavation

  • 7.1. Are the excavations that are 2' or deeper marked with warning tape?

  • 7.2. Are ladders used to access the excavation if its 4' or deeper?

  • 7.3. Are spoil piles a minimum of 2' from the excavation edge?

  • 7.4. Are shield boxes used at all excavations that are 5' or deeper?

  • 7.5. Are benched soils done correctly (only allowed in Type B Soils, basement & pool excavations)?

  • 7.6. Are soils sloped correctly (Type C soils-1 1/2:1 ratio only)?

  • 7.7. Are implement hazards protected against?

  • 7.8. Are rebar protective covers in place?

8. Motorized Equipment

  • 8.1. Was the equipment inspected prior to use?

  • 8.2. Is the driver qualified to operate the equipment?

  • 8.3. Does the mobile equipment have audible back up alarms or a designated spotter (tractors are not required to have audible alarm)?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • Shea Employee

  • Shea Employee 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.