• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Daily Paperwork & General Safety

  • Daily JHA/Toolbox Talk completed

  • Daily Over Head Crane & Equipment Inspection completed

  • Safety Manual & MSDS in the Shop

  • Job specific paperwork available (JHA)

  • Federal, Ethics and EEO Statement Posted

  • Emergency numbers and facilities identified

  • Proper First Aid Kit on site

  • Fresh drinking water available on site

Personal Protective Equipment (PPE)

  • Employee(s) dressed properly for work (shirts w/ 4" sleeves, long pants and sturdy work boots (safety-toe if reuired)

  • Hardhats

  • Safety Glasses

  • Gloves (if required)

  • High Visibility Clothing and/or Reflective Vest

  • Hearing Protection

  • Type:

  • Face Sheild

  • Activity:

  • Respiratory Protection (if required, fit test needed)

  • Type:

  • All suppliers and sub contractors involved with Fisher Industries are in compliance w/ PPE requirements

Fall Protection

  • Competent Person(s)

  • Hazard(s)

  • Proper System/Equipment used

  • Type:

  • Full Body Harness and lanyards in good working condition

  • (SRL) Self Retracting Lifeline tested

  • Proper Anchorage/Tie-Off


  • Trained Operator(s)

  • Set up:

  • Inspection Certificate up to date

  • Expires:

  • Crane Operator's Manual Available

  • Lift Plan and Weight Sheet in crane

  • Anti 2-Block(s) Operational

  • Line(s) installed on

  • E-Stop(s) Operational

  • Swing Radius

  • Swing Alarm Operational

  • Type:

  • Fire Extinguisher (5lb ABC)

  • Warning and/or Operational Decals

  • Mechanical deficiencies reported


  • Certified Rigger(s)/Signal Person(s)

  • Nylon Straps

  • Wire Rope Slings

  • Chains

  • Type:

  • Blocks, Hooks & Latches

  • Shackles

  • Other

Material Handling

  • Proper Lifting

  • Hands free of Pinch Points

  • Mechanical Assist or 2-Man Lift when too heavy

Heavy Equipment

  • Qualified Operator(s)

  • Machine Type:

  • Operator's Manual in machine

  • E-Stop(s) Operational

  • Back-Up Alarm Operational

  • Mirrors and Windows in good condition

  • Tracks Clean

  • Mechanical deficiencies reported

Confined Spaces/Excavations

  • Competent Person(s)

  • Permit Required

  • Air Monitoring completed

  • Decibel Monitoring completed

  • Access/Egress

  • Type:

  • Proper Excavation Protection

  • Type:

  • Soil Type (if known)

Cutting & Welding

  • Hot Work Permit Pulled

  • Fire Watch

  • Area clear of combustibles

  • Compressed Gas Cylinders properly stored

  • Storage Type:

  • Striker used for ignition

  • Hoses in good condition

  • Leads in good condition

  • Gauges in good condition

  • Caps on Compressed Gas Cylinders if Gauges are removed

Fire Safety

  • Fire Extinguisher(s) are charged and in good condition

  • Fire Extinguisher(s) have up-to-date tag(s)

  • All Equipment has an accessible Fire Extinguisher

  • 20lb Fire Extinguisher 25' to 75' from Fuel & Oil Containment

  • Combustibles properly stored

  • Fuel Containers labeled


  • GFCI working properly

  • Power Tools in good working condition

  • Extension Cords free from defects

  • Overhead Power Lines (proper distance indicated and observed)

  • Under Ground Utilities (properly identified and marked)

Company Vehicle/Conex Box

  • Truck/Conex is reasonably clean

  • Truck/Conex is well organized

  • Back-Up Alarm Operational

  • Mirrors, Seat Belts & Windows in good condition

  • Mechanical deficiencies reported


  • Guards provided for rotating parts

  • Grout Hoses have Whip-Checks

  • Laser Sign visible

  • Tag Lines in use when unloading or flying materials

  • Sheet Shackles in good condition

  • Housekeeping (trash & debris) controlled

  • Other Essential Findings


  • Superintendent

  • Inspector

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.