Information
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Audit Title
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Audit Conducted for : (Jobsite, Client, Company, or Subcontractor)
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Name of Project
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Location
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Weather Condition
- Sunny
- Cloudy
- Rainy
- Windy
- Snowy
- Hot
- Cold
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Temperature
- 90* - 100*
- 80* - 90*
- 70* - 80*
- 60* - 70*
- 50* - 60*
- 40* - 50*
- 0* - 40*
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Phase of Work / Activities Observed
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Shift of Work
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Today's Date
ELECTRICAL
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Description
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Cords Protected from Damage
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LockOut / TagOut
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Lighting
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Temp Power / Spider Boxes / Assured Grounding Program
EXCAVATION
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Description
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Barricades Around
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Benching / Shoring / Sloped Correctly
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Access / Ramps / Ladders
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Signs on Tape
FIRE PROTECTION
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Description
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Extinguishers
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Hot Work Permit
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Fire Watch
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Welding / Cutting Equipment
FIRST AID
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Fist Aid Kits / Supplies Stocked
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AED / Grab & Go Trauma Kit Available
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Visible & Accessible
HOUSEKEEPING
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Description
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Debris Removal
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Nails Bent Over / Removed
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Cord Management
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Exits / Stairs / Ramps - Clear & Accesible
LADDERS / STAIRS
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Description
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Ladder Storage
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Ladder Condition / Decals Legible
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Proper Set Up / Secured
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Safe Use / 3 Point Contact
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Stairs Free of Trip Hazards / Handrails
MOBILE EQUIPMENT
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Description
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Forklift
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Scissor Lift
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Boom Lift
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Scaffold
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Excavation Equipment
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Crane
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Daily Inspections
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Fire Extinguisher on Vehicles / Back up Alarms / Horns
PERSONAL PROTECTION
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Description
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Glasses / Facesheild
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Hard Hats
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Reflective Vest / Hi Viz Shirt
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Foot Protection
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Hand / Arm Protection
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Hearing Protection
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Fall Protection
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Respiratory Potection
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Additional PPE / Task Specific
PRE TASK PLANNING
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Posted / Accessible
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Adequate Steps Listed
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Hazards Identified
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Controls Identified
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Crew Participation / Signed
HANDRAILS / HOLE COVERS
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Description
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Floor Openings / Hole Covers / Signage
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Perimeter / Handrails / Warning Line / Barricade / Signage
RIGGING
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Description
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Daily Inspection / Equipment
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Rigging Plan / Set Up
SITE / PUBLIC PROTECTION
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Description
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Access / Egress / Traffic Flow
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Adequate Lighting
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Sign In Sheet / Visitor Log
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Impalement Protection
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Exposure Control (Dust,Mud,Ice,Snow)
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Signs / Barricades
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Perimeter Fence / Gate (s)
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Vehicle Traffic Control / Speed Limit Posted / Craft Parking
TOOLS / MATERIAL
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Description
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Proper Use of Tools
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Guarded / Secured While Cutting
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Stored Orderly
CHEMICAL MANAGEMENT
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Description
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Haz Com Binder / Access to Online SDS Library
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<br>SDS / Labeling
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Storage / Disposal
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Spill Kit Available
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Fuel / Flammable Storage
PROGRAMS / INFORMATION
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Description
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Site Specific Safety / Site Logistics Plan / Confined Spaces Identified
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Right to Know Area / Postings
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New Employee Orientations
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Safety Meetings
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Daily Inspections Logs : (Equipment, Scaffold, Erosion Control, Trenching, etc)
PROJECT PLANNING / SPECIAL PERMITS
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Description
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Emergency Response Plan / Contact List Posted
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Temporary Protection / Containment / ICRA
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Demolition Plan / 'Don't Hit It' Forms
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Excavation / Erosion Control Plan
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Lock Out / Tag Out
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Confined Space
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Hot Work
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Steel Erection Plan
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Lift Plan / Crane Pick
