Four Star Site Safety Audit

• Prepared by

• Supervisor

• Location

• Job Number

• Is the housekeeping satisfactory? (ie. Garbage, cleanliness, clutter, etc)

  Yes

  No

  N/A

• Are materials stored onsite arranged in an orderly and accessible manner? (ie. stacked vs. piled, etc)

  Yes

  No

  N/A

• Is the proper PPE in use, available, and in good condition?

  Yes

  No

  N/A

• Which of the following work types is occurring at this site: Working at Heights, Excavation, Confined Space, Rigging and Lifting

  Select Working at Heights Excavation Confined Space Rigging and Lifting None of These

  • Working at Heights
  • Excavation
  • Confined Space
  • Rigging and Lifting
  • None of These

Working at Heights

• Is scaffolding properly assembled? (ie. tags, inspections, fully planked w/ guardrails)

  Yes

  No

  N/A

• Is fall protection being used properly? (ie. worn correctly, stored correctly, inspected for use, proper anchorages, acceptable clearances, etc)

  Yes

  No

  N/A

• Are ladders being used correctly? (ie. good condition, tied off, proper angle, extend 3ft beyond edge, etc)

  Yes

  No

  N/A

Excavation

• Is the sloping appropriate?

  Yes

  No

  N/A

• Is the Excavation Permit filled out correctly?

  Yes

  No

  N/A

• If necessary, is proper shoring installed?

  Yes

  No

  N/A

• Have ladders been placed for adequate access/egress?

  Yes

  No

  N/A

• Is the area properly barricaded and signed?

  Yes

  No

  N/A

Confined Space

• Is the confined space permit properly completed?

  Yes

  No

  N/A

• Do employees have the appropriate training for their tasks?

  Yes

  No

  N/A

• Is the rescue equipment set up correctly and being used properly?

  Yes

  No

  N/A

• Is atmospheric testing being done and recorded correctly?

  Yes

  No

  N/A

Rigging & Lifting

• Is rigging recently inspected and in good condition?

  Yes

  No

  N/A

• Are material handling machines current on their annual inspection? (ie. forklifts, telehandlers, etc)

  Yes

  No

  N/A

• If a lift plan is needed, is it properly completed and available?

  Yes

  No

  N/A

• Is the Cargo Management Plan properly completed ,available, and being followed?

  Yes

  No

  N/A

Fire Prevention and Protection

• Are fire extinguishers available, accessible, and up to date on inspection?

  Yes

  No

  N/A

• Are work areas clear of combustible materials? (ie. aerosol cans, oily rags, etc)

  Yes

  No

  N/A

• If a Hot Work permit is needed: Is the permit filled out correctly and have the noted precautions been taken?

  Yes

  No

  N/A

Electrical

• Are tools and power cords grounded with GFCIs in place?

  Yes

  No

  N/A

• Have all extension cords been inspected prior to use?

  Yes

  No

  N/A

• Are cords routed in a safe manner? (ie. Not in walkways, no knots or tangles, etc)

  Yes

  No

  N/A

• Have required systems and circuits been properly locked-out? (LOTO)

  Yes

  No

  N/A

First Aid & Sanitation

• Are the first aid kits available, accessible, and properly stocked?

  Yes

  No

  N/A

• Are the eye wash stations/bottles available available, accessible, and in-date?

  Yes

  No

  N/A

• Are there accommodations for hand washing? (ie. hand sanitizer, etc.)

  Yes

  No

  N/A

• Is drinking water available?

  Yes

  No

  N/A

• Are toilet facilities available, accessible, and in good order?

  Yes

  No

  N/A

Tools

• Are all machine guards present and unmodified? (ie. angle grinders, table saws, etc.)

  Yes

  No

  N/A

• Are tools in good condition and properly placed while in use / stored when not?

  Yes

  No

  N/A

• Are tool power cords recently inspected and in good condition?

  Yes

  No

  N/A

• Are the correct tools being used for the application? (ie. "right tool for the job")

  Yes

  No

  N/A

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