• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Specific Documents

  • Is the site specific work plan describing the current scope of work available?

  • Is the site specific Health & Safety Plan (HASP) available on site?

  • Does the HASP include the current tasks and associated hazards?

  • Have all GEI project personnel reviewed and signed the HASP?

Hazard Identification/Job Hazard Analysis

  • Was a Job Hazard Analysis performed prior to the start of work?

  • Have the hazards changed since the start of work?

  • Have there been any accidents, incidents, or near misses been reported during this project?

  • If yes, describe.


  • Are the site personnel properly trained to the requirements set forth in the HASP?

  • Are personnel training records available on site?

Medical Monitoring

  • Are site personnel required to be part of a Medical Monitoring/Surveillance program?

  • If yes, can the Fitness for Duty and Certficate for Respirator Use documents be presented?

Personal Protective Equipment (PPE)

  • Is the PPE identified in the HASP being used for each task?

  • Is the PPE being used in good condition?

  • Is the PPE being used as intended by the manufacturer?

  • Is the PPE being stored and maintained properly?

Respiratory Protection

  • Is respiratory protection required for the project tasks?

  • Do site personnel have a valid respirator fit test record?

  • Are the proper respirators being used?

  • Are the respirators being used in good condition?

  • Are the respirators being used as intended by the manufacturer?

  • Are the respirators being stored and maintained properly?

Site Control

  • Is the work area secure? (I.e. fences, gates, barriers, cones,etc.)

  • Is there proper illumination when working at night?

  • Are site zones required?

  • If yes, are they in place?

Good Housekeeping

  • Are all tools and equipment stored in the proper locations?

  • Are all conditions that could cause a slip, trip, or fall remedied or marked?

  • Are there hand washing facilities or hand sanitizer available on site?

Operating equipment

  • Is the equipment operating on the site in proper working order with all safe guards in place?

  • Has the contractor performed a daily check of the operating equipment? Was proof of this provided?

  • Can the operators provide maintenance records and equipment manuals?

  • Can the equipment operators provide certifications to operate the equipment on site?

Confined Space Entry

  • Does the work on the site require entry into a confined space?

  • If yes, is it a permit required confined space?

  • If a permit is required, is the GEI Confined Space Entry Program being followed?

  • Have emergency rescue services been contacted and able to respond in the event of an emergency?

  • What PPE and safety equipment is required for entry? Please list.

Hazard Communication

  • All the chemicals being used on site stored in proper containers, labelled correctly?

  • Are Material Safety Data Sheets (MSDS) available for each chemical on site?

  • If a bill of lading is required to transport any materials or chemicals, is it in the vehicle(s)?

Traffic Control

  • Are site personnel exposed to, or have the potential to be exposed to vehicular traffic?

  • If yes, are traffic controls in place?

  • Are high visibility reflective vests (ANSI Class II) being worn?

Emergency Procedures

  • Are the emergency procedures and contact numbers readily available?

  • Is there is a site evacuation plan?

  • If evacuation is required, do site workers know how to communicate evacuation and where to meet?

On site safety equipment

  • Are first aid kits readily available, properly stocked, and appropriately sized for the number of site workers? (see first aid kit content list if client is National Grid)

  • Are fire extinguishers located at the work site?

  • Are fire extinguishers readily available and inspected monthly?

  • Is a supply of water and electrolyte fluids available to site workers?


  • Are cellular phones available and operable on site?

  • If no, is a satellite phone available?

  • Are other means of communication being used on site? (I.e portable radios)

  • Can site workers identify the nearest phone land-line?

Trenches and Excavations

  • Has a utility location service been notified and any underground utilities been located?

  • Is proper benching, shielding, or shoring in place?

  • Is the proper access/egress in place, correctly anchored, and positioned?

  • Are spoils placed a minimum of two feet away from the edge of the excavation?

  • Are vehicular traffic and heavy equipment operating at least four feet from the edge of the excavation?

Electrical Safety

  • Has a utility location service been notified and all underground utilities been located?

  • Is lockout/tagout required to safely perform work?

  • Do site workers have the proper protective equipment required to work around electrical hazards? (EH rated boots, arc flash clothing, etc.)

Fall Prevention/Protection

  • Are site workers exposed to or potentially exposed to fall hazards?

  • Is a job specific fall protection plan available?

  • Have all workers read and signed the plan?

  • Have all site workers been properly trained in fall protection and prevention?

  • Has the appropriate fall protection system been selected and all workers fit tested and trained on the components of the system?

  • Are the manuals to the fall protection equipment available?

Other observations

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.