Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
All items checked below have been reviewed
-
Asbestos / Lead / Silica / Other
-
Bulletin board required postings
-
Code of safe practices issued / posted
-
Cranes Inspections/certifications
-
Crisis management / emergency phone numbers
-
Cylinder label / storage
-
Electrical cords /GFCI protection
-
Elevated equipment
-
Emergency evacuation plan posted
-
Excavation/competent person
-
Fall protection
-
Fire extinguisher
-
First aide kit/stretcher
-
Flammable liquid storage
-
Floor/roof/elevator openings
-
Forklift safety/operator certification
-
Hearing protection/conservation
-
Hot/cold stress/potable water
-
Housekeeping
-
IIPP/SDS manual/ Site Specific Plan
-
Ladders/stairways/proper access
-
Laser signs
-
Leading edge protection
-
Lighting
-
Machinery guarded
-
Water damage/mold
-
Perimeter Guarding
-
Power tools/powder actuated tools
-
PPE – hardhats, safety glasses, Vests
-
Pressurized equipment guards
-
Pre-task planning documented
-
Proper shoring
-
Safety meeting/training documented
-
Scaffolds
-
Stormwater plan
-
Toeboards/guardrails
-
Toilets/sanitation (1/20)
-
Traffic control
-
Vertical rebar
-
Notes
Distribution
-
Project manager
-
Division manager
-
Operations manager
-
SE&H Department
Correction/ Abatement
-
Correction/Action Abatement Page Attached?
-
All corrections on the attached page are to be completed and documented by the request of even date. Keep a copy in the job files and forward a copy to The corporate safety manager for your division. Thank you for your timely attention to these issues