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

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