GENESYS Superintendent Safety Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Housekeeping

• Is the work area clear of slips, trips and falls?

  Yes

  No

  N/A

• Are materials properly stored and staged?

  Yes

  No

  N/A

• Are our trailers clean and tidy?

  Yes

  No

  N/A

Tool Storage and Conditions

• Are our company tools in the proper boxes and in good order and condition?

  Yes

  No

  N/A

• Are personal tools stored in an orderly manner, out of aisleways?

  Yes

  No

  N/A

• Are the gangboxes generally clean and in good order?

  Yes

  No

  N/A

• Are our fire cans up in inpections and charged?

  Yes

  No

  N/A

Personal Protective Equipment

• Do we have adequate PPE on site and available to those who need it?

  Yes

  No

  N/A

• Is our PPE in good condition?

  Yes

  No

  N/A

• Is everyone wearing the proper PPE for the task(s) at hand?

  Yes

  No

  N/A

• Do our first aid kits have adequate contents and does everyone know where to find them?

  Yes

  No

  N/A

Lockout/Tagout

• Is everyone locked out properly?

  Yes

  No

  N/A

• Does everyone know what is locked out and what we can and cannot work on?

  Yes

  No

  N/A

• Do the locks have everyone signed in/out?

  Yes

  No

  N/A

• Are we following site/customer lockout procedures?

  Yes

  No

  N/A

• Have we Locked, Tagged and Tried?

  Yes

  No

  N/A

Equipment

• Are our equipment inspections up to date and properly filled out?

  Yes

  No

  N/A

• Is our equipment in good working order and being properly and neatly stored when not in use?

  Yes

  No

  N/A

Personal and Physical Hazards

• Does the worker create a hazard condition?

  Safe

  At Risk

  N/A

• Is there a physical hazard in the environment that can cause physical harm to the worker?

  Safe

  At Risk

  N/A

Unsafe Acts and Unsafe Conditions

• Were there any unsafe acts identified and corrected?

  Yes

  No

  N/A

• Were there any unsafe conditions identified and corrected?

  Yes

  No

  N/A

Training and Learning

• Comments on lessons learned: