George & Lynch Safety Audit

• Document No.

• Project Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Supervisor

• Number of Employees

• Subcontractors

Protective Procedures

• Safe Work Practices

  Yes

  No

  N/A

• Head Protection

  Yes

  No

  N/A

• Eye & Face Protection

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

• Work Gloves

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Dress Code

  Yes

  No

  N/A

• Walking & Working Surfaces

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Tool Box Talks

  Yes

  No

  N/A

• Material Safety Data Sheets

  Yes

  No

  N/A

• OSHA Postings

  Yes

  No

  N/A

• Safety Cans & Containers

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

Traffic Control

• Warning Signs & Cones

  Yes

  No

  N/A

• Proper Flagging Procedures

  Yes

  No

  N/A

• Barricades

  Yes

  No

  N/A

• Dust Control

  Yes

  No

  N/A

Electrical

• Lockout/Tagout Procedures

  Yes

  No

  N/A

• GFCI in Use and Tested

  Yes

  No

  N/A

• Extension Cord Condition

  Yes

  No

  N/A

• Hand & Portable Tools

  Yes

  No

  N/A

• Generators Properly Grounded

  Yes

  No

  N/A

• Lighting Protected

  Yes

  No

  N/A

Motor Vehicles & Equipment

• Chocks & Outriggers

  Yes

  No

  N/A

• Window Condition

  Yes

  No

  N/A

• Parking & Braking

  Yes

  No

  N/A

• Warning/Flashing Lights

  Yes

  No

  N/A

• Seat Belts

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Backup Alarms

  Yes

  No

  N/A

Trenching & Excavation

• Shoring Materials

  Yes

  No

  N/A

• Spoils Pile - 2 feet back

  Yes

  No

  N/A

• Egress Ladders within 25 feet

  Yes

  No

  N/A

• Miss Utility Called

  Yes

  No

  N/A

• Trenches Properly Sloped

  Yes

  No

  N/A

• Competent Person Log Maintained

  Yes

  No

  N/A

Confined Space

• Entry Permit

  Yes

  No

  N/A

• Atmosphere Tested & Documented

  Yes

  No

  N/A

• Continuous Monitoring

  Yes

  No

  N/A

• Confined Space Training

  Yes

  No

  N/A

• Tripod, Retrieval & Harness

  Yes

  No

  N/A

Miscellaneous

• Compressed Gas Cylinders

  Yes

  No

  N/A

• Burning, Welding & Cutting

  Yes

  No

  N/A

• Cranes, Hoists & Slings

  Yes

  No

  N/A

• Scaffolds & Platforms

  Yes

  No

  N/A

• Fall Protection

  Yes

  No

  N/A

• Working Over Water Precautions

  Yes

  No

  N/A

• Comments/Corrective Measures

• Auditor Signature

  Sign