Audit

LOCATION OF TASK OBSERVED:

DATE & TIME OF OBSERVATION:

BRIEF DESCRIPTION OF WORK BEING OBSERVED:

NUMBER OF PEOPLE BEING OBSERVED:
CRAFT BEING OBSERVED

EQUIPMENT BEING WORKED ON (OPTIONAL):

CATEGORY A - Communication

All craft participated in Pre-task meeting and understand task hazards. A.1

Workers demonstrate a questioning attitude about their surroundings. A.2

Work groups share information about identified hazards with other nearby workers. A.3

Backing vehicles and vehicles in congested areas are using spotters. A.4

CATEGORY B - Personal Protective Equipment

Personal Protective Equipment is correct for the hazard. B.1

PPE is being used properly and is in good condition. B.2

FR clothing is in good condition and free of holes. B.3

Respirator is worn properly where required and facial hair does not interfere with a seal. B.4

CATEGORY C - Housekeeping

Work areas are maintained clean and orderly during the work day. C.1

Cords, leads and hoses are elevated above work areas and walkways. C.2

Cords, leads and hoses are protected from damage caused by vehicle traffic. C.3

CATEGORY D - Tools

Tools are inspected before use and are in good condition. D.1

Tools in use are correct for the task and are used properly. D.2

Measures are in place to prevent dropped tools and material from reaching a lower work elevation. D.3

CATEGORY E - Rigging and Lifting Practices

Rigging equipment is inspected before use. E.1

The crane is level and all outriggers are placed on pads. E.2

There is one dedicated signal person and clear signals are provided. E.3

Tag lines are used on all loads. E.4

The load path is clear of overhead obstructions and hazards. E.5

Others are audibly alerted to overhead loads and lift areas are identified by barriers or spotters. E.6

CATEGORY F - Fall Protection

Fall protection equipment is inspected before use and in good condition. F.1

Harness is worn and adjusted properly. F.2

Anchor point is above users back D-ring. F.3

Equipment and attachment configuration prevents contact with a lower elevation in the event of a fall. F.4

CATEGORY G - Work Practices

Designated walkways are maintained, marked and used. G.1

Machine safety riders are effectively communicating. G.2

Buffer Zone is established and cones placed before work begins. G.3

All material and equipment is removed before a Buffer Zone is released. G.4

Workers are aware of equipment movement. G.5

Grating is placed to securely bridge paving gaps. G.6

Wheelbarrows are loaded to minimize strain and tipping. G.7

Observation Feedback
Observation Category

Feedback Provided

Observation Category

Feedback Provided

Observation Category

Feedback Provided

Pre-Incident Learning Questions

How can someone get hurt doing this task? How have we avoided that?

Have you experienced or heard of recent close calls? What happened? What did we do about it?

What is your biggest safety concern on this job?

1/13/2014 Frank Deller Failure to feedback is acceptance of the behavior.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.