Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General site conditions

  • Is the site secure?

  • Are the works areas clear of slip trip falls, debris.<br><br>

  • Is house keeping good, clean and tidy.

Equipment

  • Equipment on site have operational back-up alarms.

  • All mirrors on equipment operational.

  • Operators walking around equipment and looking under before operating.

  • Tracks or tires in good work order and adjusted correctly.

  • Seat belts being worn while operating.

  • Equipment checklist being performed daily.

  • Keys removed if not in use and equipment locked.

  • Equipment being used is in sound condition and fit for purpose.

  • Unsafe actions.

Excavations

  • Excavations protected from the public or other workers on-site.

  • Excavations deeper than 3 feet that require workers to be in them, have been reviewed by a competent person and a benching, sloping, shoring, or shielding plan have been put in place.

  • Spoil are more than 2 feet from the edge of the excavation.

  • Workers are not working above an excavation where equipment could fall on a worker in the bottom of an excavation.

  • Unsafe actions.

Emergency arrangements

  • Workers have a first-aid kit on site.

  • Workers are aware of the closet emergency room facility.

  • Workers know the number to call for emergency response personnel and know the directions to the site.

Management procedures.

  • JSA and tool box talks have been completed for workers on site.

  • Workers understand the scope of work.

  • Workers are capable to perform the specific scope of work in a safe manner.

Environmental

  • Spill kits is on site.

Personal Protective Equipment

  • All workers on site were wearing Head Protection, in good order.

  • Operatives were observed wearing hearing protection if needed.

  • Safety goggles or glasses were being worn for the correct operation.

  • Gloves fit for the task were worn. <br>

Overhead & Underground Services

  • Overhead & underground services/hazards have been identified and discussed with workers on site.

  • OKIE811 has been called and locates are up to date.

  • OKIE #:

Traffic Management

  • Traffic management plan is in place and being followed

Signatures.

  • Signed by site supervisor

  • Received by lead operator

  • Time and date of inspection

  • Remedial action to be completed by

  • Add drawing

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.