Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General safety and health

  • Accident investigation forms, injury records, first aid and medical provisions, safety HazCom book, employee posters.

Training:

  • Toolbox talks, safe work practices, workplace inspections.

Personal Protective and Lifesaving Equipment:

  • Eye, face, foot, respiratory, harnesses, nets, hardhats, reflective vests/shirts (within 30 feet vehicular traffic or when required on job site), first aid kits, eyewash stations.

Fire protection & fire prevention:

  • Extinguishers, flammable liquids, gas cylinder storage, check proper dates.

Signs, signals, & barricades:

  • Lights, flares, flagmen, tags, perimeter for guarding cranes

Materials, storage & disposal:

  • Piling of material orderly and secure, debris removed, especially on stairs and walkways.

Tools, hand & power:

  • Conditions, wiring, grounding, guarding, proper use.

Welding, cutting & grinding:

  • Eye protection, shielding, fireprotection, ventilation.

Electrical:

  • Electrical equipment controls, lines marked, temporary wiring, assured grounding markings. Extension cords tested and properly taped.

Ladders:

  • Secured, safety feet, base out one quarter length, wrongs not broken or damaged, stored properly, all necessary stickers attached and readable.

Scaffolds:

  • Platforms,'s drinks guard rails (42 inches), mid-rails, toe boards (4 inches), cleats on boards.

Cranes, hoists, elevators:

  • Cables, gates, posted load limits, maintenance records.

Floor & wall openings:

  • Holes covered, substantial guard rails (42 inches), mid-rails, toeboards (4 inches).

Motor vehicles, mechanized equipment:

  • Condition, guarding, Back up alarm, inspection records

Excavation, trenching, shoring:

  • Utilities checked, barricades, egress, ladders, "competent person ".

Unsafe practices:

  • Failure to use protective equipment, horse play, removal of guards.

Job specific concerns:

  • Confined space entry, hot work permit, etc.

Miscellaneous:

COMM Form??

  • Did you receive a COMM Form?

Grunau Project Planner?

  • (Take photo of project planner)

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.