Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Safety & Health

  • Are accident investigation forms available?

  • Are injury records available?

  • Are first aid and medical provisions available?

  • Is the Safety HazComm book present?

  • Are the proper Employee Posters posted?

Training

  • Is the Grunau Project Schedule being utilized?

  • Is the small job communication form completed and readily available?

  • Are toolbox talks being completed?

  • Are safe work practices being discussed?

  • Have workplace inspections taken place?

Environmental Controls

  • Is the work area sanitary?

  • Is the work area lighting adequate?

  • Is there adequate ventilation?

  • Are restroom facilities available?

Personal Protective & Lifesaving Equipment

  • Is eye protection present?

  • Is face protection present?

  • Is proper footwear being worn?

  • Are respirators being utilized if required?

  • Are harnesses being utilized if required?

  • Are safety nets being utilized if required?

  • Is proper head protection being utilized?

  • Are reflective vests being worn if required?

  • Are first aid kits readily available?

  • Is an eyewash station present if required?

Fire Protection & Fire Prevention

  • Are fire extinguishers present?

  • Have the fire extinguishers been inspected?

  • Are there flammable liquids present?

  • Are gas cylinders stored properly?

Signs, Signals & Barricades

  • Is site lighting in good repair?

  • Are flares being utilized when required?

  • Are Flagmen being utilized when required?

  • Is proper safety tagging be utilized?

  • Is perimeter for guarding cranes present if required?

Materials, Storage & Disposal

  • Is material being stored safely and securely?

  • Is debris removed regularly? (specifically on stairs and walkways)

Tools, Hand & Power

  • Are tools being used properly?

  • Are tools in good condition?

  • Are tools properly wired?

  • Are tools properly grounded?

  • Is the proper tool guarding in place?

Welding, Cutting & Grinding

  • Is proper eye protection being utilized?

  • Is the proper shielding in place?

  • Is fire protection being addressed?

  • Is the ventilation adequate?

Electrical

  • Are equipment controls clearly labelled?

  • Are hidden lines marked?

  • Is temporary wiring in place and properly installed?

  • Are assured grounding markings present?

Ladders

  • Are ladders properly secured?

  • Are safety feet present on all ladders?

  • Are extension ladders set up properly? (Base out 1/4 of the length)

  • Are ladders in good repair? (rungs, rails, feet)

  • Are unused ladders properly stored?

Scaffolds

  • Are platforms present where required?

  • Are proper strength guard rails (42" tall) in place?

  • Are proper mid-rails in place?

  • Are 4" tall toe-boards in place?

  • Are retainer cleats present?

Floor & Wall Openings

  • Are all holes covered?

  • Are substantial guard rails (42" tall) in place?

  • Are proper mid-rails in place?

  • Are 4" tall toe-boards in place?

Cranes, Hoists, Elevators

  • Are cables in good condition?

  • Are gates in place where required?

  • Are load limits posted?

  • Are maintenance records present and current?

Motor vehicles & mechanized Equipment

  • Is equipment in good repair?

  • Is required guarding in place?

  • Are back up alarms present and operational?

Excavation, trenching, shoring

  • Has Diggers Hotline been contacted?

  • Are required barricades in place?

  • Is an effective egress plan in place?

  • Are ladders present and in good repair?

  • Is a "Competent Person" present?

Unsafe practices

  • Is there any instance(s) of failure to use protective equipment?

  • Is there any observance(s) of horseplay?

  • Is there any instance(s) of removal of guards?

Job-specific concerns

  • Is confined space entry required?

  • Please note: If immediate dangerous to life or health conditions exist, do NOT leave the job site until abated.

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.