• HAK - Contractor Field Audit

  • Conducted on

  • Location
  • Company

  • Immediate Supervisor

  • Prepared by

1.0 Hazard Identification

  • 1.1 JSA has been completed for the task?

  • 1.2 JSA addresses specific tasks, hazards, and mitigations?

  • 1.3 All workers have reviewed and participated in the JSA process?

  • 1.4 Appropriate permits are being utilized? (Hot Work, CSE, etc.)

  • 1.5 Appropriate atmospheric monitoring has been conducted? (Initial, Periodic, Continuous)

2.0 Personal Protective Equipment

  • 2.1 Adequate eye protection is being utilized to protect from flying debris, chemical exposure, etc?

  • 2.2 Adequate hand protection is being utilized and is in good condition?

  • 2.3 Workers are wearing adequate hearing protection for the environment?

  • 2.4 Workers are wearing hard hats if overhead hazards and falling objects exist?

  • 2.5 Adequate foot protection is being worn to protect workers from dropped objects and smashing potentials?

  • 2.6 Adequate FRC is being worn in classified areas and is outermost layer?

  • 2.7 Adequate respirators are utilized when needed? Cartridge selection is correctly identified for the hazard?

  • 2.8 Fall protection has been inspected and is being worn / used correctly?

  • 2.9 Workers are wearing adquated personal flotation devices when working over water or when drowning hazard exists?

3.0 Tools and Equipment

  • 3.1 Are appropriate tools for the task being utilized?

  • 3.2 Hoists, slings, and components inspected and in good condtion?

  • 3.3 Tools and equipment are in good condtion with guards in place if applicable?

  • 3.4 Tools are being used correctly?

  • 3.5 Ladders are in good condition and being utilized correctly?

  • 3.6 Tools are tagged out if damaged?

4.0 Housekeeping

  • 4.1 Tools and materials are stored properly?

  • 4.2 Working surfaces are maintained and free of slip, trip, and fall hazards?

  • 4.3 Emergency access / egress routes are adequate and clear of obstructions?

  • 4.4 Trash and debris is being managed periodically and disposed of properly?

5.0 Environmental

  • 5.1 Drip Pans / Duck Ponds in use when breaking containment / opening process equipment?

  • 5.2 Drip pans / Duck ponds in good condition and being utilized properly?

  • 5.3 Duckponds are placed under idling equipment and vehicles?

  • 5.4 Adequate secondary containment is set up for temporary tanks?

  • 5.5 Duckponds / Containments fluid levels are managed and not left unattended?

  • 5.6 Waste is segregated and disposed of properly?

6.0 Incident / Emergency Reporting

  • 6.1 Injury / Illness reporting requirements are understood?

  • 6.2 Employees know who / how to report incidents?

  • 6.3 Employees are familiar with emergency contact numbers and understand how to report emergencies?

  • 6.4 Employees are familiar with alarms / detecting equipment and know where the emergency muster areas are located?

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.