Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
General Safety and Equipment
-
First Aid Kit
-
First Aid/CPR Trained Personnel
-
Fire Extinguishers Provided/Inspected?
-
Toolbox Talks Performed?
-
Housekeeping
Tools and Equipment
-
Extension Cords Free of Damage and Adequately Protected/Stored?
-
Power Tools-Guards in Place, Condition/Care
-
Hand Tools- Good Repair?
-
Step Ladders- Used Properly? Condition/Inspected?
-
Extension Ladders- 4:1 Pitch, 36" Above Landing, Tied Off
-
Equipment Used Properly? Operators Trained, if Applicable?
-
Rigging- Good Condition? Used Properly?
Personal Protective Equipment (PPE)
-
Hard Hat
-
Safety Glasses
-
Grinding Shield- Grinder/Chop Saw/Other
-
Gloves
-
Boots/Work Shoes
-
Hi Viz
-
Other PPE Needed?
Electrical
-
Temporary Service- Labels, Covers, Secured, Weatherproof, KOs Plugged?
-
Assured Grounding Checks Completed?
-
Ground Fault Circuit Interrupters (GFCI) Used
-
Temporary Wiring- Protected, Splices Capped/Taped, Elevated or in Box?
-
Temporary Lighting- Supported, Baskets/Cages in Place, on Dedicated Circuit?
-
Lockout/Tagout- Tags Present?
-
Live Work- Training, Permit, PPE?
Fire Prevention/Protection
-
Flammable/Combustible Storage
-
Hot Work Permit-Fire Watch
Fall Protection
-
Harnesses- Worn, Condition, Inspected?
-
Hole Covers- Marked, Secured?
-
Roof Top Fall Protection In Place, if necessary?
-
Guard Rails- 39"-45" Top Rail, Mid Rail, Toe Boards, Secured?
Aerial Lifts
-
Fall Protection
-
Proper Use
-
Operators Trained?
-
Inspected- Condition?
Scaffolds
-
Planking- Overhang, Gaps, Rated?
-
Secured Access?
-
Guard Rails?
-
Bracing/Outriggers
-
Stability- Wheels Locked?
Excavations
-
Properly Sloped, Benched or Shored
-
Access- Every 25'?
-
Air Quality Monitoring
-
Trench Boxes/Shoes
Confined Space
-
Employees Trained
-
Permitting
-
Proper Safety Equipment
-
Air Monitoring
Regulatory Compliance
-
SDS Placard Posted
-
Incident Packet and Emergency Numbers Posted
-
Regulatory Posters
Site Safety/Security
-
Clean Water Supply/Sanitation Facilities Maintained
-
Implement/Projection Hazards- Rebar Capping? Mushroom Capping Used Only for Horizontal Hazards?
-
Proper Signage- Danger, Caution, Informational
-
Tool/Material Storage
-
Site Conditions, Access and Lighting