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

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.