Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Ladders and Stairways

  • Have all ladders been inspected for defects?

  • Do all extension ladders extend 3' above the working landing?

  • Are extension ladders pitched at 1' out from vertical for every 4' height?

  • Are extension ladders secured in place at bottom and top of ladder?

  • Are all stairways equipped with stair rails and handrails?

  • Are stairways free of all debris, trip and fall hazards?

Personal Protective Equipment

  • Are all employees using the proper eye protection (Z87 & SIde Shields)?

  • Is adequate eye protection available onsite for immediate use by employees?

  • Are all employees using company supplied hard hats?

  • Are hard hats being used in proper manner with brim facing forward in non-welding/grinding applications?

  • Are steel toed boots/shoes being worn by workers if they are required for this jobsite?

  • Is the proper eye/skin protection available for all cutting/welding work being performed? (eg. Helmets, Face Shield, Gauntlets, Bibs, Jacket)?

  • Are respirators being used on this site, and if so, have all employees been properly trained for proper usage, proper fit/medical clearance?

Excavations and Trenches

  • Is a competent person available and assigned to supervise trench work and excavation operations?

  • Do all excavations and trenches greater than 4' deep been equipped with the proper protective barricading, or constructed in the proper manner necessary for the soil classification?

  • Have ladders been located, or other means of quick exit been established, within 25' of each worker?

  • Are all spoil piles a minimum of 2' from the edge of excavation/trenches?

  • Has adequate barricading/berming been utilized to prevent vehicular traffic near the excavation/trench?

  • Has the excavation/trench been inspected prior to work being conducted and/or after environmental changes due to weather?

Scaffolds

  • Is a competent person available and assigned to supervise the erection or disassembly of scaffolding?

  • Have all working surfaces 10' or higher been equipped with guardrails and toe boards?

  • Are all working surfaces complete with no holes, and clear of debris, slip/trip/fall hazards?

  • Are all toe boards, rails, gates, pit-tails, pads, jack's and/or wheels in place, inspected, and proper?

  • Has a daily inspection been conducted on the scaffold?

Electrical

  • Is an Assured Equipment Grounding Conductor Program in place or Ground Fault Circuit Interrupters being used?

  • Have all outlets been checked for proper wiring and GFCI checked for proper operation?

  • Are all tools and equipment inspected for defects in cords and plugs on a pre-use basis?

  • Have all extension cords been inspected for damage to the plug, missing pins and/or cuts in insulated jacketing or strain relief?

  • Have all sources of electricity such as panel boxes, overhead lines, and temporary power been identified and properly marked?

General Fall Protection

  • Are all floor openings larger than 2" in diameter, covered or guarded?

  • Are all workers exposed to falls 6' or more protected?

  • Are all employees trained in the proper utilization of Personal Fall Arrest Systems and its required components?

  • Are employees wearing PFA's harnesses correctly, and are the harnesses the correct size for the employee?

  • Are employees properly utilizing fall protection in all Mobile Elevated Work Platforms as required by this jobsite?

Fire Prevention

  • Are all Flammable/Combustible liquids stored away from ignition sources?

  • Are all portable containers used for flammable liquids approved and provided with self-closing lids and flashback screens?

  • Is there an adequate number of properly charged fire extinguishers available?

  • Is all flammable/combustible debris/trash kept away from welding/cutting operations?

  • Are fire extinguishers properly located within close 25' of all welding/cutting operations?

  • Are all fire extinguishers inspected within the past 30 days AND have a documented annual inspection tag?

  • Are oily rags disposed of in approved self-closing waste containers, separate from normal trash debris?

Cylinders

  • Oxygen and fuel cylinders properly separated by one hour fire barrier, or 25' space?

  • Are all compressed gas cylinders labeled?

  • Cylinders not in use are stored with valves closed, regulators removed, and caps in place?

  • All hoses and torches free from defects?

  • All hoses are equipped with back-flow/flash back prevention check valves?

Hazard Communication

  • Written Hazard Communication Program is in place?

  • Written program includes a complete list of all chemicals being used on jobsite?

  • MSDS log book is readily available to all employees AND a current MSDS is located in the log book for every chemical on list?

  • Are all chemical containers properly labeled?

Confined Spaces

  • Air sampling equipment being used has been calibrated prior to use?

  • Air samples show acceptable oxygen concentrations within the confined space (19.5% - 23.5% )?

  • Air samples show space is free of toxic/flammable/explosive gases?

  • Trained attendant assigned to keep constant contact with all workers in space?

  • Trained person has been assigned to recheck air quality frequently throughout the confined space task?

  • Only trained entrants are allowed to enter the confined space area?

  • Rescue techniques have been addressed in the pre-task safety briefing before work begins inside the confined space?

Tools and Equipment

  • Tools and equipment in good general condition?

  • Defective equipment tagged as such and removed from work area?

  • Tools and Equipment guards in place and in good condition?

  • Tools are double insulated/UL approved, or grounded and all cords/connections are in good working condition?

First AId/Emergency Services

  • First aid kits are readily accessible to all workers?

  • The contents of the first aid kits are approved by qualified health care provider?

  • First aid kits include rubber gloves, eye protection and CPR masks?

  • Properly trained first aid providers are onsite?

Housekeeping

  • Suitable containers with covers available for disposal of trash and debris?

  • Walkways, aisles, hallways and passage ways clear of trash, debris and materials?

  • Trash and debris containers are emptied at end of day, or as needed throughout the day?

  • Tools not in use are stored in job boxes?

  • Equipment not in use stored properly?

  • Pipe and other materials stored neatly?

Miscellaneous/Record Keeping

  • Potable water is readily accessible to all workers?

  • Clean, Private toilets accessible to all workers?

  • OSHA Job Site Poster and OSHA 300 log posted?

  • Emergency telephone numbers posted at telephone?

  • OSHA 300 - Injury/Illness log updated?

  • OSHA 300A summary of OSHA 300 Log available?

  • OSHA 301 - Injury/Illness detail form updated?

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.