Information

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

This report provides an overview of your compliance with OSHA's requirements. The report in no way represents that all OSHA requirements have been identified and that compliance with these items will bring you into OSHA compliance in all areas nor does the report represent that compliance with suggestions will prevent all accidents, injuries and/or illnesses by this company.

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  • Has last inspection been reviewed.

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Personal Protective Equipment

  • Safety Glasses Z-87

  • Hard Hats when required

  • Foot protection

  • Hand protection

  • Hearing protection

  • Respiratory protection and fit testing when required

  • High visibility clothing

  • Other (face shield, googles, etc)

Hand Tools & Equipment

  • Tools guards and safety features provided and maintained on tools

  • Ground pin as needed

  • Extension cords maintained and inspected

  • No storing material in front of electrical panels

  • Labels on tools maintained

  • GFCI used as needed

  • LOTO - lock out-tag out used as required

  • Training in required tools

  • Other

Fire Protection

  • Exits marked and visible

  • Fire Extinguishers visible and in proper location

  • Evacuation plan in place and communicate to all employees

  • Gas cylinders properly located and secured properly

  • Smoking areas designated

  • Employees trained in the use of fire extinguishers if needed

  • Other

Welding & Cutting Operations

  • Gas cylinders properly handled, maintained and stored

  • Flashback arrestors installed at gauges

  • Flash screen(s) provided as needed

  • Proper eye protection for welding/cutting provided

  • Welding machine properly grounded

  • Welding lead/cable properly insulated with exposed electrical hazards

  • Fire watch and hot permit as required

  • Training where required

  • Other

Fall Protection

  • Fall Protection plan provided

  • Workers using fall protection when required

  • Equipment inspected and maintained

  • Appropriate anchorage for tie off

  • Fall protection equipment properly worn

  • Guardrails systems properly installed and maintained

  • Overhead protection as needed

  • Impalement protection provided where required

  • Fall protection training documented

  • Other

Scaffold & Ladder

  • Guardrails and toe boards installed (top 38 to 45 inches)

  • Equipment in use inspected, maintained and used as required

  • Proper access provided to scaffold

  • Proper base (base plate, rollers, sill plates) provided

  • Ladder properly positioned and secured from movement

  • Proper extension of access ladder to work platform

  • Training as required

  • Other

Heavy Equipment & Forklift

  • Safety Manual, ANSI and manufacturer manual in the machine

  • Backup alarm/horn

  • Equipment maintained (leaks, tires, seat belt, etc)

  • No modification made to equipment ( welds or parts used that are not form manufacter)

  • Forks in good condition

  • Employees trained for equipment being used

  • Wire rope, controls, safety guards (crane)

  • Load chart in cab

  • Riggers and Signal person trained

  • Other

General Site

  • First Aid Kit and trained personnel

  • Eye wash station readily available

  • OSHA posters

  • Competent person on-site (see OSHA definition)

  • Drinking Water and disposable cups available

  • Hazard Communication Program & Training provided to all employees

  • OSHA 300 posted (Feb. 1 thru April 30th)

  • Tool box talks or safety meetings conducted

  • Safety Manual reviewed at minimum annually

  • Other

Any accidents since last visit

  • 1

  • 2

  • 3

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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.