Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Administration

  • JHA: complete, followed, revised as necessary, signed, STA

  • Bulletin Board: complete,legible,current, accessible

  • Training: tailgate meetings, training, competent person

  • Signage: site, laser, powder actuated tools, over head work

  • Emergency: first aid, AED, plan, fall rescue

  • OSHA 300 / 300A: 300A posted Feb 1 - Apr 30, complete

  • Written Procedures: Respiratory, safety management tool, etc

Personal Protective Equipment

  • Head: worn, bill worn forward, only approved items under hat

  • Eyes and Face: ANSI Z-87, side shields, goggles, face shield

  • Hearing: worn, trained, appropriate, worn properly

  • Respiratory: written program, fit test, medical evacuation, training

  • Arms / Hands: gloves, shirts, protective clothing

  • Trunk: apron, high visibility apparel

  • Legs / Feet: long pants, work boots, foot protection

Tools & Equipment

  • Tool: used correctly, safe condition, guards in place

  • Equipment: guarding, cords, safe appropriate

  • Equipment: vehicle, aerial device, forklift, heavy equipment, man lift

Falls

  • Hole covers: secure, labeled, holds 2 times max load

  • Guardrails: holds 200 pounds, height

  • Misc: free fall distance, 5,000 pound anchorage

Positions

  • Contacting: hazardous temperatures, electricity, substance

  • Positions: struck by / against, caught in / between

  • Positions: awkward, repetitive motions, over exertion

General

  • HzCom: written program, labels, training, form D2.11

  • Fire: extinguishers, hot work permits, housekeeping

  • Welding / Cutting: gas storage, PPE, fire protection

  • Competent Person: trench, scaffold, confined space, etc

  • Trench / Excavation: access, planks, bracing, mud sills, etc

  • Electrical: temp power, cords, GFCI, assured grounding

  • Ladders: safe, inspected, capacity, non-conductive, secure

  • Stairways: clean lighting, hand rail / stair rail

  • Cranes: hoisting, rigging, inspection, operator, stable

  • Traffic: flagging, plan, pedestrians

  • LCD: training, adequate clothing, controls

  • That: water, training, shade, cups w/ shared containers

  • Lighting: adequate, guards, cords

  • Housekeeping: general, clean up, graffiti, nails

  • Toilets: adequate, clean, stocked, wash station, graffiti

Misc

  • Site specific: fence, lockable gates, signage, visitor indemnity

  • Implement Protection: are bar, form stakes

  • Other:

  • Other:

  • Other:

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