Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Jobsite Information

  • OSHA and other job site warning posters

  • Tool box safety meeting material on site

  • Adequate first aid equipment available

  • Forms for job site injury and accident records posted<br>

  • Emergency telephone numbers conspicuously posted

General safety

  • General neatness of working areas

  • Passageways and walkways clear

  • Slip, trip, and fall hazards identified and cleared

  • Overhead hazards identified

  • Dust/silica control in place

  • Adequate lighting provided and maintained in work areas

  • Sharp objects properly protected

Fire prevention

  • Fire extinguishers identified, checked monthly

  • Safety cans have self closing lids and flame arresters

  • "No smoking" signs posted and enforced where needed

  • Storage, use/handling of flammable/combustible liquids in accordance with standards

  • Clearance, proper mounting, ventilation of temp. heating

Electrical installations

  • Extension cords free of visible defects

  • All terminal boxes equipped with proper covers

  • Proper guards on temporary lighting

  • GFCI or assured grounding in use

  • Lock/out tag/out procedures being used

Hand tools/power tools

  • Proper tools for each job

  • All tools in good condition and free of defects

  • All power operated tools properly guarded

  • Electric tools grounded or double insulated

  • Power cords on tools in good condition

  • Powder actuated tools: operator certified


  • Ladders inspected and in good condition

  • Ladders proper height for work

  • A frame ladders used in open position

  • Workers do not use top two steps of a frame ladder

  • Straight ladders are secured and extend 36 inches above landing

  • Extension ladders are not taken apart and used in separate pieces


  • Scaffolding is completely constructed

  • Guardrails and toeboards on all scaffolds and platforms higher than 6' or where needed

  • Proper access is provided, stairs or ladders

  • Scaffold wheels are locked when in use

  • Wire mesh or equivalent available for scaffolds when persons must pass under scaffold

  • Working platform is fully planked with OSHA grade planks

  • Scaffold is properly secured when required


  • Floor openings planked or barricaded

  • Roadways and sidewalks effectively protected

  • Traffic controlled

  • Fencing provided where necessary

  • Warning signs posted where necessary

Handling and storage of material

  • Are materials properly stored or stacked

  • Are passageways clear

  • Are materials protected from weather conditions

Excavation and shoring

  • Sheeting, shoring, and bracing in place (greater than 5')<br>

  • Sloping and bracing where necessary (greater than 5')

  • Access and egress provided (greater than 4')

  • Guardrails in place (over 6')

  • Is equipment, tools, and spoils at least 2 feet from edge of excavation

  • All operators of heavy equipment are qualified and wearing seatbelt while operating.

  • Have underground utility lines been located and marked


  • Is there protection of adjacent structures

  • Are material chutes used

  • Have concealed utility lines been located and marked

Welding and cutting

  • Welders and fireguards are properly certified

  • Hotwork permits in place

  • Screens and shields available

  • Goggles, clothing, gloves available

  • Fire extinguishers of proper type

  • O2 & acetylene bottles separated by 20 feet or half hour fire rated barrier

  • Flammable materials protected


  • Hard hats worn by workers

  • Safety glasses or goggles used when required

  • Respirators or masks used when needed

  • Proper work shoes worn

  • Appropriate hearing protection

  • Proper protective clothing when required

Cranes and Rigging

  • All rigger and signal persons are certified

  • Daily crane inspection completed by operator

  • All rigging in good condition, working properly, and tagged

  • Tag lines being used to control loads

  • Stable ground conditions and level

Fall protection

  • Workers exposed to 6' or more have proper fall protection

  • Use of proper anchorage (5,000 lbs or more)

  • Guardrails and handrails at proper heights and erected correctly

  • Fall protection equipment inspected and in good condition

  • Fall protection training

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.