Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Permits: Department of Buildings Department of Transportation Fire Department

  • Current

  • Expired

  • Have there been any accidents/incidents/near misses in the past Thirty Days?

  • Prepared by

  • Location
  • Personnel

Public/Worker Protection

  • Is a fence installed around perimeter of construction site?

  • Sidewalk Shed in place for public/pedestrian?<br>

  • Adequate barricades and flag men in place for vehicular traffic?

  • Are workers using proper PPE?

Excavation and Trenching

  • Adjacent buildings/structures undermined?

  • Are materials and equipment located away from unprotected excavation/trench?

  • Are CAZ's in place?

  • Is the excavation/trench adequately protected?<br>

  • Is the egress from excavation/trench adequate?

Crane and Hoisting Equipment

  • Is the crane permitted?

  • Is there a permit for the hoisting equipment?

  • Are Control Zones in place adjacent to crane/hoisting equipment?

  • Are the flag men trained and certified?

  • Is the crane being side loaded?

  • Are the adjacent pick zone areas safeguarded?

  • A tag lines being used when loads are being lifted?

  • Is there a communication plan in place when loads are lifted?

Fall Protection

  • Are leading edges adequately protected?

  • Are workers using PFAS?

  • Are loads along perimeter adequately secured?

  • Are holes covered?

  • Are control lines used for CAZ's with signage?

Housekeeping/Material Storage and Organization

  • Are debris secured and or removed from floors?

  • Is light adequate for workers?

  • Are the egress passageways and stairs and doors adequate/unobstructed?

  • Are materials stored and secured in a safe manner?

Fire Prevention

  • Are Hot Work Permits issued?

  • Are fire extinguishers adjacent to hot work operations?

  • Are standpipe and fire suppression systems in place?

  • Are compressed gasses/fuel/paint properly stored?

  • Are hot work areas protected?

Stairs/Ladders/Scaffolds

  • Adequately installed?

  • Missing required railing?

  • Defective and or unsafe?

Electrical

  • Are GFCI's being used?

  • Are lead lines protected?

  • Are Lock Tag Out procedures in place?

  • Are electrical lines protected?

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.