Information

  • Conducted on

  • Auditor

  • Location

  • Customer

  • Workgroup

1.0 - Procedures

  • 1.1 - Hot Work Permits

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.2 - Welding / Cutting / Hot Tapping

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.3 - Confined Space Operations

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.4 - Energy Control

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.5 - Excavation & Trenching

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.6 - Housekeeping

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.7 - Sub-Contractor Safety Management Process

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 1.8 - Pre-Job Work Planning (PWP)

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

2.0 - HAZMAT / Chemical / Environment

  • 2.1 - HAZCOM & MSDS

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 2.2 - Eye Wash & Safety Showers

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 2.3 - Hazardous Waste Management & Storage

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 2.4 - Endangered Species

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

3.0 - Work Areas / Surfaces

  • 3.1 - Walking / Working Surfaces

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 3.2 - Ladders (Fixed & Portable)

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 3.3 - Anti-Fall Protection

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 3.4 - Stairways

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 3.5 - Warehouse & Storage Racks

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 3.6 - Material Handling

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

4.0 - Mobile Equipment

  • 4.1 - Manlifts

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.2 - Forklifts

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.3 - Heavy Equipment

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.4 - Cranes

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.5 - A-Frames

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.6 - Pickups / Cars

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.7 - Water Trucks

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.8 - Auto Cranes

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 4.9 - Hydrovacs

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

5.0 - Equipment

  • 5.1 - Scaffolding

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.2 - Air Trailer

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.3 - Pressure Washer

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.4 - Hydro Tester

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.5 - Guillotine Saw

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.6 - Chop Saw

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.7 - Pipe Bender

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.8 - Wacker Packer

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.9 - Rammax

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.10 - Sandblasting & Coating

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.11 - Slings & Taglines

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 5.12 - Hand Tools

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

6.0 - Protective Devices / Safeties

  • 6.1 - Gas & H2S Detectors

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 6.2 - Respiratory Protection

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 6.3 - Hearing Conservation

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 6.4 - Personal Protective Equipment (PPE)

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 6.5 - Fire Protection

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 6.6 - Electrical Requirements

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

  • 6.7 - Protective Barriers & Guards

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

9.0 - Other Topics

  • 9.1 - Other

  • Question

  • Sub-Question ID

  • Follow Up? (Check if Yes)

  • Priority

  • Root Cause

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.