• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personnel & Administration

  • Is Safety Program available on site?

  • Have employees received Safety Orientation training?

  • Are weekly tool box talks documented?

  • Can all employees understand English?

  • Is there a translator on the job site for Non-English speaking employees?

  • Is HSE thumb stick present on location?

Employee Training & Documentation

  • Safety Training held before start of job?

  • MSDS reviewed for each chemical used on the job with each employee?

  • Sufficient instruction given in recognition an avoidance of job hazards, unsafe conditions on job rules, regulations and procedures?

  • Personal protective equipment?

  • Employees instructed to promptly report injury/illness and accidents involving damage to operation equipment or materials?

  • Are all employees up to date on current training?

  • ISS procedures Part 1, Part 2, Part 3 present on job site?

Minimum Posting Requirements

  • Job Safety Health and protection poster?

  • ISS Virtues/and cards with employees?

  • Emergency notification numbers?

  • Miscellaneous safety bulletins reminder posters, and general company information?

Safety Meetings

  • Meetings minutes filed and distributed as required?

  • Special safety meetings held when necessary (i.e.. confined space entry, etc.)?

  • JSA's conducted, reviewed and signed-off by work crews?

  • Review JSAs from previous 5 Days(Do completed JSAs match Job task performed on ESOs)?

Hazard Communication Program

  • MSDS available for materials on site?

  • Are containers properly labelled?

  • Are MSDS for owner or sub-contractor materials on site and accessable?

  • Listing of chemicals used on the job site, and quantities


  • Accident reports completed and distributed as required?

  • Daily work reports completed on file?

  • Inspection of work site- check list used?

  • Inspection of equipment- safety belts, scaffolds, cables?

  • Are all employees filling out SHARP cards on a daily basis?

Work Permits- Are the following procedures understood/followed

  • Hot Work

  • Lock out /Tag out

  • Confined Space

  • Is proper permit on jobsite?

  • Special warning posted (High Pressure, men working, overhead dangers) if necessary?

Emergency Response

  • Do employees know the evacuation alarm?

  • Do employees know emergency telephone numbers?

  • Do employees know the primary and secondary evacuation sites?

  • Have employees been trained in site specific evacuation procedures?

Orderliness and Material Storage

  • Are work areas neat and orderly?

  • Are containers provided for trash, waste or other garbage?

  • Are passageways and walkway clean?

  • Are nails removed or bent down?

  • Are spills cleaned up properly?

  • Is their sufficient Spill clean up kits for location needs?

  • Proper lifting methods/materials handling?

  • Proper/Approved lifting gear used?

  • Are flammables properly stored?

  • Are all First Aid kits filled with a adequate amount of supplies?

Hand and portable tools

  • Tools and cords in good condition?

  • Tool guards in place?

  • Are tools stored properly?

  • Proper Eye and Face protection worn?

  • Are hoses properly secured?

  • Are hoses properly used?

  • Are hose restraints used?

  • Sledge hammers are made of non destructible plastic handles?

Personal Protective Equipment

  • Impact Gloves worn by all crew members?

  • Sufficient Equipment provided?

  • Equipment properly used and maintained?

  • Hardhats and safety glasses worn by all personnel?

  • Proper eye and face protection used, where applicable?

  • Protective clothing worn as required?

  • Ear protection provided where required?

  • Respirators properly cleaned and stored and in good condition?

  • Employees clean shaven. (H2S locations)

Flammable and combustible liquids

  • Containers clearly marked to show contents?

  • Drum/tanks used for outdoor dispensing and fueling purposes are located at least 25 feet from the building and work area?

  • Drum/tanks used for outdoor dispensing and fueling purposes are grounded and bonded?

  • "No Smoking" signs posted?

  • Fuel properly stored including secondary containment?

Welding and Cutting

  • Is fuel gas and oxygen separated in storage?

  • Are compressed bottles upright and secured?

  • Power cables and hoses protected and in good repair?

  • Flow gauges and regulators maintained? Removed when not in use?

  • Back flow check valves in oxygen and acetylene?

  • Are welders and helpers using PPE and protection against sparks? Welding and cutting? UV Radiation?

  • Proper fire protection present?

Fall Protection

  • Safety harness worn when working above 6 feet?

  • Double locking shock absorbent lanyards?

  • Fall arrestors in test?

  • Stages and Lifts certified?

  • Do all ladders have non-skid tape on rungs?

  • Employees have fall protection training?

  • At least one employee on location hold a current Fall Rescue Certificate?


  • Is maintenance performed as per the ISS Maintenance Program?

  • Is the maintenance documented?

  • Are defects found corrected and documented?

  • Power packs/Mud pumps/Generators maintenance at 300 hours or every 14 Days(oil filters,oil etc.)

  • All used oils properly disposed of?

  • Have the LOTO procedures been followed and documented?

  • Is the wire rope on the scoping, main and counterbalance winches been inspected?

  • Are all hydraulic hoses not in use capped?

  • Are the ESD's on the HPU functioning? Must see documentation with date and person testing.

  • Are all safety latches in place on chain falls?

  • Have the cellars been pumped of oil and hydraulic fluid?

Ladders and Scaffolds

  • Erected under proper supervision?

  • Proper footings- sound, rigid, secured?

  • Safely tied into structure?

  • Access ladder provided and used?

  • Defective and damaged parts, planks, etc. removed from service?

  • Guardrails, mid rails and toe boards installed on all open sides of platforms 10 feet or higher?

  • Complete platforms, planks, close together and overlapped by at least 12 inches or secured by wire or proper cleating?

  • Inspected and in good condition?

  • Properly secured top and bottom?

  • All straight and extension ladders equipped with safety shoes and or blocked off in use?

  • Rails extend at least 36 inches above landing or work platform?

  • Step ladders fully opened when in use?

  • Metal ladders not used around electrical hazards?

  • Defective ladders tagged and removed from work area?

  • Ladder areas barricaded where required?


  • Are Blind Shear alarms functioning and in place on Accumulator Unit and secondary remote panels?

  • Are the Thimbles on guide wires/turn buckles?

  • 3 minimum cable clamps on guide wires?

  • Rotary equipment maintained and in good working condition?

  • King swivel in good working condition and inspected?

  • Are Nylon straps properly stored?

  • Safety devices operational on equipment (i.e. Grayco guys etc.)?

  • Cables free of excessive wear

  • All equipment properly lubricated and maintained?

  • Tools and cords in good condition?

  • Explosion proof lighting in areas with limited ventilation?

  • Vehicles properly maintained with safety equipment including seat belts?

  • Dog house clean and orderly?

  • Whip checks on all hydraulic lines?

  • All guide wires in place and flagged?

  • Caps on fluid end of pumps secured with restraint?

  • Snubbing Jack, crane and all rig components properly grounded?

  • All guards in place on rotating gear?

  • All pumping on jack and Husco in good condition and not over tightened?

  • Have the emergency drills been conducted and documented?

  • Are the escape devices in good condition?

  • All fire extinguishers charged and in position?

  • Are Fire extinguishers signs in proper locations?

  • Are the safety latches working on power tongs?

Print/Sign Attendies

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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.