Title Page

  • Crew

  • Location
  • Select date

  • Audit Conducted By

  • Foreman Onsite:

Concrete and Masonry

  • Impalement Hazards Protected

  • Form Materials Stored Neatly

  • Protection From Silica Dust

  • Other

Confined Space

  • Training For: Attendant, Entrant, & Supervisor

  • Rescue Procedures In Place

  • Air Sampling Completed & Documented

  • Permit Posted & Properly Completed

  • Other

Cranes, Derricks, Hoists, & Rigging

  • Annually Inspected

  • Inspection & Maintanence Logs Up To Date

  • Crane Operator - CCO

  • Equipment Firmly Supported, Outriggers Fully Extended

  • Rigging Equipment Inspected

  • Proper Rigging Techniques Used

  • Rigging Used Within Capacity

  • Other

Cutting & Grinding

  • Proper PPE Utilized

  • Fire Extinguisher Readily Available

  • Flashback Arrestors on Torches

  • Other

Electrical & Utilities

  • Energized Parts Protected

  • GFCI Protection Utilized at Power Source

  • LO/TO Procedures Utilized

  • Insulation and Prongs Intact

  • Adequate Lighting Provided

  • Safely Working Around Power Lines

  • Underground Utilities Marked

  • Other

Fall Protection

  • 100% PFAS Utilized

  • PFAS in Good Working Condition

  • Sufficient Anchorage Points

  • Floor Holes Covered, Marked & Secured

  • Other

Fire Prevention/Protection

  • Fire Extinguisher Readily Available for Hot Work Operations

  • Fire Extinguishers Inspected Annually & Monthly

  • Approved Containers Used and Labeled Properly

  • Other

Gas Cylinders

  • Cylinders Upright and Secured

  • Oxygen & Flammables Properly Stored

  • Guages Removed & Caps On When Not in Use

  • Other

Hand & Power Tools

  • Proper Tool for the Job

  • Tools in Good Operating Condition

  • Mechanical Guards in Place

  • Tools Inspected Prior to Use

  • Manufacturer's Recommended PPE In Use

  • Cords in Good Condition

  • Tools Properly Stored

  • Other

Heavy Equipment

  • Regularly Inspected

  • Seat Belts Worn when Rollover Protection is in Place

  • Glass is Free from Distortion

  • Alarms and Lights Functioning Properly

  • Other

Housekeeping

  • Site Free of Slip, Trip, Fall Hazards

  • Trash in Containers

  • Other

Ladders & Stairways

  • Correct Ladder and Properly Used for the Task

  • Ladders in Good Condition

  • Spreader Bars Fully Open

  • Other

Material Storage

  • Material Stacked to Prevent Sliding, Falling, or Collapse

  • Nails Pulled from Lumber

  • Other

Personal Protective Equipment

  • Hard Hats

  • Safety Glasses - Task Specific

  • Faceshield - Task Specific

  • Work Boots Worn

  • Gloves Worn - Different Types Available Per Task

  • Hearing Protection Available/Utilized

  • High Visibility Clothing

  • Other

Traffic Control

  • Setup, Maintained & Removed (end of work)

  • Signage In Place

  • Traffic Controls in Place

  • Unattended Trenches & Excavations

  • Special Hazards Work Protected

  • Other

Trenching & Excavations

  • Inspected by a Competent Person

  • Proper Protection Per Soil Type

  • Equipment Kept at a Safe Distance from Edge

  • Proper Access and Egress

  • Spoil Piles at Least 2' from Edge

  • Adjacent Structures Shored

  • Underground Utilities Located and Marked

  • Other

Additional Contractor Notes

  • #1 Other

  • #2 Other

  • #3 Other

  • Inspection Reviewed With

  • Audit Completion

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.