Title Page
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Crew
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Location
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Select date
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Audit Conducted By
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Foreman Onsite:
Concrete and Masonry
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Impalement Hazards Protected
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Form Materials Stored Neatly
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Protection From Silica Dust
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Other
Confined Space
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Training For: Attendant, Entrant, & Supervisor
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Rescue Procedures In Place
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Air Sampling Completed & Documented
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Permit Posted & Properly Completed
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Other
Cranes, Derricks, Hoists, & Rigging
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Annually Inspected
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Inspection & Maintanence Logs Up To Date
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Crane Operator - CCO
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Equipment Firmly Supported, Outriggers Fully Extended
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Rigging Equipment Inspected
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Proper Rigging Techniques Used
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Rigging Used Within Capacity
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Other
Cutting & Grinding
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Proper PPE Utilized
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Fire Extinguisher Readily Available
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Flashback Arrestors on Torches
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Other
Electrical & Utilities
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Energized Parts Protected
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GFCI Protection Utilized at Power Source
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LO/TO Procedures Utilized
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Insulation and Prongs Intact
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Adequate Lighting Provided
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Safely Working Around Power Lines
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Underground Utilities Marked
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Other
Fall Protection
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100% PFAS Utilized
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PFAS in Good Working Condition
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Sufficient Anchorage Points
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Floor Holes Covered, Marked & Secured
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Other
Fire Prevention/Protection
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Fire Extinguisher Readily Available for Hot Work Operations
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Fire Extinguishers Inspected Annually & Monthly
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Approved Containers Used and Labeled Properly
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Other
Gas Cylinders
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Cylinders Upright and Secured
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Oxygen & Flammables Properly Stored
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Guages Removed & Caps On When Not in Use
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Other
Hand & Power Tools
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Proper Tool for the Job
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Tools in Good Operating Condition
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Mechanical Guards in Place
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Tools Inspected Prior to Use
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Manufacturer's Recommended PPE In Use
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Cords in Good Condition
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Tools Properly Stored
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Other
Heavy Equipment
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Regularly Inspected
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Seat Belts Worn when Rollover Protection is in Place
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Glass is Free from Distortion
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Alarms and Lights Functioning Properly
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Other
Housekeeping
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Site Free of Slip, Trip, Fall Hazards
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Trash in Containers
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Other
Ladders & Stairways
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Correct Ladder and Properly Used for the Task
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Ladders in Good Condition
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Spreader Bars Fully Open
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Other
Material Storage
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Material Stacked to Prevent Sliding, Falling, or Collapse
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Nails Pulled from Lumber
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Other
Personal Protective Equipment
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Hard Hats
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Safety Glasses - Task Specific
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Faceshield - Task Specific
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Work Boots Worn
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Gloves Worn - Different Types Available Per Task
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Hearing Protection Available/Utilized
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High Visibility Clothing
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Other
Traffic Control
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Setup, Maintained & Removed (end of work)
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Signage In Place
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Traffic Controls in Place
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Unattended Trenches & Excavations
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Special Hazards Work Protected
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Other
Trenching & Excavations
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Inspected by a Competent Person
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Proper Protection Per Soil Type
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Equipment Kept at a Safe Distance from Edge
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Proper Access and Egress
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Spoil Piles at Least 2' from Edge
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Adjacent Structures Shored
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Underground Utilities Located and Marked
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Other
Additional Contractor Notes
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#1 Other
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#2 Other
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#3 Other
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Inspection Reviewed With
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Audit Completion