Information

  • JBL Safety Audit For:

  • Site/Job #

  • Conducted on

  • Prepared by

  • Jobsite Foreman

1. Work Practice & General Housekeeping

  • A. General work practice compliance

  • B. Safe body positioning used

  • C. Pre-Job briefing conducted

  • D. Job-Specific safety procedures observed

  • E. Work area neat & orderly

  • F. Competent/Authorized/Qualified person in charge

  • G. Equipment secured

  • H. Type & use of safety barriers

  • I. Cylinders stored & secured

  • J. Walkways clear & unobstructed

  • K. Hoses/Cables/Cords proper type, connection, secured, & suspended overhead

2. Personal Protective Equipment (PPE) Use

  • A. Head

  • B. Eye/Face

  • C. Hearing

  • D. Hand/Arm

  • E. Foot/Leg

  • F. Respiratory

  • G. Fall/Body

  • H. Job specific

3. Lockout/Tagout

  • A. Residual energy released/sources isolated

  • B. Locks/Tags attached, in good condition

  • C. Energy prevented from re-accumulating

4. Electrical

  • A. Grounded

  • B. Cord condition

  • C. Safe working clearances

  • D. Condition of panels, receptacles, outlets, etc.

5. Hand & Power Tools

  • A . Correct tool

  • B. Guards in place

  • C. Condition

  • D. GFCI protected

6. Portable Ladders (NO METAL ALLOWED)

  • A. Type

  • B. Use

  • C. Condition

  • D. Secured

7. Steel Erection/Tower Work/Overhead Work

  • A. Falling object protection in place

  • B. Erectors/Dismantlers tied off/feasible

  • C. Safe climbing practices

  • D. Pedestrian & vehicle traffic controlled

  • E. Safe access

  • F. Hand line in place

8. Material & Equipment Handling & Storage

  • A. Correctly stored/staged/tagged/identified

  • B. Correctly handled/correct equipment used

  • C. Protected as needed from heat/moisture/weather

9. Mobile Crane/Equipment, Hoisting, Rigging

  • A. Rigging type

  • B. Rigging approved

  • C. Rigging use

  • D. Rigging condition

  • E. Crane load chart posted

  • F. Equipment inspected prior to shift

  • G. Operator licensed/certified to operate equipment

  • H. Material correctly rigged & transported

  • I. Safety monitor/signal person/communications

  • J. Ground cable properly attached

  • K. Crane swing radius protected

  • L. Rope available for tag line in place

  • M. Hook safety latches operable

  • N. 100% Tie off in aerial lifts

10. Chemicals, Flammables, & Combustibles

  • A. Approved containers & cabinets

  • B. Correct labeling/hazard identification

  • C. Permits /MSDS available

  • D. Flammable cabinets grounded

  • E. Flammables/combustibles moved at least 35 feet away

  • F. If not 35' away-Covered with fire blanket or otherwise protected

11. Hot Work Operations

  • A. Equipment condition

  • B. Cables/hoses secured and grounded

  • C. Fire extinguisher (Inspection: equipment in use)

  • D. Fire watch as required

  • E. Hot Work Permit as required

  • F. Adjacent equipment protected/de-activated

  • G. Protective screens/fire blankets in place

12. Energized Work

  • A. High Voltage gloves

  • B. High Voltage sleeves

  • C. Line hose

  • D. Blankets

  • E. Dielectric boots

  • F. Arc flash protection

  • G. Grounds in place

  • H. Insulated tools

13. Underground Work

  • A. One Call

  • B. Mark outs

  • C. Spot dig

  • D. Shoring

  • E. Barricades

  • F. Access/Egress

14. VIOLATIONS

  • If any violations were written explain here

15. Comments

  • Add any comments here

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.