Title Page

  • Audit Title

  • Project Number

  • Foreman

  • Project Manager

  • Conducted on

  • Prepared by

  • Location

Administrative

  • Has the previous audit been reviewed?

  • Are there any outstanding items

  • Explain recurring deficiencies...

Review Pre-Task Plan

  • Tasks Identified

  • Hazards Identified

  • Controls Identified

  • Employees understand tasks

  • Employees name specific hazards

  • Employees signed PTP

  • PTP comments...

  • Add media

  • Site information sheet posted?

  • First aid kit available?

New Employees/Red Hats

  • New employees/red hats on site?

  • What tasks are new employees/red hats assigned?

  • New employees adequately trained?

  • New employees adequately supervised

  • New employees aware of site-specific hazards?

  • Site-specific orientation conducted by foreman?

Personal Protective Equipment

  • Hard Hat

  • Safety Glasses

  • Gloves

  • High-Visibility Vest

  • Avg noise level (dBa)

  • Hearing protection provided?

  • Comments...

Material Handling & Ergonomics

  • Material handling aids

  • Forklifts used today?

  • Operators trained

  • Inspections completed

  • Overall forklift operation

Tools

  • Shotguns used today?

  • Users trained? (Powder actuated only)

  • Proper disposal of shots? (Powder actuated only)

  • Face shields used?

  • Overall shotgun usage

  • Knives used today?

  • Users trained

  • Observed knife usage

  • Observed tool usage

Electrical

  • GFCI testing logs current

  • Enclosures intact

  • Cord & cable condition

  • Temporary lighting

  • Lockout/Tagout & electrical safe work practices

Walking and working surfaces

  • Housekeeping

  • Access/egress

  • Slip/trip/fall hazards

  • Impalement hazards protected

Security

  • JER office secured

  • Materials secured

  • Tools secured/safely stored

Working at Heights

  • Stepladders

  • Inspections current?

  • Proper setup/use?

  • Extension/straight ladders

  • Inspections current?

  • Proper setup/use

  • Aerial lifts

  • Operators trained

  • Daily inspection completed

  • 100% fall protection

  • AWP overall operation

Fall protection

  • Guardrails

  • Holes covered

  • Personal fall arrest system

Fire protection

  • Fire extinguishers

  • Hot work procedures

Employee health

  • Dust hazard

  • Dust control

  • Respirators used?

  • Appendix D signed?

  • Sanitation

Other

  • Scaffolding used on site?

  • Inspected by competent person and tagged?

  • Guardrails

  • Working level completely decked

  • Proper access (ladders & stairs)

  • Excavation work on site?

  • Proper slope, shore, or bench

  • Soil piles >2' from the edge

  • Egress within 25 feet

  • JER operators trained (earth-moving equipment)

  • Cranes used today?

  • Equipment grounds installed, where applicable

  • Signal/warning system for workers under loads

  • Outriggers - extended, cribbing

  • Tag lines used on all loads

  • Sling condition

  • JER signal/rigger/radio operators trained

Summary

  • Additional comments

  • Additional photos

  • Safety auditor signature

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.