• Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

General Safety

Site Conditions

  • Housekeeping in good condition?

  • Working areas and walkways clear of obstructions?

  • Nails removed from lumber or lumber material cleaned up?

  • Work area access controlled?

  • Fire extinguishers inspected and in good condition?

Work Conditions

  • Adequate amenities (toilets, wash areas, lunch rooms, etc)?

  • Sufficient lighting?

  • Adequate housekeeping?

  • Adequate noise/vibration control?

Daily Documentation

Daily Documentation

  • JSA/JHA complete for task?

  • Whole crew performing work signed off on JSA/JHA?

  • All hazards have been identified?

  • All hazards have a control method/procedure?

  • Is the control method/procedure being properly followed?

Incident Report

  • Any injury, near-hit, damage, or theft has been documented in writing and kept on-site for the duration of the project?

Site Documents

Site Specific Documentation

  • Adequate Site Safety Plan?

  • Orientation for workers, contractors, visitors?

Emergency Action Plan

  • Emergency plans for site?

  • Emergency procedures displayed and in place?

  • Training and rehearsal of emergency plans implemented?

  • Adequate first aid kits aid equipment for site?

  • Access to formally trained First Aiders on site or available through local channels?

  • Suitable or adequate communication equipment?


Training Requirements

  • All employees have received orientation?

  • Workers have been trained to use hand tools?

  • Workers have been trained in accordance with scope of work and the associated hazards?

  • Workers have been trained on operation of motorized equipment?


Compressed Gas Cylinders

  • Cylinders secured? (with proper material)

  • Protective cap fastened?

  • Incompatible cylinders separated (oxygen / fuel)?

Hazardous Chemical Storage / Usage

  • Proper containers being used?

  • Containers properly labeled?

  • Safety Data Sheets for chemicals brought on site?

  • Reactivity labels on container?

  • Chemical dispensing (bonding, grounding and containment) requirements?

  • Proper storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • Incompatible chemicals stored near each other?

  • Aadequate spill containment equipment?

  • Excessive quantities stored on site or in vehicles?

  • Proper PPE?

Hot Work

Hot Work

  • Hot work permit?

  • Is there fire hazards in the area (flammable or combustible materials)?

  • Fire watch needed or present?

  • Welding leads and gas hoses in good condition?

  • Welding screen in place?

  • Fire extinguishers or other fire extinguishment media present?

  • Do crews have a way to report fires?


Electrical Safety and Hazards

  • Lockout/Tagout performed properly?

  • Electrical equipment/extension cords in good condition? (damaged, out of test date or untested)

  • Grounding GFCI protection policy in place and being used?

  • Leads placed on ground or on metal structures?

  • Outlets being overloaded?

  • Electrical equipment near water?

  • Is Electrical equipment near flammables?

Hand Tools

Hand Tools

  • Are hand tools in good condition?

  • Are they being used safely?

  • Are guards in place?

  • Are cords in good condition?

  • Is proper PPE being used?


Personal Protective Equipment (PPE)

  • 2.1. Use of safety glasses?

  • 2.2. Use of face shields?

  • 2.3. Proper footwear?

  • 2.4. Hand and or arm protection? (Please specify)

  • 2.5. Hard hat?

  • 2.6. Respiratory protection?

  • 2.7. Hearing protection?

  • 2.8. Is there a lack of, or inadequate PPE (including sun protection)

  • 2.9. Other please fill in.

Motorized Equipment

Motorized Equipment (fork truck, cranes, etc)

  • Equipment in good working condition?

  • Back up alarms working?

  • Crane reports complete?

  • Daily inspections completed?

  • Operators trained on all pieces of equipment they are operating?

  • Safe work/operating procedures being followed?

  • Seat belts worn?



  • Tears, cuts, abrasions, or exposed core yarns present?

  • Legible and present tags?

  • Tell Tails (twin-path) visible?

  • Bird caging/crushing/broken wires present?

  • Corrosion present?

  • Bent/twisted/stretched links?

  • Maintenance, testing and inspection?

  • Qualified riggers being used?

Excavation and Trench


  • Location of underground utilities identified?

  • Soil classification selected?

  • The soil has to be classified before work begins. This is done to choose the correct protection system to put in place.

  • Dig safe called 72hrs before excavation?

  • Appropriate sloping and or shoring?

  • Type C soil requires a 34 degree slope
    Type B soil requires a 45 degree slope
    Type A soil (rock) requires a 63 degree slope

  • Spoil pile has a 2 foot minimum distance form excavation wall?

  • Means of entry and or egress every 25ft?

  • Competent person? Clearly defined?

  • Work area access controlled?

  • Control of hazardous conditions (air toxics)?

Confined Space

Confined Space

  • Permit required confined space?

  • Air monitor meets the scope of work requirements and has a good calibration date?

  • Safe entry requirements have been met (hazards are controlled via LOTO, forced air ventilation, etc. to allow safe entry)?

  • All appropriate safety equipment being used and or available?

  • Is there an Attendant? Are they trained?

  • Is there rescue equipment and plans in place?

  • All hazards have been eliminated or engineered out for the duration of the work assignment?

  • If the hazards have not been eliminated or engineered out then the confined space becomes permit required.

Ladders and Scaffolding

Ladders and Scaffolds

  • Proper ladder for the job?

  • Ladders secured and tied off when necessary (when used as access to elevated working surface)?

  • Ladders positioned properly?

  • Ladders in Good working condition?

  • Damaged ladders need to be tagged out of service and or disposed of

  • Scaffolding written inspection completed by competent person?

  • Scaffolding guardrails have top rail (45''-39''), mid rail (halfway between top rail and deck), and toe board (3'')?

  • Scaffolding in good working condition as identified by inspection tag?

  • Scaffolding components are matching manufacturers?

  • The competent person is aware and can explain how the mis-match will not alter the 4 times max intended load required rating?

Elevated Work

Harness and Equipment

  • PFAS in good working condition?

  • Safe and certified anchor points (minimum 5000lbs per worker)?

  • Compatible hooks and equipment?

  • Proper equipment for elevated job requirements?

  • Current inspection on all equipment?

  • PFAS and fall protection systems training?

Elevated Work Areas Heights

  • Openings in floors and walls guarded?

  • Appropriate fall protection being used?

  • Guardrails in place where necessary?

  • Guardrails built correctly using top rail (45''-39'' and support 200lbs), mid rail (21'' minimum or halfway between top rail and deck), toe board (3.5'')?

  • Guardrails built correctly using top rail that supports 200lbs of force, mid rail that supports 150lbs of force, and toe board that supports 50lbs of force?


Environmental Hazards

  • Environmental control plan available for site?

  • For heavy dust operations, are engineering controls in place to keep the exposure down?

  • Controls have been established to prevent runoff into sewer drain?

Summary of Audit Findings

  • Summary of Findings

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