Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • INSTRUCTIONS

    1. Answer "Yes," "No," or "N/A" on the questions below.
    2. Add photos and notes by clicking on the paperclip icon
    3. To add a Corrective Action click on the paperclip icon then "Add Action," provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link

Job Hazard Analysis

  • Is JHA complete?

  • Are employees aware of all task and hazards?

Truck Inspection

  • Is the truck inspection complete ?

  • Is the trailer in functioning condition ?

First Aid Kit

  • Is there adequate supply of First Aid Kits?

  • Are the First Aid Kits complete?

  • Are employees aware of location of the kits?

Equipment Iinspection

  • Are all operating equipment inspected ?

  • Take a photo of the Inspection Sheet

  • Does the operator have a certification card ?

  • Are any employees at risk while equipment is being used ?

Personal Protective Equipment

  • Are all employees wearing their Personal Protective Equipment ?

Ladders

  • Has the ladder inspection been filled out?

  • Is the ladder suitable for the job ?

Fall Protection

  • Is fall protection being used properly ?

  • Are all employees properly trained on fall protection ?

  • Harness , Lanyard and yoyos have been inspected?

  • Are they worn properly?

Electrical Tools and Cords

  • Are extension cords in good condition ?

  • Is GFCI being used with all extension cords or power tools ?

  • Are all extension cords away from pinch points or traffic areas ?

House Keeping

  • Are all walkway or passageways clear from debris ?

  • Are holes covered and sealed?

  • There are no slips or trip hazards?

Fire Extinguisher

  • Are Fire Extinguishers inspected?

  • Are the Fire Extinguishers accessible?

Welding or Torching

  • Is there any Torch/Welding on jobsite ?

  • Is it complete and safe ?

  • Firewatch and spotters are in place?

  • Proper PPE is being worn ?

Project Productivity

  • Is the project productive ?

  • If there are any delays, has the superintendent or supervisor notified PM or General Superintendent ?

  • Name and designation of the contact person

Schedule / Man Power

  • Is the project on schedule?

  • Does jobsite have enough manpower?

Paperwork

  • Has superintendent / supervisor turned in all necessary paperwork such as Daily Reports/T&M?

  • Identify paperwork submitted

Completion

  • Completed by

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.