Information

  • Audit title

  • Job site

  • Conducted on

  • Safety inspector

  • Location
  • Superintendent

  • Outstanding hazards

  • Was last inspection revised with supervisor

  • Was every item at risk made safe

2.0 - Housekeeping

  • regular disposal of waste and trash

  • Passageways & walkways clear

  • Projecting nails removed

  • Oil and grease removed

  • Proper toilet facilities

  • drinking water and cups

3.0 - Power tools and hand tools

  • Tools and cords in good condition

  • Proper grounding

  • All mechanical safeguards in place

  • Right tool for the job

  • Eye, face, and hearing protection used

  • Damaged tools repaired or replaced

4.0 - Ladder safety

  • properly secured to prevent movement

  • Side rails on ladders extend 3ft above upper landing

  • build to ANSI standards

  • step ladders being used properly

  • Ladder being inspected before use

  • Proper distance from leading edge

5.0 - Fall protection

  • Guardrail system

  • safety nets

  • Personal fall arrest systems

  • floor and wall openings

  • inspection of fall arrest systems

  • Erection under competent supervision

6.0 - Scaffolding

  • Scaffold grade lumber & proper overlap

  • safety tie to structure

  • guard rails and toe boards in place

  • scaffold machines in working order

  • proper access provided

  • frequent inspections

7.0 - Fire protection

  • Proper #, locations and access of fire extinguisher

  • Periodic inspection and maintenance

  • Use of approved container for flammable liquids

8.0 - Electrical Safety

  • generator being used properly with fire ext, and grounded if needed

  • No broken plugs, on tools or extension cords

  • Ext cords 10 ft above ground on hallways

  • Where required are emergency shut-down procedures in place?

  • Temporary power properly installed

  • Temporary light properly installed

  • Gfci installed and used

  • Lock out tag out

  • Lock out log

  • Electrical room

9.0 - First Aid Facilities

  • Are cabinets and contents clean and orderly?

  • Are contents regularly checked?

  • Is there easy access to cabinets?

  • Employees aware of location of first aid cabinet?

11 - Aerial lifts

  • Inspection filled out

  • Proper use

  • Lift in good conditions

  • Training

  • Type of lift properly selected for the task

12 confined space

  • Equipment adequate<br>

  • Paperwork filled out

  • Barricades

  • Training complete

  • Pre task complete

  • Attendant in place at all times

13 Paperwork

  • Pre task.

  • Tasks (overhead, wall rough, under ground, pulling wire, trenching, excavation, terminations, etc)

14 Excavation and shoring

  • Shoring of adjacent structures

  • Banks sloped or shored

  • Proximity of materials to edge of excavation and barricades

  • Provided access within 25ft of employee.

  • Employee holds current training.

  • Equipment inspection

16 hoist and cranes

  • Rigging plan properly filled out

  • Employee training records are current

  • Slings, hooks, shackles and eyes properly selected

  • Outriggers used if necessary<br>

  • Barricaded swing radius.

  • At least 10 ft away from power lines

17 PPE

  • Safety vest

  • Hard hat

  • Safety glasses or prescription glasses

  • Dust mask

  • Foot wear

  • Ear protection

18 Material handling

  • Task discussed over the pre task meeting

  • Proper lifting

  • Material properly stacked

  • Non-compatible segregated

  • Pallet jack in good working condition

  • Wire cage or wire cart in good working condition

  • Flat cart <br>

  • Material cart in good working condition

Sign Off

  • On site representative

  • Auditor's 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.