Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Site Access
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Clean, level ground
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Adequate ramps
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Adequate stairs
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Adequate ladders
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Other
Housekeeping
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Clear walkways
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Clear work areas
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Clear access and landing
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Other
Personal Protective Equipment
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Head protection
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Foot protection
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Eye protection
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Hearing protection
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Respiratory protection
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Fall protection (plan, rescue)
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Other
Ladders
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Secured
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Proper angle (extension ladders)
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Proper size, type
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Safe, usable condition
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Properly used
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Proper handrail and landings
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Non slip bases
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Other
Power tools and equipment
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General condition
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Proper guards, cords, PPE
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Tagging as defective
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Back up alarms on mobile equipment
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Spotter being used
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Other
Fall Protection
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CSA approved
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Properly worn
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Safe usable condition
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Unprotected openings and edges
Guardrails and Barricades
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Located where required
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Properly constructed
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Adequately secured
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Proper signage
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Other
Confined Spaces
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Air testing equipment, bump tested and calibration up to date
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Air testing before entry
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Entry permit completed
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Rescue plan reviewed
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Rescue equipment readily available
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Safety harness, lifeline properly anchored and used
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Man watch at entry at all times
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Other
First Aid Requirements
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Adequate first aiders on site
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First aid kits complete and adequate supply
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Other
Fire Protection
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Master emergency plan
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Extinguishers where required
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Fully charged and up to date
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Adequately identified
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Other
Extension Cords
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Outdoor type
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Condition of casing, ends and connections
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GFCI's used
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Other
Material Storage
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Properly labelled
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Secondary containment used for all raw chemicals and fuels
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Stacked, racked, blocked or otherwise secured to prevent falling or collapse
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Other
Hygiene
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Washroom facilities available
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Cleanliness of facility
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Injury/hazard reporting
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Other
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Auditor signature
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Supervisor signature
