Title Page

  • Audit title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Instructions
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    1. Answer "Yes", "No", "N/A" for the questions below
    2. Add any photos and notes by clicking on the paperclip icon
    3. To create a corrective action click on the paperclip icon then "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

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Administrative

  • Safety materials centrally located (Job boxes)

  • Safety and other legal papers posted

  • Safety meeting notes and signatures on file

  • First aid kit(s) maintained in the job boxes

  • Maintain current forms to be filled out in case of an accident

  • Tool Box Talk done

Job Site Conditions

  • Railings in place and meets regulatory standards

  • Caution tape and/or netting around holes, excavations, etc.

  • Trip and fall hazards present

  • Job in neat orderly condition

  • Proper fall protection warnings in place

  • Proper lighting in place

  • Is there standing water where electric cords could be laying in it or around it

  • Crane safety in place (nothing swinging overhead without flagger)

Personal Safety Equipment for Employees/ Visitors

  • Hard hats being worn correctly, no baseball caps under them.

  • Hard hats being worn by employees, visitors, vendors, etc.

  • Hard hats not broken. You have inspected them.

  • Proper work attire being worn

  • Safety glasses being worn at all times

  • Personal fall protection being used (Fall arrest harnesses)

  • Respirators are being used when needed

  • Workboots being worn (Inspect them)

Fall Protection

  • Do workers that are exposed to falls have documented training

  • Is fall protection equipment being inspected daily and documented

  • Are all fall protection equipment tags legible

  • If the work being performed requires fall protection, is it being used 100%

  • Is the proper equipment available on site to complete the task

Tools and Equipment

  • Power cords up to regulatory standards

  • Up to date fire extinguishers on-site and in place

  • Tool power cords in acceptable condition

  • Machine and tool guards in place

  • Ladders in proper condition (No broken rungs, feet)

  • Personal protection equipment available

  • Tools in proper working safe condition

  • Extension ladders being used properly

  • Step ladders being used properly

Overall impression

  • What was your overall impression

  • Did you spend hours or days on this site visit

  • How many hours

  • How many days

  • Necessary to follow up with written documentation

  • Were there any critical deficiencies

  • Were they corrected immediately?

  • Provide details

Completion

  • Inspected by

  • Supervisor sign-off

  • Date

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.