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
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Add location
General
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Emergency contact numbers posted?
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First-aid supplies available?
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Required signage posted?
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Safe access to work areas?
Personal Protective Equipment
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Hard hats worn by employees?
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Eye and face protection used where required?
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Hearing protection used where required?
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Respiratory protection used where required?
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Gloves used when required?
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Other required PPE used when required?
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Employees dressed properly for the task at hand?
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PPE in good condition?
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PPE appropriate for the work?
Housekeeping
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Walkways clear of material and debris?
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Trash and debris cleaned up?
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Extension cords and hoses kept out of walkways?
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Liquid spills cleaned up to avoid slip and fall hazards?
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Material storage areas kept orderly and clean?
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Gangboxes neat and orderly?
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Trash receptacles available where required?
Fire protection
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Fire protection equipment available?
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Fire watch used where required?
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Fire extinguishers charged properly?
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Flammable materials stored properly?
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Combustible trash cleaned up properly?
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Proper fuel containers used?
Material handling and storage
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Materials stored neatly in stacks or piles?
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Loose materials palletized or containerized?
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Clear walkways maintained around storage areas?
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Storage areas kept free of trash and debris?
Crane and rigging
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Slings and chokers in good condition?
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Properly trained riggers?
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Proper signals in use?
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Tag lines used on all lifts?
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Hooks equipped with safety latches?
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Proper lifting techniques in place?
Hand and power tools
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Guards in place where required?
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Power tools grounded properly?
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Power tools cords in good condition?
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Impact tools free of mushroomed heads?
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Broken or defective tools taken out of service when required?
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Hand tools in proper working condition?
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Proper tools being used for the task?
Welding and cutting
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Compressed gas cylinders stored and secured properly?
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Oxygen cylinders stored separately from fuel gas cylinders?
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Cylinders equipped with caps when not in use?
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Welding leads in good condition?
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Welding blankets used where required?
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Fire watches in place where required?
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Hot work permits in place where required?
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Fire extinguisher in the area of all hot work?
Electrical
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GFCI's in use?
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Extension cords free of damage and repairs?
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LOTO in place where required?
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Electrical equipment grounded properly?
Ladders
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Job made ladders built properly?
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Ladders in good condition?
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Ladders installed properly?
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Ladders used properly?
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Proper ladders being used for the task?
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Extension ladders set up with the proper 4:1 slope?
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Ladders secured where required?
Scaffolds
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All scaffold parts and equipment in place where required?
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Scaffold parts in good condition?
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Scaffold properly erected?
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Scaffold fully planked?
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Scaffold guardrails in place with toe boards and midrails?
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Wheels on mobile scaffolds locked when in use?
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Scaffold built on firm level base?
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Proper scaffold access in place?
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Scaffold inspected before each shift with inspection tag in place?
Boom lifts and man lifts
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Only trained employees allowed to operate equipment?
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Outriggers used where required?
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Proper fall protection used while operating equipment?
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Equipment operated safely?
Fall protection
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Employees protected from falls?
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Handrails installed properly?
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Toe boards installed properly?
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Fall protection anchored properly?
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Fall protection equipment inspected and in good condition?
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Holes covered, secured and labeled properly?
Excavation and trenching
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Excavations and trenches over 5 feet protected?
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Excavations and trenches over 4 feet equipped with proper access and egress?
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Employees working only in the protected, shored area?
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Spoil piles at safe distance from edge?
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Access and egress within 50 feet of employees?
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Excavations and trenches inspected each shift before employees enter?
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Excavation and trench shored properly for type of soil?
Comments
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Comments
Signature
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