Information
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Audit Title
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Document No.
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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
1.0 - Hazard Assessment
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1.1 - Field level hazard assessments completed?
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1.2 - All controls in place?
2.0 - Emergency Response
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2.1 - Evacuation plan displayed?
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2.2 - Extinguishers in place, clearly marked for type of fire?
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2.3 - First aid kits available and stocked?
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2.4 - Extinguishers inspected?
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2.5 - Extinguishers clear of obstructions?
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2.6 - Eyewash stations available and full?
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2.7 - Adequate first aid responders on site?
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2.8 - Are the muster points identified?
3.0 - Work Area and Facilities
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3.1 - Adequate lighting in area?
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3.2 - Exits clear of obstructions?
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3.3 - Floor surfaces even and uncluttered?
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3.4 - Waste bins located at suitable points around site?
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3.5 - Waste bins emptied regularly?
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3.6 - Smoking policy being followed?
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3.7 - Are all handrails installed where required and in good condition?
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3.8 - Company Policies and company rules posted?
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3.9 - Are all compressed gases stored properly?
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3.10 - Are all fuels/flammable materials stored properly?
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3.11 - Stairways unobstructed?
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3.12 - Washrooms in working and sanitary order?
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3.13 - Are all excavations and openings properly guarded by barricades or coverings?
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3.14 - Have all overhead and grade level hazards been controlled?
4.0 - Personal Protective Equipment
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4.1 - Basic PPE being worn?
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4.2 - PPE in good condition?
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4.4 - Specialty PPE being work correctly?
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4.5 - Additional PPE being used as required?
5.0 - Tools and Equipment
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5.1 - All tools in good working order?
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5.2 - All tools and equipment being used as designed?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Tools and equipment being stored properly?
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5.6 - Have all defective tools been identified and removed from service?
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5.7 - Have all tools and equipment inspected?
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5.8 - Operators trained/competent in the operation of the tools or equipment?
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5.9 - All guards in place and in good condition?
6.0 - Fall Protection
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6.1 - Fall protection being worn correctly?
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6.2 - Workers trained in the use, care, maintenance and storage of fall protection?
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6.3 - Fall protection plan available?
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6.4 - Adequate system being used?
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6.5 - Adequate anchors being used?
7.0 - Electrical Systems
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7.1 - GFIs installed?
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7.2 - Are all power cords in good condition?
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7.3 - Are all power cords being run in a safe manner?
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7.4 - All LOTO requirements being met?
8.0 Ladders
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8.1 - Ladders setup properly?
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8.2 - Are ladders in good condition?
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8.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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8.4 - For extension ladders are ropes, pulleys and treads in a good state of repair?
9.0 - Scaffolds
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9.1 - All scaffolds tagged, signed and dated?
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9.2 - Edited by a trained/competent person?
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9.3 - Adequate mudsills installed?
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9.4 - Adequate ties ins?
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9.5 - Scaffold plump and level?
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9.6 - Weight limitations being followed?
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9.7 - Acceptable safe access installed?
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9.8 - Adequate fall protection by handrails or decking installed?
10.0 - Chemical Safety
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10.1 - Material Safety Data Sheets available for all chemicals?
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10.2 - Are all chemicals being stored properly?
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10.3 - Workers trained in the use of hazardous substances?
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10.4 - All containers labelled correctly?
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10.5 - Is all required PPE being worn for the chemicals being used?
Comments
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Comments?
Sign Off
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Auditor's signature
