Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Add location

Housekeeping

  • Is trash/garbage placed in available trash receptacles.

  • Is work area clear of obstructions such as unused tools, ladders, extension cords ect..

Drinking Water/sanitation requirements/first aid kits

  • Is there an approved water receptacle or water supply that will provide at least 2 gals of water per person on the jobsite?<br>

  • Are there clean restroom facilities available.

Electrical

  • Are all cords in good repair, serviceable and inspected.

  • Are GFCI receptacles being used at all power outlets.

Personal Protective Equipment

  • Are safety glasses, hearing protection, gloves and hardhats being used.

Walking/Working Surfaces

  • Are all slip, trip and fall hazards plainly marked, cordoned off or properly covered.

Electrical Tools

  • Are all guards in place and being used properly.

  • Are tools in good working condition.

  • Are tools stored properly.

Crane/Rigging Equipment

  • Are slings properly stored and inspected.

  • Is rigging free from burs or broken strands.

  • Are signal placards in-place and clearly visible.

  • Are operator certifications current.

Personal Fall Protection

  • Are harnesses, lanyards and retractable being used.

  • Are inspections being performed on daily or before each use.

  • Is Personal Fall Protection serviceable and in good repair, with no fraying, tears, missing stiching, or D-rings

Hot Work

  • Is the proper PPE being utilized during welding and grinding operations ie..welding hood, jacket, gloves, safety glasses/face shield, hearing protection.

  • Are all combustibles/flammables protected from sparks and/or heat source or removed from area.

  • Is there a properly sized fire extinguisher within 25 feet of the welding/grinding operation.

FIre Extinguisher

  • Are proper sized extinguishers (20-25lb) accessible for all welding, cutting and grinding operations.

  • Are inspections current and up to date.

  • Is there at least on extinguisher on each piece of equipment

MSDS

  • Are MSDS's on site and easily accessible to all employees.<br>

  • Add 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.