Job-site Safety Audit

• Site conducted

  Select

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• List the names of the employees involved in the task

• Description of task being inspected

Work Area

• The area is neat, clean, and free from debris, dirt, or other materials

  Yes

  No

  N/A

• Illumination is adequate for the tasks to be performed

  Yes

  No

  N/A

• Ventilation is adequate for the task being performed

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Employees are wearing appropriate PPE

  Yes

  No

  N/A

• PPE is in good condition and sized correctly

  Yes

  No

  N/A

Job Briefing and Planning

• JSA is properly filled out and signed

  Yes

  No

  N/A

• JSA and any other applicable work permits are properly communicated via tailboard meeting

  Yes

  No

  N/A

• Employees are following precautions listed on the JSA and any other required work permits

  Yes

  No

  N/A

Safety Equipment

• GFI protection in place and extension cords, grounding clusters in good condition

  Yes

  No

  N/A

• A fire extinguisher is staged at the worksite where hot work is being performed

  Yes

  No

  N/A

• Inspections on safety equipment have been perfromed within the required frequency

  Yes

  No

  N/A

• All safety equipment is clearly labelled and accessible

  Yes

  No

  N/A

Electrical NFPA 70E

• Electrical hazards identified

  Yes

  No

  N/A

• Proper electrical PPE used (shock/arc flash)

  Yes

  No

  N/A

• Protective grounds as needed (PPE and grounds tested & inspected)

  Yes

  No

  N/A

Tools/Equipment

• Tools are in good condition

  Yes

  No

  N/A

• Tools are effectively grounded

  Yes

  No

  N/A

• Tools, equipment, and PPE tested and calibrated as needed

  Yes

  No

  N/A

• Ladders, scaffolds, lifts, working at height platforms properly inspected and secured

  Yes

  No

  N/A

• Fall protection equipment used, appropriate, and inspected

  Yes

  No

  N/A

Lockout and Tagout (LOTO)

• LOTO devices are in place

  Yes

  No

  N/A

• LOTO form has been completed correctly

  Yes

  No

  N/A

• LOTO devices adequately isolate energy from the employee

  Yes

  No

  N/A

• LOTO devices are attached correctly and provide a warning and deterant for employees

  Yes

  No

  N/A

• Employee is following LOTO procedure

  Yes

  No

  N/A

Emergency Preparedness

• Emergency preparedness is in place and evacuation procedures understood

  Yes

  No

  N/A

• First aid kit and spill kit is on station or available

  Yes

  No

  N/A

• Signature of inspector

  Sign