Information

  • Client / Site

  • Audit Title

  • Prepared by

  • Project Manager

  • Superintendent

  • Foreperson

  • Conducted on

  • Location
  • Personnel

  • Subcontractors On Site

  • Document No.

Comments on site operations.

Personal Protective Equipment

  • High Visibility clothing.

  • Hardhats

  • T shirt, Pants, Footwear

  • Safety Glasses, Face Shield, Goggles

  • Hearing Protection

  • Respirators and Dust Masks

  • Gloves

Traffic Control

  • Proper Signs, Barricades, Cones, Barrels, Delineators present and in good condition.

  • Traffic pattern is easy to navigate.

  • Flagging Operation Present?

  • Flaggers in proper position?

  • If flagger has their vehicle on site, is it parked out of the way with a running becon?

  • Flaggers have good communication with radio or sight?

  • Flaggers have proper PPE and Stop/Slow Paddle

  • Pilot Car Operation?

  • Proper Signage and Becaon on Pilot Car

  • Pilot car has radio communication with flaggers.

Hazard Communication and Employee Right to Know

  • Secondary containers labeled.

  • SDS for all chemicals available to crew.

Trucks and Mobile Equipment

  • All Becons and Backup Alarms Functioning

  • Seat Belts used where provided

  • Tires, Seats, Work Platforms, in good condition.

  • All machine guarding in place.

  • Trailer beds free from debris.

  • Loads are properly secured/tarpped.

  • Hazardous Energy Controls utilized while maintaining equipment.

Utilities

  • Overhead utilities identified, marked, and communicated to trucks and crew.

  • Underground utilities marked before digging

  • Underground utilities located by hand when digging within 2 feet of locates.

  • Manhole and valve castings or other milled edges ramped or marked to prevent 3rd party vehicle damage.

Fire Protection and Compressed Gasses

  • Fire Extinguishers available and inspections up to date.

  • Gasoline in metal safety can with self closing lid and spark arrester.

  • Propane on site?

  • Tank valve is new style.

  • Gas line in good condition.

  • Torch in good condition.

  • Oxyacetylene torch on site?

  • Properly Stored and Secured

  • Torch and Gas Lines in good condition.

  • Flashback arresters at torch and regulator ends of oxyacetylene lines.

  • Regulators taken off or protected when not in use.

  • Striker available for lighting.

  • Tinted face shield and leather gloves used when cutting or available.

Electrical

  • Electric power tools and extension cords on site?

  • Cords in good condition.

  • Ground plug present on cords.

  • Welder on site?

  • Welding leads in good condition.

Confined Spaces

  • Are sewers or other identified confined spaces being entered by personnel?

  • Permit completed prior to entry.

  • 4-gas monitor on site, calibrated, and used.

  • Entrant is wearing a harness.

  • Second hoist on tripod for material or accessing space available.

  • Rescue equipment available on site. (tripod and winch)

Ergonomics

  • Proper body mechanics observed when lifting, pushing, pulling.

  • Proper equipment available to aid in handling heavy objects.

Subcontractors

  • Are subcontractors being held to Hardrives, Inc. safety standards (hardhats, footwear, vests utility locates, backup alarms, beacons, etc.)

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.