Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job Number:

  • Job Name:

  • Supervisor Name:

  • PM Name:

  • Inspected By:

  • Select date

  • Add location

Housekeeping

  • Appearance of job neat & orderly<br>

  • Storage or lay down areas<br>

  • Add media

  • Proper toilet facilities<br>

  • Add media

  • Drinking Water Available<br>

  • Add media

Power & Hand Tools

  • Found in Safe operating condition<br>

  • Add media

  • Tool being used for its intended purpose<br>

  • Add media

Ladders

  • Ladders Found in Safe Operating Condition & Inspected<br>

  • Add media

  • Ladders being used properly<br>

  • Add media

Fall Protection

  • Guarding systems

  • Add media

  • Personal fall arrest system<br>

  • Add media

  • Floor & wall openings<br>

  • Add media

  • Warning lines<br>

  • Add media

Fire Protection

  • Proper #, locations & access of fire extinguishers<br>

  • Add media

  • Periodic inspections & maintenance<br>

  • Add media

  • Use of approved containers for flammable liquids<br>

  • Add media

Excavations

  • Inspected by Competent person<br>

  • Add media

  • Access provided within 25 feet of employee<br>

  • Add media

  • Proximity of materials to edge of excavation & barricades<br>

  • Add media

  • Proper protective systems in place<br>

  • Add media

Equipment

  • Operator Certified to Operate Equipment

  • Add media

  • Daily Written Inspection

  • Add media

  • Operator demonstrating safe operating procedures

  • Add media

  • Horn, Back Up Alarm, beacons etc.<br>

  • Add media

Personal Protection

  • Employees wearing all required Standard PPE<br>

  • Add media

  • PPE worn correctly and in good condition

  • Add media

Electrical

  • Temporary power installed correctly<br>

  • Add media

  • Temporary lights installed correctly<br>

  • Add media

  • GFCI'S being used<br>

  • Add media

  • Extension cords have a good ground & plug in good condition<br>

  • Add media

  • Adequate task lighting & Access/ Egress lighting<br>

  • Add media

  • Covers on boxes<br>CFR 1926.404(f)(7)(iii)[A]

  • Add media

  • LO/TO Program in effect as needed<br>

  • Add media

Stairways

  • Housekeeping and Proper Lighting

  • Add media

Jobsite Documentation

  • Safety Manual & SDS onsite and updated

  • Add media

  • Emergency Contact List available and updated

  • Add media

  • Jobsite Orientation

  • Add media

  • Weekly Power and Lighting Inspections

  • Add media

  • Pre Task Plans completed and reviewed by Crews

  • Add media

  • Last 3 toolbox topic Sign Sheets

  • Add media

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.