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
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Select date
Weather Conditions
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Employee Observation / Personal Protective Equipment
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Hard Hats (mandatory)
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Eye / Face Protection (mandatory)
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Ear Protection
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Dust Masks / Respirators
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Safe Lifting Practices
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Proper PPE (hard hats, safety glasses, hi-vis)
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Footwear / Foot Protection
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Gloves / Hand Protection
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Personal Fall Arrest / Restraint Equipment
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Housekeeping
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Exits / Stairs / Walkways Clear
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Material Storage
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Debris Removal
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Nails Bent or Removed
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Ladders & Stairs
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Ladder Condition / Use
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Ladder Tied Off / 3' Above Landing
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Stairs & Ramps
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Railings / Covers / Cables
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Perimeter / Stairs
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Floor / Wall Openings
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Walk ways
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Cables secured (fall protection) 3 clips
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Scaffolding
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Guard rails
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Secured to Building
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Planks & Platforms
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Access
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Fire Protection
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Extinguishers
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Flammable Materials Storage
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Welding / Cutting Equipment
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Fire watch required?
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First Aid / Sanitation
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Kits & Supplies
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Sanitation / Hand Washing
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Water Available
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Electrical
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Lighting / Covers
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Grounding (generators)
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Power Cords, Plugs & Receptacles
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Temp Power Boxes / GFCI
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Tools
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Condition
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Guarded / Power Cords
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PAT Signs & Training Cards
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Air Hose & Whip Check
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Site / Public & Environmental Protection
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Excavations / Trenches
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Competent Person
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Earthmoving Equipment - Alarms / Seat belts/Fire Extinguishers
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Forklifts / Cranes / Rigger
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Trench Plates - In Place & Safe Off
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Lighting / Fences
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Posting Requirements / Signs
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Rebar Protection / Barricades
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Double Containment
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Environmental / Storm Water
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Programs / Information
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Orientation: New Employee
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HEAT ILLNESS
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Jobsite Safety Meeting
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Pre-Task Plans Completed?
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Fall Protection Plans
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Field Safety Training (Tool box Talks)
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Subcontractor
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Signature Sheets
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Safety Coordinator Named / OSHA 10
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Sub Safety Inspections
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Sub Safety Paperwork Reviewed
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Aerial Lifts
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Scissor Lifts
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JLG
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COMMENTS:
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Foreman Signature
