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>CFR 1926.26(a,b,c)

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  • Regular disposal of waste & trash<br>CFR 1926.26(a)

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  • Passageways & walkways clear<br>CFR 1925.26(a)

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  • Oil & greased removed<br>CFR 1926.25(c)

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  • Proper toilet facilities<br>CFR 1926.51.(c)

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  • Drinking water & cups<br>CFR 1926.51(a)(1),(2),(3) &(4)

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  • Projecting nails removed<br>CFR 1918.91(a)

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Power & Hand Tools

  • Tools & cords in good condition<br>CFR 1926.300 and CFR 1926.301(a)

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  • All mechanical safeguards in place<br>CFR 1926.300(b)(1)

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  • Proper grounding<br>CFR 1926.302(a)(1)

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  • Tool being used for its intended purpose<br>CFR 1926.301(a)

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  • right tool for the right job<br>CFR 1926.301(a)

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  • eye, face, & hearing protection used<br>CFR 1926.300(c)

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  • damaged tools repaired or replaced<br>CFR 1926.300(a) & 301(a)

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Ladders

  • Do not use top step<br>CFR 1926.1053(b)(13)

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  • Portable ladders extended 3ft above upper landing<br>CFR 1926.1053(b)(1)

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  • build to ANSI standards<br>CFR 1926.1053(a)(1)(i)&(ii)

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  • Stepladders being used properly<br>CFR 1926.1053(b)(4)

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  • Training on ladders<br>CFR 1926.1060(a)

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  • Damaged ladder<br>CFR 1926.1053(b)(15)

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Fall Protection

  • Guarding systems<br>CFR 1926.502(a)(2)&(b)

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  • Employee training<br>CFR 1926.503(a)(1) thru (2)

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  • Personal fall arrest system<br>CFR 1926.502(d)

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  • Floor & wall openings<br>CFR 1926.502(i)(1) thru (4)

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  • inspection of Fall Arrest Equipment<br>CFR 1926.502(d)(21)

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  • Unprotected sides & edges above 6 feet<br>CFR 1926.5501(b)(1)

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  • Warning lines<br>CFR 1926.502(f)(1) & (2)

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Scaffolding

  • Inspected by Competent person<br>CFR 1926.451(f)(3)

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  • Platform construction<br>1926.451(b)(1)

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  • Proper use<br>CFR 1926.451(f)

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  • Proper access provided<br>CFR 1926.451(e)

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  • Guardrails & toe-boards in place /protect from falling objects<br>CFR 1926.451(h)(1) thru (4)

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  • Employee training<br>CFR 1926.454(a)

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  • Fall protection above 10 feet<br>CFR 1926.451(g)(1)

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Fire Protection

  • Proper #, locations & access of fire extinguishers<br>CFR 1926.150(a)(2)

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  • Employee training

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  • Periodic inspections & maintenance<br>CFR 1926.150(c)(viii)

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  • Use of approved containers for flammable liquids<br>CFR 1926.152(a)(1)

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Excavations

  • Competent person<br>CFR 1926.650(b)

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  • Access provided within 25 feet of employee<br>CFR 1926.651(c)(2)

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  • Proximity of materials to edge of excavation & barricades<br>CFR 1926.651(j)(1) & (2)

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  • Proper protective systems in place<br>CFR 126.652(a) thru (c)

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  • Frequent inspections<br>CFR 1926.651(k)(1)

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Equipment

  • Back-up alarms or flagman<br>CFR 1926.601(b)(4)(i) & (ii)

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  • Seat belts<br>CFR 1926.601(b)(9)

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  • Roll-over Protective structures<br>CFR 1926.1001(a)

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  • Fire extinguishers

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  • Horn<br>CFR 1926.602(a)(9)(i)

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Hoist & cranes

  • Sling, hooks, shackles & eyes

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  • Outriggers used if necessary

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  • Barricade swing radius of crane structure

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  • Power lines de-energized, or removed at a safe distance -min. 10 feet

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Personal Protection

  • Hard hat<br>CFR 1926.100(a,b,c) & ANSI Z89.1-1969 & Z89.2-1971

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  • Proper eye protection<br>CFR 1926.102(a) from 1-5 & ANSI Z87.1-1968

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  • Ear protection<br>CFR 1926.101(a,b,c)

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  • Gloves<br>CFR 1926.65 Appendix B

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  • Proper foot wear<br>CFR 1926.96 & ANSI Z41.1-1967

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  • Reflective vest

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Electrical

  • Temporary power installed correctly<br>CFR 1926.406(a)(2)

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  • Temporary lights installed correctly<br>CFR 1926.405(a)(2)

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  • GFCI'S being used<br>CFR1926.404(b)(1)(i)

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  • Extension cords have a good ground & plug in good condition<br>CFR 1926.405(2)(ii)(j) & 1926.404(b)(1)(iii)(c)

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  • Adequate task lighting & Access/ Egress lighting<br>CFR 1926.56(a)

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  • Equipment installation & proper use<br>CFR 1926.403(b)(2)

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

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  • LO/TO Program in effect<br>CFR 1926.417(a) thru (c)

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  • LO/TO Training

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Welding & Cutting

  • PPE, clothing, equipment, ETC.

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  • Hot work Permit

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  • fire extinguisher

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  • Fire watch

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  • Storage of cylinders

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  • Inspection of torches

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  • Housekeeping

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Stairways

  • Housekeeing<br>CFR 1926.1052(a)(6)

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  • Handrails installed<br>CFR 1926.1052(c)(9)

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  • Lighting<br>CFR 1926.56(a)

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Material Handling

  • Material stacked, racked, etc.<br>CFR 1926.250(a)(1)

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  • Materials at proper distance from edge of building or floor opening<br>CFR 1926.250(a)(1)

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  • Non compatible fluids segregated<br>CFR 1926.250(b)(3)

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  • Housekeeping<br>CFR 1926.250(c)

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Aerial Lifts

  • Employee Training <br>CFR 1926.453(b)(2)(ii) & 454(a)

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  • Lift in good working condition<br>CFR 1926.453(b)(2)(i)

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  • Operating Manuals & inspection sheet<br>ANSI A92

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  • Fall restrain<br>CFR 1926.453(b)(2)(v)

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  • Proper use<br>ANSI 92

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Powder Actuated Tools

  • Training documentation<br>CFR 1926.302(e)(1)

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  • Face shields or goggles<br>CFR 1926.302(e)(4)

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  • Misfired cartridges disposed

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  • Secured tool<br>CFR 1926.302(e)(6)

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Environmental Issues

  • MSDS files updated

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  • Review table of contents & index

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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.