Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Administration
-
Contractor Orientation
-
Certificate of insurance
-
Master Safety Plan Completed
-
MSDS Manual on site
-
Safety Manual on site
-
OSHA Posters/Jobsite Postings
-
Weekly Safety Planner up to date
-
Safety meetings
-
Visitor PPE Available
-
JSA's completed
-
Other/Miscellaneous
Confined Space
-
Is permit required and completed
-
Air monitoring completed and documented
-
Entry supervisor/attendant/entrant
-
Mechanical retrieval system
-
Ventilation
-
Rescue plan in place
-
Training Documentation
-
Other/Miscellaneous
Cranes and Hoisting Equipment
-
Annual inspection current
-
Anti Two Block Device
-
Boom Angle Indicator
-
Crane Supported and Level
-
Distance from Power Lines
-
Fire extinguisher in Crane
-
Load Chart Posted
-
Load Properly Secured
-
Tag lines being used
-
Swing Radius Barricaded
-
Outriggers Fully Extended/Cribbing
-
Crane Permit Completed
-
Critical Lift Permit Required & Completed
-
Operator Certification Current & on File
-
Daily Inspections Documented
-
Signal Person Training Documentation
-
Correct Hand Signals Being Used or Radio Communication in Place
-
Safety Latches in Place
-
Rigging labels/tags in place and legible
-
Rigging free from damage
-
Other/Miscellaneous
Electrical
-
Cords in good condition
-
Cords protected from traffic
-
Electrical room protected
-
Energized parts protected
-
GFCI's Used
-
GFCI Monthly Checklist Completed
-
Receptacles
-
Signage Present
-
Temporary Lighting
-
LOTO Procedures
-
Electrical Hot Work Procedures
-
Other/Miscellaneous
Environmental
-
Asbestos & Lead Survey Completed and on File
-
Silica Dust Controlled
-
Air Sampling Results On File
-
Spill Containment Adequate
-
Other/Miscellaneous
Excavations
-
Locates have been completed
-
Excavation Permit Completed
-
Competent Person Present
-
Sloped, Benched or Shored
-
Spoil 2' from edge
-
Perimeter protection / Barricades
-
Access within 25'
-
Daily Inspections Documented
-
Exposed Utilities Protected
-
Utilities exposed by hand digging when crossing
-
Excavation greater than 20' deep engineered
-
Atmospheric Hazards Addressed
-
Surface Encumbrances
-
Other/Miscellaneous
Fall Protection
-
Guardrails
-
Window/Wall Openings Protected
-
Fall Protection at 6'
-
Fall Protection Plan Completed
-
Proper Anchorage Points
-
Safety Harness & Lanyard
-
Floor Hole Covers secured and labeled
-
Rebar Protection
-
Other/Miscellaneous
Fire Protection
-
Fire Extinguishers Available
-
Fire Extinguishers Charged and Inspected
-
Emergency Vehicle Access
-
Proper Fuel Containers Used
-
Material Storage
-
Sprinkler System
-
Proper Signs Posted
-
Temporary Heat
-
Other/Miscellaneous
Hand and Power Tools
-
Guards in Place
-
Cord in Good Condition
-
Proper tool for the job
-
Tool in Good Condition
-
Other/Miscellaneous
Hazard Communication
-
Written Program Available
-
Employee Training
-
MSDS Site Specific
-
Proper Labeling on Containers
-
Other/Miscellaneous
Housekeeping
-
Clear Access/Egress at Entrances
-
Proper Material Storage
-
Walkways Clear
-
Roadway around project clear
-
Debris being removed
-
Other/Miscellaneous
ICRA / ILSM
-
Risk Assessment Completed
-
Negative Air
-
Temporary Walls / Dust Containments
-
Alarm Systems
-
Exit Signs / Egress Routes
-
Walk-off/Sticky Mats
-
HVAC / Openings Covered
-
Debris/Trash removed in covered containers
-
Other/Miscellaneous
Ladders / Stairs
-
Inspected for Defects
-
Proper Use of Ladder
-
Ladder 3' above landing
-
Extension ladder at 4:1 pitch
-
Extension ladder properly secured
-
Job built ladders constructed properly
-
Proper access for an elevation break of more than 19"
-
Handrails/guardrails at stairs & landings
-
Stairs pans & landings filled
-
Other/Miscellaneous<br>
Medical / Emergency
-
First Aid Kit
-
First Aid/CPR Trained Employee(s) on Site
-
Emergency Action Plan
-
Emergency Numbers Posted
-
Other/Miscellaneous<br>
Motorized Equipment
-
Back Up Alarm Functioning
-
Seat Belt Used
-
Per-Operation Inspection Completed<br>
-
Training Documentation Available
-
Horn Functioning
-
Glass Free of Obstructions
-
Flagman/Spotter Used
-
Other/Miscellaneous
PPE
-
Hard Hats
-
Safety Glasses
-
Face shield
-
Gloves
-
Hearing Protection
-
Work Boots
-
Respiratory Protection
-
Hi-Vis shirt/Vest
-
Life Jacket
-
Ring Buoy & Skiff
-
Other/Miscellaneous
Scaffolding
-
Scaffold permit completed
-
Scaffold tagged and inspected daily
-
Competent Person Present
-
Bracing & Pins in Place
-
Guardrails in Place at 6'
-
Properly Secured to Structure
-
Proper Access to Platforms
-
Proper Loading of Materials
-
Safe Work Distances
-
Scaffold Planks
-
Sills, Plates, Jacks Installed
-
Guardrails in Place at 4' on Baker/Perry Scaffolds
-
Wheels locked on mobile scaffolds in use
-
Other/Miscellaneous
Scissor / Boom Lifts
-
Per-Operation Inspection Completed
-
Equipment loaded properly
-
Gate or Chain Secured
-
Harness while in Boom Lift
-
Nothing to Increase Height
-
Operating on flat surface
-
Operator Training
-
Surface free of holes / drop-offs
-
Other/Miscellaneous
Site / Public Protection
-
Public protection Signage
-
Perimeter Fences
-
Barricades Installed Properly
-
Street / Sidewalk Closure Identified
-
Overhead / Falling Object Protection
-
Other/Miscellaneous
Steel Erection
-
Authorization to begin steel erection
-
Access roads and lay down areas firm adequate
-
Steel Erection Plan Available
-
Proper anchorage of columns / beams
-
Fall protection / safety nets
-
Proper Rigging
-
Controlled decking zone
-
Other/Miscellaneous
Welding / Cutting
-
Hot work permit completed
-
Fire extinguisher present
-
Leads in good condition
-
Proper PPE in Use
-
Ventilation / Respiratory Protection
-
Bottles Stored Properly
-
Torch hoses in good condition
-
Flashback Arrestors Installed
-
Gauges working properly
-
Other/Miscellaneous
Miscellaneous
-
Other Comments
-
Other Comments
-
Other Comments
-
Other Comments
-
Other Comments
