Title Page
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Document No.
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Audit Title
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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
General
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Job Safety & Health Posters posted.
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Records of recent inspections and safety meetings available.
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Adequate provisions for first aid and / or medical attention.
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Communications and emergency numbers.
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Daily JHA completed.
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Fire extinguisher on and site and currently checked monthly?
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Forklift driver properly trained and carrying license?
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Employees using Hilti Guns trained and licensed with cards on hand?
Housekeeping and Facilities
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Drinking water and single-service cups available.
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Adequate toilet facilities.
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Trash containers provided.
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Regular disposal of trash and waste.
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Exposed nails removed or bent over.
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Implement hazards and trip hazards eliminated.
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Spills cleaned up immediately.
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Aisles and work areas neat and orderly.
Personal Protective Equipment.
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Eye protection being used and adequate.
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Head protection utilized as needed.
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Safety lanyards available and being used properly.
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Gloves being used when needed.
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Proper clothing being worn.
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Hearing protection available.
Fall Protection.
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Guardrails protecting open sided floors, holes / openings, scaffold, runways, etc.
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Barricades provided to protect trenches and warn other hazards.
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Ladders and scaffolds properly constructed.
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Ladders extended 36" above landing and tied off.
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Erection and dismantling of scaffold supervised by a competent person.
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Floor holes provided secured covers.
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Ladders and scaffolds being used in accordance with manufacturers instructions.
Hand and Power Tools.
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Proper tools being used for the job.
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Mechanical guards in place.
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Proper training for users of the tool(s).
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Tools being maintained in safe working condition.
Electrical.
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Ground fault circuits or grounding integrity program.
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Electrical cords in good repair and grounded.
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Bulb guards for temporary lights.
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Cords proper size / protected from vehicle traffic.
Material Handling.
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Materials are properly stored and stacked?
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Employees are using proper lifting methods?
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Proper number of workers for each operation
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Safety equipment utilized properly?
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Forklift seat belts being used?
Signature
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Signature