Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Job Safety & Health Posters posted.

  • Records of recent inspections and safety meetings available.

  • Adequate provisions for first aid and / or medical attention.

  • Communications and emergency numbers.

  • Daily JHA completed.

  • Fire extinguisher on and site and currently checked monthly?

  • Forklift driver properly trained and carrying license?

  • Employees using Hilti Guns trained and licensed with cards on hand?

Housekeeping and Facilities

  • Drinking water and single-service cups available.

  • Adequate toilet facilities.

  • Trash containers provided.

  • Regular disposal of trash and waste.

  • Exposed nails removed or bent over.

  • Implement hazards and trip hazards eliminated.

  • Spills cleaned up immediately.

  • Aisles and work areas neat and orderly.

Personal Protective Equipment.

  • Eye protection being used and adequate.

  • Head protection utilized as needed.

  • Safety lanyards available and being used properly.

  • Gloves being used when needed.

  • Proper clothing being worn.

  • Hearing protection available.

Fall Protection.

  • Guardrails protecting open sided floors, holes / openings, scaffold, runways, etc.

  • Barricades provided to protect trenches and warn other hazards.

  • Ladders and scaffolds properly constructed.

  • Ladders extended 36" above landing and tied off.

  • Erection and dismantling of scaffold supervised by a competent person.

  • Floor holes provided secured covers.

  • Ladders and scaffolds being used in accordance with manufacturers instructions.

Hand and Power Tools.

  • Proper tools being used for the job.

  • Mechanical guards in place.

  • Proper training for users of the tool(s).

  • Tools being maintained in safe working condition.

Electrical.

  • Ground fault circuits or grounding integrity program.

  • Electrical cords in good repair and grounded.

  • Bulb guards for temporary lights.

  • Cords proper size / protected from vehicle traffic.

Material Handling.

  • Materials are properly stored and stacked?

  • Employees are using proper lifting methods?

  • Proper number of workers for each operation

  • Safety equipment utilized properly?

  • Forklift seat belts being used?

Signature

  • Signature

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.