Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job site Information

  • Are subcontractor job site orientation forms completed and signed for each prime sub on site?

  • Has the OSHA job site minimum wage poster been displayed in a prominent place accessible to employees?

  • Have all trades provided required Safety Data Sheets for each chemical they are using?

  • Are emergency phone numbers posted?

  • Is a sufficiently stocked first aid kit available on site?

  • English and Spanish evacuation plans posted with air horns accessible?

  • Job Information other:

Housekeeping

  • Are work areas neat and tidy?

  • Have projecting nails been removed or adequately bent over from lumber?

  • Are waste containers provided and used?

  • Are aisles and walkways clear?

  • Housekeeping other:

Fire Prevention

  • Adequate number of fire extinguishers provided and inspected monthly?

  • No smoking requirement posted and enforced?

  • Fire Prevention other:

Electrical

  • Are ground pins in place on electrical cords and/or damaged cords immediately removed from service?

  • Is a GFCI used on all temporary sources of power?

  • Electrical other:

Hand, Power & Powder Actuated Tools

  • Hand tools used in good condition?

  • Are all safety switches and guards in place?

  • Hand/Power Tool other:

Fall Protection

  • Roof edges properly barricaded and wire rope flagged at 6' intervals?

  • All perimeter protection in place?

  • Is fall protective equipment in use and properly worn?

  • Fall Protection other:

Ladders

  • Ladders extend at least 36" beyond the landing?

  • Ladders are secured to prevent slipping, sliding or falling?

  • Is the ladder being used according to the Manufacturer's recommendations?

  • Stepladders used only in the fully open position with both spreader bars locked?

  • Ladder other:

Masonry

  • Form pins with mushroomed heads removed from service?

  • All potential implement hazards capped or covered?

  • Masonry other:

Scaffolding

  • Scaffold planking in good condition and free from cracks?

  • Erected on sound, rigid footing and secured to mud sills?

  • No gaps in planking greater than 1"?

  • Top rails (39"-45"), mid rails (~21"), and toe boards (3.5") at the proper height?

  • Scaffold ends protected the same as the working platform?

  • Has proper access been provided?

  • Scaffold other:

Floor and Wall Protection

  • Are floor openings planked over or barricaded?

  • Wall parapets <39" properly protected?

  • Holes or openings >2" in diameter covered and marked with the words "hole" or "cover" and secured to prevent movement?

  • Floor and Wall Openings other:

Trenches, Excavations & Shoring

  • Trenches dug under the supervision of a competent person?

  • Excavations have even properly sloped or shored at depths of 5' or more?

  • Spoils at least 2' from the edge of the excavation?

  • Access ladders provided within 25' at depths of 4' or more?

  • Trenches & Excavations other:

Material Handling

  • Materials and containers properly stored or stacked, including combustibles and flammables, with proper labels visible?

  • Hazardous materials removed from the work are at frequent intervals and properly barricaded?

  • Material Handling other:

Welding and Burning

  • Compressed gas cylinders are stored upright and secured?

  • Proper separating between fuels and oxygen?

  • Has proper hot work or other permit been obtained prior to the commencement of work?

  • Is a fire extinguisher nearby and on the same working level?

  • Welding & Burning other:

Cranes, Aerial Lifts and Forklifts

  • Outriggers are fully extended and swing radius has been barricaded?

  • Danger- High Voltage Act stickers in place with one in the cab and one on the boom of lifting equipment?

  • Personnel standing on the floor of the basket?

  • Employees kept from under a suspended load?

  • Employees remaining in the basket at all times of operation?

  • Cranes, Aerial Lifts and Forklifts other:

Personal Protective Equipment

  • Hard hats being worn properly?

  • Safety glasses being worn, when required?

  • Are reflective vests, respirators and hearing protection worn when required?

  • Has any employee wearing respiratory equipment first been evaluated by a physician?

  • Personal Protective Equipment other:<br>

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.