KCI Jobsite Safety Audit Report

• Project Name & Number

• Conducted on

  Date

• Superintendent/Jobsite Supervisor

• Personal Protective Equipment<br>

  Safe

  At Risk

  N/A

• Fire Protection

  Safe

  At Risk

  N/A

• Housekeeping, Material Storage

  Safe

  At Risk

  N/A

• Power Tools (Equipment & Cords)

  Safe

  At Risk

  N/A

• Welding/Hotwork

  Safe

  At Risk

  N/A

• Electrical, Including Lighting

  Safe

  At Risk

  N/A

• Ladders, Stairways, Walkways

  Safe

  At Risk

  N/A

• Fall Protection/Exposures

  Safe

  At Risk

  N/A

• Scaffolds

  Safe

  At Risk

  N/A

• Floor & Wall Openings

  Safe

  At Risk

  N/A

• Cranes/Heavy Equipment

  Safe

  At Risk

  N/A

• Rigging/Hoisting

  Safe

  At Risk

  N/A

• Excavation/Trenching/Shoring

  Safe

  At Risk

  N/A

• Miscellaneous & Public Protection

  Safe

  At Risk

  N/A

• Traffic Control

  Safe

  At Risk

  N/A

• Other Observations

  Safe

  At Risk

  N/A

Good Examples

• Good Example 1

• Good Example 2

Opportunities for Improvement

• Opportunities 1

• Opportunity 2

• Auditor Signature

  Sign