Title Page

  • Job No

  • Audit Title

  • Client / Site

  • Prepared by

  • Personnel

SIGNAGE

  • DOL Poster

  • KDC rules posted

  • MPN and map posted

  • Incident Reporting instructions posted

  • Heat illness prevention posters

  • Emergency Evac & Sign In Sheets

  • Permits?<br> Crane<br>Excavation<br>Scaffold<br>Hot Work

  • Tailgate Meeting Current

  • Pedestrian protection fencing

  • Public protection access egress

  • Scissor lift safety and compliance

  • Fall protection if exposed to a free fall six feet or more

  • Scaffold Safety

  • Excavation Trenching Safety

  • Tool safety including electrical cords and guards

  • Electrical cords extension cords GFCI

  • Ladder Safety including manufacturing labels

  • Housekeeping

  • FOCUS FOUR - electrical caught in between struck by fall protection

  • Any trip and fall hazards

  • SWPPP ISSUES?

  • Dust Control

  • PPE

  • All Pics of Exposures

  • Add signature

  • Add signature

  • Safety Non-Compliance

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.