Title Page
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Audit Title
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Client / Site
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Prepared by
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Personnel
SIGNAGE and COVID19 Controls
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First Glance Site Appearance
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Face Coverings
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COVID19 Posters
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Hand Sanitizer
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Warning Signs
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Laser Sign if needed
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Silica Sign if risk present
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Haz Assessment Thoroughly Completed - Does it reflect ALL risks?
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Sign In
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DOL Poster
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Cal OSHA Safety Poster
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KDC rules posted
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MPN and map posted
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Incident Reporting instructions posted
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Emergency Evac
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Fire Extg
Public
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Pedestrian / Public Protection Plan
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Fencing
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Access
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Any trip hazards for public
Fall Protection/Prevention
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Scissor lift safety and compliance
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Fall protection if exposed to a free fall six feet or more
Scaffold Compliance
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Rolling Scaffold Plan
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Scaffold Safety
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Scaffold Plan
Trenching Excavation
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Soil Testing
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Annual Trench Permit from OSHA
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811 Called Ticket No
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Permit
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Access Egress 4ft or >
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Cave In Protection
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Fall Protection 6ft or >
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Tabulated Data Sheets
Electrical / Tools
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Tool safety
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Equipment safety
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Electrical Safety - GFCI, Temp Power, Cords, Open Panels, LOTO
Ladders
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Ladder Safety including manufacturing labels
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Ladder usage and set up
Housekeeping
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Housekeeping [Interior & Exterior]
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Water in compliance with HIPP
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Caught In-between/Struck By
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Any trip and fall hazards
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Impalement Protection
Safety Plans - Required Permits
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Silica Mngt Plan
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Demo Plan
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Hot Work Permit
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Fall Protection Plan 15 or>
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Scaffold Plan
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Pedestrian Protection Plan (Signed)
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Crane Plan
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Lock Out Tag Out Plan
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Fork/Boom Lift Certs
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Powder Actuated Tool Lic
PPE
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PPE Compliance - Z87.1, N95, N100, Hardhats, Gloves, Hearing P, Class II Vests or apparel
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SWPPP ISSUES?
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Dust Control
Sanitation
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External Wash Station
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Clean with supplies
Notes
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Notes/Comments/Suggestions
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Add signature
