Title Page

  • Audit Title

  • Prepared by

  • Personnel on site walk

    SIGNAGE / POSTINGS / DOL, EAP, PED PRO, CAL OSHA, MPN, MAP, EMER NO, FIRE EXTINGUISHER, JOB SITE RULES, WARNINGS
  • Regulatory

  • First Glance Site Appearance

  • Haz Assessment Thoroughly Completed - Does it reflect ALL risks?

Public

  • Pedestrian / Public Protection / Any Risks?

Safety Data Sheets

  • PPE Adherence to SDS

Fall Protection/Prevention

  • Scissor / Boom Lift Safety and Compliance

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

Scaffold Compliance

  • Rolling Scaffold Plan

  • Scaffold Safety-plan, Comp Person, base plates, mudsills, access, ladder, toe board guard rails & green tag

Trenching Excavation

  • Trenching Safety - Soil Testing, OSHA Annual Permit, Access/Egress, KDC Plan, Tab Data Sheets, Cave In Protection

Electrical / Tools / Equipment

  • Tool Safety - PAT, Saws, Grinders, Roto Hammers etc..

  • Equipment Safety - Forklift, Excavator, Backhoe, Skid Steer etc...

  • Electrical Safety - GFCI, Temp Power, Cords, Open Panels, Adapters, LOTO, Warning Signs

Ladders

  • Ladder Safety

Housekeeping

  • Interior and Exterior

  • Water in compliance with HIPP

  • Caught In-between/Struck By

  • Any trip and fall hazards

  • Impalement Protection

Safety Plans - Required Permits

  • KDC Required Plans, Checklists, Permits - Scaffold, Excavation, Hot Work, LOTO etc...

PPE

  • PPE Compliance - Head, Face, Ears, Eyes, Footwear, Body, Res Protection, Hands

Sanitation

  • External Wash Station, Clean with supplies, trash recepticle, portable toilet<br>

  • SWPPP

Notes

  • Notes/Comments/Suggestions

Signature

  • Add 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.