Title Page

  • Audit Title

  • Prepared by

  • Superintendent

SIGNAGE and COVID19 Controls

  • First Glance Site Appearance

  • COVID19 Prevention

  • Warning Signs

  • Laser Sign if needed

  • Silica Sign if risk present

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

  • Sign In

  • DOL Poster

  • Cal OSHA Safety Poster

  • KDC rules posted

  • MPN and map posted

  • Incident Reporting instructions posted

  • Emergency Evac

  • Fire Extg

Public

  • Pedestrian / Public Protection Plan

  • Any trip hazards for public

Fall Protection/Prevention

  • Correctly Used & Inspected

  • Scissor lift safety and compliance

  • Boom Lift Safety

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

Scaffold Compliance

  • Rolling Scaffold Plan

  • Scaffold Safety Plan

  • Base Plate and Sills

  • Guard Rails

  • Access Ladder

  • Green Tag

Trenching Excavation

  • Soil Testing

  • Annual Trench Permit from OSHA

  • KDC Plan

  • Access Egress 4ft or >

  • Egress within 25ft of workers

  • Cave In Protection 5ft or >

  • Spoil Piles 2ft Back

  • Fall Protection 6ft or >

  • Tabulated Data Sheets

  • Signage and Trench Protection

Electrical / Tools

  • Tool safety

  • Equipment safety

  • Shock/Arc Energized Exposure

  • Temp Power

  • Extension Cords

  • LOTO and Plan

  • GFCI

Ladders

  • Ladder Safety including manufacturing labels

  • Ladder usage and set up

Housekeeping

  • Housekeeping [Interior & Exterior]

  • Water in compliance with HIPP

  • Caught In-Between

  • Struck By

  • Trip and Fall Risks(non-public)

  • Impalement Protection

  • Impalement Warning Signs

Safety Plans - Required Permits

  • Silica Mngt Plan

  • Demo Plan

  • Hot Work Permit

  • Crane Plan

  • Fork Lift Certs

  • Aerial Lift Certs(Boom)

  • Powder Actuated Tool Card

PPE

  • Class II Vests or apparel

  • Hard Hats

  • Safety Glasses

  • Face Protection

  • Foot Protection

  • Hearing Protection

  • Respiratory Protection

  • Hand Protection

Sanitation

  • External Wash Station

  • Clean with supplies

  • Trash Container

SWPPP

  • Track Out

  • Fiber Rolls Installed Correctly

  • Dust Control

  • Erosion Control

  • Trash and Debris

  • SWPPP / ECP Followed

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Notes

  • Notes/Comments/Suggestions

Training or Follow Up

  • Suggested training

  • Staff member to follow up

Signature

  • Safety Inspector & Superintendent

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.