Title Page

  • Job No

  • Audit Title

  • Client / Site

  • Prepared by

  • Personnel

  • Add location

SIGNAGE

  • Proper regulatory signs

  • KDC HSE and SDS on phone

  • MPN Location

  • Incident Reporting Instruction Understood

  • Heat Illness SOP if Applicable

Public

  • Duty To Warn, Duty To Protect & Duty To Control

  • Public protection access egress

Fall Protection/Prevention

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

  • PFAS Inspected

  • Electrical cords extension cords GFCI

Ladders

  • Ladder Safety including manufacturing labels

  • Ladder usage and set up

  • Housekeeping

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

  • Any trip and fall hazards

  • SWPPP ISSUES?

Safety Plans - Required Permits

  • Daily Risk Assessment

  • Silica Awareness Plan

  • Hot Work Permit

  • Demo Plan

PPE

  • Hard Hats

  • Class Ii Vests

  • ANZI Z87.1

  • Hand Protection Correct for task

  • Hearing Protection

  • Respiratory Protection

  • Equipment safety

  • Material Handling Cart

  • Machinery equipment tool certifications

  • Chemical Storage in van

  • Add signature

  • Current registration & insurance and claims information

  • Vehicle walk around prior to operation

  • Cleanliness of Van

  • 1st Aid & BBP Kits readily accessible

  • Fire extinguisher readily accessible

  • Clean company logo shirt

  • Final Thoughts

  • 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.