Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General
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Job Box on site
Housekeeping / Barricading
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Work site neat and in order
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Barricades and/or Signage in place for safety of work and/or public
Personal Protective Equipment
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Head Protection being used
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Eye Protection being used
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Hi Vis / proper clothing being worn
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Other PPE
Fall Protection
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6 ft Fall Protection plan being followed
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Personal Fall Arrest used properly
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Guardrails/ Toeboards installed properly / complete
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Warning lines/barricades installed properly and complete
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Floor holes covered/labeled
Ladders and Stairs
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Ladders suitable for the job (use,condition, size, type, secured)
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Stairway rails / handrails installed when required
Hand and Power tools
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Proper tools for the job
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Tools being maintained in a safe condition
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Guards in place
Electrical
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Electrical cords in good repair
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Assured grounding program being followed
Excavation and Trenching
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Proper shoring and/or sloping of excavations
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Proper placement of spill piles
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Adequate means of egress
Scaffolds
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Erected on rigid footing
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Scaffold, square, and level
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Cross braces are complete
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Complete guard rail system
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Proper access/egress
Cranes and Derricks
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Are areas within the swing radius barricaded?
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Proper Rigging / Tag lines
Concrete / Masonary
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Rebar caps in place
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Wet cutting?
Weather Conditions
Site Activies
Subcontractors or Visitors on Site
Equipment Rental and/or Material Deliveries
Notes/Corrective Action/Follow Up/Other
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Completed by: