Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Job Box on site

Housekeeping / Barricading

  • Work site neat and in order

  • Barricades and/or Signage in place for safety of work and/or public

Personal Protective Equipment

  • Head Protection being used

  • Eye Protection being used

  • Hi Vis / proper clothing being worn

  • Other PPE

Fall Protection

  • 6 ft Fall Protection plan being followed

  • Personal Fall Arrest used properly

  • Guardrails/ Toeboards installed properly / complete

  • Warning lines/barricades installed properly and complete

  • Floor holes covered/labeled

Ladders and Stairs

  • Ladders suitable for the job (use,condition, size, type, secured)

  • Stairway rails / handrails installed when required

Hand and Power tools

  • Proper tools for the job

  • Tools being maintained in a safe condition

  • Guards in place

Electrical

  • Electrical cords in good repair

  • Assured grounding program being followed

Excavation and Trenching

  • Proper shoring and/or sloping of excavations

  • Proper placement of spill piles

  • Adequate means of egress

Scaffolds

  • Erected on rigid footing

  • Scaffold, square, and level

  • Cross braces are complete

  • Complete guard rail system

  • Proper access/egress

Cranes and Derricks

  • Are areas within the swing radius barricaded?

  • Proper Rigging / Tag lines

Concrete / Masonary

  • Rebar caps in place

  • Wet cutting?

Weather Conditions

Site Activies

Subcontractors or Visitors on Site

Equipment Rental and/or Material Deliveries

Notes/Corrective Action/Follow Up/Other

  • Completed by:

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.