Longstreth Bros. Inc.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

General Site Conditions

• Is there proper access into the site?

  Yes

  No

  N/A

• Are walkways and stairs free from hazards?

  Yes

  No

  N/A

• Is there adequate lighting for the work area?

  Yes

  No

  N/A

• Are guardrails and stair rails in place for stairs with more than 4 risers?

  Yes

  No

  N/A

Fall Protection

• Are guardrails and handrails in place?

  Yes

  No

  N/A

• Are PFAS used as required?

  Yes

  No

  N/A

Ladders

• Ladders are in good condition? No damage?

  Yes

  No

  N/A

• Employees are using ladders properly? Using the right ladder for the job?

  Yes

  No

  N/A

Sprayers

• Sprayer hoses in good condition?

  Yes

  No

  N/A

• Tip guard in place and working properly?

  Yes

  No

  N/A

• Ground prongs on cords?

  Yes

  No

  N/A

Electrical

• GFCI's in use and working properly?

  Yes

  No

  N/A

• Are cords in good condition? No frays or damaged insulation? No missing ground prongs?

  Yes

  No

  N/A

• Are electrical cords protected from damaged?

  Yes

  No

  N/A

Aerial Lifts

• Employees are using PFAS and have the lanyard secured to the anchor point?

  Yes

  No

  N/A

• Is the operator certified? Properly using lift controls?

  Yes

  No

  N/A

PPE

• Are employees wearing the proper PPE?

  Yes

  No

  N/A

• Are employees complying with specific site PPE requirements?

  Yes

  No

  N/A

Corrective Actions

• Are there any corrective items that need addressed?

  Yes

  No

  N/A