Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Contractor Company

  • Contractor Lead Person

Safety Equipment

  • Fire extinguishers in compliance?

  • Air packs charged and inspected?

  • Personal monitors have current bump check?

Personal Protective Equipment

  • Hard hat

  • Safety glasses (Z-87)

  • Steel toed boots

  • Personal monitor

  • FRCs

  • Hearing protection

  • Gloves

Location

  • Clean-no trash

  • Guy wires in place.

  • Anchors inspected

  • Parking away from rig.

  • Picture of location.

Training

  • H2S card current

  • Aware of stop work authority?

  • Trained on company HSE policies?

  • JSA performed?

Chemical Safety

  • Are SDS on location for chemicals?

  • Are chemicals on location?

Tool Safety

  • Are tools inspected?

  • Are proper tools used for the job performed?

Rig

  • Rig floor in place?

  • Rig well maintained?

  • Cables in good shape?

  • Rig inspected?

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.