Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Documentation / General Safety Items

  • Postings - Are required posters and signs on-site. (Can be in job trailer or office)

  • Weekly Safety Toolbox Talk Documented

  • Hazardous Communication Program - Employees know where MSDS's are located

  • Hazardous Communication Program - Employee has appropriate level of training for the work they are performing.

  • Housekeeping - Work area clean and uncluttered. Trash picked up and disposed of daily.

  • Pre-task / Pre-Job / JHA paperwork is complete and correct. Crew have correct permits.

Personal Protective Equipment

  • Hard hats (check for cracks & structural integrity) / No more than 5 years old

  • Safety Glasses (ANSI Approved) with side shields

  • Gloves - Right kind for the job / is the crew using them

  • Fall protection - Harness & Lanyard / Monthly inspection (Documented) / No more than 5 years old

  • Hearing Protection - Available & used / right type for the work

  • Mask or Respirator / Right kind for job / crew using them correctly

  • Face Shields / Welding Hoods

  • PPE (Special) - is there?

Program Compliance

  • Barricades / Signage

  • Lock-out / Tag-out

  • Excavation

  • Confined Space

  • Hazardous Material Control / Labeling

Tools

  • GFCI is used with all electrical equipment (As required by current site policy)

  • Tool(s) Electrical - Visual inspected before use / no cuts in outer sleeve / ground pin not missing / outer sleeve not pulled loose from end. / Proper current quarterly color codinw

  • Electrical cord(s) - Visual inspected before use / no cuts in outer sleeve / ground pin not missing / outer sleeve not pulled loose from ends / Proper current quarterly color coding

  • Tool(s) Hand- Visual inspection before use

  • Tool(s) Pneumatic - Visual inspection before use / not leaking / pinned or whip-checked when in use

  • Pneumatic hose(s) - Visual inspection before use / good condition, not leaking when in use

Equipment

  • Aerial lift(s) - Daily inspection

  • Air Compressor(s) - Daily Utility Equipment Inspection

  • Crane(s) - Daily Crane inspection

  • Forklift(s) / Lull(s) / Front-end loader(s) - Daily inspection

  • Generator(s) - Daily Utility Equipment Inspection

  • Ladder(s) - Daily visual inspection / Has current quarterly colored tape

  • Scaffolding - Daily inspection / Tag filled out by Competent Person

Rigging

  • Cargo strap(s) - Visually inspected before use

  • Chain falls - Visually inspected before use. Good working clips on hooks.

  • Shackle(s) & Hook(s) - Visually inspected before use

  • Sling(s) - webbing - Visually inspected before use

  • Sling(s) - endless - Visually inspected before use

  • Wire sling(s) - Visually inspected before use

Welding

  • Arc welding machine - Visual inspection of unit before use.

  • Gas welding bottles / hoses / gauges - Visual inspection of unit before use.

  • Gas cylinders - Properly stored and secure when not in use.

  • Welding shields or curtains in use (when needed or as required)

  • During all hot work / a Fire Watch is on station with a currently inspected fire extinguisher and proper hot work paperwork

Comments:

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.