Mando Solutions Managers Site Safety Audit

• Job Name/ Description

• Client Name

• Site & Location
  Address

• Name of Auditor

• Name of Personnel Audited

• Date & Time of Audit

  Date

• Category of Maintenance Task(s) Being Undertaken

  Planned Maintenance

  Preventative Maintenance

  Reactive Maintenance

Audit Checklist

• 1. Pre-operation inspection completed

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 2. Safe Access / Egress (3-points)

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 3. Lifting / carrying materials or tools

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 4. Proper use of tools / equipment

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 5. Safe condition of equipment / tools

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 6. Slip / trip avoidance, walkways kept clear

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 7. Housekeeping and access maintained

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 8. PPE condition / compliance

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 9. Safe positions of employees

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 10. Safe procedures followed

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 11. Safe procedures established

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 12. Safe equipment operation

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 13. Training & knowledge of tasks

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 14. Railing / guarding compliance

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 15. Confined space working

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 16. Traffic control adequate

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 17. Fall hazards controlled

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 18. Electrical Isolations/ Lock offs / labels in place

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

• 19. Other

  Observed Behavior

  Requires Attention

  Not Audited

• Rank Findings

  Minor Injury / Damage

  Serious Injury / Damage

  Fatality / Major Damage

Summary

• Who is the responsible manager for any findings in this audit?

• Client Manager Signature

  Sign

• Auditor(s) Signature

  Sign

• Date and time completed?

  Date