Information

Results Summary

  • Low

  • Medium

  • High

  • Repeat

  • Job Name / Site

  • Job #

  • Conducted on

  • Prepared by

  • Location
  • Project Manager

  • Superintendent

  • Foreman

  • Project Description

General

1. General

  • 1.1 Did company representative accompany auditor?

  • Name of representative

  • Representative
  • 1.2 Is a copy of the HASP on site?

  • 1.3 Are Safety Data Sheets available on site?

  • 1.4 Are OSHA posters/emergency numbers posted?

  • 1.5 Are Toolbox Talk meetings held/documented?

  • 1.6 Are Morning Briefs held/documented?

  • 1.7 Are first aid kits available & properly stocked?

  • 1.8 Are fire extinguishers available/charged/inspected?

  • 1.9 Is a Hot Work Permit completed & posted when required?

  • 1.10 Is Gasoline stored in approved containers & properly labeled?

  • 1.11 Is Flammable material storage cabinet onsite?

  • 1.12 Are all rebar/pipe & other impalement hazards capped/protected?

  • 1.13 Are gas cylinders properly used & stored?

  • 1.14 Is housekeeping proper & enforced?

  • 1.15 Are there enough trash barrels available on the site?

  • 1.16 Are barricades/traffic control through & around site proper?

  • 1.17 Are laydown / material storage areas organized and neat? Are there walkways provided to access materials?

  • 1.18 Are locations with a change in elevation >19 inches provided with stairs, ladders or ramp?

Personal Protective Equipment

2. PPE

  • 2.1 Is supply of PPE available and adequate?

  • 2.2 Is respiratory protection proper for hazard?

  • 2.3 Is hearing protection used & proper?

  • 2.4 Is proper foot protection worn?

  • 2.5 Is proper head protection worn?

  • 2.6 Is proper eye protection worn?

  • 2.7 Is hand protection proper?

Heavy Equipment

3. Heavy Equipment

  • 3.1 Has a daily equipment inspection been documented?

  • 3.2 Are all guards in place & in good repair?

  • 3.3 Is all equipment properly maintained & inspected?

  • 3.4 Do backup alarms work?

  • 3.5 Are seatbelts operative & used?

  • 3.6 Is hook attachment available for use with forklift?

  • 3.7 Are spotters properly dressed, trained & posted?

  • 3.8 Is equipment working within 20ft of powerlines?

Electrical

4. Electrical

  • 4.1 Are GFCI's and/or AEG Program in use?

  • 4.2 Have all GFCI's been tested for functionality?

  • 4.3 Is temporary lighting used & proper?

  • 4.4 Are Lockout/Tagout procedures in place & used?

  • 4.5 Are extension cords properly used & maintained?

  • 4.6 Are extension cords elevated in walkways and protected from damage?

  • 4.7 Do all electrical boxes/panels have covers & are all circuits labeled?

  • 4.8 Are generators that provide power to a trailer / structure or hard wired to equipment properly grounded?

Fall Protection

5. Fall Protection

  • 5.1 Are fall protection plans required & in place?

  • 5.2 Is fall protection provided at heights over 6 feet?

  • 5.3 Is fall protection equipment inspected & maintained?

  • 5.4 Is fall protection worn correctly?

  • 5.5 Are all floors holes properly covered or protected?

  • 5.6 Are handrails complete and installed correctly?

  • 5.7 Are ladders free from damage?

  • 5.8 Are ladders tied off at top and cleated at bottom?

  • 5.9 Does ladder extend 3ft above level to be accessed?

Cranes and Rigging

6. Cranes and Rigging

  • 6.1 Has "Crane Use Checklist" been completed?

  • 6.2 Is crane setup proper?

  • Dunnage made from hardwood

  • No gaps between dunnage

  • Crane is level

  • 6.3 Is crane properly maintained/copy of annual inspection available?

  • 6.4 Is a daily inspection performed and documented?

  • 6.5 Is rigging hardware inspected daily?

  • 6.6 Is all rigging properly tagged?

  • 6.7 Are loads properly rigged?

  • 6.8 Are tag lines being used?

  • 6.9 Are areas under suspended loads properly controlled?

  • 6.10 Are rigger & signalperson trained/qualified?

  • 6.11 Is swing radius barricaded?

Scaffolding

7. Scaffolding

  • 7.1 Are scaffolds being inspected daily by competent person?

  • 7.2 Are scaffold erection/disassembly procedures proper?

  • 7.3 Is fall protection provided for erectors/dismantlers?

  • 7.4 Are baseplates/mud sills stable & proper?

  • 7.5 Are all scaffold frames pinned together?

  • 7.6 Is scaffold tied to structure as required? (4x narrow base dimension or every 20`)

  • 7.9 Are scaffold frames/planks/parts free of damage & defects?

  • 7.10 Are scaffold planks properly installed?

  • Overlap support min 3" not more than 18" without support.

  • 7.11 Are guardrails complete and adequate?

  • 7.12 Are toe boards/warning line properly installed & used?

Trenching/Excavating

8. Trenching/Excavating

  • 8.1 Is the trench/excavation inspected daily by a competent person?

  • 8.2 Has the trenching log been completed?

  • 8.3 What is the soil type?

  • 8.4 Is employee protection proper for soil type & depth?

  • 8.5 What type of employee protection is in place?

  • 8.6 Is tabulated data available?

  • 8.7 Is safe access/egress provided?

  • Ladder or ramp every 25 feet.

  • 8.8 Are water removal procedures proper?

  • 8.9 Has the trench been evaluated as a confined space?

Hand and Portable Power Tools

9. Hand and Portable Power Tools

  • 9.1 Are all required guards in place and operable?

  • 9.2 Are cords on tools free from damage?

  • 9.3 Are all manufacturers stickers legible?

  • 9.4 Are tools stored properly?

Confined Space Entry

10. Permit Required Confined Spaces

  • 10.1 Has a permit been filled out for each confined space on the job site?

  • 10.2 Is the entrant and attendant identified on the permit?

  • 10.3 Is there rescue equipment located at the confined space?

  • 10.4 Is a Four Gas meter present and calibrated for use?

  • 10.5 Is there a need for mechanical ventilation?

  • 10.6 Is the employee(s) entering the confined space wearing all appropriate PPE? This may include a retrieval harness, Rubber Gloves, Rubber Boots, etc.

Aerial Lifts

11. Aerial Lifts

  • 11.1 Do all lifts have an annual inspection sticker or documentation present?

  • 11.2 Are all working platforms clear from debris?

  • 11.3 Are the outlets on the lift (if available) in good working order?

  • Are covers attached to the outlets?

  • Are GFCIs tested and working?

  • Is all wiring leading to the outlet in good condition?

  • 11.4 Are all employees using approved anchorage points inside of the lifts?

  • 11.5 Are all guard rails on scissor lifts in good condition?

  • Is the chain that acts as the mid rail at the entrance of the lift secured when the lift is occupied?

  • 11.6 Are all steps on the lift in good condition?

  • 11.7 Are employees in an aerial lift tied off using a Self Retracting Lifeline?

  • 11.8 Are all tires on the lift in good condition?

Other

12. Other

  • Use area below to document any other issues

  • Add audit item

  • Audit item

Summary

12. Summary

  • Comments

  • Supervisor Signature

  • Auditor Signature

  • The overall rating for this audit is?

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