Information

  • Audit No.

  • Conducted on

  • Branch number - Job number

  • Photo of Jobsite

  • Job Site

  • Location
  • Prepared by Troy DeLee

  • Lead Person

  • Personnel

General

  • Are all employees in Red collared cotton shirts?

  • SDS sheets available to all employees?

  • First aid kit fully stocked and up to date ?

  • Is water available to all employees?

  • Daily JHA forms available for review?

  • Site safety reports available for review ?

  • Do employees have access to MetroPower safety handbook?

  • Do employees have job site access to mandated bulletin board?

  • Have all employees completed new hire safety orientation?

Housekeeping

  • Are employees using good housekeeping procedures?

Personal Protective Equipment

  • Are Employees wearing eye protection properly ?

  • Are Employees wearing proper hand protection?

  • Are employees wearing site specific PPE?

  • Do employees have access to hearing protection?

  • Are employees wearing site/task specific PPE?

  • Are Employees wearing hard hat properly?<br>

  • Do employees have access to dust masks or N95 respirators with a copy of 1910.134 app D ?

  • Are employees work areas clean?

  • Are waste receptacles provided?

  • Are walkways and stairs free of debris?

Electrical

  • Are employees using GFCI protection?

  • Are the temporary power/ GFCI logs current?

  • Is temporary power/lighting in good working condition ?

  • Are extension cords 12/3 and electrically sound?

  • Are we following MetroPower's Lock out Tag out policy?

  • Electrical panels and devices labeled and secure?

Hand and Power Tools

  • Power Tools free from defect?

  • Are the employees using the tools correctly ?

  • Hand tools free from damage?

Excavations

  • Adequately sloped or shored ?

  • Have utilities been located, documented and protected?

  • Means of egress every 25 ft of lateral travel?

  • Spoil piles, equipment and obstructions at least 2 feet from edge?

  • Documented daily inspection by a competent person available for review?

Fall Protection

  • Employees using anchor point capable of supporting 5000 pounds?

  • Employees working above 6 feet using fall protection?

  • All holes covered,secured and labeled?

  • Employees personal fall arrest system in good working order?

Fire Protection

  • Only NFPA approved containers used for fuel?

  • Adequate number of Fire Extinguishers in place?

Ladders

  • Are ladders in good condition/ labeled?

  • Are extension ladders secured if possible?

  • Are employees using ladders correctly?

Powered Industrial Equipment

  • Is the equipment in good working order?

  • Is employee's certification current?

  • If required, Is employee using the proper PFAS in the equipment ?

  • If equipped, is the back up alarm operational ?

  • If equipped, Is the operator wearing a seatbelt?

  • Are inspection forms complete on all PIE?

Confined Space

  • Confined space permit available for review?

  • Are employees current on confined Space training?

  • Are we using properly calibrated gas detector?

  • Are we using proper rescue equipment and barricades?

Material Handling

  • Are we using proper lifting techniques?

  • Are we following MetroPower's lifting policy?

  • Is material stored correctly?

  • Are we using proper Slings/ Hasps for powered equipment lifting?

Welding/Cutting

  • Are gas cylinders secured/stored correctly.

  • Are the regulator/gauges/torches operating correctly?

  • Are hoses in good condition.

  • Are the manual electrode holders, leads and machine in good working order?

  • Are employees wearing the proper PPE for the task?

  • Do we have a approved fire extinguisher for the task?

General contractor information

  • Has the General Contractor or other contractor exposed MetroPower employees to additional hazards?

  • Have we notified the general contractor of any hazards?

Additional comments

  • Do we have any additional comments?

Feedback

  • Do we have any positive feedback

  • Deduction or additions ( Behaviors, Safety culture)

I have reviewed and understand this audit and will address the issues noted.

  • I will take corrective actions

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