Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Jobsite Information & Housekeeping

  • Are subcontractor job site orientation forms / report cards completed and signed?

  • Is the OSHA jobsite poster displayed in a location accessible to all employees?<br><br>

  • Have all subcontractor's provided SDS sheets for all chemicals in use on site?<br>

  • Emergency telephone numbers posted in prominent place?<br>

  • Has a sufficiently stocked First Aid kit been made available on site?

  • English and Spanish evacuation plans posted and emergency air horns accessible?

  • Job Information other ________________________________

  • General neatness of woke area?

  • Are all projecting nails removed or bent over?

  • Are waste containers provided and used?

  • Are aisles and walkways kept clear?

  • Housekeeping other ________________________________

Fire Prevention

  • Adequate number of fire extinguishers provided and inspected monthly?

  • No smoking requirement posted and enforced?

  • Fire Prevention other ______________________________

Electrical

  • Ground pins in place on electrical cords and all damaged cords immediately removed from service?<br>

  • Cords and leads adequately elevated above the floor?<br>

  • Electrical other ________________________<br>

Hand, Power & Powder Actuated Tools

  • Hand Tools in good condition?<br>

  • Safety switches and machine guards in place?<br>

  • GFCI's used on all power tools?

  • Hand/power tools other _____________________

Fall Protection

  • Roof edges properly barricaded and flagged at 6"

  • All perimeter protection in place?

  • Is fall protective equipment in use and properly worn?

  • Fall Protection other _____________________________

Ladders

  • Ladders extend at least 3' above landing?

  • Ladders are secured to prevent slipping, sliding , or falling?

  • Is the ladder being used per the manufacturer's recommendations?

  • Stepladders used in fully open position only?<br>

  • Ladder other __________________________<br>

Masonry

  • Form pins with mushroomed heads are removed from service?<br>

  • All potential implement hazards capped or covered?<br>

  • Masonry other ___________________________<br>

Scaffolding

  • Scaffold planking in good condition free from cracks?<br>

  • Erected on sound ridge footing?<br>

  • No gaps in planking greater than 1"?<br>

  • Top rails (39" - 45"), mid rails (~21") and toe boards (3.5") at proper height?<br>

  • Scaffold ends protected the same as working platform?

  • Proper access provided?<br>

  • Scaffolding other __________________________\

Floor and Wall Protection

  • All floor openings planked or barricaded?<br>

  • Wall parapets less than 39" adequately projected?<br>

  • Holes or openings >2" diameter covered and marked with the words "HOLE or COVER" and secured to prevent movement?<br>

  • Floor and Wall Openings other __________________________

Trenches, Excavations & Shoring

  • Trenches dug under supervision of a competent person?

  • Excavations properly shored or sloped at depths of 5' or more?

  • Materials are stored at least 2' from the edge of the excavation?<br>

  • Access ladders provided within 25' of employees at depths of 4' or more?

  • Trenches and Excavations other _________________________

Material Handling

  • Materials and containers properly stacked, including combustibles and flammables, with proper labels visible?

  • Hazardous materials removed for the work area and properly barricaded?

  • Materials Handling other______________________

Welding and Burning

  • Gas cylinders are stored upright and secured?

  • Proper separating distance between fuels and oxygen?

  • Has the required Hot permit been obtained prior to commencement of work?

  • Fire extinguishers are nearby and on the same working level?

  • Welding and Burning other ________________________

Cranes/Aerial Lifts/Forklifts

  • Outriggers are fully extended and swing radius barricaded?

  • "Danger, High Voltage" act stickers on boo of lifting equipment?

  • Personnel standing on the floor of the basket?

  • Employees kept from under suspended loads?

  • Employees remaining in the basket at all times of operation?

  • Cranes/Aerial Lifts/Fork Lifts other ____________________________

Personal Protective Equipment

  • Hard hats being worn properly?

  • Safety glasses being worn?

  • Respirators and hearing protection worn when required?

  • Employees evaluated by a Physician before being allowed to wear a respirator?

  • PPE other. ___________________________<br>

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.