Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Power Tools

  • Training documented (Hilti tools, etc.)

  • Assured grounding complete on power tools

  • All guards in place on saws, grinders, etc.

  • Damaged tools labeled "Do Not Use" and taken out of work area

  • Tools used for intended purpose

Project Site Postings

  • Client has Superintendent and after hours emergency phone numbers

Environmental

  • Silt fence, sedimentation basins, tracking pads in place

  • Dust control measures in place

  • DNR erosion control reports being completed

  • Hazardous material survey (lead, asbestos, mercury) completed and abated

Traffic

  • High visibility clothing being worn

  • Flaggers used when needed

  • Employee parking established

PPE

  • Eye and face protection in use

  • Head, hand and hearing protection in use

  • Appropriate clothing in use

  • Safety toed footwear in use for Miron employees - sturdy footwear for subcontractors

Housekeeping

  • Water, mud, snow and ice managed

  • Aisles, stairwells, passageways clear

  • Materials stacked properly, lumber is free of protruding nails

  • Project field office/break trailers clean

Facilities

  • Proper number of toilets provided, hand washing stations provided (lead demo, painting, food processing)

  • Tobacco free work site

  • Weapons free work environment

  • Client expectation being met ( hair nets, beard nets, hospital and food regulations )

  • Personal devices not used (cell phone, radios other entertainment devices)

Electrical

  • GFCI's and assured grounded in place on extension cords

  • Power cords elevated and protected from damage

  • Proper clearance from power lines (scaffold, lifts, crane, ladder)

Education

  • Daily pre-task and sign in sheets documented

  • Stretch and Flex being performed

  • Project safety orientations completed by all

  • On site training being held as needed

Ladders/Scaffolding

  • Ladders used in full open position

  • Set-ups secured and 36" past landing platform

  • Extension ladders at a 4:1 working angle

  • Hoist rope provided

Subcontractors

  • Insurance certificates in and up to date prior to working on site

  • Contracts signed before working on site

  • Pre-installation meetings held as needed

  • Documented meetings held with crew

  • Other PPE being used properly (protective sleeves and cut resistant gloves during demo)

  • Hearing protection in place

Fall Protection/Prevention

  • 6' fall policy enforced...4' fall policy in place if required (general industry, owner policy, etc.)

  • Toe boards in place where needed

  • Warning lines installed correctly and maintained

  • Fall protection plan in place

  • Equipment in good shape and used correctly

  • Holes > 2" covered, marked and secured

Material Handling

  • Proper lifting techniques being used

  • Items secured during transport

Other

  • Mentor assigned to new employees

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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.