Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Aerial/Scissors Lifts

  • Daily Inspection

  • Proper use, maintenance

  • Fall protection in place

Communication

  • Pre-task Planning

  • Stretch-N-Flex program in place

  • Stand-meetings being conducted

Concrete/Masonry

  • All impalement hazards addressed (rebar, conduit, pipe, steel pins)

  • Limited access zones in place

  • Wall bracing in place

  • Engineer controls in use (water, ventilation, vacuum)

Confined Space

  • Competent person evaluated permit and non-permit spaces

  • Air monitor on site (properly calibrated, properly used)

  • Atmosphere test results documented

  • Energy sources locked out

  • Adequate ventilation

  • Rescue plan in place

Cranes, Riggers, Signaling

  • Daily, Monthly, Annual Inspections

  • Qualified Rigger/Signal Person

  • Swing Radius Controlled

  • Critical lift worksheets

  • Rigging inspected, tags in place, damage free, stored properly

  • Crane Signals posted in the immediate work area

  • Overhead power line plan in place and training provided

Cylinders

  • Compressed gas cylinders stored and secured upright

  • Cylinders capped

  • Cylinders, hoses, gauges free of damage

Electrical

  • Quarterly assured grounding checks

  • Damaged equipment tagged/removed from service

  • GFCI in place

  • Good work practices (cords out of pathways, kept out of water, etc.)

  • NFPA 70 E work practices in place

Environmental

  • Erosion control plan in place

  • DNR reporting complete

Excavations

  • Overhead & Underground utilities located

  • Competent person inspection documented daily

  • Protective system

  • Access provided

  • Utilities protected/supported

  • Spoil piles, equipment and materials minimum of 2' from edge of excavation

Fall Protection

  • Proper fall protection at 6' or greater

  • Personnel below are protected from falling objects

  • Roof Fall Hazards addressed and Access Permit in place

  • Open sided floors or platforms 6' or more from ground equipped with proper guardrail

  • Openings properly barricaded or covered

  • Hole covers in place secured and marked appropriately

  • Stairs equipped with handrails

  • Slips/trips/fall issues addressed

  • Snow/ice/mud managed

Fire Protection & Housekeeping

  • Housekeeping maintained regularly

  • Aisles, stairwells, passageways clear

  • Flammable/combustibles stored and handled safely

  • Fire ext. properly located and inspected monthly

  • All vehicles & other mobile equipment provided with fire protection

  • LP cylinders stored outdoors

  • Project field office/break trailers clean

  • Materials stacked properly, lumber is free of protruding nails

General Items

  • Recycling system in place

  • Tobacco free work site

  • Weapons free work environment

  • Parking system in place

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

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

Hand/Power Tools

  • Training conducted

  • Guards/ safety features in place

  • Compressed air lines secured

  • Proper tool for the job being used

Haz Com

  • Employees trained

  • Updated project SDS book on site

  • Containers properly labeled

  • Spills cleaned up appropriately

Haz-Mat

  • Hazardous materials survey conducted

  • Employee training in place

  • Silica

  • Lead

Hot Work/Cutting & Welding

  • Engineering controls in place (ventilation, fume eaters, fresh air)

  • Welding screens provided

  • PPE provided

  • Equipment in good repair, insulators, grounding, welding leads

  • Hot work permits in place

  • O2 and Acetylene stored properly

Ladders

  • Properly inspected

  • Properly Used

  • Hoist rope provided

Mobile Equipment/Material Handling

  • Back-up alarms

  • Daily inspections conducted and documented

  • Trained operators

  • Seat belts & rollover protection in place

  • Loads not flow over people

  • Tag lines used as necessary

PPE

  • Appropriate clothing in use (4" sleeves on shirts, work wise pants)

  • Hardhat, Safety Glasses, Work Gloves, Proper Boots

  • FR Clothing(welding jackets in use)

  • High Visibility Vest

  • Respirator

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

  • First Aid Kit/Blood Spill Kits in place and fully stocked

  • Hearing protection in place

Record-keeping, Posters

  • State & Federal postings are in place

  • OSHA Notice / 300 Log

  • Emergency Telephone #'s

  • 1st Report of Incident & Medical Authorization forms on site

  • Emergency Maps to clinics & hospitals posted

Scaffolding

  • Set up & used properly

  • Inspected before use

  • Proper access

  • Secured/tied/guys in place @4:1

  • Fall protection in place all open sides and edges

Positive Insight

  • Comments

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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.