Information
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Document No.
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Site Safety Audit Type:
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Conducted on
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Prepared by:
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Location (Drop Pin for GPS and Street Address):
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Photo of Site:
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Weather Today:
Personal Protective Equipment:
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Personal Protection Required At This Worksite?
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Hard Hats Supplies by Employer?
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Hard Hats Worn When Required?
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Safety Boots Supplied by Workers?
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Safety Boots Worn When Required?
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Hearing Protection Supplied by Employer? (When noise levels are more than 85 dBa)?
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Hearing Protection Worn When Required?
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Eye Protection Supplied by Employer?
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Eye Protection Worn When Required?
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Employees wearing all required PPE (gloves, hi-viz, glasses, etc)?
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Signage & Barricades in Place Where Required?
Ladders:
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Are Ladders In Use At This Worksite?
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Correct Size and Rating for the Job?
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Fully Opened and Spreader Bars Locked Where Applicable?
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Firm Foundation for Ladder Feet?
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Proper Climbing Procedures Observed?
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3-Points of Contact Rules Observed During Use?
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Are Ladders Free From Obvious Defects?
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Workers Stand Below Top Two Steps on Stepladders?
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Extension Ladders Extend 36" Above Landing?
Scaffolds:
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Are Scaffolds In Use At This Worksite?
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Fall Protection Used If Over 10-Feet Tall?
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Set Up On Firm Stable Surface?
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Platform is Appropriate Width For Scaffold Type?
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Engineering or Tabulated Data Available For Scaffolding System?
Fall Protection:
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Is Fall Protection Required At This Worksite?
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Fall Protection Provided For Heights 6ft or More?
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Harness is Worn Properly and Attached To Secure Anchorage?
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Slide Guards Are Installed Across Full Width and All Sides?
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Guard Rails Set Up For Openings >6ft Above Lower Level?
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Guard Rails Are Constructed Sturdily With 2x4 Timbers?
Machine Hazards:
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Are Powertools and Machines Used At This Worksite?
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Workers Are Trained On The Use of Power Tools?
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Workers Have Equipment-Specific PPE and Keep Away From Moving Parts?
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Workers Are Trained Prior to Using Powder Actuated Nailers?
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Is There A Designated Lay-Down Area For Tools and Equipment?
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Tile, Asphalt and Concrete Are Cut With Wet Methods?
Heat Illness Awareness & Prevention:
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Are Employees Educated On Heat Illness Prevention?
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Have Workers Been Trained on Preventing and Recognizing Heat-Related Illnesses?
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Are Workers Provided With Enough Water, Shade and Appropriate Rest Breaks?
Lead-Based Paint and Debris:
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Is There A Risk For Lead Containing Dusts and Debris?
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Have Workers Been Trained on Lead Dusts and Debris?
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Is The Work Area Set Up With An Approved Controlled Access Zone?
Electrical Hazards:
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Are Electrical Hazards Present At is This Work Site?
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Work on Electrical Circuits or Energized Equipment Is Begun Only After All Power Sources Have Been Identified, De-Energized, Locked and Tagged Out?
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Overhead and Underground Electrical Power Line Are Located, Identified and Avoided?
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All Tools and Equipment Are Stored or Staged More Than 10-Feet From Any Electrical Power Source?
Trenching and Excavation:
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Is There Trenching or Excavation Activity At This Work-Site?
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Soils and Conditions Are Inspected and Rated Daily?
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Are There Safe Exits Every 25ft For Trenches and Excavations Greater Than 4ft Deep?
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Shoring, Shielding, and Inclination Assessed for Excavations Greater Than 5ft of Depth?
Safety Culture
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Is the employer measuring safety culture in the workplace which is crucial as it provides insights into organizational values, behaviors, and attitudes towards safety, ultimately influencing accident prevention and employee well-being?
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Spoke to Site Supervision About Health and Safety Concerns Today, and Discussed Proposed Changes or Requests for Training?
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Spoke to Employees About Health and Safety Concerns Today, and Discussed Proposed Changes or Requests for Training?
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Recommended Changes In Procedures, Equipment or Practices During The Visit Today?
Observations:
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Observations & Corrective Actions
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Write Out The Observation.
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Select Date For Corrective Action
Signature:
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Inspector Signature:
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Safety Inspector:
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Site Superintendent:
