Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
HOUSEKEEPING
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Work Area clean and orderly.
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Trash Containers/Disposal
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Clear Paths
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Cords/Leads
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Drinking Water/Toilets/Showers
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Food Service/Waste Disposal/Vermin Control
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Temporary Facilities
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Trailers properly anchored
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Temporary project fencing
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Warning Signs
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Access/Haul Roads
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Personal Protective Equment
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Head
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Eyes
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Ears
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Respiratory
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Body (incl Hands)
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Feet
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Hazardous or Toxic Agents & Environments
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Hazardous or Toxic Agents (storage, labelling, inventory, usage, MSDS)
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Hot Substances
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Ionization/Non-Ionization Radiation
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Inclement Weather & Heat/Cold Stress
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Ventilation/Exhaust Systems
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Crystalline Silica/Asbestos/Lead
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Lighting
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Adequate lighting conditions
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Fire Prevention & Protection
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Fire Extinguishers
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Smoking
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Housekeeping (fire hazard related)
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Material Storage
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Fire Sprinkler Systems
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Emergency Action Planning/Evacuation
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Fuel Dispensing & Refueling
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Hot Work Permits
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Compressed Gas Cylinders
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Temporary Heating Devices
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Welding & Cutting
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Hot Work Permits
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Equipment (e.g. Torches, gauges, grounds, leads, flash arresters)
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Electrical
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Grounding
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Temporary Wiring & Lighting
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Lockout/Tagout
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Equipment Condition
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Cords/Leads
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Energized Work Permit
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GFCI
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Hand & Power Tools
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Correct Tools
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Knowledge of Use
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Equipment Condition (e.g. Frayed cords, lack of guards)
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Operator Safety Manuals
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Object Hazards
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Protrusions & Catch Hazards
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Unsafe Work Methods
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Tool/Material Placement
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Debris Piles
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Work Position
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Fall Protection
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Work Platforms/Scaffolding
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Ladders
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Lifts (e.g. Aerial, scissor)
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Cranes/Multi-Purpose Equipment/Rigging
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Excavations/Trenches
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Confined Spaces
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Machinery & Mechanized Equipment
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Operation
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Inspections
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Training
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Recordkeeping
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Demolition
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General
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Concrete/Masonry Construction
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General
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Steel Erection
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General
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Blasting
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General
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Contract Diving Operations
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General
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Tree Maintenance & Removal
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General
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Program Management
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APP/AHA
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Supervision
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Safety Board
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Deficiency Tracking Log
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Training (e.g. Orientation)
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Visitors & Authorized Entrants
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Safety Meetings
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Accident Reporting & Recordkeeping
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OTHER
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General
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Additional Photos
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Overall Rating
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Choose an Overall Rating
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Contractor Representative Signature
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NAVFAC Representative Signature
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Other Comments
