Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Task Hazard Analysis

  • Was a THA completed for all tasks being performed?

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  • Was a new or revised THA completed if the job scope changed?

  • Have all known hazards in the work area been identified and listed on the THA?

  • Are the appropriate control measures in place and listed on the THA?

  • Have all employees signed the THA?

  • Does the contractor review the THA with all visitors to the job site?

Mechanical Equipment

  • Have pre-use inspections been completed for all equipment in use at the site?

  • Is the equipment in satisfactory condition?

  • Do operators have current training in the operation of their equipment?

  • Is there a fire extinguisher present on the equipment and readily available?

  • Has the equipment been properly grounded?

  • Is there a backup alarm or is a spotter being utilized for backing equipment?

  • Are outrigger pads being used on all lifting equipment including cranes and buckets?

Housekeeping

  • Has the contractor addressed all housekeeping issues on the job site?

  • Are flammable liquids stored in approved containers or tanks?

Communications

  • Is a complete Emergency Action Plan documented and on site?

  • Has the plan been reviewed with all employees?

  • Are there at least 2 CPR/First Aid trained per crew?

  • Are adequate first aid supplies available?

  • Are MSDS's readily available?

  • Is a copy of the company safety manual on site?

Hand Tools

  • Are all electrical tools in good working condition?

  • All guards in place?

  • All cords in good condition?

  • Double insulated or properly grounded?

  • Plugged into a GFCI?

  • Are all ladders in good working order?<br>

Personal Protective Equipment

  • Are all employees wearing at minimum a hard hat, ANSI approved safety glasses w/sideshields, safety toed boots, and a highly visible top?

  • Are employees wearing work gloves appropriate for the hazard?

  • Are all employees wearing 100% fall protection when required?

  • Is PPE in good condition?

  • Are test dates on rubber goods current?

  • Are test dates on hot sticks current?

  • Is all PPE being stored properly to prevent damage?

Work performed under an operating order

  • Do the foreman and crew know who holds the clearance, non-reclose order or hold order for the facilities being worked?

  • Do the foreman and crew know and understand clearance points?

Working on or Near Energized Equipment

  • Are all employees maintaining appropriate approach distances?

  • Are all energized facilities covered or guarded to prevent contact?

  • Has the foreman been advised of equipment under an NRO?

  • Has the contractor logged in with dispatch?

Work Zone Protection

  • Are the workers properly protected from vehicle traffic?

  • Have all permits been obtained for any public road crossings?

  • Been guarded?

  • Have all hotline crossings been properly guarded?

  • Have utilities been located and marked if any digging or excavating activities are being performed?

Grounding

  • Have all lines and equipment been de-energized, tested, and grounded when required?

  • Have all sources of energy been considered including induced voltage?

OSHA Training

  • Has supervisors completed OSHA 30 hour training?

  • Have all employees completed OSHA 10 hour training?

Rigging

  • Is all rigging equipment in satisfactory condition?

  • Is the rigging being protected from sharp edges?

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  • Foreman

  • Safety

  • Supervisor

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.