Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Weekly tool box talk available for review?

  • Weekly safety inspection available for review?

  • Daily JSA forms for each crew available for review?

  • Drinking water and cups available?

  • Adequate temporary lighting in work areas?

  • First aid kit stocked?

Housekeeping

  • Adequate number of toilets available and clean?

  • Projecting nails or screws bent over or removed?

  • Walkways and passages clear to walk?

  • Rebar ends protected by caps or 2x4?

Personal Protective Equipment

  • Employees wearing safety glasses at all times?

  • Employees wearing hard hats?

  • Employees wearing gloves when exposed to cut/chemical hazards?

  • Hearing / Respiratory Protection worn by employees when required?

Electrical

  • GFCI protection in use on all temporary power sources?

  • Electrical panels and devices labeled and secured?

  • Extension cords in good condition?

Hand and Power Tools

  • Power Tools free from damage (switches, cords, and guards)?

  • Hand tools free from damage ( shaft, head, splinters, etc.)?

  • PAT operator have training card available for review.

Fall Protection

  • Employees using anchor capable of supporting 5,000 lbs?

  • Elevated work levels have guardrails or cables at 21" and 42"?

  • Employees working above 6 feet using fall protection?

  • All holes covered and labeled?

Fire Protection

  • Only NFPA approved containers used for fuel?

  • Flammable materials removed from job site properly?

  • Adequate number of fire extinguishers in place?

Cranes

  • Does crane have annual inspection available for review?

  • Does operator have training card available for review?

  • Does operator have daily/weekly inspection available for review?

  • Is swing radius of crane barricaded?

  • Are outriggers in use (if equipped and needed)?

Review

  • Superintendent signature

  • Safety Director signature

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.