Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Administration

  • 1.1. OSHA Posters/OSHA 300 Form Posted (Feb 1 - April

  • 1.2. Superintendents Daily Inspection Log

  • 1.3. Safety Meetings Documented

  • 1.4. Safety Manual Present

  • 1.5. MSDS Present

  • Comments:

2. Medical/Emergency

  • 2.1. Emergency Numbers Posted

  • 2.2. Map of Medical Locations Posted

  • 2.3. First Aid Kit

  • 2.4. Eye Wash Station

  • 2.5. Emergency Action Plan

  • Comments:

3. PPE

  • 3.1. Hard Hats

  • 3.2. Glasses/Goggles/Face Shields

  • 3.3. Proper Clothing

  • 3.4. Proper Work Boots Worn

  • 3.5. Proper Hearing Protection

  • Comments:

4. Fall Protection

  • 4.1. 100% Tie-Off above 6'

  • 4.2. Proper Attachment Points

  • 4.3. Floor/Wall Openings Covered

  • 4.4. Guardrail System in place

  • 4.5. Roof Edge Protected

  • Comments:

5. Electrical

  • 5.1. GFCI Used

  • 5.2. Cords Inspected

  • 5.3. Cords Protected from Traffic and Weather Exposure

  • 5.4. Lockout/Tagout Used

  • 5.5. Cover & Proper Signage

  • Comments:

6. Scaffolding

  • 6.1. Competent Person on Site

  • 6.2. Assembled Properly

  • 6.3. Inspected Daily

  • 6.4. Guardrail/Bracing/Pins

  • 6.5. Proper Footing and Access to Platform

  • Comments:

7. Scissor/Aerial Lifts

  • 7.1. Gate/Chains Secured/100% Tie-Off

  • 7.2. Guardrails Erected Properly

  • 7.3. Operating on a Flat Surface

  • 7.4. Safe Operating Speed

  • Comments:

8. Excavations

  • 8.1. Utilities Marked

  • 8.2. Properly Shored/Sloped

  • 8.3. Spoil >2' from Excavation

  • 8.4. Perimeter Protection

  • 8.5. Proper Access/Egress (<25' Lateral Travel)

  • 8.6. Inspection Completed and Documented by Competent Person

9. Fire Protection

  • 9.1. Extinguisher Present, Charged, & Inspected

  • 9.2. Adequate Number of Extinguishers

  • 9.3. Fire Watch used where needed

  • 9.4. Proper Fuel Containers Used

  • 9.5. "No Smoking" in Flammable & Hazardous Storage Areas

  • Comments:

10. Ladders

  • 10.1. Properly Secured

  • 10.2. Proper Ladder Used

  • 10.3. Used around Electrical Hazards

  • 10.4. Inspected for Defects

  • 10.5. Ladders Extend 3' Above Landing Surface

  • 10.6. Area around Top & Bottom of Ladder free of Tripping Hazards

  • Comments:

11. Welding/Cutting

  • 11.1. Oxygen/Acetylene Capped

  • 11.2. Cylinders Upright and Secured

  • 11.3. Flash Arrestors on Cylinders

  • 11.4. Leads and Hoses free of Defects

  • 11.5 Proper PPE used

  • Comments:

12. Cranes & Hoisting Equipment

  • 12.1. Load Chart & Boom Angle

  • 12.2. Critical Lifts Properly Planned

  • 12.3. Equipment Properly Supported

  • 12.4. Power Lines Inactivated, Covered, or at a Safe Distance (No Closer than 20')

  • 12.5. Swing Radius of Cranes Barricaded

  • 12.6. Annual Crane Inspection Verified

  • 12.7. Rigging (Slings, Chains, Straps)

  • Comments:

13. Environmental

  • 13.1. Asbestos, Lead, Mold, or Silica Concerns

  • 13.2. Nuisance Dust and/or Noise Controls in place

  • 13.3. Containers, Drums, & Tanks are properly Labeled

  • 13.4. Spill Containment is adequate for Hazardous Materials

  • 13.5. Any Hazardous Materials Apparent (Ignitable, Corrosive, Reactive, or Toxic)

  • Comments:

14. General

  • 14.1. Housekeeping Adequate

  • 14.2. Adequate Access/Egress

  • 14.3. Adequate Lighting

  • 14.4. Adequate Ventilation

  • 14.5. Sanitary & Washing Facilities

  • 14.6. Tools in proper working order/guards in place

  • 14.7. Impalement Protection in place

  • 14.8. Equipment Back-Up Alarms properly working

  • 14.9. Seat Belts

  • Comments:

Signatures

  • On-Site Representative

  • Auditor's Signature

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