Information
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Use this form to document safety, both positive and negative in order promote a safer work site.
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Project Name
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GC/CM Name
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Location
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Conducted on
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Audit conducted by:
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Picture from outside of the project
Overall Job Site
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Is required Safety information posted at the job site?
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Are barriers and/ barricades in place? This includes construction fencing.
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Optional Picture
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Comments
Housekeeping
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Are floors and walkways kept free and clear of stored material and debris?
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Are work areas clearly defied as such?
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Are dust and/or debris controls in place?
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Is project being cleaned/maintained on a regular basis?
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Optional Picture
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Comments
Electrical Safety
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If energized work is being preformed, are appropriate measures being followed?
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Are energized parts, circuits, and equipment guarded against accidental contact?
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Are extension cords and pig tails free of broken wires, improper repair, or other physical damage?
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Are circuit breaker panels and emergency shut offs unobstructed and properly labeled?
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Are extension cords being suspended for the ceiling or kept out of walkways?
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Optional Picture
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Comments
Ladders
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Are ladders in safe working condition and free of damage?
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Are ladders that are in use the right size for the task at hand?
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Do extension ladders extend at least 3' above the elevated area?
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Are ladders secured when extended?
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Are "A" frame ladders being used properly?
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Optional Picture
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Comments
Scaffold
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Is scaffold erected/inspected by a designated competent person?
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Are scaffold picks/planks in good condition?
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Is there adequate fall protection on the scaffold? This includes the "X" brace at 20-30 inches for mid rail or 38-48 inches for top rail and toe board.
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Scaffold wheels locked or feet installed on mud sills?
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Optional Picture
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Comments
PPE
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Are employees wearing the minimum PPE required on the site?
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Are employees using/ wearing PPE properly?
Hand & Power Toold
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Are hand & power tools in good working condition?
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Are electrically power tools either double insulated or grounded?
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Are guards in place or readily available to the worker using the tool?
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Optional Picture
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Comments
Hot Work
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Is hot work being completed in accordance with PSU's hot work program?
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Is there a fire watch & fire extinguisher available in the area?
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Optional Picture
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Comments
Fall Protection
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Employees working at heights above 6' are wearing fall protection?
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Employees are using their fall protection properly.
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Holes 2" or larger are covered/protected properly.
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Optional Picture
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Comments
First Aid & Accident
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Presence of first aid kits on site for workers.
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Are there first aid & CPR trained employees on site?
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If an AED is on site, are there people trained in its use?
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Optional Picture
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Comments
Material Handling & Storage
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Materials stored in tiers are stacked, racked, blocked,interlocked or secured to prevent sliding, falling or collapse.
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Aisle and passageways are free and clear of material
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Material stored inside a building is is at least 10 from an exterior wall which does not extend higher than the material stored.
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Optional Picture
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Comments
Confined Space
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Employees are following the confined space standard or the site specific requirements for confined space.
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Optional Picture
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Comments
High Reach & Scissor Lifts
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Employees are operating lifts are trained in their use.
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Employees are not overloading their lifts with either material, equipment or personnel.
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Employees are using fall protection when required.
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Optional Picture
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Comments
Cranes & Mobile Equipment
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Cranes on site have a current inspection.
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Cranes and mobile equipment have their outriggers/ structures protected to warn employees about struck by/ caught between hazards.
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Riggers & signal persons are qualified for task at hand.
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Optional Picture
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Comments
Safety Information
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If available, please use the space below to get current numbers of the following for this project:
Recordable injuries,
Lost time injuries
Hours worked
Current incident rate
