PermaBilt Safety Audit

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment

• Hard Hats

  Safe

  At Risk

  N/A

• Safety Glasses

  Safe

  At Risk

  N/A

• Steel Toe Boots/Shoes

  Safe

  At Risk

  N/A

• Gloves

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

Housekeeping

• Material stacked in orderly fashion

  Safe

  At Risk

  N/A

• Free access/egress maintained

  Safe

  At Risk

  N/A

• Trash cans present in work areas

  Safe

  At Risk

  N/A

• Fire extinguisher available

  Safe

  At Risk

  N/A

Ladders/stairs

• Ladders secured

  Safe

  At Risk

  N/A

• Proper use of ladders

  Safe

  At Risk

  N/A

• Inspected for defects/stickers

  Safe

  At Risk

  N/A

Fall Protection

• Harness and lanyards

  Safe

  At Risk

  N/A

• Floor openings guarded

  Safe

  At Risk

  N/A

• Roof opening guarded

  Safe

  At Risk

  N/A

• Wall openings guarded

  Safe

  At Risk

  N/A

• Impalement hazards protected

  Safe

  At Risk

  N/A

Tools

• Cords in safe condition

  Safe

  At Risk

  N/A

• Tools in safe condition

  Safe

  At Risk

  N/A

Mobile/heavy equipment

• Equipment inspected

  Safe

  At Risk

  N/A

• Seat belt/chain gate in use

  Safe

  At Risk

  N/A

• Proper use of equipment

  Safe

  At Risk

  N/A

Electrical

• GFCIs used

  Safe

  At Risk

  N/A

• Cords in safe condition

  Safe

  At Risk

  N/A

• Cords protected from traffic

  Safe

  At Risk

  N/A

Excavation

• Competent person named

  Safe

  At Risk

  N/A

• Proper access/egress

  Safe

  At Risk

  N/A

• Spoils piles 2' from excavations

  Safe

  At Risk

  N/A

• Excavations protected

  Safe

  At Risk

  N/A

Prework

• SDS on file

  Safe

  At Risk

  N/A

• Safety meeting minutes/attendance on file

  Safe

  At Risk

  N/A

• First aid kit in trailer

  Safe

  At Risk

  N/A

Corrective Actions

• Corrective actions that will be undertaken

• Auditor signature

  Sign

• Personnel Signature

  Sign