Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
Personal Protective Equipment
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Hard Hats
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Safety Glasses
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Steel Toe Boots/Shoes
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Gloves
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Hearing Protection
Housekeeping
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Material stacked in orderly fashion
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Free access/egress maintained
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Trash cans present in work areas
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Fire extinguisher available
Ladders/stairs
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Ladders secured
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Proper use of ladders
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Inspected for defects/stickers
Fall Protection
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Harness and lanyards
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Floor openings guarded
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Roof opening guarded
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Wall openings guarded
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Impalement hazards protected
Tools
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Cords in safe condition
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Tools in safe condition
Mobile/heavy equipment
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Equipment inspected
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Seat belt/chain gate in use
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Proper use of equipment
Electrical
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GFCIs used
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Cords in safe condition
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Cords protected from traffic
Excavation
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Competent person named
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Proper access/egress
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Spoils piles 2' from excavations
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Excavations protected
Prework
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SDS on file
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Safety meeting minutes/attendance on file
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First aid kit in trailer
Corrective Actions
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Corrective actions that will be undertaken
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Auditor signature
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Personnel Signature
