Information

  • Audit No.

  • Branch #

  • Jobsite

  • Location
  • Conducted on

  • Project Manager(s)

  • Personnel

  • Foreman/Field Lead

  • Conducted By:

PPE

  • Hard Hat

  • Safety Glasses

  • Gloves

  • Other Applicable PPE

Paperwork

  • Job Hazard Analysis

  • JHA Grade

  • Project Safety Plan Completed

Tool/Electrical Safety

  • Cord/Tool Inspection

  • GFCI Protection

  • Temporary Lighting

  • Temporary Power

  • Electrical Safe Work Practices

  • Lock Out/Tag Out

Other Potential Safety Issues

  • Ladder Safety

  • Aerial Lift Safety

  • Housekeeping

  • Fall Protection

  • Material Handling

  • Trenching/Excavation

  • Pre-planning For Safety

  • Other Issues

  • How Many?

Vehicle Safety

  • Company Vehicle/Service Van 1

  • Company Vehicle/Service Van 2

  • Company Vehicle/Service Van 3

  • Reoccurring Issues

  • General Contractor/Customer Safety Issues

  • Other Compliance/Safety/Behavorial Concerns

  • Corrective Actions Taken While on Site

  • Positive Takeaways/Comments

  • I have reviewed this safety audit and will address the items noted.

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