Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Access and Appearance

  • Adequate Access and Egress provided for Personnel and Deliveries?

  • Adequate Equipment and Materials Storage?

  • Extenuating Circumstances?

Competent Person Assignment- Documented

HAZCOM

Weekly Safety Meetings, Toolbox Talks - Documented

Daily and Weekly Inspections - Documented

Utilization of Personal Protective Equipment: High Vis, Eye Protection, Hard hat, Face shield, Proper gear for Task Being Performed

Ladders and Scaffolding Properly Secured from Movement

Housekeeping

Fire Protection and Equipment

Utilization of Fall Protection: Guardrails, Hole Covers, PFA anchorage, Unprotected edge or side

Guard rails and Toe Boards

Scaffolding and Elevated Work Platform

Forklift

Electrical Cords, GCFI's

Hand Tools

Cranes, Lifting Equipment, and Rigging

Welding, Cutting, and Gas Cylinders

Attitude

Other

  • Supervisor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.