Information
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Document No.
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Project Name
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Location
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Client
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Conducted on
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Prepared by
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Purpose of audit:
1. OSHA BIG 4 - Fall Hazards
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1.1. Fall risks of 6 feet or more? (including voids, pits, and trenches)
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1.2. Fall Protection used were needed?
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1.3. Guard rails in place where needed?
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1.4. Floor Openings covered?
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1.5. Working in high winds or wet conditions?
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1.6. Ladders tied off, secured and properly positioned?
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1.7. Ladders are in good condition?
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1.8. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
2. OSHA BIG 4 - Struck by hazards
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2.1. Falling or flying objects
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2.2. Heavy equipment and/or vehicles on-site (forklifts)
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2.3. Concrete or masonry walls properly braced (consider high winds)
3. OSHA BIG 4 - Caught in or between hazards
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3.1. Swing radius barricades in place
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3.2. Safe distance from heavy equipment
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3.3 Excavation protection
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3.4. Conveyors
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3.5. Machinery guarding
4. OSHA BIG 4 - Electrical Hazards
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4.1. Proper electrical tool used?
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4.2. Lack of GFCI protection?
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4.3. Electric cords in good condition?
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4.4. Contact with overhead electrical lines (10 ft)?
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4.5. Electrical equipment near water?
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4.6. Electrical equipment near flammables?
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4.7. Electrical equipment near chemicals that could cause damage?
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4.8. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
5. Jobsite and Equipment
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5.1. Unsafe or damaged equipment or power tools? (including missing or damaged guards)
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5.2. Incorrect equipment or tools for job? (e.g. grinding discs for cutting)
6. Scaffolds
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6.1. OSHA competent person(s) erecting scaffold?
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6.2. Unsafe or incomplete scaffold?
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6.3. Toe boards, hand rails and mid rails in place?
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6.4. Safe Work Load exceeded? (tools, stored materials, number of persons)
7. Crane, Rigging & Lifting Equipment
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7.1. Crane Operators certified or Unlicensed operators?
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7.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
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7.3. Signal Person certified?
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7.4. Rigging in good condition?
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7.5. Tag line(s) in use?
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7.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
8. Trenching and Shoring
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8.1. OSHA competent person on-site?
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8.2. Proper egress in place?
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8.3. Trench properly barricaded?
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8.4. Utility companies notified (Call before you dig)?
9. Harness and Equipment
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9.1. Unsafe or damaged harness or equipment?
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9.2. Incompatible hooks/equipment?
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9.3. Unlabelled or does not meet AS?
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9.4. Unsafe or uncertified anchor points?
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9.5. Lack of inspection protocol for equipment?
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9.6. Lack of or inadequate formal training for operators?
10. Personal Protective Equipment (PPE)
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10.1. Lack of, or inadequate PPE (including sun protection)
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10.2. Lack of training in safe use, clean-up and inspection of PPE?
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10.3. PLS supplied PPE being used (Hard Hat, Safety Glasses, Hi-Vis Shirt & Gloves)?
11. Hazardous Material & Material Safety Data Sheet (MSDS)
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11.1. Unsafe storage location? (e.g. flammables near ignition sources, etc)
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11.2. Incompatible chemicals stored near each other?
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11.3. Inadequate spill containment equipment?
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11.4. Material Safety Data Sheets (MSDS) not accessible on site?
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11.5. Lack of emergency procedures for injury/spills/fire etc?
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11.6. Excessive quantities stored on site or in vehicles?
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11.7. Insufficient ventilation?
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11.8. Insufficient, or incorrect, PPE?
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11.9. Unsuitable storage containers? (unlabeled or stored in food containers)
12. Work Environment / Housekeeping
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12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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12.2. Insufficient lighting?
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12.3. Inadequate housekeeping?
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12.4. Site maintained and free from trip hazards?
13. Emergency Response
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13.1. Lack of, or no emergency plans for site?
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13.2. Emergency procedures not displayed at site?
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13.3. Lack of knowledge, training and rehearsal of emergency plans?
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13.4. Lack of, or inadequate first aid kits aid equipment for site?
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13.5. Insufficient access to formally trained First Aiders for all shifts?
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13.6. Unsuitable or inadequate communication equipment?
14. Administrative Procedures
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14.1. Lack of/or inadequate Site Safety Plan?
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14.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)
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14.3. Lack of, or inadequate, induction for workers, contractors, visitors?
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14.4. Lack or, or inadequate, supervisory arrangements?
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14.5. Lack of/or inadequate training, licenses, skills, experience?
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14.6. Lack of/or documentation of training (send copies to PLS HR)?
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14.7. Lack of PLS Safety Policy & incident procedure posted?
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14.8. Client knows to call PLS immediately if a PLS Pro is involved in an incident?
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14.9. Client investigates incidents involving PLS Pros?
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14.10. ALL Pros carrying OSHA training card & PLS Incident Procedure card?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative / Supervisor
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Auditor's signature
