Information

  • Conducted on

  • General Super being audited:

  • Audited Completed by:

  • Segment / Area of work / Discipline
  • Craft involved in walk:

Housekeeping

  • Was the housekeeping organized and safe for the work being conducted?<br>Skip boxes or garbage bins available on site?<br>Are walk pants clear?

  • Add media

Access and Egress

  • Access clearly defined?<br>Adequate access for task being performed?<br>Slip and trip hazards removed around site?

  • Add media

Hazard Recognition

  • Is the JHA with the operation?<br>JHA and work plan reflect the work being conducted?<br>Is the JHA specific?<br>Are there issues with the PPE on site?

  • Add media

Team Attitudes

  • Crew and supervisor interaction good?<br>Crew has safety ownership?<br>Able to intervene on an unsafe act or condition?

  • Add media

Engagement/Involvement

  • Has everyone on the crew completed an engagement card last week?<br>Does the crew look out for one another?<br>Does the crew look out for our Partners?

  • Add media

WHAT WE DO WELL

ITEMS WE NEED TO IMPROVE

Crew Members:

General Comments:

  • General Superintendent Signature

  • Manager signature

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.