Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by: Sandy Zeiss

  • Location
  • Personnel

PROJECT DOCUMENTS

  • Site Specific Safety Plan

  • Orientation Performed And Documented

  • Competent Person Matrix

  • Superintendent Daily Log

  • JHA prepared by Subcontractors

  • Subcontractor Insurance (including 2nd & 3rd tier)

  • Required posters and signs posted at the project

  • Subcontractor Toolbox Talks Documented

  • Weekly Safety Checklist (CMIC)

  • Corporate Safety Manual Available

  • Project safety program for subcontractors submitted

  • Hazcom program provided

  • SDS sheets provided

  • Emergency telephone numbers posted

  • NOTE:

General Safety

  • First-aid supplies available

  • Housekeeping

  • Adequate lighting provided and maintained in work areas

  • Handrails in place on stairwells

  • Slip, Trip & Fall hazards identified and cleared

  • Proper PPE worn as required

Fire Protection and Prevention

  • Fire suppression equipment available and inspected

  • Fire extinguishers are fully charged <br>

  • Flammable and combustible materials stored properly

  • Flammable liquid stored in approved safety cans

  • Flammable containers properly labeled

Tools: Hand and Power

  • Hand tools in good condition and free of visible defects

  • Guards in place

  • Electric tools double insulated or properly grounded

  • Power cords on electric tools in safe working condition

  • Powder actuated tools: operators certified

Welding and Cutting

  • Fireguard on duty

  • Combustible materials cleared from welding area

  • All cylinders stored properly (broken down and capped)

  • Welding hoses and gauges free of visible defects

  • Electric welding leads free of visible defects

  • Welding screens used to protect others

Scaffold

  • Scaffold is equipped with guardrails when required (> 6 ft)

  • Scaffold is constructed with base plates and mudsills or wheels

  • Proper access is provided, stairs or ladders

  • Scaffold wheels are locked when in use

  • Working platform is fully planked with OSHA grade planks <br>

  • Scaffold is properly secured when required

  • Sketch Optional

Electrical

  • GFCI or assured grounding in use

  • Extension cords free of visible defects

  • Temporary lighting properly guarded

  • All live circuits and panels clearly posted

  • Lockout / Tag out procedure being followed

  • Extension cords strung to avoid damage and injury

Fall Protection / Prevention

  • Shafts and floor openings properly guarded/covered to prevent fall

  • Floor opening covers properly secured and marked

  • Guardrails/handrails are installed and maintained

  • Workers exposed to a fall 6ft or more have proper fall protection

  • Fall protection used at unprotected edges > 6?

  • Lanyards secured to proper anchorage

  • Controlled access zone program in place

  • Sketch Optional

Ladders

  • Ladders are free of visible defects

  • Proper height for work

  • A-frame ladders used in open position

  • Straight ladders secured and extent 36 inches above landing

  • Type 1 and 1A ladders in use

Public / Life Safety

  • Barricades and signs erected to direct pedestrian traffic

  • Exit doors are clearly marked

  • Evacuation plans posted

  • Paths of emergency egress kept clear

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.