PPE Carman Construction Safety Audit Form

• Job Number

• Project

• Location
  Address

• Conducted on

  Date

• Personnel

• LOCATION:

• DATE & TIME OF OBSERVATION:

  Date

• TYPE OF WORK BEING OBSERVED:

• NUMBER OF PEOPLE BEING OBSERVED:

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 19 20 >20

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 19
  • 20
  • >20

• NAME OF EMPLOYEE

• EQUIPMENT BEING WORKED ON:

• WAS A PRE-JOB BRIEFING CONDUCTED?

  Yes

  No

  N/A

• WAS "EYES ON PATH" USED DURING YOUR OBSERVATION?

  Yes

  No

  N/A

• WAS "EYES ON HANDS" USED DURING YOUR OBSERVATION?

  Yes

  No

  N/A

CATEGORY A - Personal Protective Equipment

• Personal work clothing is in good condition?

  Safe

  At Risk

  N/A

• WORK GLOVES

  Yes

  No

  N/A

• SAFETY BOOTS WITH MET GAURDS

  Yes

  No

  N/A

• HARD HAT

  Yes

  No

  N/A

• SAFETY GLASSES

  Yes

  No

  N/A

• HEARING PROTECTION

  Yes

  No

  N/A

• FALL ARREST SYSTEM

  Yes

  No

  N/A

• TRAVEL RESTRAINT SYSTEM

  Yes

  No

  N/A

• RESPIRATOR

  Yes

  No

  N/A

• PPE is being used properly and is in good condition?

  Safe

  At Risk

  N/A

• Personal Protective Equipment is correct for the hazard?

  Safe

  At Risk

  N/A