Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Permits
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Permit to work in place
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Appropriate permits displayed at work site
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Confined Space / standby personnel
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JHA Availible
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Hot Work, fire watch
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Construction signage and cordoned off properly
PPE
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Respiratory protection in place
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Gloves
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Equipment guards on equipment
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Foot protection
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Safety glasses in place
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Hearing protection in place
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Head protection in place
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Protective clothing
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Safety full-body harness (man-lifts, above grade, personnel baskets)
Electrical tools
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Covers on boxes, switches, receptacles (tight-fitting) or double insulated
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Power tools and appliances grounded
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Welding machine grounded
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Ground fault interrupters
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Ground extension cord with good connectors
PNEUMATIC TOOLS/EQUIPMENT
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Power tools secured to hose
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Device at air source to reduce pressure if hose fails
EXCAVATIONS AND TRENCHING
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Sloping, stair-stepping or shoring of walls
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Ladder or steps in hole/trench for quick exit
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Warning tape or barriers installed
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All nails on boards removed or bent over
SCAFFOLDS / LADDERS
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Ladders meet construction standards
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Scaffolding is certified by competent authority
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Scaffolds are plumb and secured
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Adequate working platforms on scaffolds
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Toe boards/guard rails in place
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Access ladder to elevated work platform
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Ladders tied off
COMPRESSED GAS CYLINDERS
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Secure in an upright position
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Metal valve caps must be in place on all cylinders not in use
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Store spare oxygen and combustible gas cylinders separate
SUSPENDED LOADS
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Secured by tag line to prevent swinging
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No personnel working beneath load
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Wire lines and connectors inspected/certified
FUEL CONTAINERS
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Approved cans properly labelled
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Storage of flammable liquids in designated areas only
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Bulk storage of fuels vented, labelled
VEHICILE AND MOBILE EQUIPMENT
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Backed-up alarms on mobile equipment
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Load chart displayed inside equipment
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Overhead guards on forklifts
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Wheels chocked
WORKING SURFACES
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Clear of tripping hazards
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Non-slip surfaces on floors or ramps
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Floor openings guarded
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Stairs designed with hand rails, treads, risers, angles that meet standards
SPILL PREVENTION
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Hazardous products only available at workplace in quantities required for daily use
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Spill containment material available
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Product packaging in good condition and closed when not in use
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Material Safety Data Sheets available
WASTE DISPOSAL
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Trash and rubbish removed daily
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Hazardous wastes segregated for proper disposal