Information
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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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Weather
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Location
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Prepared by
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Personnel
Weather
Personal Protective Equipment (PPE)
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Hard Hats
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Hearing Protection
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Respiratory Protection
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Proper Work Attire
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Proper Footwear
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Hand Protection
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Eye / Face Protection
Housekeeping
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Access and Egress Clear (Stairs, Isles, Walkways)
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Material Properly Stacked / Stored
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Debris / Trash Removal
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Nails - Bent / Removed
Ladders / Stairs
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Stair Railings / Hand Rails / Pan Fillers
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Ladder Condition / Type
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Secured / Tied Off
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Extends 3' Above Landing
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Proper Use / Corral At Top
Fall Protection
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Guardrail / Mid-Rail / Toe Board / Perimeter Cable
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Floor Hole Covers / Secure / Labelled
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Personal Fall Arrest / Fall Restraint / Proper Design / Swing Fall
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Elevator Shaft Protection
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Slips / Trips / Falls
Scaffolding / False Work / Shoring / Decking / Concrete
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Planks / Decks / Platforms Installed Properly
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Impalement Protection / Rebar Caps / Troughs
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Proper Access / Ladder / Inspection
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Proper Bracing / Re-Shore / Pads
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Inspected / Secured / Structurally Sound
Electrical
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Adequate Lighting - Task / Area
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Grounding / Inspection / GFCI Use
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Cords Elevated / Receptacles / Plugs / Inspected
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Lockout / Tagout (LOTO) / Energy Controlled / Rooms Secured / Arc Flash
Fire Protection / Prevention
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Adequate Extinguishers (Area & Task) / Inspected / Nearby
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Flammable Materials Storage
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Proper Welding / Cutting Equipment / Flashback Arrestors
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Hot Work Permit / Firewatch
Tools - Hand & Power
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Good Condition / Inspected
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Guarded / Guards In Place
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Use Properly / No Modifications
Site / Public Protection
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Barricading / Fences / Pedestrian Canopy / Trip Hazards
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Adequate Signage / Lighting
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Traffic Control Plan / Flagging
Emergency Preparedness / First Aid / Required Training (OSHA 10 & 30 hr, etc.)
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Trained Personnel
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First Aid Kits / Supplies
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Adequate Sanitation / Hand Washing / Water
Programs / Information / Right To Know
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Periodic Management Inspection
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Hazards Properly Identified / Job Hazard Analysis (JHA / AHA)
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Safety Passport / Orientation / Haz-Com / MSDS / Right To Know
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Safety / Tool-Box Meetings
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Posting Requirements / Signs
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Heat Illness Plan / Training / Adequate Water / Shade
Equipment / Crane / Lifts / Hoisting & Rigging
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Equipment Certifications / Daily Inspections / Alarms / Properly Parked
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Operator Certification / Qualifications / Seatbelts
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Lift Plan / Load Swing Planned / Radius Protection / Power Lines Identified
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Rigger / Signal Person Qualifications / Spotter
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Ground / Area Survey / Stability / No Open Holes / Depressions
Underground / Overhead / Confined Space / Haz Mat
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Active USA / Underground Utilities Marked / Protection Pot-Holing / Haz Material Controlled
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Confined Spaces - Identified / Training / Permits
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Excavations / Trenches - Shoring / Benching / Slipping / Access / PE >20'
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Equipment / Material At Least 10' from Powerlines
Other / Misc.
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Other / Misc.
