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