Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Safety Briefing

  • Was a safety briefing conducted for this work assignment?

  • Do personnel know the hazards of the job they are performing?

Housekeeping

  • Are Aisles/Walkways of the job site kept clear for egress?

  • Is the work/storage area kept organized?

  • Housekeeping: Are there issues with spills, cords or other trips, trash/clutter, lighting, or flammables?

Electrical Safety

  • Are flexible cords in good condition (ground plug, insulation, end pieces) and being used in a safe manner?

  • Are flexible cords the correct gauge for the job? (marked S,ST,SO,STO,SJ,SJO,SJT or SJTO)

  • Are flexible cords 3 wire type for grounding and plugged into GFCI outlets?

Personal Protective Equipment

  • Personnel are wearing the appropriate PPE for the hazards of the tasks being performed?

  • Is the PPE in good condition?

  • All appropriate equipment, apparel or gear is worn correctly?

Hazardous Chemicals

  • Are Hazardous Chemicals being used on this job?

  • Are Material Safety Data Sheets available in the workplace?

Tools and Equipment

  • Are tools or equipment being used correctly?

  • Are tools and equipment in good condition?

Working Surfaces

  • Are ladders being used?

  • Are ladders in good condition?

  • Is scaffolding being used?

  • Has scaffolding been inspected and tagged as being safe for use?

Safety procedures

  • Are Lock-out/Tag-out, Arc Flash, Hot Work Permit or Permit Required Confined Space required for project?

  • The appropriate paper work been filled out, permits issued and is posted at the jobsite?

Safe behaviors observed-actions taken to encourage safe behavior

Unsafe behaviors observed-action taken to correct and prevent recurrence

Safety Audit Completed By

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Supervisor Sign Off

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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.