Information
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Audit Title
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Document No.
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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
Safety Briefing
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Was a safety briefing conducted for this work assignment?
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Do personnel know the hazards of the job they are performing?
Housekeeping
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Are Aisles/Walkways of the job site kept clear for egress?
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Is the work/storage area kept organized?
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Housekeeping: Are there issues with spills, cords or other trips, trash/clutter, lighting, or flammables?
Electrical Safety
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Are flexible cords in good condition (ground plug, insulation, end pieces) and being used in a safe manner?
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Are flexible cords the correct gauge for the job? (marked S,ST,SO,STO,SJ,SJO,SJT or SJTO)
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Are flexible cords 3 wire type for grounding and plugged into GFCI outlets?
Personal Protective Equipment
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Personnel are wearing the appropriate PPE for the hazards of the tasks being performed?
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Is the PPE in good condition?
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All appropriate equipment, apparel or gear is worn correctly?
Hazardous Chemicals
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Are Hazardous Chemicals being used on this job?
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Are Material Safety Data Sheets available in the workplace?
Tools and Equipment
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Are tools or equipment being used correctly?
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Are tools and equipment in good condition?
Working Surfaces
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Are ladders being used?
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Are ladders in good condition?
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Is scaffolding being used?
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Has scaffolding been inspected and tagged as being safe for use?
Safety procedures
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Are Lock-out/Tag-out, Arc Flash, Hot Work Permit or Permit Required Confined Space required for project?
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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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