Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 1. Safety Glasses, Proper Boots and Hard Hat Required

  • 2. Work Gloves Required

  • 3. Rough Terrain

  • 4. Overhead Loads

  • 5. Steep Terrain

  • 6. Hot Work

  • 7. Dangerous Weather (Extreme Heat or Cold/Inclement Weather)

  • 8. Ditches Sloped Correctly

  • 9. Slips, Trips, and Falls

  • 10. All Guards Properly In Place On Tools

  • 11. Fire Protection Needs

  • 12. Pinch Points

  • 13. Rigging Equipment Defective

  • 14. Working Near Water

  • 15. Heavy Equipment

  • 16. Fall Protection Needed

  • 17. Any Hazardous Materials on the Job Site

  • 18. Any Other Potential Hazards?

  • 19. Emergency Action Plan Reviewed

  • Comments or Corrections.

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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.