Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Working at Heights

  • Fall Hazards properly identified and addressed?

  • Handrails/guard rails used properly and in good condition?

  • Adequate fall protection plans used if necessary?

Excavations and Trenching

  • Is there an Excavation or Trench on site 5' deep or more?

  • Has a soil classification been done?

  • Inspections done as required?

  • Are protective measures from cave-in or collapse in place?

  • Does the excavation or trench have safe access and egress?

  • Is the spoil in safe location?

Scaffolds

  • Are scaffolds present on site?

  • Are adequate mud sills and base plates in use? Correct footing for hydro/mobile scaffolds?

  • Is a scaffold competent person on site?

  • Unsafe or incomplete scaffold? Guard rails, fall protection, proper access in place?

  • Lack of inspection protocol for scaffold?

  • Incompatible scaffold components?

  • Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

Lifting Equipment

  • Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • Lack of maintenance, testing and inspection? Including daily inspections

  • Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  • Unlicensed operators?

Harness and Equipment

  • Unsafe or damaged harness or equipment?

  • Incompatible hooks/equipment?

  • Unlabelled or does not meet AS?

  • Unsafe or uncertified anchor points?

  • Lack of inspection protocol for equipment?

  • Lack of or inadequate formal training for operators?

Ladders

  • Unsafe or damaged ladders?

  • Unsafe positioning of ladders?

  • Ladder not properly secured?

  • Ladder unsuitable for job? Used improperly?

Hazardous Chemical (including fuel and oil)

  • Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • Incompatible chemicals stored near each other?

  • Inadequate spill containment equipment?

  • Safety Data Sheets accessible on site?

  • Lack of emergency procedures for injury/spills/fire etc?

  • Excessive quantities stored on site or in vehicles?

  • Insufficient ventilation?

  • Insufficient, or incorrect, PPE?

  • Unsuitable storage containers? (unlabeled or stored in food containers)

Emergency Response

  • Lack of, or no emergency plans for site?

  • Emergency procedures not displayed at site?

  • Lack of, or inadequate first aid kits aid equipment for site?

  • Insufficient access to formally trained First Aid responders?

Traffic Management

  • Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  • Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  • Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

Personal Protective Equipment (PPE)

  • Lack of, or inadequate PPE

  • Hard Hats, Safety Glasses, Vests in use according to company policy?

Work Environment

  • Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • Insufficient lighting?

  • Inadequate housekeeping?

  • Lack of, or inadequate noise/ vibration control?

Electrical Hazards

  • Temporary panels in good condition?

  • Junction boxes, switch boxes, outlets in good condition?

  • Unsafe electrical cords? (damaged, missing grounds)

  • Lack of GFCI Protection

  • Underground/Overhead utilities protected from contact?

  • Sufficient outlets? Overloading outlets?

  • Cords placed on ground or on metal structures? Protected from damage?

  • Electrical equipment near water?

  • Electrical equipment near flammables?

  • Electrical cords that may be damaged from contact with moving machinery parts?

  • Electrical cords on work surfaces? Tripping hazards?

  • Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

Environmental Hazards

  • Lack of/or inadequate, dust suppression system?

  • Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

Administrative Procedures

  • Lack of/or inadequate Site Safety Plan?

  • Workers, contractors, visitors familiar with sub safety program and site safety plan?

  • Lack or, or inadequate, supervisory arrangements?

  • Lack of/or inadequate training, licenses, skills, experience?

  • Lack of/or inadequate incident notification procedures?

  • Lack of, or inadequate, routine inspections, monitoring, audits?

  • Lack of/or inadequate consultative arrangements?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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.