Information
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Use this form to document safety, both positive and negative in order promote a safer work site.
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Project Name
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GC/CM Name
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Location
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Conducted on
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Audit conducted by:
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Picture from outside of the project
Overall Job Site
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Is required Safety information posted at the job site?
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Are barriers and/ barricades in place? This includes construction fencing or other means to isolate the jobsite.
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Optional Picture
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Comments
PPE
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Are employees wearing the minimum PPE required on the site?
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Are employees using/ wearing PPE properly?
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Comments
Housekeeping
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Housekeeping
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Are floors and walkways kept free and clear of stored material and debris?
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Are work areas clearly defied as such?
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Are dust and/or debris controls in place?
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Is project being cleaned/maintained on a regular basis?
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Optional Picture
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Comments
Electrical
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Electrical
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Temp. panels in good condition
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Junction boxes, switch boxes and outlets in good condition
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Electrical cords (free from visible damage, out of the immediate walking path, protected where needed)
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Ground fault circuit interrupter in use
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LOTO in use where needed
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Optional Picture
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Comments
Ladders
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Ladders
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Are ladders in safe working condition and free of damage?
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Are ladders that are in use the right size for the task at hand?
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Do extension ladders extend at least 3' above the elevated area?
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Are ladders secured when extended?
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Are "A" frame ladders being used properly?
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Optional Picture
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Comments
Scaffold
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Scaffolds
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Is scaffold erected/inspected by a designated competent person?
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Are scaffold picks/planks in good condition?
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Is there adequate fall protection on the scaffold? This includes the "X" brace at 20-30 inches for mid rail or 38-48 inches for top rail and toe board.
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Scaffold wheels locked or feet installed on mud sills?
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Optional Picture
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Comments
Hand & Power Tools
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Hand & Power Tools
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Are hand & power tools in good working condition?
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Are electrically power tools either double insulated or grounded?
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Are guards in place or readily available to the worker using the tool?
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Optional Picture
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Comments
Hot Work
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Hot Work
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Is hot work being completed in accordance with PSU's hot work program?
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Is a hot work permit available
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Is there a fire watch & fire extinguisher available in the area?
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Optional Picture
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Comments
Fall Protection
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Fall Protection
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Employees working at heights above 6' are wearing fall protection or have appropriate protections installed?
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Employees are using their fall protection properly.
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Holes 2" or larger are covered/protected properly.
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Optional Picture
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Comments
First Aid & Accident
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First Aid Kits
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Presence of first aid kits on site for workers.
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Are there first aid & CPR trained employees on site?
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If an AED is on site, are there people trained in its use?
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Optional Picture
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Comments
Material Handling & Storage
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Material Handling & Storage
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Materials stored in tiers are stacked, racked, blocked,interlocked or secured to prevent sliding, falling or collapse.
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Aisle and passageways are free and clear of material
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Material stored inside a building is is at least 10 from an exterior wall which does not extend higher than the material stored.
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Optional Picture
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Comments
Indoor Air Quality & Industrial Hygiene
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Potential dust generating tasks are being completed with controls in place.
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Barriers for dusts, odors, vapors & fumes are present and installed to prevent migration.
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Respiratory Protection in use when needed.
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Monitoring & Surveys available for hazards on site.
Confined Space
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Confined Space - If work is taking place in a confined space (permit or non-permit) check here
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Is the space a permit or non permit space
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Employees are following the confined space standard or the site specific requirements for confined space.
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Optional Picture
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Comments
High Reach & Scissor Lifts
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High Reach & Scissor Lifts
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Employees are operating lifts are trained in their use.
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Employees are not overloading their lifts with either material, equipment or personnel.
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Employees are using fall protection when required.
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Optional Picture
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Comments
Cranes & Mobile Equipment
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Cranes & Mobile Equipment
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Cranes on site have a current inspection.
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Cranes and mobile equipment have their outriggers/ structures protected to warn employees about struck by/ caught between hazards.
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Riggers & signal persons are qualified for task at hand.
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Optional Picture
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Comments
Construction & Public Interface
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Construction & Public Interface
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Is there a clear separation of the construction area vs the public/occupied area?
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Signage present on site is adequate for exits, warnings, and PPE.
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Exits are maintained for both construction and public corridors.
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Notes/Comments
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Add media
Safety Information
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If available, please use the space below to get current numbers of the following for this project:
Recordable injuries,
Lost time injuries
Hours worked
Current incident rate