Information

  • Use this form to document safety, both positive and negative in order promote a safer work site.

  • Project Name

  • GC/CM Name

  • Location
  • Conducted on

  • Audit conducted by:

  • Picture from outside of the project

Overall Job Site

  • Is required Safety information posted at the job site?

  • Are barriers and/ barricades in place? This includes construction fencing or other means to isolate the jobsite.

  • Optional Picture

  • Comments

PPE

  • Are employees wearing the minimum PPE required on the site?

  • Are employees using/ wearing PPE properly?

  • Comments

Housekeeping

  • Housekeeping

  • Are floors and walkways kept free and clear of stored material and debris?

  • Are work areas clearly defied as such?

  • Are dust and/or debris controls in place?

  • Is project being cleaned/maintained on a regular basis?

  • Optional Picture

  • Comments

Electrical

  • Electrical

  • Temp. panels in good condition

  • Junction boxes, switch boxes and outlets in good condition

  • Electrical cords (free from visible damage, out of the immediate walking path, protected where needed)

  • Ground fault circuit interrupter in use

  • LOTO in use where needed

  • Optional Picture

  • Comments

Ladders

  • Ladders

  • Are ladders in safe working condition and free of damage?

  • Are ladders that are in use the right size for the task at hand?

  • Do extension ladders extend at least 3' above the elevated area?

  • Are ladders secured when extended?

  • Are "A" frame ladders being used properly?

  • Optional Picture

  • Comments

Scaffold

  • Scaffolds

  • Is scaffold erected/inspected by a designated competent person?

  • Are scaffold picks/planks in good condition?

  • 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.

  • Scaffold wheels locked or feet installed on mud sills?

  • Optional Picture

  • Comments

Hand & Power Tools

  • Hand & Power Tools

  • Are hand & power tools in good working condition?

  • Are electrically power tools either double insulated or grounded?

  • Are guards in place or readily available to the worker using the tool?

  • Optional Picture

  • Comments

Hot Work

  • Hot Work

  • Is hot work being completed in accordance with PSU's hot work program?

  • Is a hot work permit available

  • Is there a fire watch & fire extinguisher available in the area?

  • Optional Picture

  • Comments

Fall Protection

  • Fall Protection

  • Employees working at heights above 6' are wearing fall protection or have appropriate protections installed?

  • Employees are using their fall protection properly.

  • Holes 2" or larger are covered/protected properly.

  • Optional Picture

  • Comments

First Aid & Accident

  • First Aid Kits

  • Presence of first aid kits on site for workers.

  • Are there first aid & CPR trained employees on site?

  • If an AED is on site, are there people trained in its use?

  • Optional Picture

  • Comments

Material Handling & Storage

  • Material Handling & Storage

  • Materials stored in tiers are stacked, racked, blocked,interlocked or secured to prevent sliding, falling or collapse.

  • Aisle and passageways are free and clear of material

  • Material stored inside a building is is at least 10 from an exterior wall which does not extend higher than the material stored.

  • Optional Picture

  • Comments

Indoor Air Quality & Industrial Hygiene

  • Potential dust generating tasks are being completed with controls in place.

  • Barriers for dusts, odors, vapors & fumes are present and installed to prevent migration.

  • Respiratory Protection in use when needed.

  • Monitoring & Surveys available for hazards on site.

Confined Space

  • Confined Space - If work is taking place in a confined space (permit or non-permit) check here

  • Is the space a permit or non permit space

  • Employees are following the confined space standard or the site specific requirements for confined space.

  • Optional Picture

  • Comments

High Reach & Scissor Lifts

  • High Reach & Scissor Lifts

  • Employees are operating lifts are trained in their use.

  • Employees are not overloading their lifts with either material, equipment or personnel.

  • Employees are using fall protection when required.

  • Optional Picture

  • Comments

Cranes & Mobile Equipment

  • Cranes & Mobile Equipment

  • Cranes on site have a current inspection.

  • Cranes and mobile equipment have their outriggers/ structures protected to warn employees about struck by/ caught between hazards.

  • Riggers & signal persons are qualified for task at hand.

  • Optional Picture

  • Comments

Construction & Public Interface

  • Construction & Public Interface

  • Is there a clear separation of the construction area vs the public/occupied area?

  • Signage present on site is adequate for exits, warnings, and PPE.

  • Exits are maintained for both construction and public corridors.

  • Add media

Notes/Comments

  • Add media

Safety Information

  • 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

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.